Obesity Increases US Health Care Costs Up by 29%, Varies by State

Overall, the authors found the percent of U.S. national medical expenditures devoted to treating obesity-related illness in adults rose from 6.13 percent in 2001 to 7.91 percent in 2015, an increase of 29 percent.

The publication reports results by payer type, including private health insurance companies, Medicare and Medicaid. “Once again, we find dramatic differences across states in the fraction of Medicaid spending that is devoted to obesity-related illness,” Cawley said. “For example, over 2001-15, Kentucky and Wisconsin devoted over 20 percent of their Medicaid spending to obesity-related illness. In contrast, in New York, 10.9 percent of Medicaid spending was devoted to obesity-related illness, and the average for the U.S. as a whole was 8.23 percent during that period.”

Credit: Buclin / Wikimedia Commons

By analyzing data for 2001-15 from the Medical Expenditure Panel Survey, a nationally representative survey of Americans’ health care utilization and costs, the authors estimated the percent of health care costs that were associated with adult obesity for the most populous states.

Estimates could not be generated for less populous states because of a scarcity of information about their residents in the data. Previous estimates of the health care costs of obesity by state were not based on microdata for each state but on assumptions about how national costs should be apportioned to different states.

These differences across states are driven by a number of factors, such as differences in obesity prevalence, health care access by obese individuals, how obesity is treated and prices of health care, Cawley said.

Contacts and sources:
Rebecca Valli
Cornell University