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Appendix H: Summary of Cost Estimation Methodology for Outpatient Nutrition Therapy
Pages 357-360

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From page 357... ... This process was completed for each diagnosis. Low Utilization Scenario Utilization in initial year and subsequent years during the initial 5year period may be lower that expected due to time needed to adjust healthcare system and physician referral patterns to new benefit. Read the entire page →
From page 358... ... � Future premium increases were estimated to be 25 percent of projected Medicare reimbursements. � Even though some Medicare-eligible would have other insurance, these cost estimates assumed that Medicare would be the payor for all nutrition therapy sessions received by beneficiaries. Read the entire page →
From page 359... ... � Clinical trial results were adjusted downward since maximum benefits reported are not likely to be replicated when nutrition therapy is provided to a broader population in a less controlled manner. For example, clinical trials with intensive nutrition therapy yielded a 6 percent reduction in cholesterol, while these estimates of benefits were based on a 3 percent reduction. Read the entire page →
From page 360... ... Estimated Reimbursement Cost in Billions to Medicare Summed over 2000 to 2004 (after adjustment for copayment and premium increase) Baseline Low High $1.069 billion $740 million $1.97 billion Estimated Potential Benefit in Millions to Medicare Summed over 2000 to 2004 Baseline Low High Diabetes 231 132 330 Hypertension 83 52 167 Dyslipidemia 89 54 154 Data were not available to permit estimating benefits of nutrition therapy for heart failure, pre-dialysis renal, and the one visit estimated for all remaining beneficiaries (over 65 years old without diagnoses and all beneficiaries under 65 years old) Read the entire page →

From page 357...

... This process was completed for each diagnosis. Low Utilization Scenario Utilization in initial year and subsequent years during the initial 5year period may be lower that expected due to time needed to adjust healthcare system and physician referral patterns to new benefit.

Read the entire page →

From page 358...

... � Future premium increases were estimated to be 25 percent of projected Medicare reimbursements. � Even though some Medicare-eligible would have other insurance, these cost estimates assumed that Medicare would be the payor for all nutrition therapy sessions received by beneficiaries.

Read the entire page →

From page 359...

... � Clinical trial results were adjusted downward since maximum benefits reported are not likely to be replicated when nutrition therapy is provided to a broader population in a less controlled manner. For example, clinical trials with intensive nutrition therapy yielded a 6 percent reduction in cholesterol, while these estimates of benefits were based on a 3 percent reduction.

Read the entire page →

From page 360...

... Estimated Reimbursement Cost in Billions to Medicare Summed over 2000 to 2004 (after adjustment for copayment and premium increase) Baseline Low High $1.069 billion $740 million $1.97 billion Estimated Potential Benefit in Millions to Medicare Summed over 2000 to 2004 Baseline Low High Diabetes 231 132 330 Hypertension 83 52 167 Dyslipidemia 89 54 154 Data were not available to permit estimating benefits of nutrition therapy for heart failure, pre-dialysis renal, and the one visit estimated for all remaining beneficiaries (over 65 years old without diagnoses and all beneficiaries under 65 years old)

Read the entire page →

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Appendix H: Summary of Cost Estimation Methodology for Outpatient Nutrition Therapy Pages 357-360

Appendix H: Summary of Cost Estimation Methodology for Outpatient Nutrition Therapy
Pages 357-360