tci Part B Insider - 2004 Issue 12

Some Insurers Cut Bariatric Surgery

While some insurers and Medicare carriers are liberalizing payment policies for bariatric surgeries, others are cutting back. Marcella Bucknam, HIM coordinator at Clarkson College in Omaha, has seen a trend of payors seeing positive health effects from bariatric surgeries and loosening coverage requirements. Many Blue Cross/Blue Shield plans have taken the surgery off their list of procedures requiring prior certification, Bucknam adds.But the Center for Studying Health System Change unveiled a new survey showing that many insurers are cutting back coverage for bariatric procedures as well as other big-ticket operations. At the same time, Blue Cross and...

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