The Impact of Bariatric Surgery on the Veterans Administration Healthcare System: A Cost Analysis

Gallagher, Scott F.; Banasiak, Magdalena; Gonzalvo, John Paul; Paoli, Daniel P; Allwood, Janice; Morris, Debra; Murr, Michel M.; Shapiro, David

doi:10.1381/096089203764467144

Cited by 62 publications

(51 citation statements)

References 10 publications

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“…In the United States, the estimate is that 7% of all health costs involve the treatment of obesity and its associated diseases 4 . Similarly, the cost of bariatric surgery is also elevated.…”

Section: Discussionmentioning

confidence: 99%

“…Paradoxically, Angus et al 10 demonstrated that the hospital costs of bariatric surgery were higher (US$ 11,773.00) in the public health system (Medicare and Medicaid) compared to private care (US$ 4,435.00). Several other authors have reported widely varying costs ranging from US$ 7,800.00 to US$20,500.00 4,[11][12][13][14] .…”

Section: Discussionmentioning

confidence: 99%

“…However, several studies have demonstrated savings in health costs after bariatric surgery, in addition to increased patient productivity and reduced work absenteeism [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

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Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

Júnior

Pitanga²,

Santos

et al. 2010

Acta Cir. Bras.

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Purpose: Analyze the effect of some measures on the costs of bariatric surgery, adopting as reference the remuneration of the procedure provided by the Unified Health System (SUS). Methods: A retrospective evaluation conducted in the Costs Section of the University Hospital of Ribeirão Preto, of the costs involved in the perioperative period for patients submitted to bariatric surgery from 2004 to 2007. Changes in the routines and protocols of the service aiming at the reduction of these costs during the study period were also analyzed. .525,64, por conta do aumento do preço de materiais e medicamentos. A remuneração do procedimento pelo SUS nos dois anos foi de R$ 3.259,72. Conclusão: Apesar da adoção de diversas medidas para reduzir as despesas da cirurgia bariátrica, houve aumento dos custos, o que reforça a necessidade de avaliação permanente do financiamento da prestação de serviço para o SUS pelos três entes da federação.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

Júnior

Pitanga²,

Santos

et al. 2010

Acta Cir. Bras.

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“…National studies have revealed substantial regional and socioeconomic status-based variation in the use of WLS (36,37). Patients whose health insurance is based on public financing receive these therapies far less frequently than those covered by private health plans (30), yet the former individuals may be among those who are most in need of surgical intervention (2,38).…”

Section: Discussionmentioning

confidence: 99%

Coding and Reimbursement for Weight Loss Surgery: Best Practice Recommendations

et al. 2005

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Coding and reimbursement for weight loss surgery: best practice recommendations. Obes Res. 2005;13:290 -300. Objective: To review the use and usefulness of billing codes for services related to weight loss surgery (WLS) and to examine third party reimbursement policies for these services. Research Methods and Procedures:The Task Group carried out a systematic search of MEDLINE, the Internet, and the trade press for publications on WLS, coding, reimbursement, and coding and reimbursement policy. Twenty-eight articles were each reviewed and graded using a system based on established evidence-based models. The Massachusetts Dietetics Association provided reimbursement data for nutrition services. Three suppliers of laparoscopic WLS equipment provided summaries of coding and reimbursement information. WLS program directors were surveyed for information on use of procedure codes related to WLS. Results: Recommendations focused on correcting or improving on the current lack of congruity among coding practices, reimbursement policies, and accepted clinical practice; lack of uniform coding and reimbursement data across institutions; inconsistent and/or inaccurate diagnostic and billing codes; inconsistent insurance reimbursement criteria; and inability to leverage reimbursement and coding data to track outcomes, identify best practices, and perform accurate risk-benefit analyses. Discussion: Rapid changes in the prevalence of obesity, our understanding of its clinical impact, and the technologies for surgical treatment have yet to be adequately reflected in coding, coverage, and reimbursement policies. Issues identified as key to effective change include improved characterization of the risks, benefits, and costs of WLS; anticipation and monitoring of technological advances; encouragement of consistent patterns of insurance coverage; and promotion of billing codes for WLS procedures that facilitate accurate tracking of clinical use and outcomes.

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“…It is estimated that the cost of surgical interventions for class II to class III obesity is offset by the subsequent reduction in pharmaceutical and hospitalization cost within the first two years after bariatric surgery. 28,29 Additionally, surgical treatment of obesity improves quality-of-life measures. The SOS study found a positive correlation between improvement in quality of life and the degree of weight loss.…”

Section: Overview Of Emerging Concepts In Metabolic Surgerymentioning

confidence: 99%