The Society of Behavioral Medicine position statement on the CMS decision memo on intensive behavior therapy for obesity
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
In 2011, the Centers for Medicare and Medicaid Services (CMS) issued a decision to cover intensive behavior therapy for obesity in the primary care setting. The Society of Behavioral Medicine (SBM) Public Policy Leadership Group reviewed the CMS decision and has issued a position statement. SBM is in support of the CMS decision to cover intensive behavior therapy for obesity but expresses significant concern that aspects of the decision will severely limit the impact of the decision. Concerns focus on the degree to which this care can be feasibly implemented in its current form given the limitations in providers who are covered and the short length of counseling visits relative to evidence-based protocols. SBM is in strong support of modifications that would include providers who have expertise in weight control (e.g., psychologists and dietitians) and to expand the treatment time to better match protocols with confirmed efficacy.
- Decision memo for intensive behavioral therapy for obesity. 2011. (Accessed August 22, 2012, at http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?&NcaName=Intensive%20Behavioral%20Therapy%20for%20Obesity&bc=ACAAAAAAIAAA&NCAId=253&.)
- Look AHEAD Research Group. Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the Look Ahead trial. Diabetes Care. 2007;30(6):1374-83. CrossRef
- DPP Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. The New England Journal of Medicine. 2002;346(6):393-403. CrossRef
- U.S. Preventive Services Task Force. Screening and interventions for overweight and obesity in adults. Rockville, MD: Agency for Healthcare Research and Quality; 2003. Report No.: 00–4084.
- Schwartz M, Durning S, Linzer M, Hauer K. Changes in medical students’ views of internal medicine careers from 1990 to 2007. Archives of Internal Medicine. 2011;171(8):744-9. CrossRef
- Bodenheimer T. Primary care—will it survive? The New England Journal of Medicine. 2006;355(9):861-4. CrossRef
- DPP Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care. 2002;25(12):2165-71. CrossRef
- Look Ahead Research Group. Look AHEAD (Action for Health And Diabetes): design and methods for a clinical trial of weight loss for the prevention of cardiovascular disease in type 2 diabetes. Controlled Clinical Trials. 2003;24:610-28. CrossRef
- Brownell K. The Learn program for weight management. 10th ed. Euless: American Health Publishing Company; 2004.
- The Society of Behavioral Medicine position statement on the CMS decision memo on intensive behavior therapy for obesity
Translational Behavioral Medicine
Volume 2, Issue 4 , pp 381-383
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Behavioral interventions
- Weight loss