Evidence map›Paper›PMID 41283802›Full record

Observational studyJournal of managed care & specialty pharmacy2026

Employee retention for subscribers with and without an obesity diagnosis in self-insured employer health plans: A claims-based analysis.

Jessica Naber, Melanie Kuester, Lukasz Chmura, Carlos Vallarino, Jennifer Ward, Haijun Tian, Scott Dell, Jiayin Xue

Abstract readObservational Study
In one paragraph

Observational study in Journal of managed care & specialty pharmacy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jessica NaberMilliman, Inc., Indianapolis, IN.
Melanie KuesterMilliman, Inc., Indianapolis, IN.
Lukasz ChmuraMilliman, Inc., Indianapolis, IN.
Carlos VallarinoEli Lilly and Company, Indianapolis, IN.
Jennifer WardEli Lilly and Company, Indianapolis, IN.
Haijun TianEli Lilly and Company, Indianapolis, IN.
Scott DellEli Lilly and Company, Indianapolis, IN.
Jiayin XueEli Lilly and Company, Indianapolis, IN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity rates in the United States have continued to grow, impacting health care costs and utilization among employer-based commercial insurance coverage. Many employers are now considering offering weight management programs and coverage of obesity treatments. Employers want to better understand the potential value of their investment dollars, given the delayed realization of health benefits from weight loss.

objectiveTo provide insights into the duration of employment for employees with obesity, this study aimed to observe whether there was a difference in employee retention based on diagnosis of obesity.

methodsA retrospective, observational descriptive study was conducted using an administrative claims database with over 50 million commercial lives. The study analyzed medical claims and enrollment data from 2014 to 2023 for self-insured employers. Individuals were categorized into obesity and nonobesity cohorts based on diagnosis codes. Retention rates were assessed using a Kaplan-Meier estimator, with statistical significance evaluated via a log-rank test.

resultsAmong self-insured employer subscribers (employees who subscribe to their employer's insurance), subscribers with obesity had higher retention rates than those without (49% vs 26% at 5 years; 30% vs 14% at 10 years;

conclusionsThe study found a higher employee retention in subscribers who had a diagnosis for obesity compared with those who did not. This information could help employers estimate the potential long-term costs and benefits regarding weight management programs and coverage of obesity treatments.

Indexed as

EmploymentHealth Benefit Plans, EmployeeObesityAdultFemaleHumansInsurance Claim ReviewInsurance CoverageMaleMiddle AgedRetrospective StudiesUnited StatesYoung Adult

Identifiers

PMID41283802
PMCPMC12871516

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.