Return on Investment for Digital Behavioral Counseling in Patients With Prediabetes and Cardiovascular Disease
ORIGINAL RESEARCH — Volume 13 — January 28, 2016
PEER REVIEWED
Figure 1. Projected average return on investment on weight loss program participation, Prevent digital behavioral counseling program, 2012–2014. Return on investment was calculated as the difference between the medical cost savings due to improvements in health and the cost of participating in the program (Return on investment = direct medical saving – Prevent initial program cost at year 0 – Prevent maintenance costs). Abbreviation: USPSTF, US Preventive Services Task Force.
| Year | Total Population With Prediabetes | Total USPSTF Population |
|---|---|---|
| 0 | -$400 | -$400 |
| 1 | -$490 | -$415 |
| 2 | -$396 | -$273 |
| 3 | $9 | $96 |
| 4 | $737 | $766 |
| 5 | $1,565 | $1,512 |
| 6 | $2,595 | $2,364 |
| 7 | $3,726 | $3,297 |
| 8 | $5,037 | $4,344 |
| 9 | $6,374 | $5,455 |
| 10 | $7,918 | $6,651 |
Figure 2. Tornado diagram for the sensitivity analysis on weight loss percentage over 10 years in a population with prediabetes, Prevent digital behavioral counseling program, 2012–2014. Default weight loss for the population with prediabetes is 5.13%; diabetes onset is based on the absolute number of new diabetes cases in the time period.
| Category | Weight loss percentage increase by 1 percentage point (6.13%) | Weight loss percentage decrease by 1 percentage point (4.13%) |
|---|---|---|
| Medical cost reduction | 19% | −22% |
| Diabetes onset | −7% | 7% |
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