Budget impact analysis of a combined lifestyle intervention: Estimate of budget impact for health insurers

Anoukh Van Giessen, Ardine GA De Wit, Wanda Wendel-Vos, Talitha L Feenstra

Research output: Book/ReportReportProfessional

Abstract

A combined lifestyle intervention (Dutch abbreviation GLI) is a treatment for people with (a) obesity (BMI 303-35), (b) for people who are overweight (BMI 25-30) and are also at risk of cardiovascular disease or diabetes, (c) and for people who are overweight and suffer from arthrosis or sleep apnea. GLI takes a combined approach with the aim of teaching people how to have a healthy diet and how to increase physical activity levels. The entire treatment programme takes two years. As of January 1st, 2019, the combined lifestyle intervention will be covered and reimbursed by the basic healthcare package, as provided by the Dutch Health Insurance Act. An estimated 3.5 million Dutch people aged between 18-75 years of age (28 percent of the population) will qualify for this treatment. The Dutch Ministry of Health commissioned the Dutch National Institute of Public health and the Environment (RIVM) to estimate the associated cost for health insurance companies in the first five years following introduction of GLI.

Total costs would increase from 5 million euro in 2019 to almost 15 million euro by 2023, assuming that each year, 1.03 percent of the target population will be referred for the treatment by their general practitioners. In the event that more people are referred (2.5 percent per year), associated costs would increase from 12 million euro in the first year to a maximum of 35 million by the fifth year. However, if dropout rates turn out to be higher than is currently expected, the costs would be lower, with a maximum of 24 million euro by the fifth year at the highest expected referral rate of 2.5 percent annually.

These estimated costs have been based on a Budget Impact Analysis (BIA). For this analysis, researchers first estimated the number of Dutch people who are likely to fall under the GLI terms of reimbursement. Then, a stepped approach was taken to estimate how many people would be referred by their general practitioner, how many people would then have an intake assessment, how many people would start treatment, and how many people would finish the entire treatment programme. These figures are based on three different Dutch studies regarding the effectiveness of GLI treatment.
Translated title of the contributionBudget impact analysis of a combined lifestyle intervention: Estimate of budget impact for health insurers
Original languageDutch
Place of PublicationBilthoven
PublisherRijksinstituut voor Volksgezondheid en Milieu RIVM
Commissioning bodyMinisterie van Volksgezondheid, Welzijn en Sport (VWS)
Number of pages42
VolumeRIVM briefrapport
Edition2018-0092
DOIs
Publication statusPublished - 2018

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