My Healthy Weight is the first-ever collective initiative offering obesity prevention and treatment for individuals of all ages. The initiative will provide millions of individuals nationally with consistent coverage to support healthy weight change. The Alliance for a Healthier Generation and the Bipartisan Policy Center developed this public-private initiative with support from the Robert Wood Johnson Foundation.
Physical inactivity, obesity, and related chronic diseases, such as diabetes, cancer, and hypertension, constitute some of the most challenging and costly public health threats facing America today. Obesity rates in the United States have doubled among adults over the past 20 years and have tripled among children in a generation. More than one-third of U.S. adults have obesity; and while there have been recent declines in the prevalence of obesity among children, childhood obesity is still too high with nearly one-out-of-every five kids having obesity. In 2008, the estimated annual medical cost of obesity in the U.S. totaled $147 billion.
It is in recognition of this grave public health challenge that private and public payers came together throughout a series of convenings focused on payer strategies to counter this national epidemic. In order to improve the quality, accessibility and utilization of preventive and treatment services for obesity among both children and adults, participating payers have agreed that collective action to is warranted on a national scale. The following pledges that our signatories commit to are a critical first step in addressing this care gap. Our signatories recognize that simply offering coverage does not mean that care will be received and thus, our signatories also commit to working with providers and beneficiaries to increase utilization of these newly standardized benefits and to encourage the collection of obesity metrics.
With this pledge, beginning on January 1, 2019, My Healthy Weight members commit to build on their organization’s efforts to fight obesity.
Members will offer intensive behavioral interventions every plan year for members with a qualifying diagnosis:
a. At least 12 visits for adults with a BMI ≥ 30
b. At least 6 contact hours for adults with a BMI ≥ 25 and one or more risk factors for cardiovascular disease
c. At least 12 visits for children ages 3 years or older with a BMI ≥ 95th percentile
d. At least 8 visits for children ages 3 years or older with a BMI 85th – 95th percentile
Members will implement and/or cover one or more community-based program(s) for adults and/or children:
a. Adult-focused programs: Qualifying programs should have a previously demonstrated ability to achieve at least a five percent weight loss in adult participants.
b. Child-focused programs: Qualifying programs should have a previously demonstrated ability to achieve a BMI percentile decrease in child participants.