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September, 2008

Letter From The Director
 Greetings!,

Recently, the State of Alabama Employees' Insurance Board approved a plan which has ignited a great deal of discussion and debate about employer-based weight-loss programs.
 
Under the program, state employees will have a $50 monthly health insurance premium starting in 2010.  However, they can reduce the premium by $25 if they participate in free health screenings for a series of risk factors associated with obesity, including BMI, blood pressure, cholesterol and glucose. 
 
 If an employee decides not to take advantage of the screenings, the premium is not reduced.  Additionally, if the employee does particpate and is found to be in poor health, but he or she does not take advantage of a state-sponsored doctor's visit (or doesn't work to improve the specific health outcomes themsevles over the course of the next year) the premium remains at $50.
 
There's no doubt that this effort ultimately is designed to proactively take on the obesity epidemic by promoting better health and reducing long-term healthcare costs.  However, many people fear that this approach may inadvertently stigmatize or penalize overweight and obese individuals.
 
As a strong proponent of innovative interventions and solutions to strengthen the system of care for overweight and obesity, the Strategies to Overcome and Prevent (STOP) Obesity Alliance is an advocate of legislation that strives to reduce the cost of disease related to obesity.  The Alliance is also strongly in favor of enlisting employers and labor into the battle against obesity.  In fact, earlier this year, the STOP Obesity Alliance commissioned an employer survey with the National Opinion Resource Center.  The results indicate that while employers and employees agree that the workplace is an appropriate place for weight-loss interventions, both favor reward systems rather than punitive measures to address the issue.
 
Alabama's State Employees' Insurance Board should be commended for addressing overweight and obesity in the workplace in a structured, programmatic manner.  It will be critical for the State of Alabama to closely monitor and report on the outcomes of this program.  What levels of success are employees experiencing?  How satisfied are employees with the program design?  What is the impact on the State's health claims?  And, is the state experiencing any residual benefits or setbacks that others could learn from?
 
The obesity epidemic is so often a source of frustration shared among employers and employees.  Programs such as the State of Alabama's will require debate, discourse and decisions on the highest levels in order to take the steps necessary to combat our national epidemic. 
 
Sincerely,

Christine C. Ferguson, JD
Director, The STOP Obesity Alliance
Associate Research Professor
School of Public Health and Health Services
Department of Health Policy
The George Washington University
Christine Ferguson
In This Issue
Alliance Steering Committee Member News

News Round-Up


Alliance Steering Committee Member News

STOP Obesity Alliance Director to Chair 3rd Annual Obesity Congress

Christine Ferguson will chair the 3rd Annual Obesity Congress, to be held November 20-21, 2008 at the Omni Shoreham Hotel in Washington, D.C.  This forum will bring together a diverse set of leaders from the public and private sectors to discuss solutions that are helping employers improve the health of both their employees and their businesses.  Several key opinion leaders will offer insights at this year's Congress, including the acting US Surgeon General Rear Admiral Steven K. Galson, MD, MPH and Ken Thorpe, PhD, Professor and Chair of Emory University's Rollins School of Public Health.  To register, or for more information, please click
here.  
 
DMAA:  The Care Continuum Alliance's The Forum 08 Rescheduled for November 23-25, 2008
 
DMAA:  The Care Continuum Alliance has rescheduled The Forum 08 to November 23-25, 2008 at the Westin Diplomat Resort and Spa in Hollywood, FL.  The forum will include a series of educational sessions on a range of topics related to chronic care models as well as a poster session where key opinion leaders and directors of innovative programs will share their organizations' findings concerning best practices in disease management.  To register, or for more information, please click here.  

News Round-Up
Campaign '08: Creating Subspecialty Seen As A Remedy For Obesity Epidemic
MedPage Today
Emily P. Walker
September 3, 2008


As part of a bipartisan push to quell the nation's obesity epidemic, those gathered for the Republican National Convention heard speakers call for more targeted physician training in keeping patients at ideal weights. In an Obesity Society forum held in conjunction with the convention, panelists suggested that establishing an internal medicine obesity subspecialty could be a big help. The forum was held to emphasize what a new administration must do to combat obesity. However, most of the panelists emphasized personal responsibility for health and weight needs instead of sweeping changes in health policy and healthcare from the government.
 
Obesity Management Programs Return $1.17 Per Dollar Spent
Occupational Health Safety
September 14, 2008


A study published in the Journal of Occupational and Environmental Medicine suggests that an obesity management program called Healthyroads to reduce weight and improve health risk factors in obese employees produced a short-term return on investment of $1.17 per dollar spent. According to researchers at University of Georgia, the ROI model used in the study provides a relatively simple and inexpensive tool to help companies estimate the dollar benefits of investing in employee wellness programs. The ability to simulate the cost savings associated with reducing employee health risks could help in building a "credible and defensible case" for investment in employee wellness, the researchers conclude. 
 
Former Ark. Gov. Huckabee Calls for Health Changes
Associated Press
September 16, 2008


At the "State of Our Health" conference in Columbia, sponsored by AstraZeneca and the National Committee for Quality Assurance, former Arkansas Gov. Mike Huckabee said that the nation's health care system cannot be overhauled without first addressing preventable health problems, particularly obesity. He told a crowd of health insurers and care providers that politicians tend not to focus on preventable chronic health problems because they often require a generation - not a term in office - to bring about widely accepted change. Emma Forkner, director of the state Department of Health and Human Services, told the gathering that obesity is taking a toll on state taxpayers, too. She expects new preventive care programs the state has begun using will help cut costs.
GWU School of Public Health and Health Services
The Strategies to Overcome & Prevent Obesity Alliance is sponsored by sanofi-aventis U.S. LLC.
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