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5 stars ANSWERED on Mon 9 Nov 2009 - 1:38 pm UTC by bobbie7

Question: USA Health Insurance Cost Information:

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Asked by thehealthyguy on Thu 5 Nov 2009 - 10:35 am UTC:

USA Health Insurance Cost Information:
(The detailed information on the questions below from one Health Insurance
Company would be considered a complete answer)

    * How much do the companies pay for Health insurance:
          o What are the factors?
          o What are the price ranges for insurance premiums?
          o What are the terms?
                + Average contract length?
                + do companies switch insurance companies? how often?
    * What is the actual cost to the Insurance company for each individual
they insure?
          o What are the factors to determine this amount?
          o Does the cost vary by weight range / BMI?
                + How much does an Obese person cost?
                + How much does an Overweight person cost?
                + How much does a Normal weight person cost?
                + How much does an Under weight person cost?

Uclue Researcher Request for clarification by Researcher czh on Thu 5 Nov 2009 - 9:33 pm UTC:

Hello thehealthyguy,

My preliminary research shows that the information you’re looking for is
not generally available. The main reason is that the health insurance
industry is very competitive so neither the insurance providers or
employers want to reveal their positions. 

Even if this information were available, picking a representative company
would be very difficult because of the high number of variables. The price
of providing health insurance benefits depends on the size of the company,
the amount of coverage they want to provide and the health plans available
in the geographic area. Large companies will have variable rates for
multiple locations.

I found some surveys, reports and articles that provide averages for some
of the information you’re looking for. There might be averaged
information for companies grouped by size or industry. There are some
surveys, but mostly anecdotal stories, about positive or negative incentive
plans for employees to modify their behavior that is likely to affect their
health. Some of the incented behaviors are smoking, BMI, cholesterol and
blood pressure and yearly checkups.

Based on my preliminary research I’ve concluded that the information
you’re looking for is not readily available in line with the price of
your question. It might not be available at all or may be available only in
expensive market research reports. There is a lot of related statistical
information available from various government agencies.

I suggest that you modify your question to find generalized information
instead since individual company prices and requirements are not publicly
available. I await your response on how you want to proceed. 

Thanks,

Clara aka ~ czh ~

Question clarification by thehealthyguy on Sun 8 Nov 2009 - 10:36 am UTC:

based on czh's response,let me focus this question. I would consider it a
full answer to this question if someone can provide me information of the
average cost to an insurance company to insure individuals in the following
3 categories:
  a. obese
  b. overweight
  c. normal weight

Uclue Researcher Request for clarification by Researcher davidsarokin on Sun 8 Nov 2009 - 2:07 pm UTC:

thehealthyguy,

This study provides an excellent overview of what's known about health care
costs in relation to individual weight:

http://www.ers.usda.gov/publications/efan04004/efan04004g.pdf
Health Insurance, Obesity, and Its Economic Costs


The authors note that obesity adds about $10,000 to lifetime medical costs,
while being overweight adds $2,200-$5,300.


Does that information get you the comparison you're looking for?

David

Comment by User myoarin on Sun 8 Nov 2009 - 2:17 pm UTC:

Just a commenter's question, maybe to help clarify the clarification:

Do you want to know the medical expenses that an insurance company actually
has to pay for treatments (in average) of persons in those categories?
Over what period?  Lifetime?

Uclue Researcher Request for clarification by Researcher bobbie7 on Sun 8 Nov 2009 - 5:39 pm UTC:

thehealthyguy,

The study  "National Medical Spending Attributable To Overweight And
Obesity: How Much, And Who’s Paying?"by Eric A. Finkelstein offers a
wealth of information.
http://content.healthaffairs.org/cgi/content/full/hlthaff.w3.219v1/DC1


See Exhibit 2 
http://content.healthaffairs.org/content/vol0/issue2003/images/data/hlthaff.w3.219v1/DC1/Finkelstein_Ex2.gif

"Exhibit 2 shows the average dollar and percentage increase in per capita
annual medical spending attributed to overweight and obesity. The estimated
increase associated with being overweight is 14.5 percent ($247) and ranges
between 11.4 percent ($53) for out-of-pocket spending and 15.1 percent
($271) for Medicaid spending. Only the out-of-pocket estimate, which
includes payments by the uninsured and noncovered payments by those in the
other insurance categories, however, is statistically significant (p <
.05)."

"The average increase in annual medical spending associated with obesity is
37.4 percent ($732) and ranges from 26.1 percent ($125) for out-of-pocket
to 36.8 percent ($1,486) for Medicare and 39.1 percent ($864) for Medicaid.
Estimates for all payers are statistically significant (p < .05)."

See Exhibit 3
http://content.healthaffairs.org/content/vol0/issue2003/images/data/hlthaff.w3.219v1/DC1/Finkelstein_Ex3.gif



See Exhibit 4
http://content.healthaffairs.org/content/vol0/issue2003/images/data/hlthaff.w3.219v1/DC1/Finkelstein_Ex4.gif

Do these figures and statistics help you?

Bobbie7

Uclue Researcher Request for clarification by Researcher bobbie7 on Sun 8 Nov 2009 - 5:54 pm UTC:

This updated study might also interest you:
Article Title:  Annual medical spending attributable to obesity: Payer- and
service-specific estimates 
Publication:  Health Affairs 
Type:  Journal Article 
Date:  2009 
Authors:  Finkelstein, E.A., Trogdon, J.G., Cohen, J.W., Dietz, W. 

http://www.rti.org/publications/abstract.cfm?pub=13189

http://content.healthaffairs.org/cgi/content/full/28/5/w822

Comment by thehealthyguy on Mon 9 Nov 2009 - 6:35 am UTC:

hi bobbie 7, 
i consider these statistics a full answer. thank you. How do I officially
accept so that you get paid?

thanks to others too who participated.

Question clarification by thehealthyguy on Mon 9 Nov 2009 - 10:30 am UTC:

Hi Bobbie - can you please submit the links you have above as your answer.
We consider that a complete answer and want to pay you.

Thanks.

Uclue Researcher 5 stars Answer by Researcher bobbie7 on Mon 9 Nov 2009 - 1:38 pm UTC:

thehealthyguy,

Thank you very much for accepting my findings as your answer. I am glad the
figures and statistics are helpful.

I have just posted my answer so you won't have to
do anything else. Payment will be processed automatically.

Best regards,
Bobbie7


The study  "National Medical Spending Attributable To Overweight And
Obesity: How Much, And Who’s Paying?"by Eric A. Finkelstein offers a
wealth of information.
http://content.healthaffairs.org/cgi/content/full/hlthaff.w3.219v1/DC1


See Exhibit 2 
http://content.healthaffairs.org/content/vol0/issue2003/images/data/hlthaff.w3.219v1/DC1/Finkelstein_Ex2.gif

"Exhibit 2 shows the average dollar and percentage increase in per capita
annual medical spending attributed to overweight and obesity. The
estimated
increase associated with being overweight is 14.5 percent ($247) and
ranges
between 11.4 percent ($53) for out-of-pocket spending and 15.1 percent
($271) for Medicaid spending. Only the out-of-pocket estimate, which
includes payments by the uninsured and noncovered payments by those in the
other insurance categories, however, is statistically significant (p <
.05)."

"The average increase in annual medical spending associated with obesity
is
37.4 percent ($732) and ranges from 26.1 percent ($125) for out-of-pocket
to 36.8 percent ($1,486) for Medicare and 39.1 percent ($864) for
Medicaid.
Estimates for all payers are statistically significant (p < .05)."

See Exhibit 3
http://content.healthaffairs.org/content/vol0/issue2003/images/data/hlthaff.w3.219v1/DC1/Finkelstein_Ex3.gif


See Exhibit 4
http://content.healthaffairs.org/content/vol0/issue2003/images/data/hlthaff.w3.219v1/DC1/Finkelstein_Ex4.gif


This updated study might also interest you:
Article Title:  Annual medical spending attributable to obesity: Payer-
and
service-specific estimates 
Publication:  Health Affairs 
Type:  Journal Article 
Date:  2009 
Authors:  Finkelstein, E.A., Trogdon, J.G., Cohen, J.W., Dietz, W. 

http://www.rti.org/publications/abstract.cfm?pub=13189

http://content.healthaffairs.org/cgi/content/full/28/5/w822

5 stars Accepted and rated by thehealthyguy on Mon 9 Nov 2009 - 2:08 pm UTC:

thank you.

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