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Trends in insurance coverage for bariatric surgery and the impact of evidence-based reviews.

Safadi BY

Department of Surgery, Stanford University 300 Pasteur Drive, H 3591, Stanford, CA 94305, USA. bsafadi@stanford.edu

The recent increase in demand for bariatric surgery has placed mounting economic pressure on insurance companies and other third-party payers (TPPs). As a result, some of the TPPs have responded by excluding or limiting their coverage of all or certain types of bariatric surgical procedures, and cite as their reason, a lack of evidence that supports the safety and efficacy of such procedures. Over the years, so-called "evidence-based reviews" have been used to back these claims. Some of these reviews have significant flaws and limitations that are discussed.

Published 2 August 2005 in Surg Clin North Am, 85(4): 665-80, v.
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