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Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution01:25

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution

Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion01:20

Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion

Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

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Updated: Jun 22, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Paying for obesity: a changing landscape.

Lisa A Simpson1, Julie Cooper

  • 1Child Policy Research Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 7014, Cincinnati, OH 45229, USA. lisa.simpson@cchmc.org

Pediatrics
|May 28, 2009
PubMed
Summary

Health plans and states are exploring new ways to cover obesity services, with varied approaches emerging. Further research is needed to determine the most effective strategies for childhood obesity interventions.

Area of Science:

  • Public Health
  • Health Services Research
  • Health Policy

Background:

  • Coverage for obesity-related services is inconsistent across health plans, purchasers, and states.
  • Numerous initiatives have recently been launched by various stakeholders to address this variability.

Purpose of the Study:

  • To identify diverse strategies for coverage and reimbursement of childhood obesity services.
  • To understand the landscape of current approaches in both public and private sectors.

Main Methods:

  • Semi-structured key informant interviews with employers, health plans, and state insurance programs.
  • Literature search of peer-reviewed and grey literature (2005-2008).
  • Input from a national expert advisory group.

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Main Results:

  • Significant variation and recent changes in coverage approaches were observed in private and public sectors.
  • Initiatives include new benefits and incentives for parents and providers.
  • Anecdotal evidence of impact is currently available.

Conclusions:

  • Public and private entities are making progress in addressing payment for obesity services.
  • Medicaid and State Children's Health Insurance Program (SCHIP) have opportunities for leadership.
  • Substantial investment in evaluation and research is crucial to identify effective approaches.