. "Appendix H: Summary of Cost Estimation Methodology for Outpatient Nutrition Therapy." The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press, 2000.
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The Role of Nutrition in Maintaining Health in the Nation’s Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population
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.