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Return on Investment for Digital Behavioral Counseling in Patients With Prediabetes and Cardiovascular Disease

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

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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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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions.
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