What is a "Bariatric Center of Excellence?"
The criteria for the CoE program is on the ASMBS web site. It's not some secret only the initiated are privy to. But, as a health care professional, who has to prepare for it, I'm surprised you don't know that.
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Some insurance companies do require you to go to a COE, mine did not and many others do not. Many hospitals accept medicare and medicaid as well, I do not know for sure if they are required to go to a COE though.
Trust me, hospitals and healthcare providers are no happier with insurance companies than everyone else so I am in no way defending the insurance companies.
In the end, being COE isn't a bad thing like the OP suggests and it does not make them better hospitals either. They are just dedicated to providing the best that they can to the bariatric population and that's all the COE is a sign of. period.
I hope that this clears things up already
on 6/28/11 11:15 am - Califreakinfornia , CA
" prospective " surgeons" I want a total list of requirement that have to be fulfilled in order to be considered for a surgeon to operate at a COE.
www.asmbs.org/Newsite07/resources/asmbs_bscoe_benefits.pdf
on 6/28/11 11:17 am - Califreakinfornia , CA
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on 6/29/11 10:06 am - Califreakinfornia , CA
not sure what Allergan has to do with it as it is a pharmaceutical/medical device company
Thanks for the link. It has a lot of informative info in it.
I don't think anyone's arguing that being a COE is a bad thing---just that it doesn't necessarily mean Hospital A is better than Hospital B because A is a COE and B isn't. What we ARE saying is a "bad thing" is that the requirement that a patient use a COE limits access, most often for people whose resources are the fewest. (Medicare and Medicaid patients especially.)
For instance, let's say that I live in the same town as Hospital B above---excellent facility, excellent surgeons, but no COE designation. I have Medicare, so I cannot have WLS at Hospital B, but must travel to Hospital A---which is two hundred miles away. But---I am disabled, living on a limited income, and I cannot AFFORD to make the several necessary trips back and forth to Hospital A---I simply do not have the means.
This is where the COE requirement becomes a bad thing---in their zeal to ensure I get only the most excellent medical care---or at least that I get care at a COE---Medicare is effectively denying me the ability to have surgery AT ALL.
Pumpkin, I see you found it. I don't know what Allergan (not a governing body) would have to do with it.
If you go to the Surgical Review Board's website, they list the ASBMS requirements
http://www.surgicalreview.******bs/
hope that helps!
on 6/28/11 11:01 am - Califreakinfornia , CA
The criteria for the CoE program is on the ASMBS web site. It's not some secret only the initiated are privy to. But, as a health care professional, who has to prepare for it, I'm surprised you don't know that.