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. Author manuscript; available in PMC: 2022 Nov 2.
Published in final edited form as: Health Aff (Millwood). 2015 Nov;34(11):1932–1939. doi: 10.1377/hlthaff.2015.0631

EXHIBIT 2.

Estimated 10 year cost effectiveness and economic outcomes for childhood obesity interventions in the US, 2015–2025 based on microsimulation model,a and 95% Uncertainty intervals (95% UI).

Intervention Net costsb (US$ Millions) (negative numbers indicate cost savings) Cases of Childhood Obesity Prevented (2025) Health care costs saved per $spentc ($US)
1) Sugar Sweetened Beverage Excise Tax
(SSB Excise Tax)
−$12,223 575,936 $30.78
95% uncertainty interval −$40,645 – −2,281 131,794–1,890,715 6.07–112.94
2) Restaurant menu calorie labeling
(Restaurant Calorie Labeling)
−4,032 41,015 $ 5.90
95% uncertainty interval −$13,811–5,421 −41,324–122,396 −5.06–18.00
3) Eliminate tax subsidy for advertising unhealthy food to children
(Ad Tax Deduction)
$−224 129,061 $32.53
95% uncertainty interval −$372 –
−81
48,200–212,365 $12.42–53.35
4) Nutrition standards for school meals
(School Meals)
$5,552 1,815,966 $0.42
95% uncertainty interval $2,120–10,834 −547,074 – 3,381,312 −0.13 – 0.78
5) Nutrition standards for all foods and beverages sold in schools (Smart Snacks in School) −$684 344,649 $4.56
95% uncertainty interval −$1,155 – −217) 163,023–522,285 $2.13–7.01
6) Improved early care and education policies and practices
(NAPSAAC)
$637 26,728 $0.03
95% uncertainty interval $622–652 4,450–48,603 $0.004–0.05
7) Increased access to bariatric surgery
(Bariatric)
$262 -- ---
95% uncertainty interval $180–346

Notes:

a

Authors’ calculations based on microsimulation model described in Appendix A2.

b

Costs are in 2014 dollars.

c

Cost saving interventions result in at least $1 of healthcare costs saved per $1 spent on the intervention.