• Some benefits are likely not to occur immediately (i.e., within the first 2 years after therapy is initiated) and may well occur after the 5-year period of these estimates.

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) that were assumed to have other diagnoses that also could warrant referral for nutrition therapy.

REFERENCES

NCHS (National Center for Health Statistics). 1997. Third National Health and Nutrition Examination Survey (Series 11, No. 1, SETS version 1.22a). [CD-ROM]. Washington, D.C.: U.S. Government Printing Office.


Sheils JF, Rubin R, Stapleton DC. 1999. The estimated costs and savings of medical nutrition therapy: The Medicare population. J Am Diet Assoc 99:428–435.



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