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Savings in Medical Expenditures Associated with Reductions in Body Mass Index Among US Adults with Obesity, by Diabetes Status

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  • John Cawley
  • Chad Meyerhoefer
  • Adam Biener
  • Mette Hammer
  • Neil Wintfeld

Abstract

The savings from a given percent reduction in BMI are greater the heavier the obese individual, and are greater for those with diabetes than for those without diabetes. The results provide health insurers, employers, government agencies, and health economists with accurate estimates of the change in medical care expenditures resulting from weight loss, which is important information for calculating the cost effectiveness of interventions to prevent and treat obesity. Copyright The Author(s) 2015

Suggested Citation

  • John Cawley & Chad Meyerhoefer & Adam Biener & Mette Hammer & Neil Wintfeld, 2015. "Savings in Medical Expenditures Associated with Reductions in Body Mass Index Among US Adults with Obesity, by Diabetes Status," PharmacoEconomics, Springer, vol. 33(7), pages 707-722, July.
    • Handle: RePEc:spr:pharme:v:33:y:2015:i:7:p:707-722
    DOI: 10.1007/s40273-014-0230-2
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    1. Cawley, John & Maclean, Johanna Catherine & Hammer, Mette & Wintfeld, Neil, 2015. "Reporting error in weight and its implications for bias in economic models," Economics & Human Biology, Elsevier, vol. 19(C), pages 27-44.
    2. Cawley, John, 2015. "An economy of scales: A selective review of obesity's economic causes, consequences, and solutions," Journal of Health Economics, Elsevier, vol. 43(C), pages 244-268.
    3. Qian Li & Steven Blume & Joanna Huang & Mette Hammer & Thomas Graf, 2015. "The Economic Burden of Obesity by Glycemic Stage in the United States," PharmacoEconomics, Springer, vol. 33(7), pages 735-748, July.
    4. Cullinan, John & Cawley, John, 2017. "Parental misclassification of child overweight/obese status: The role of parental education and parental weight status," Economics & Human Biology, Elsevier, vol. 24(C), pages 92-103.
    5. Chang, Hung-Hao & Meyerhoefer, Chad D., 2019. "Inter-brand competition in the convenience store industry, store density and healthcare utilization," Journal of Health Economics, Elsevier, vol. 65(C), pages 117-132.
    6. Cawley, John & Maclean, Johanna Catherine & Sikora Kessler, Asia, 2017. "Reporting error in weight and height among older adults: Implications for estimating healthcare costs," The Journal of the Economics of Ageing, Elsevier, vol. 9(C), pages 122-144.
    7. Jonas Minet Kinge, 2017. "Waist circumference, body mass index, and employment outcomes," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(6), pages 787-799, July.
    8. Zachary J Ward & Michael W Long & Stephen C Resch & Steven L Gortmaker & Angie L Cradock & Catherine Giles & Amber Hsiao & Y Claire Wang, 2016. "Redrawing the US Obesity Landscape: Bias-Corrected Estimates of State-Specific Adult Obesity Prevalence," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-13, March.
    9. Mays, Matthew & Smith, Travis A., 2018. "How Does SNAP Participation Affect Rates of Diabetes?," 2018 Annual Meeting, August 5-7, Washington, D.C. 273905, Agricultural and Applied Economics Association.
    10. Hong Li & Qifan Song & Jianxi Su, 2021. "Robust estimates of insurance misrepresentation through kernel quantile regression mixtures," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 88(3), pages 625-663, September.
    11. Haruko Ono & Kotomi Akahoshi & Michiaki Kai, 2020. "The Trends of Medical Care Expenditure with Adjustment of Lifestyle Habits and Medication; 10-Year Retrospective Follow-Up Study," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    12. Padraig Dixon & George Davey Smith & William Hollingworth, 2019. "The Association Between Adiposity and Inpatient Hospital Costs in the UK Biobank Cohort," Applied Health Economics and Health Policy, Springer, vol. 17(3), pages 359-370, June.
    13. Hunt Allcott & Rebecca Diamond & Jean-Pierre Dubé & Jessie Handbury & Ilya Rahkovsky & Molly Schnell, 2019. "Food Deserts and the Causes of Nutritional Inequality," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 134(4), pages 1793-1844.
    14. Julie A. Campbell & Martin Hensher & Daniel Davies & Matthew Green & Barry Hagan & Ian Jordan & Alison Venn & Alexandr Kuzminov & Amanda Neil & Stephen Wilkinson & Andrew J. Palmer, 2019. "Long-Term Inpatient Hospital Utilisation and Costs (2007–2008 to 2015–2016) for Publicly Waitlisted Bariatric Surgery Patients in an Australian Public Hospital System Based on Australia’s Activity-Bas," PharmacoEconomics - Open, Springer, vol. 3(4), pages 599-618, December.
    15. Kinge, Jonas Minet, 2016. "Waist circumference, body mass index and employment outcomes," HERO Online Working Paper Series 2016:4, University of Oslo, Health Economics Research Programme.
    16. Deschenes, Olivier & Wang, Huixia & Wang, Si & Zhang, Peng, 2020. "The effect of air pollution on body weight and obesity: Evidence from China," Journal of Development Economics, Elsevier, vol. 145(C).
    17. Julie A. Campbell & Douglas Ezzy & Amanda Neil & Martin Hensher & Alison Venn & Melanie J. Sharman & Andrew J. Palmer, 2018. "A qualitative investigation of the health economic impacts of bariatric surgery for obesity and implications for improved practice in health economics," Health Economics, John Wiley & Sons, Ltd., vol. 27(8), pages 1300-1318, August.
    18. Beatriz Pereira & Pedro Rosário & Cátia Silva & Gabriela Figueiredo & José Carlos Núñez & Paula Magalhães, 2019. "The Mediator and/or Moderator Role of Complexity of Knowledge about Healthy Eating and Self-Regulated Behavior on the Relation between Family’s Income and Children’s Obesity," IJERPH, MDPI, vol. 16(21), pages 1-15, October.
    19. Dixon, Padraig & Hollingworth, William & Harrison, Sean & Davies, Neil M. & Davey Smith, George, 2020. "Mendelian Randomization analysis of the causal effect of adiposity on hospital costs," Journal of Health Economics, Elsevier, vol. 70(C).
    20. Julie A. Campbell & Martin Hensher & Amanda Neil & Alison Venn & Stephen Wilkinson & Andrew J. Palmer, 2018. "An Exploratory Study of Long-Term Publicly Waitlisted Bariatric Surgery Patients’ Quality of Life Before and 1 Year After Bariatric Surgery, and Considerations for Healthcare Planners," PharmacoEconomics - Open, Springer, vol. 2(1), pages 63-76, March.
    21. Neuhofer, Zachary & McFadden, Brandon R. & Rihn, Alicia & Wei, Xuan & Khachatryan, Hayk & House, Lisa, 2020. "Can the updated nutrition facts label decrease sugar-sweetened beverage consumption?," Economics & Human Biology, Elsevier, vol. 37(C).
    22. Bozzi, Debra G. & Nicholas, Lauren Hersch, 2021. "A Causal Estimate of Long-Term Health Care Spending Attributable to Body Mass Index Among Adults," Economics & Human Biology, Elsevier, vol. 41(C).
    23. Kara A. Livingston & Kelly J. Freeman & Susan M. Friedman & Ron W. Stout & Liana S. Lianov & David Drozek & Jamie Shallow & Dexter Shurney & Padmaja M. Patel & Thomas M. Campbell & Kaitlyn R. Pauly & , 2021. "Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal," IJERPH, MDPI, vol. 18(21), pages 1-13, October.
    24. Sagun Agrawal & Alexis C Wojtanowski & Laura Tringali & Gary D Foster & Eric A Finkelstein, 2021. "Financial implications of New York City’s weight management initiative," PLOS ONE, Public Library of Science, vol. 16(2), pages 1-14, February.

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