0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

Medicare Policy on Bariatric Surgery:  Decision Making in the Face of Uncertainty

Sean R. Tunis, MD, MSc1; Donna A. Messner, PhD1
[+] Author Affiliations
1Center for Medical Technology Policy, Baltimore, Maryland
JAMA. 2013;310(13):1339-1340. doi:10.1001/jama.2013.278849.
Text Size: A A A
Published online

Extract

Since 2006, Medicare has paid for bariatric surgery for certain obese patients with the requirement that the institutions providing this service be certified as level 1 bariatric surgery centers by the American College of Surgeons or as bariatric surgery centers of excellence by the American Society of Metabolic and Bariatric Surgery.1 Responding to a request to reconsider its policy, the Medicare program conducted a detailed review of available evidence and issued a draft decision memo in June 2013 proposing to eliminate the requirement for certification as a condition of reimbursement.2 This proposed policy change has triggered substantial controversy, with dueling claims and counterclaims about the quality of the scientific evidence and triggering forceful statements from the bariatric surgical community in support of continuing the requirement.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Chapter 22.2. Decision Making and the Patient

Users' Guides to the Medical Literature
The Role of Costs in Clinical Decision Making Remains Controversial

brightcove.createExperiences();