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+++++++++++++++++++++++ + + +++++++++++++++++++++++ DIABETES UPDATE +++ +++ CMS Covers Supportive Obesity Behavior Therapy T By Jodie Barnett, APRN, CDE HE PREVALENCE OF obesity and related heath problems is on the rise, but so are the tools to deal with these highly impactful health risks. It is no secret that the percentage of overweight and obese Americans ranks among the highest in the world or that this public health concern places consid- erable stress on the health care system. Obesity is associated with increased risks for cardiovascular disease, type 2 diabetes, arthritis and some types of cancer. According to the American Diabetes Association, obesity treatment should be considered a lifelong task. However, until recently, the primary care physician's hands have been tied in regard to provid- ing the long-term support necessary for weight-loss success. However, health care providers have new ways of providing ongoing support to the patient as well as reducing stress on the system, thanks to a recent decision by the Centers for Medicare and Medicaid Services (CMS). CMS has determined that "intensive behavioral therapy for obesity, defined as existing when a patient's body mass index is greater than or equal to 30, is reason- able and necessary for the prevention or early detection of illness or disabil- ity." The therapy, CMS concluded, "is appropriate for individuals entitled to benefits under [Medicare] Part A or enrolled under [Medicare] Part B and is recommended with a grade of A or B by the U.S. Preventive Services Task Force." The new program allows patients to see a qualified primary care practitio- ner regularly for intensive behavioral therapy, which is a key component in the treatment of obesity. Further, the physi- cian's load is lightened with the inclusion of nurse practitioners, certified clinical nurse specialists and physician assistants among those qualified to provide care. This program allows patients up to 22 face-to-face visits if they continue to lose weight. Change is never easy, especially the dietary and lifestyle change necessary to prevent obesity. While face-to-face support is a strong component of long-term weight loss suc- cess, it is not the only one. That is why we have developed a support plan that includes the development of a highly personalized weight-loss and weight-management plan, the develop- ment of strategies to overcome poor and unhealthy habits, as well as the support of a network of patients on the same journey. We've developed a program that includes free, weekly support groups where participants can meet at the office, then walk and exercise with others. Working cooperatively toward success is really the start attribute of this program, within both the health care and patient communities. Jodie Barnett, APRN, CDE, special- izes in diabetes management and is qualified to provide intensive behavioral therapy in the treatment of obesity. To reach Jodie, please call Bodyworx Diabetes Educat ion & Lifestyle Management at (316) 771-7475. ■ 12 | Greater Kansas MD NEWS ■ MDNEWS.COM