Translational Behavioral Medicine

, Volume 2, Issue 4, pp 381–383 | Cite as

The Society of Behavioral Medicine position statement on the CMS decision memo on intensive behavior therapy for obesity

  • Sherry L. Pagoto
  • Lori Pbert
  • Karen Emmons
  • on behalf of the Society of Behavioral Medicine Public Policy Leadership Group
Policy Brief

Abstract

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.

Keywords

Obesity Policy Behavioral interventions Weight loss 

Notes

References

  1. 1.
  2. 2.
    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.CrossRefGoogle Scholar
  3. 3.
    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.CrossRefGoogle Scholar
  4. 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
  5. 5.
    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.PubMedCrossRefGoogle Scholar
  6. 6.
    Bodenheimer T. Primary care—will it survive? The New England Journal of Medicine. 2006;355(9):861-4.PubMedCrossRefGoogle Scholar
  7. 7.
    DPP Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care. 2002;25(12):2165-71.CrossRefGoogle Scholar
  8. 8.
    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.CrossRefGoogle Scholar
  9. 9.
    Brownell K. The Learn program for weight management. 10th ed. Euless: American Health Publishing Company; 2004.Google Scholar

Copyright information

© Society of Behavioral Medicine 2012

Authors and Affiliations

  • Sherry L. Pagoto
    • 1
  • Lori Pbert
    • 1
    • 2
  • Karen Emmons
    • 2
  • on behalf of the Society of Behavioral Medicine Public Policy Leadership Group
  1. 1.University of Massachusetts Medical SchoolWorcesterUSA
  2. 2.Dana Farber Cancer InstituteBostonUSA

Personalised recommendations