Recommendations for the presurgical psychosocial evaluation of bariatric surgery patients

Published June 2016

Prepared by Stephanie Sogg, Ph.D., Jennifer Lauretti, Ph.D., Lisa West-Smith, Ph.D., L.I.S.W.-S.

Abstract: Psychosocial factors have significant potential to affect long-term outcomes of bariatric surgery, including emotional adjustment, adherence to the recommended postoperative lifestyle regimen, weight loss outcomes, and co-morbidity improvement and or resolution. Thus, it is recommended that bariatric behavioral health clinicians with specialized knowledge and experience be involved in the evaluation and care of patients both before and after surgery. The evaluating clinician…

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ASMBS Responds to Milliman Care Guidelines

Published October 2010

William D. Rifkin, MD, FACP, FHM Editor, Milliman Care Guidelines Milliman Inc. 1301 Fifth Avenue, Suite 3800 Seattle, WA 98101‐2605 bill.rifkin@milliman.com

Dear Dr. Rifkin

On behalf of the American Society for Metabolic and Bariatric Surgery (ASMBS), we are concerned regarding your recent Milliman’s Care Guidelines (14th Edition) governing bariatric surgery. In particular, ASMBS disagrees with your recommendations governing Goal Length of Stay (GLOS) for Gastric Restrictive Procedure with Gastric Bypass by Laparoscopy, ORG code S‐513…

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Access to Care Milliman Guidelines Updates

Published October 2010

ASMBS continues to challenge the 14th Milliman guidelines regarding their recommended Length of Stay for laparoscopic gastric bypass to be 24 hours or less. The Access to Care Committee chaired by Dr. John Morton has responded to Milliman twice and directly contacted the four largest national insurance carriers (Aetna, Anthem, Cigna, and United) regarding the challenge to the Milliman Guidelines.

Dr. Mitch Roslin, Co-Chair of Access to Care Committee, has contacted the NY State…

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