The Society of Behavioral Medicine position statement on the CMS decision memo on intensive behavior therapy for obesity
- 123 Downloads
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.
KeywordsObesity Policy Behavioral interventions Weight loss
- 1.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&.)
- 4.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.Google Scholar
- 9.Brownell K. The Learn program for weight management. 10th ed. Euless: American Health Publishing Company; 2004.Google Scholar