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HCSC Removes Mandatory Pre-Operative Weight Loss Requirement
Health Care Services Corporation (HCSC), the parent company of BlueCross BlueShield (BCBS) of Illinois, Texas, Oklahoma, and New Mexico has eliminated the mandatory six month weight loss requirement prior to bariatric surgery. Multiple meetings and correspondence between ASMBS members and Medical Policy representatives of HCSC resulted in this improved access to care for patients suffering from obesity. Access to care became more onerous when HCSC increased the preoperative requirement from three to six months on March 15, 2011. That led to a meeting between the officers of the Illinois State Chapter of ASMBS, Drs. Christopher Joyce and Rami Lutfi, and BCBS of IL at which time clinical data was provided and reviewed. The Chairman of the Insurance Committee, Dr. Jaime Ponce, the Chairman of the Access to Care Committee, Dr. John Morton, and the Chairman of the State Chapters Committee, Dr. Lloyd Stegemann provided valuable assistance and guidance. In addition, the draft of the ASMBS Position Statement on Preoperative Supervised Weight Loss Requirement was instrumental in preparation for the meeting. Through Dr. Stegemann, similar efforts were applied in Texas between its State Chapter and BCBS of Texas. After months of correspondence between the state chapters’ leadership and BCBS, followed by an objective internal review of the medical evidence by the medical policy makers, HCSC came to the conclusion that the pre-operative weight loss requirement should be removed. That was revealed at a meeting in Chicago between the President of ASMBS, Dr. Robin Blackstone, the President of the Illinois Chapter of ASMBS, Dr. Joyce, and the Director of Medical Management of BCBS of IL, Dr. Rose Ann Madarang, on September 21, 2011.
http://www.obesityhelp.com/forums/NM/4479825/BC-BS-of-NewMex -NO-MO-pre-op-DIET/
He was very friendly and my surgery went GREAT!! I would definitely recommend him for your daughters surgery!
I just wanted to let people know there is a forum for the community and anyone who is friendly and want to stop by. I was very active 3 years ago and would like to see it become active again. It is listed under "weight loss related"
I am not attempting to offend anyone. I understand that some might not agree with me posting. I am doing it to help LGBT people. Everyone has the right to not agree. I respect that.
Thank You !
Sean
If you have trouble finding it just PM me
I've heard that Dr. Clapp is awesome. I plan on him being my new doc, once insurance approves.
Health Care Services Corporation (HCSC), the parent company of BlueCross BlueShield (BCBS) of Illinois, Texas, Oklahoma, and New Mexico has eliminated the mandatory six month weight loss requirement prior to bariatric surgery. Multiple meetings and correspondence between ASMBS members and Medical Policy representatives of HCSC resulted in this improved access to care for patients suffering from obesity.
Access to care became more onerous when HCSC increased the preoperative requirement from three to six months on March 15, 2011. That led to a meeting between the officers of the Illinois State Chapter of ASMBS, Drs. Christopher Joyce and Rami Lutfi, and BCBS of IL at which time clinical data was provided and reviewed. The Chairman of the Insurance Committee, Dr. Jaime Ponce, the Chairman of the Access to Care Committee, Dr. John Morton, and the Chairman of the State Chapters Committee, Dr. Lloyd Stegemann provided valuable assistance and guidance. In addition, the draft of the ASMBS Position Statement on Preoperative Supervised Weight Loss Requirement was instrumental in preparation for the meeting. Through Dr. Stegemann, similar efforts were applied in Texas between its State Chapter and BCBS of Texas.
After months of correspondence between the state chapters’ leadership and BCBS, followed by an objective internal review of the medical evidence by the medical policy makers, HCSC came to the conclusion that the pre-operative weight loss requirement should be removed. That was revealed at a meeting in Chicago between the President of ASMBS, Dr. Robin Blackstone, the President of the Illinois Chapter of ASMBS, Dr. Joyce, and the Director of Medical Management of BCBS of IL, Dr. Rose Ann Madarang, on September 21, 2011.
This important step towards better access to care for our patients was accomplished through advocacy and teamwork by ASMBS leadership and a willingness of HCSC to evaluate the medical evidence objectively.
Christopher Joyce, MD
President, Illinois Association of Bariatric Surgeons, Inc.
I have had my surgery on July 19, 2011 by Dr. Lara. He was great! If I had to do it all over again I would pick him in a heartbeat. My surgery went smooth and I felt great. I really think he did an excellent job.
I just went to see Dr. Lara today. Very friendly and made me feel comfortable. He know's his stuff and gave me an overall good feeling. If I was going for RNY I'd choose him in a heartbeat.