Health Professional's Guide to Treatment of Overweight and Obesity

5.

Bariatric surgery for the treatment of morbid obesity. National Coverage Analysis (NCA), CAG-00250R, decision memo. Centers for Medicare and Medicaid Services. February 21, 2006. Accessed December 22, 2021. www . cms . gov / medicare - coverage - database / view / ncacal - decision - memo . aspx ? proposed = N & ncaid = 160

6. Centers for Medicare and Medicaid Services. Medicaid. Medicaid.gov. Accessed November 23, 2021. www . medicaid . gov / medicaid / index . html

7. Coverage for obesity treatment services: state Medicaid programs, 2016-2017. Strategies to Overcome and Prevent (STOP) Obesity Alliance. Accessed December 22, 2021. https: / / stop . publichealth . gwu . edu / coverage / medicaid

8. Our updated review of state employee health plan obesity coverage. Strategies to Overcome and Prevent (STOP) Obesity Alliance. July 29, 2022. Accessed March 6, 2023. https: / / stop . publichealth . gwu . edu / LFD - jul22

9.

Jortberg BT, Parrott JS, Schofield M, et. al. Trends in registered dietitian nutritionists’ knowledge and patterns of coding, billing, and payment. J Acad Nutr Diet. 2020;120(1):134-145. doi:10.1016/j.jand .2019.05.008

10. Fast facts—obesity care coverage. Strategies to Overcome and Prevent (STOP) Obesity Alliance. Accessed December 22, 2021. https: / / stop . publichealth . gwu . edu / fast - facts / obesity - care - coverage

11. Removal of barriers to preventive services in Medicare. Patient Protection and Affordable Care Act, Pub L No. 111-148, §4104. March 23, 2010.

12. Weight loss to prevent obesity-related morbidity and mortality in adults: behavioral interventions. US Preventive Services Task Force. September 18, 2018. Accessed December 22, 2021. www . uspreventive servicestaskforce . org / uspstf / recommendation / obesity - in - adults - interventions

13. Intensive behavioral therapy for obesity. National Coverage Analysis (NCA), CAG-00423 N, decision memo. Centers for Medicare and Medicaid Services. November 29, 2011. Accessed December 22, 2021. www . cms . gov / medicare - coverage - database / view / ncacal - decision - memo . aspx ? proposed = N & NCAId = 253

14. Coverage of medical nutrition therapy services for beneficiaries with diabetes or a renal disease. Consolidated Appropriations Act, 2001, Pub L No. 106- 554, §105. December 21, 2000.

15. Medicaid Managed Care Market Tracker. Kaiser Family Foundation. Updated 2021. Accessed December 22, 2021. www . kff . org / data - collection / medicaid - managed - care - market - tracker

16. Coverage of preventive health services. Patient Protection and Affordable Care Act, Pub L No. 111-148, §2713. March 23, 2010.

17. Preventive services covered by private health plans under the Affordable Care Act. Kaiser Family Foundation. Oct. 26, 2022. Accessed March 28, 2023. www . kff . org / health - reform / fact - sheet / preventive - services - covered - by - private - health - plans

18. Treat and Reduce Obesity Act, HR 1577, 117th Cong (2021).

19. Treat and Reduce Obesity Act, S 596, 117th Cong (2021).

20. Medical Nutrition Therapy Act, HR 3108, 117th Cong (2021).

21. Medical Nutrition Therapy Act. S1536, 117th Cong (2021).

22. Kaiser Family Foundation. Employer Health Benefits: 2021 Annual Survey. Kaiser Family Foundation; 2021. https: / / files . kff . org / attachment / Report - Employer - Health - Benefits - 2021 - Annual - Survey . pdf

23. Amanatullah DF, Ohanisian L, Ivanov D, Schofield M, Beseler L. Pre-operative weight loss—plan for stepwise incorporation of registered dietitian nutritionists into an orthopaedic practice. Int J Orth. 2019;2(2):44-48.

24. Physician Fee Schedule Look-Up Tool. Centers for Medicare and Medicaid Services. Accessed March 18, 2022. www . cms . gov / Medicare / Medicare - Fee - for - Service - Payment / PFSlookup

25. Bujnowski M. How can providers get payment for medical nutrition therapy when the diagnosis is not explicitly covered?J Acad Nutr Diet. 2018;118(4):788. doi:10.1016/j.jand.2018.02.003

26. Wang QC, Chawla R, Colombo CM, Snyder RL, Nigam S. Patient-centered medical home impact on health plan members with diabetes. J Public Health Manag Pract. 2014;20(5):e12-20. doi:10.1097/PHH .0b013e3182a8eb3d

27. Jortberg BT, Fleming MO. Registered dietitian nutritionists bring value to emerging health care delivery models.J Acad Nutr Diet. 2014;114(12):2017- 2022. doi:10.1016/j.jand.2014.08.025

28. Academy of Nutrition and Dietetics. MNT: cost effectiveness, cost-benefit, or economic savings of MNT (2009): What is the evidence to support the cost- effectiveness, cost benefit or economic savings of outpatient MNT services provided by an RDN? Evidence Analysis Library. Accessed December 22, 2021. www . andeal . org / topic . cfm ? menu = 4085 & cat = 4085

29. Bundled Payments for Care Improvement Advanced Model. Centers for Medicare and Medicaid Services. Accessed December 15, 2021. https: / / innovation . cms . gov / innovation - models / bpci - advanced

30. Comprehensive Primary Care Plus. Centers for Medicare and Medicaid Services. Accessed December 15, 2021. https: / / innovation . cms . gov / initiatives / comprehensive - primary - care - plus

31. Primary Care First Model Options. Centers for Medicare and Medicaid Services. Accessed December 15, 2021. https: / / innovation . cms . gov / innovation - models / primary - care - first - model - options

32. Where innovation is happening. Centers for Medicare and Medicaid. Accessed December 15, 2021. https: / / innovation . cms . gov / innovation - models / map

33. Academy of Nutrition and Dietetics. Different payment models. eatrightPro.org. Accessed March 29, 2023. www . eatrightpro . org / career / payment / how - rdns - are - paid - for - services / different - payment - models

362 SECTION 4: Models and Insurance Coverage for the Treatment of Obesity

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