PMID- 34769879 OWN - NLM STAT- MEDLINE DCOM- 20211119 LR - 20211119 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 18 IP - 21 DP - 2021 Oct 29 TI - Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal. LID - 10.3390/ijerph182111364 [doi] LID - 11364 AB - Chronic disease places an enormous economic burden on both individuals and the healthcare system, and existing fee-for-service models of healthcare prioritize symptom management, medications, and procedures over treating the root causes of disease through changing health behaviors. Value-based care is gaining traction, and there is a need for value-based care models that achieve the quadruple aim of (1) improved population health, (2) enhanced patient experience, (3) reduced healthcare costs, and (4) improved work life and decreased burnout of healthcare providers. Lifestyle medicine (LM) has the potential to achieve these four aims, including promoting health and wellness and reducing healthcare costs; however, the economic outcomes of LM approaches need to be better quantified in research. This paper demonstrates proof of concept by detailing four cases that utilized an intensive, therapeutic lifestyle intervention change (ITLC) to dramatically reverse disease and reduce healthcare costs. In addition, priorities for lifestyle medicine economic research related to the components of quadruple aim are proposed, including conducting rigorously designed research studies to adequately measure the effects of ITLC interventions, modeling the potential economic cost savings enabled by health improvements following lifestyle interventions as compared to usual disease progression and management, and examining the effects of lifestyle medicine implementation upon different payment models. FAU - Livingston, Kara A AU - Livingston KA AUID- ORCID: 0000-0003-0998-1178 AD - American College of Lifestyle Medicine, Chesterfield, MO 63006, USA. FAU - Freeman, Kelly J AU - Freeman KJ AD - Department of Member Engagement & Administration, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA. AD - School of Nursing, Indiana University, Indianapolis, IN 46202, USA. FAU - Friedman, Susan M AU - Friedman SM AD - School of Medicine and Dentistry, University of Rochester, Rochester, NY 14620, USA. FAU - Stout, Ron W AU - Stout RW AD - Ardmore Institute of Health, Ardmore, OK 73401, USA. FAU - Lianov, Liana S AU - Lianov LS AD - American College of Lifestyle Medicine, Chesterfield, MO 63006, USA. AD - Global Positive Health Institute, Sacramento, CA 95825, USA. FAU - Drozek, David AU - Drozek D AD - American College of Lifestyle Medicine, Chesterfield, MO 63006, USA. AD - Department of Specialty Medicine, Heritage College of Osteopathic Medicine, Ohio University, Athens, OH 45701, USA. FAU - Shallow, Jamie AU - Shallow J AD - Bright Health Group, Minneapolis, MN 55437, USA. FAU - Shurney, Dexter AU - Shurney D AD - American College of Lifestyle Medicine, Chesterfield, MO 63006, USA. AD - BlueZones Well-Being Institute, Adventist Health, Roseville, CA 95661, USA. FAU - Patel, Padmaja M AU - Patel PM AD - American College of Lifestyle Medicine, Chesterfield, MO 63006, USA. AD - Midland Health, Midland, TX 79703, USA. FAU - Campbell, Thomas M AU - Campbell TM AD - Medical Center, University of Rochester, Rochester, NY 14642, USA. FAU - Pauly, Kaitlyn R AU - Pauly KR AD - Department of Member Engagement & Administration, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA. FAU - Pollard, Kathryn J AU - Pollard KJ AD - Department of Research, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA. FAU - Karlsen, Micaela C AU - Karlsen MC AD - Department of Research, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211029 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - *Fee-for-Service Plans MH - *Health Care Costs MH - Humans MH - Life Style MH - Palliative Care MH - Research PMC - PMC8583680 OTO - NOTNLM OT - chronic disease OT - cost savings OT - diabetes remission OT - healthcare costs OT - lifestyle medicine COIS- T.M.C. receives royalties from general interest books about nutrition and receives research funding from the Highland Hospital Foundation, which has received philanthropic donations from nonprofit organizations interested in nutrition education, including the T. Colin Campbell Center for Nutrition Studies, and various individual donors. He is founder/physician for an online practice (Thomas Campbell, MD, PLLC and Campbell Lifestyle Program, LLC) offering lifestyle medicine consultations and group programs. EDAT- 2021/11/14 06:00 MHDA- 2021/11/20 06:00 PMCR- 2021/10/29 CRDT- 2021/11/13 01:08 PHST- 2021/09/01 00:00 [received] PHST- 2021/10/19 00:00 [revised] PHST- 2021/10/22 00:00 [accepted] PHST- 2021/11/13 01:08 [entrez] PHST- 2021/11/14 06:00 [pubmed] PHST- 2021/11/20 06:00 [medline] PHST- 2021/10/29 00:00 [pmc-release] AID - ijerph182111364 [pii] AID - ijerph-18-11364 [pii] AID - 10.3390/ijerph182111364 [doi] PST - epublish SO - Int J Environ Res Public Health. 2021 Oct 29;18(21):11364. doi: 10.3390/ijerph182111364.