Posts Tagged ‘bariatric surgery’

Traveling for Bariatric Surgery – Why?

October 10, 2018 — In 2017, about 1.4 million Americans left the U.S. to obtain medical care. And that number will grow by double digits this year. The reasons are many, but mostly it comes down to money. And a significant number of people are traveling for bariatric surgery. A Shameful History of Discrimination Health plans have long history […]

Integrating Medical and Surgical Obesity Care

September 28, 2018 — At the Obesity Medicine Association (OMA) meeting in Washington, DC, it’s becoming visible. Medical and surgical obesity care have sometimes existed in completely separate spheres. But these two distinct spheres are growing closer together. For the sake of better patient care, we see a trend toward integrating medical and surgical obesity care. We can see […]

This Is How Employers Can Innovate on Obesity Care

September 22, 2018 — Yesterday, we had the privilege of participating in a remarkable forum in San Francisco. The Pacific Business Group on Health (PBGH) assembled a diverse group of experts and employers. Together, we considered how healthcare addresses obesity. We gained a view of how employers can innovate on obesity care. Obesity Might Break the System For a […]

Bariatric Surgery: Information, Misinformation, and Inertia

September 10, 2018 — A striking pair of papers in JAMA Surgery offers powerful food for thought about bariatric surgery. The first is a systematic review of how safe and effective it is for Medicare patients. The second is a commentary from well-respected health policy researchers. After reading these papers, we see a huge huge gap. On one hand, we have […]

High School Memories and Overcoming Obesity

July 27, 2018 — Growing up, I was the definition of meek. I also carried more weight on my frame and towered above my peers. Despite this, I was a good friend to my fellow elementary schoolers. However, In addition to my timid yet friendly nature, I was also painfully aware of my obesity from a young age, which affected […]

Bachelor Scurvy, Bariatric Surgery, and Social Support

July 25, 2018 — The newest case history in the New England Journal of Medicine offers a vivid picture of some important pitfalls after bariatric surgery. We learned a new diagnosis – bachelor scurvy. But most of all, it gives a vivid reminder of the importance of social support after surgery. Leg Weakness, Falling, and Anemia Susan Bennett and colleagues […]

Bariatric Surgery: Health Delayed Is Health Denied

July 12, 2018 — Waiting times for bariatric surgery have nearly doubled in a decade. That’s one of the findings from a study that will soon appear in Annals of Surgery. Health insurers drive most of these delays according to the authors. But those longer wait times apparently do nothing to improve the outcomes or prevent complications. The result is […]

Costly Hurdles for Bariatric Surgery

May 29, 2018 — It’s hard to say exactly why we’ve put so many hurdles in the way of effective obesity care. But a new analysis in Medical Care shows us that these are costly hurdles. David Kim, David Arterburn, Sean Sullivan, and Anirban Basu find that cost sharing for bariatric surgery is a bad idea. Payers lose $7 […]

Where Is the Excellence in Bariatric Centers of Excellence?

May 14, 2018 — Bariatric centers of excellence now perform most bariatric surgeries. So if all those centers are excellent, how much does it matter where someone has a surgery performed? Quite a bit. A new review by Tapan Mehta and David Allison in JAMA offers an important conclusion. Accreditation might be a good idea, but by itself, it doesn’t […]

Putting Obesity Care Out of Reach Where It’s Needed Most

May 10, 2018 — The picture is stark. Writing in the Atlantic, Olga Khazan says bariatric surgery is out of reach where people need it the most. The five states with the highest rates of self-reported BMI in the range of obesity are WV, MS, AL, AR, and LA. But not one of those states requires insurers to cover […]