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Prevention, assessment and
treatment of childhood obesity:
Closing the gap in provider
reimbursement
Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities The AAP CME program aims to develop, maintain, and improve the competence, skills, and professional performance of pediatricians and pediatric healthcare professionals by providing quality, relevant, accessible, and effective educational experiences that address gaps in professional practice. The AAP CME program strives to meet participants' educational needs and support their life-long learning with a goal of improving care for children and families. (AAP CME Program Mission Statement, January 2013). The AAP recognizes that there are a variety of financial relationships between individuals and commercial interests that require review to identify possible conflicts of interest in a CME activity. The “AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities” is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities by identifying and resolving all potential conflicts of interest prior to the confirmation of service of those in a position to influence and/or control CME content. The AAP has taken steps to resolve any potential conflicts of interest. All AAP CME activities will strictly adhere to the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support: Standards to Ensure the Independence of CME Activities. In accordance with these Standards, the following decisions will be made free of the control of a commercial interest: identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content, selection of educational methods, and evaluation of the CME activity. The purpose of this policy is to ensure all potential conflicts of interest are identified and mechanisms to resolve them prior to the CME activity are implemented in ways that are consistent with the public good. The AAP is committed to providing learners with commercially unbiased CME activities.
All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that the individual either has no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. *Commercial interest is defined as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Name/Role Relevant Financial
Relationship
(Please indicate Yes,
or No)
Name of Commercial Interest(s)* (Please list name(s) of entity)
AND Nature of Relevant Financial Relationship(s)
(Please list: Research Grant, Speaker’s Bureau, Stock/Bonds excluding mutual funds, Consultant, Other - identify)
Disclosure of Off-Label (Unapproved)/Investigational Uses of Products
AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate
pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an
unapproved or “off-label” use of an approved device or pharmaceutical.
(Do intend to discuss or Do not intend to discuss)
Jenny Bogard, MPH Planning Committee
NO No relevant financial relationships Do Not Intend to Discuss
Michael Santos Planning Committee
NO No relevant financial relationships Do Not Intend to Discuss
Stephen Cook, MD, MPH Faculty
NO No relevant financial relationships Do Not Intend to Discuss
Karen Ferrantella Faculty
NO No relevant financial relationships Do Not Intend to Discuss
Jeanne Lindros, MPH Planning Committee
NO No relevant financial relationships Do Not Intend to Discuss
Corrie Pierce Disclosure Admin
NO No relevant financial relationships Do Not Intend to Discuss
Anita Powell Planning Committee
NO No relevant financial relationships Do Not Intend to Discuss
Marsha Schofield Planning Committee
NO No relevant financial relationships Do Not Intend to Discuss
Bryan Sitzmann Faculty
NO No relevant financial relationships Do Not Intend to Discuss
All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that the individual either has no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. *Commercial interest is defined as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Name/Role Relevant Financial
Relationship
(Please indicate Yes,
or No)
Name of Commercial Interest(s)* (Please list name(s) of entity)
AND Nature of Relevant Financial Relationship(s)
(Please list: Research Grant, Speaker’s Bureau, Stock/Bonds excluding mutual funds, Consultant, Other - identify)
Disclosure of Off-Label (Unapproved)/Investigational Uses of Products
AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate
pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an
unapproved or “off-label” use of an approved device or pharmaceutical.
(Do intend to discuss or Do not intend to discuss)
D. Michael Foulds, MD, AAP Reviewer
No None Do not intend to discuss
Zoey Goore, MD, AAP Reviewer Yes Spouse has relationship with Evenflo. Do not intend to discuss
Ivor Hill, MD, AAP Reviewer No None Do not intend to discuss
Patricia Treadwell, MD, AAP Reviewer
Yes
Spouse has stocks/bonds relationship with Eli Lilly & Co.
Do not intend to discuss
Robert Wiebe, MD, AAP Reviewer
No None Do not intend to discuss
Rickey Williams, MD, AAP Reviewer
No None Do not intend to discuss
Beverly Wood, MD, AAP Reviewer
No None Do not intend to discuss
A. “I have no relevant financial relationships with the manufacturers(s) of any
commercial products(s) and/or provider of commercial services discussed in
this CME activity.” B.
I do not intend to discuss an unapproved/investigative use of a commercial
product/device in my presentation.
DISCLOSURE STATEMENTS:
Jenny Bogard, Alliance for a Healthier Generation
Stephen Cook, MD, MPH, FAAP, FTOS
A. “I have no relevant financial relationships with the manufacturers(s) of any
commercial products(s) and/or provider of commercial services discussed in
this CME activity.” B.
I do not intend to discuss an unapproved/investigative use of a commercial
product/device in my presentation.
A. “I have no relevant financial relationships with the manufacturers(s) of any
commercial products(s) and/or provider of commercial services discussed in
this CME activity.” B.
I do not intend to discuss an unapproved/investigative use of a commercial
product/device in my presentation.
Bryan L. Sitzmann, MD A. “I have no relevant financial relationships with the manufacturers(s) of any
commercial products(s) and/or provider of commercial services discussed in
this CME activity.” B.
I do not intend to discuss an unapproved/investigative use of a commercial
product/device in my presentation.
Jeanne Lindros, MPH
Karen Ferrantella, RD, LD
A. “I have no relevant financial relationships with the manufacturers(s) of any
commercial products(s) and/or provider of commercial services discussed in
this CME activity.” B.
I do not intend to discuss an unapproved/investigative use of a commercial
product/device in my presentation.
Prevention, assessment and treatment of
childhood obesity: Closing the gap in provider
reimbursement
1. Overview of the Healthier Generation Benefit
2. Review of expert committee recommendations and U.S.
Preventive Task Force Recommendations
3. Benefit implementation details
4. Resources available for primary care providers and
registered dietitians
5. Questions& Answer session
6. Post-course survey
Prevention, assessment and treatment of childhood obesity: Closing the gap in provider reimbursement
1. Overview of the Healthier Generation Benefit
2. Review of clinical evidence and U.S. Preventive Task Force Recommendations
3. Benefit implementation details
4. Resources available for primary care providers and registered dietitians
5. Questions& Answer session
6. Post-course survey
The mission of the Alliance is to
reduce the nationwide prevalence of childhood obesity and
to empower kids to make healthy lifestyle choices.
The goal of the Alliance is to reduce the nationwide
prevalence of childhood obesity and to empower kids
nationwide to make healthy lifestyle choices.
Why Take Action?
Nearly
The Cost of Obesity: An American Epidemic
Cost for the Child
• Childhood obesity -
$14.1 billion • 80% of children who
are overweight between the ages of 10 and 15 were obese adults at age 25.
Cost for the Adult
• Adult obesity- $147 billion
• Average additional health expenses- $1850 to $2,741
Cost for the Healthcare System
• $190.2-209.7 billion
• Obesity- 21% of healthcare costs
Healthier Generation Benefit
• Overweight children and teens more likely to develop serious health problems
Healthier Generation Insurance Benefit
• At least 4 follow-up visits with primary care provider
• At least 4 follow-up visits with registered dietitian
Building from the Evidence Base
Alliance Healthier Generation Benefit is the place where these new best practices have real-world application.
• Aetna
• Blue Cross Blue Shield of NC
• Blue Cross Blue Shield of MA
• Blue Cross Blue Shield of KC
• Cigna
• Capital District Physician’s Health Plan
• Grand Valley Health Plan
• Highmark, Inc
• Humana
• Wellpoint
• Accenture
• Alliance for a Healthier Generation
• American Heart Association
• Clinton Foundation
• Leviton
• Nationwide Children’s Hospital
• North Shore Long Island Jewish Health System
• PepsiCo
• Sanofi
• Weight Watchers
Private Sector Partners
Healthier Generation Benefit:
Supporting Organizations
Healthier Generation Benefit Tools and
Resources: Healthcare Professionals
Healthier Generation Benefit Tools and
Resources: Families
Practice Guidelines
Stephen Cook, MD, MPH, FAAP, FTOS
For a summary of the evidence systematically reviewed in making these recommendations, the
full recommendation statement, and supporting documents please go to
www.preventiveservices.ahrq.gov.
Population Children and adolescents 6 to 18 y of age
Recommendation Screen children aged 6 y and older for obesity. Offer or refer for intensive counseling and behavioral interventions.
Grade: B
SCREENING FOR OBESITY IN CHILDREN AND ADOLESCENTS:
CLINICAL SUMMARY OF USPSTF RECOMMENDATION 2010
Grade B Definition: The USPSTF recommends the service. There is high certainty that the net benefit
is moderate or there is moderate certainty that the net benefit is moderate to substantial.
Suggestions to practice: Offer/provide this service.
USPSTF Levels of Certainty Regarding Net Benefit: Moderate
American Academy of Pediatrics Commentary on USPSTF Recommendations Evidence for Effective
Obesity Treatment: Pediatricians on the Right Track! (Jan 2010): recommends screening and
intervention beginning at age two and older
Screening tests BMI is calculated from the weight in kilograms divided by the square of the height in meters.
Height and weight, from which BMI is calculated, are routinely measured during health maintenance visits.
BMI percentile can be plotted on a chart or obtained from online calculators.
Overweight = age- and gender-specific BMI at ≥85th to 94th percentile Obesity = age- and gender-specific BMI at ≥95th percentile
Timing of screening No evidence was found on appropriate screening intervals.
Interventions Refer patients to comprehensive moderate- to high-intensity programs that include dietary, physical activity,
and behavioral counseling components.
Balance of harms and benefits
Moderate- to high-intensity programs were found to yield modest weight changes. Limited evidence suggests that these improvements can be sustained over the year after
treatment. Harms of screening were judged to be minimal.
Relevant recommendations from the USPSTF
Recommendations on other pediatric and behavioral counseling topics can be found at
www.preventiveservices.ahrq.gov.
SCREENING FOR OBESITY IN CHILDREN AND ADOLESCENTS:
CLINICAL SUMMARY OF USPTF RECOMMENDATION 2010
Let’s Move!
• Body Mass Index (BMI) is calculated for every child at every well-child visit in accordance with AAP recommendations*, and that information is provided to parents about how to help their child achieve a healthy weight; and
• Prescriptions for healthy active living (good nutrition and physical activity) are provided at every well-child visit, along with information for families about the impact of healthy eating habits and regular physical activity on overall health.^
* BMI measurement begins at the 24 month visit
^ These actions are consistent with existing AAP policy and Bright Futures
Guidelines.
In February of 2010, the AAP joined First Lady Michelle Obama in support of her
Let's Move! initiative to end childhood obesity within a generation!
As part of the White House Initiative, the AAP pledges to engage in a range of
efforts toward 2 primary goals:
Call to Action
Forces are lining up to create a wave of support for you and the
children and families you treat – the time is now!
• Momentum of Let’s Move
• Evidence via the USPSTF recommendations
• More supporting policy environment focused on improving built environments, increasing access to healthy foods and physical activity, etc
• Nationwide media campaign starting
• Healthier Generation Benefit
• Tools and resources for providers and families
Clinical Care Recommendations
Stages of the Expert Committee Recommendations
• Prevention
• Prevention Plus
• Structured Weight Management
• Comprehensive Multidisciplinary Intervention
• Tertiary Care Intervention
• Promote breastfeeding • Diet and physical activity:
– 5 Five or more servings of fruits and vegetables per day – 2 Two or fewer hours of screen time per day, and no
television in the room where the child sleeps – 1 One hour or more of daily physical activity – 0 No sugar-sweetened beverages
Prevention BMI 5%-84% - Diet
Prevention BMI 5%-84% - Diet
• Portions
– Age appropriate
– “Parent’s provide child decides”
• Structure
– Breakfast
– Family dinners, no TV
– Limit fast food
• Balance
– Food groups
– Limit refined sugar
Prevention Plus: BMI >85%
• Build on Prevention
• Eating behaviors:
– Family meals should happen at least 5-6 times per week
– Allowing the child to self-regulate his or her meals and avoiding overly restrictive behaviors “Parents provide child decides”
Prevention Plus -Physical Activity/Inactivity
• Advise 60 minutes of at least moderate physical activity per day and 20 minutes vigorous activity 3x/week
– Refer to community activity programs
– Encourage development of family activities
– Consider pedometer use
• Decrease level of sedentary behavior
• Limit screen time <2 hrs/day
• No TV/computer in bedroom
Structured Weight Management: Stage 2
• Decrease weight velocity – Slowing down rate of weight gain, look back at previous
6mo - yr
• Weight maintenance – Decreasing BMI as age and height increases
• If no improvement in BMI/weight after 3-6 months, patient should be advanced to Stage 3 (CMWM)
• Weight loss becomes a target for: 2-5yr & severe obesity; 6-11yr severe or w/ risk; ≥ 12 yr at obesity
Communication
• Positive discussion of what healthy lifestyle changes families can make (evidence base)
• Allow for personal family choices
• Have families set specific achievable goals and follow up with these on revisits
• Be aware of cultural norms, significance of meals and eating for family/community, beliefs about special foods, and feelings about body size.
When to partner
• Dietitians
• Mental Health Professionals
• Physical Therapists, Occupational Therapists, Physical Activity Trainers, etc
• Others
Partnership with Families
Any efforts to address obesity in children need to be
made in partnership with their family.
• Families have a critical role in influencing a child’s health
» Cohen RY et al Health Educ Q 1989;16;245-253
• Effective interaction with families is the cornerstone of lifestyle change
AAP Resources
Jeanne Lindros, MPH
PREVENTION. TREATMENT. RESULTS.
Pediatric e-practice: Optimizing Obesity Care
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT
One-Stop Shopping: Obesity Resources
38
Pediatric e-Practice:
Optimizing Your Obesity Care
INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 3 9
www.pep.aap.org
INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 4 0
www.pep.aap.org
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42
Sample of resources accessible via PeP
Highlight of Content on PeP
• Patient Education Fact Sheets
• Patient/Family Screeners
• Clinical Support Tools
• Policy and Guidelines
• CME and MOC opportunities
• Books and Resource Materials
• Billing and Practice Management Resources
• Staff Training and Wellness
• Community Advocacy
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 43
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT
Early Obesity Prevention
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Healthy Active Living for Families
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 45
www.healthychildren.org/growinghealthy
HALF Provider Resources
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 46
www.aap.org/HALFIG
Evidence Parent Feedback Opportunities for Care Conversation Starters Related Parent Resources
Healthy Growth App
Designed to support treatment of overweight or obese child
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT
New Resource
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Next Steps
• Available now at AAP bookstore
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 48
Provider’s Guide
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 49
Flip Chart
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 50
Provider Talking Points Patient Information
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT
Tried and True Resources
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52 INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT
www.aap.org/obesity (under clinical resources)
Coming Soon!
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 53
MI: Virtual Reality Module
INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 5 4
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 55
www.aap.org/obesity
INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 56
Updated Institute for Healthy Childhood Web Site
Coming Soon at aap.org\healthyweight
www.andevidencelibrary.com
What is Evidence-based Dietetics Practice?
“Evidence-Based Dietetics Practice involves the process of asking questions, systematically finding research evidence, and assessing its validity, applicability and importance to food and nutrition practice decisions; and includes applying relevant evidence in the context of the practice situation and values of clients, customers and communities to achieve positive outcomes.”
Academy of Nutrition and Dietetics Quality Management Committee Definition of Terms
Updated January 2014
Pediatric Weight Management Algorithms
Algorithms are available online:
www.andevidencelibrary.com
• Pediatric Weight Management Nutrition
Care Process
• Nutrition Assessment
• Nutrition Diagnosis
• Nutrition Intervention
• Monitoring and Evaluation
Evidence Based Guidelines > Guideline List > Pediatric Weight
Management > Algorithms
64
This Evidence Analysis Library® project is free to the public. To access,
go to http://www.andevidencelibrary.com/topic.cfm?cat=2721
Accessing Pediatric Weight Management Recommendations
Other Academy of Nutrition and Dietetics
Pediatric Resources
• Academy Evidence Analysis Library® Store • http://www.andevidencelibrary.com/store.cfm • Pediatric Weight Management Toolkit • Pediatric Weight Management PowerPoint
• Academy Eatright.org Store • Various Pediatric Publications
• http://www.eatright.org/Shop/Categories.aspx?id=255
• Academy Pediatric Nutrition Care Manual • https://www.nutritioncaremanual.org/
• KIDS Eat Right - public website at kidseatright.org
www.eatright.org/alliance
Link to:
•Academy Guidelines
•Academy Positions
•Care Coordination
documents
•HGB Benefit Details
A group of Registered Dietitians has been established specifically for the Healthier Generation benefit pilot and the network of providers has been set. Webinar attendance does not imply and is not a guarantee of inclusion into the pilot program.
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BRYAN L. SITZMANN, M.D.
FEBRUARY 6, 2014
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Blue Cross and Blue Shield
of Kansas City (Blue KC) is
collaborating with the
Alliance for a Healthier
Generation to bring health
benefits to Kansas City
kids.
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HEALTHIER GENERATION
BENEFIT The Healthier Generation Benefit is designed to do the following:
• Empower providers to play an active part of the solution to the obesity
epidemic
• Provide eligible children:
• Four visits with their primary care provider
• Four visits with a Registered Dietitian Benefits will pay at 100 percent of allowable when received through an in-network provider
• Raise awareness and take steps to positively impact childhood obesity
rates
• Help kids and their parents learn healthy habits by focusing on
achieving a healthy weight
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WHO IS ELIGIBLE?
To be eligible for the pilot program children must be covered by
Blue KC and meet the following criteria:
• Must be between the ages of 3 and 18
• BMI at or above the 85th percentile
for age
• In one of 16 large employer groups
*Please note: No co-morbid condition
required
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ELIGIBLE EMPLOYER GROUPS
August 1, 2013 • Blue Cross and Blue Shield of Kansas City
– Group 25
• Board of Police Commission
• Johnson County Community College
• Kansas City Missouri School District
January 1, 2014 • Blue Valley Unified
• Clay County
• Garmin International/Garmin
• Jackson County Missouri
• Lee’s Summit RV11 School District
• Metropolitan Community College
• Olathe Health System, Inc.
• Olathe School District
• Shawnee Mission USD #512
• KCK Unified School District #500
• University of Kansas Hospital Authority
May 1, 2014 • City of Kansas City Missouri Health Care
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PRIMARY CARE PROVIDERS
An important part of Blue KC’s strategy is to
provide support to our provider network to work
with individual patients and their families to
address and prevent childhood obesity.
In response to questions we’ve received from
you, let’s take a look at some suggested steps
towards starting a meaningful conversation with
your patient about their overall health.*
*Suggestions align with 2010 recommendations
from US Preventive Services Task Force & 2007
Expert Committee recommendations for the
prevention, assessment & treatment of obesity
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PRIMARY CARE PROVIDERS
Suggestions for each
Healthier Generation Benefit Visit:
1st PCP Visit
• Calculate and plot BMI
• Assess medical risk including relevant labs*
• Assess behavior risk*
• Assess patient and family attitudes*
• Refer to Registered Dietitian as appropriate
• Initiate goal setting with patient and family*
*visit BeWellKC.BlueKC.com for examples of
assessment tools
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PRIMARY CARE PROVIDERS
Suggestions for each Healthier Generation
Benefit Visit:
2nd PCP Visit
• Calculate and plot BMI
• Discuss Registered Dietician (RD) visits and review treatment plan including patient’s
goals and next step plans
• Assess and address patient and family concerns
• Information sharing / care coordination with other members of care team as
appropriate
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PRIMARY CARE PROVIDERS
Suggestions for each Healthier Generation
Benefit Visit:
3rd and 4th PCP Visit
• Calculate and plot BMI
• Address medical concerns including labs as necessary
• Discuss RD visits and review treatment plan progress including a review of patient goals
and next steps
• Review information shared from RD as available
• Assess progress
• Refine goals as appropriate
• Information sharing / care coordination with other members or care team as appropriate
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DIETITIAN REFERRALS
Blue KC is working with
Registered Dietitians
through the pilot program
to help kids and their
parents learn healthy
eating habits and focus on
achieving healthy weight
during childhood and
beyond.
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DIETITIAN REFERRALS
We have identified three options to help
providers & patients find a Registered Dietitian.
• Family Care Centers
• Mobile Health Clinics
• Hy-Vee Registered Dietitians
Benefits will pay at 100 percent of the allowable when received
through an in-network provider.
For more information on finding a Registered Dietitian for this pilot, visit
BeWellKC.BlueKC.com or contact your Provider Representative.
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REGISTERED DIETITIANS
Start a meaningful conversation about
nutritional health. Suggestions for each Healthier Generation Benefit Visit:
1st RD Visit
• Medical and nutrition evaluation and assessment (See Academy Pediatric Weight Management
Evidence-Based Nutrition Practice Guidelines)
• Review PCP comments and patient goals as available
• Determine nutritional diagnosis
• Prioritize needs and goals based on child and family interests and issues
• Begin intervention / counseling / education
• Discuss / share plan with PCP
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REGISTERED DIETITIANS
Continue the conversation about
nutritional health. Suggestions for each Healthier Generation Benefit Visit:
2nd – 4th RD Visits
• Review information shared by PCP as available
• Medical and nutrition re-evaluation
• Review goals from prior session
• Reinforce progress
• Establish new goals as appropriate
• Counseling on session topic
• Discuss/share plan with PCP
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CODING Healthier Generation Benefit visits should be coded
using the following diagnostic and CPT code groups: Physician claims
Code with ICD-9 code range 278 - 278.03 in the primary
position* and CPT code range 99205 – 99215. Use V85.53 to
record BMI 85% to <95% or V85.54 to record BMI ≥ 95% in
secondary diagnosis field
Dietitian claims
Code with ICD-9 code range 278 – 278.03 in the primary
position* and CPT code range 97802 – 97804. Use V85.53 to
record BMI 85% to <95% or V85.54 to record BMI ≥ 95% in
secondary diagnosis field
* Information on 10/1/14 conversion to
ICD-10 coding will be provided at
a future date.
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COMMUNICATIONS
Providers Members Employers
Detail targeted letters
Targeted mailing with detailed information on how to access and use the benefit
Marketing and broker outreach
Webinar/CME courses (TBA) Information posted on employer’s website
Employer newsletter updates
Newsletter updates
BeWellKC.BlueKC.com/HG BeWellKC.BlueKC.com/HG BeWellKC.BlueKC.com/HG
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DATA ANALYSIS
• Blue KC will complete internal analysis using
claims and clinical information to identify use
of obesity related diagnosis and CPT codes,
BMI % calculations and HEDIS measures to
determine the success of the pilot.
• Through our relationship with the Alliance,
Emory University will complete an external
analysis with de-identified data sets.
• Look for future editions of the Blue KC
Childhood Obesity Report at
BeWellKC.BlueKC.com.
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WHAT MORE CAN WE DO?
• Assess and record height,
weight and BMI% status at
every patient visit
• For members in the pilot, use
BMI codes as secondary
diagnosis for disease
prevalence tracking
• Address the importance of a
healthy weight and overall
health at each visit
• Be an advocate/champion for
benefit use with the selected
member groups during the
pilot 85
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RESOURCES AVAILABLE
For more information about the Healthier Generation benefit, groups
involved and suggested protocols, visit our Blue KC Health Promotions
website at BeWellKC.BlueKC.com.
Other resources for you to utilize include:
Blue KC
BlueKC.com
American Academy of Pediatrics
aap.org/obesity
Academy of Nutrition & Dietetics
eatright.org/alliance
Alliance for a Healthier Generation
healthiergeneration.org
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