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Obesity and Diabetes

Government restrictions on weight loss surgeries limit access for poor, underinsured patients

Published in Obesity and Diabetes Week, November 12th, 2007

Oct. 30, 2007 – Thresholds limiting bariatric surgeries to high-volume centers disproportionately restrict access for poor and underinsured patients, populations which are among the most in need of them, an analysis led by UT Southwestern Medical Center researchers shows.

Government-imposed restrictions currently mandate a 125-case annual threshold for facilities permitted to perform bariatric surgeries under Medicare and Medicaid because some studies have identified better outcomes for centers performing large volumes of bariatric surgeries. But most bariatric surgeries for the poor – about 60 percent – are performed in low-volume centers.

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