収益性の高い医療用減量プログラムを構築する方法

米国の医療用減量プログラム・サービスの市場規模は、肥満手術も含めると、2021年に82億米ドルとなり、病院・クリニック・フランチャイズ・独立系医師によるプログラムは、16億米ドルを生み出しています。

当レポートでは、医療用プログラムと競合する商業用プログラムを比較し、パンデミックの影響をどのように受けたかについて説明しています。既存の医療用減量プログラムの詳細・ビジネスモデル・料金・特徴のほか、ドラッグストアチェーンの医療用ミニクリニックのプログラムや、肥満症専門医によるプログラムについても検証しています。

目次

パート1

MDのリアリティチェック、成功基準、ダイエット市場の見通し、競合、プログラム構成、価格、ACAによる予防医療給付の機会、ダイエッターの希望、フランチャイズとその他のモデル

減量市場：2022年の現状報告と予測

• 市場セグメント：2022年の予測、2020年以降の主な動向
• 減量市場の市場規模（金額）：市場セグメント別、2016年～2022年の予測
• 主要な競合企業：2020年・2021年の収益
• 減量市場・ダイエッターに対するパンデミックの影響
• 2022年の主要ダイエット上位7
• 商業用減量企業の状況：市場リーダー、主な動向、2020年～2021年の実績、2022年の予測
• 医療用減量プログラムの状況：パンデミックの影響、市場規模、手術、Rx薬、病院、MDと臨床プログラム、肥満症専門医、2020年～2021年の実績
• 肥満手術市場：議論、テレヘルス訪問
• 処方箋ダイエット薬市場：新薬、成長率
• 病院・臨床ベース・その他のMDプログラム：主要な競合企業

医療用減量の理由

小売ドラッグストアチェーンの医療用ミニクリニック

病院・クリニック・医師による減量プログラム

肥満症専門医の減量プログラム

VLCD & LCD (超低カロリー食 & 低カロリー食) ターンキー

医療用減量プログラムのメリットとデメリット

企業プロファイル（プログラムの仕組み、拠点数、企業の詳細）

• Lindora Clinics
• Centers for Medical Weight Loss
• Medi-WeightLoss Clinics
• Medical Weight Loss Clinics of Michigan
• Smart For Life
• Nuviva Clinics
• Let's Lose Advanced Weight Loss
• JumpstartMD
• Dr. G's Weight Loss Clinics、など

パート2

スタートアップ費用、小売クリニックのセットアップとレイアウト、処置マニュアル、スタッフの採用と給与、オペレーション、収益と利益、経理、マーケティング方法、カウンセラーの役割と質

付録

パート3

医療用減量チェーンのケーススタディ、ミールプランの作成、ミールリプレイスメントの自社ブランド、処方箋肥満薬の使用、サプリメントの使用、多角化戦略

The U.S. medical weight loss programs and services market is huge - worth $8.2 billion in 2021, when including bariatric surgery. Programs by hospitals, clinics, franchises, and independent physicians generate $1.6 billion. Many MDs would love to grab a piece of this market, but don't have the marketing and business background to know how. This completely revised and updated Guide lays it out, step by step.

The Guide provides an outlook of medical vs. competing commercial programs, and how they were affected by the pandemic. It details existing medical weight loss programs by MDs, hospitals and clinics, their business models, fees, and features, and examines programs by drugstore chain healthcare mini-clinics. It examines programs by bariatricians as well.

The Guide provides operating metrics: average revenues per program, a typical income statement of expenses and profits, plus start-up costs. Findings of interviews with top managements at leading companies. Discussions and advice for: staffing, center design, IT requirements, counselors and Dietitians, marketing, websites, patient financing, creating meal plans, using Rx diet drugs, supplements and meal replacements, establishing your brand, why some diet companies fail, and case studies of successful medical weight loss programs. Includes reimbursement opportunities related to the Affordable Care Act.

In-depth profiles for: Lindora Clinics, Smart For Life, Medi-Weightloss, Centers for Medical Weight Loss, Nuviva Clinics, Let's Lose, Dr. G's Weight Loss, JumpStartMD, Medical Weight Loss of Michigan, CVS Health, Rite-Aid, Wal-Mart, and more.

This Guide includes necessary forms (Collaborative Practice Agreement) , CPT billing codes for obesity counseling, and sample marketing brochures.

The Guide provides all the information a Physician, Physician Assistant, Dietitian or Nurse Practitioner needs to set up a successful weight loss practice. It's ALL here in one place, at a fraction of the cost of hiring a consultant.

Table of Contents

Part 1

Reality Check for MDs, Success Criteria, Diet Market Outlook, Competition, Program Components, Pricing, ACA's Preventative Care Benefit Opportunities, What Dieters Want, Franchises & Other Models

• Guide objectives
• Do you have what it takes to compete in this business? What it takes to succeed
• What dooms a weight loss company to failure?

Weight Loss Market: 2022 Status Report & Forecasts 14-

• Market segment 2022 forecasts, major developments since 2020
• $ size of the weight loss market, by market segment: 2016 - 2022 Forecast
• The top competitor companies, revenues in 2020 & 2021: Table
• The Pandemic's Effect on the Weight Loss Market and Dieters
• Top 7 Diets for 2022
• Status of Commercial Weight Loss Companies: market leaders, major developments, 2020-2021 performance, 2022 forecasts
• Status of Medical Weight Loss Programs: effects of the Pandemic, market size (surgery, Rx drugs, hospital, MD and clinic programs, bariatricians, 2020-2021 performance
• The bariatric surgery market, discussion, telehealth visits, Table: no. of surgeries 1995-2022 F, No. of surgeries by type, $ value of surgery market 1995-2022 F
• The prescription diet drugs market: new drugs, growth
• Hospital, Clinic-based and Other MD Programs: top competitors

Why Medical Weight Loss? Why Now?

• Rationale for demand, position vs. commercial programs, barriers, Competition: types of medical weight loss providers, fees

Retail Drugstore Chain Healthcare Mini-Clinics

• Effects of the pandemic on retail healthcare clinics, the major chains and no. of sites they operate
• Summaries/descriptions of weight loss programs provided by: CVS, Walgreens (Take Care), Rite-Aid (RediClinics), Wal-Mart

Hospital, Clinic, and Physician-Based Weight Loss Programs

• Summary and description of types of medical weight loss programs
• Description of typical physician-based program, estd. no. of MDs offering a weight loss program, by company/vendor vs independents, Average Cost To The Patient for a 12-16 week program
• Physicians have the expertise

Bariatricians' Weight Loss Programs 59-

• Status of the profession, why is hasn't grown much, profile of the typical Bariatrician (age, income, gender, years in practice, staff size, training, number, medications used, cost of treatment, etc.)

VLCD & LCD (very low calorie diets & low calorie diets) Turnkey

• Modified Fasting Programs 70-
• How VLCD programs work, description, insurance reimbursement
• Size of the market, no. of patients served
• Findings of interview with management of: HMR, Vivaliti, Karol Clark medical programs
• Major market trends, growth factors, 2025 forecast, positive & negative factors affecting the market

Medical Weight Loss Program Advantages & Disadvantages

• Medical clinic competitive advantages & disadvantages
• Available medical weight loss models: franchises, licenses, turn-key models

Tables:

• Average revenues per outlet, top medical weight loss companies
• Typical revenues & expenses, earnings per medical weight loss center
• Avg. cost to the patient, top medical weight loss companies
• Avg. income statement for a medical weight loss franchise
• Start-up costs for the top medical weight loss franchises

Company Profiles (how their program works, no. of sites, company details)

• Lindora Clinics ( corporate chain, not a franchise)
• Centers for Medical Weight Loss (licensee model)
• Medi-WeightLoss Clinics
• Medical Weight Loss Clinics of Michigan (corporate chain)
• Smart For Life
• Nuviva Clinics
• Let's Lose Advanced Weight Loss
• JumpstartMD
• Dr. G's Weight Loss Clinics
• Ideal Protein
• Should you purchase a franchise? Is it worth it?
• Obamacare: the major opportunity created, the Preventative Health Benefit explained, features & limitations, the business opportunity for MDs, PAs, NPs, RDs
• Obamacare: CPT codes for weight loss counseling reimbursement

Part 2

Start-up Costs, Retail Clinic Set-up & Layout, Procedures Manual, Staff Recruitment & Salaries, Operations, Revenues & Profits, Bookkeeping, Marketing Methods, Counselor's Role & Quality

• Part-time vs. full-time venture? Your choice
• Facility space and logistics - new standalone center vs. existing space
• Start-up costs for a stand-alone retail weight loss center (non-franchise)
• Operating costs/income statement for a stand-alone retail center
• Investment costs to buy a medical weight loss franchise or license, by company
• Finding the right retail site
• Recommended lease terms
• Center design: exterior and interior layouts
• The Weight Loss Consumer Bill of Rights
• Procedures manual: contents (forms, procedures/duties for personnel)
• Equipment and supplies needed
• Hours of operation
• IT and Software recommendations
• Bookkeeping - reports needed
• Patient financing options: making it easy to pay you
• Weight Loss Counselors: your key asset, weaknesses of commercial coaches, recruiting your staff
• What counselors should do/not do, limitations
• Ideal backgrounds of counselors
• How to use Registered Dieticians in your practice (typical diet plans, how to find them)
• Collaborative Practice Agreements (see Appendix for sample)
• Marketing: your advantages as a medical professional
• Marketing: promotional methods to use
• Marketing: budget: how much and how to spend it
• Mining your existing patient database (via emails, waiting room fliers, videos)
• Email: using it to stay in touch with weight loss patients
• Your website: key features, how it can work for you, best practices for e-commerce
• Customer loyalty
• Waiting room brochures (also see samples in Appendix)
• Local newspaper ads, costs, using social media, referrals from other healthcare pros
• Marketing & Advertising Consultants experienced in the weight loss market

Appendix:

• Sample Collaborative Practice Agreement for Nurse Practitioners
• Table: State by state scope of practice rules for nurse practitioners
• Design samples of fliers describing your program, for your waiting room

Part 3

Case Studies of Successful Medical Weight Loss Chains, Creating Meal Plans, Private Labeling of Meal Replacements, Using Prescription Obesity Drugs, Using Supplements, Strategy of Diversification.

• Why diet companies fail or lose their way- case studies (LA Weight Loss, Weight Watchers)
• Case studies of successful medical weight loss organizations (Lindora, HMR - Health Management Resources, NutriSystem, Johns Hopkins)
• Diversification: in-person and virtual/phone services, different plans for different budgets
• Creating meal plans: using a Registered Dietitian, DASH Diet, other options
• Using multiple plans, the importance of customization
• In-depth description of how the DASH program works, calorie levels, foods not allowed, menus, tips, lifestyle changes, typical daily menu (tables) 172-
• Using prescription diet drugs: safe drugs to use, problems with previous diet drugs, discussions of: Phentermine, Xenical, Qsymia, Belviq, Alli, Saxenda, Wegovy, others
• Form: Patient Informed consent for Appetite Suppressants and Participation in a Weight Management Program
• Using dietary supplements: limitations, legal experts to consider, customer attitudes toward them, why use is a dual-edged sword, pricing, restrictions on claims, attorney specialists
• Using meal replacements (shakes & bars): why they are popular and safe, your private label brand, vendors who can make them for you, calorie counts and sugar levels, the use of soy, the convenience factor, ingredients, high protein/high fiber
• Vendor profiles: Bariatric Advantage, Bariatric Choice, Bariatrix Nutrition, Nature's Sunshine
• Other companies using meal replacements (multi-level marketers, VLCD vendors, retail brands) Complementary, optional services to offer (hormone tests, etc.)
• Viewing your program as a complement to bariatric surgery patients (pre- and post-surgery), the growth of bariatric surgery, patient demographics, insurance coverage, demand, ACA coverage, ASMBS/other obesity societies
• Establishing your brand: why it's important, actions and techniques, goals
• Reference Directory of diet industry sources