Study: Medicare Coverage of Weight Loss Surgery Lowered Price, Risk

After Medicare’s 2006 decision to cover the less invasive weight-loss surgery called laparoscopic adjustable banding, the cost of the procedure dropped, a Reuter‘s report said.

Advertisement

Prior to the change, Medicare only reimbursed physicians for gastric bypass surgeries. A team at the University of Washington analyzed data from CMS on Medicare recipients who underwent weight loss surgery between 2004 and 2008. After Medicare began covering the laparoscopic banding procedure, it increased to more than one-third of weight loss surgeries. Prior to 2006, no one received the surgery.

Prior to the change, Medicare paid about $24,000 per procedure, but only $20,000 per procedure after. Safety also increased. Prior to the change, 15 out of every 1,000 patients undergoing weight loss surgery died within 90 days. After 2006, that number dropped to seven in 1,000. In addition, hospital readmissions decreased from 19 per 100 patients to 15 per 100 patients.

Related Articles on Weight Loss Surgery:
Georgia Cuts Funding for Weight Loss
Patients Gain Weight to Qualify for Weight Loss Surgery
Weight Loss Surgery Benefits Entire Family

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Building a High-Performance Cardiac PET Program: What Health Systems Should Consider

Thursday, July 30
12:00 PM - 1:00 PM CDT

Presenters: Rupa Sanghani, MD, FACC, FASNC, Rush University Medical CenterBrendon Loiselle, CDL Nuclear Technologies

Advertisement

Next Up in GI & Endoscopy

Advertisement

Comments are closed.