Although the prevalence of obesity among children in the United States is rapidly increasing, third party payer reimbursement for evaluation and management may be limited.
The purpose of this analysis is to evaluate third party payer reimbursement rates for a pediatric weight management program for obese children and associations among child characteristics (eg, degree of obesity), insurance policy type, and reimbursement rates.
Cross-sectional survey in a tertiary care pediatric medical center.
Reimbursement rate of charges for initial evaluation and management and patient characteristics were evaluated for children 2 years or older enrolled in the Children's Hospital Weight Management Program.
From October 17,1995, to December 23,1997,191 children were evaluated in the Children's Hospital Weight Management Program.
The children were on average 10.1 ± 0.3 years old, with a mean body mass index z-score of 4.9 ± 0.2 ; 46% were black, and 65% were female.
The median reimbursement rate was 11% and varied widely (0% to 100%). Reimbursement rates differed significantly among policy types.
Reimbursement rates did not differ between boys and girls or white and black children, nor were reimbursement rates associated with the degree of obesity. (...)
Mots-clés Pascal : Obésité, Assurance maladie, Protection sociale, Soin intégré, Traitement, Etude comparative, Contrat, Origine ethnique, Age, Sexe, Indice masse corporelle, Etats Unis, Amérique du Nord, Amérique, Enfant, Homme, Caucasoïde, Négroïde, Etat nutritionnel, Trouble nutrition, Remboursement
Mots-clés Pascal anglais : Obesity, Health insurance, Welfare aids, Managed care, Treatment, Comparative study, Contract, Ethnic origin, Age, Sex, Body mass index, United States, North America, America, Child, Human, Caucasoid, Negroid, Nutritional status, Nutrition disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0311460
Code Inist : 002B30A01B. Création : 16/11/1999.