Obesity is a significant driver of healthcare costs and negatively impacts the bariatric market. Obesity is associated with leading causes of death, including diabetes, heart disease, stroke, and some cancers and is the gateway to about 60 other health conditions. This results in health plans and systems having a higher cost of care when treating obese patients with comorbidities.
Yet, despite the rise of the obesity epidemic and the increasing costs associated with caring for this disease, there is still a gap in care in the bariatric market. Most notably, there is a lack of a streamlined approach to bariatric care from initial engagement to post-surgery.
The Problem with the Bariatric Market and the Impact on Key Stakeholders
The Problem for Health Systems and Hospitals
An effectively run bariatric program presents a remarkable growth opportunity for a health system. It offers high reimbursement with relatively low costs, short lengths of stay, low complication rates, and a significantly untapped patient population.
1. Ineffective Marketing and Lead Generation
Attracting bariatric leads to a program involves executing targeted digital marketing campaigns, which many health systems have not allocated these resources in a targeted approach appropriate for nurturing the bariatric patient.
2. Patient Leakage through the Bariatric Process
Effectively engaging and nurturing patients through the bariatric process (funnel) involves frequent patient contact, and with no standardized approach to patient navigation and a lack of institutional knowledge, hospitals often experience high patient leakage and drop-out rates, which results in lost revenue and a poor patient experience.
3. Fragmented, Uncoordinated Care
Many hospital systems have multiple ways of caring for the bariatric patient, which leads to higher costs and more variability in outcomes due to a lack of shared resources.
The Problem for Health Plans
When a patient has bariatric surgery at a well-run program, there is a lower chance of readmissions and surgical complications, along with reduced future costs associated with care for comorbidities. This enhances underwriting margins.
1. High Cost of Care
Expensive ongoing treatment for patients that have comorbidities caused by obesity.
2. Uncertainty about Standardization
Unsure how to set standards for determining who is eligible for bariatric surgery and what requirements should be imposed for a patient to proceed through to bariatric surgery.
3. Insufficient Engagement of Bariatric Patients
Although health plans can recognize potential candidates for bariatric surgery, there is currently no practical way to reach out to potential leads and recommend bariatric surgery as a treatment option for their comorbidities.
The Problem for Bariatric Surgeons
Through shared resources and networking with their bariatric colleagues, weight loss surgeons can better manage their bariatric programs without reinventing the wheel.
1. Ineffective Marketing and Lead Generation
There is uncertainty about generating leads using a method of outbound and inbound marketing campaigns that will produce an attractive ROI.
2. Outdated and Ineffective Patient Navigation Techniques
Tracking patients through the bariatric funnel can be difficult, costly, and time-consuming, especially if they do not have the appropriate tools and human resources.
3. Lack of Clinical Standardization
There is an ad hoc approach to staff accountability for their work and performance given the lack of reporting and tracking of staff KPI's.
The Problem for Bariatric Patients
Only about 2% of qualifying patients have bariatric surgery due to a lack of education about the procedures and surgeons in their communities, leading to a significant amount of untapped potential.
1. Unaware of the Dangers of Living with Obesity
Bariatric patients are uneducated about the effects the disease of obesity has on their overall health and life expectancy and unsure how or where to find treatment options.
2. Uncertainty About Bariatric Criteria and Credentials
In the world of information overload, bariatric patients are not sure how to differentiate among surgeons and programs, especially when selecting an experienced bariatric surgeon and a high-quality program.
3. Extensive Process to Surgery
Lengthy, expensive, and time-consuming process to complete a bariatric surgery program's requirements, which often results in many patients dropping out of the program.