March ASMBS Activity Report

Posted 3/1/2014

Prepared by Christopher Gallagher, ASMBS Washington Representative

On March 20, 2014, the Office of Personnel Management (OPM) issued a letter to all Federal Employee Health Benefit (FEHB) Program Carriers regarding coverage of FDA-approved obesity drugs and bariatric surgery. In the Carrier letter, OPM stated that:

“It has come to our attention that many FEHB carriers exclude coverage of weight loss medications. Accordingly, we want to clarify that excluding weight loss drugs from FEHB coverage…

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Access Update – April 2013

Posted 4/4/2013

» Obesity Community leaders to Participate in  PCORI Workgroup on Obesity Treatment » Obesity Advocates Follow-up with HHS/CCIIO regarding EHB Final Rule » Bruce Wolfe, MD, Selected for MEDCAC

State News: MA and GA Advocacy Efforts

Editor: Christopher Gallagher, Director of ASMBS Washington Office March, 2013, Volume 3, Issue 4

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Obesity Community leaders to Participate in PCORI Workgroup on Obesity Treatment

On April 16, 2013, there will be strong representation from the obesity community…

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Access Update – March 2013

Posted 3/22/2013

» HHS Releases Final Rule on Exchanges and Essential Health Benefits & OPM Releases Final Rule on Multi-State Plans… » Bottom Line…Obesity Treatment Services Largely Ignored!

Editor: Christopher Gallagher, Director of ASMBS Washington Office March, 2013, Volume 3, Issue 3

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Obama Administration Fails to Respond to Obesity Community’s Call for Coverage of Obesity Treatments Services in State Exchange or Multi-State Health Plans

On March 1, 2013, the Obama Administration released final regulations governing state health exchanges and…

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Access Update – February 2013

Posted 2/4/2013

» Obesity Community Responds to Proposed Regulations on Multi-State Plans & Employer Wellness Programs » Obesity Community Submits Candidates for PCORI Advisory Panels

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Editor: Christopher Gallagher, Director of ASMBS Washington Office February, 2013

Obesity Community Comments on Multi-State Plan Regulations

On January 4, 2013, the leading groups from the obesity community (ASMBS, ASBP, AND, OAC and TOS) submitted a joint comment letter regarding the Office of Personnel Management’s (OPM) December 5, 2012 proposed…

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Access Update – January 2013

Posted 1/4/2013

Drs. Wayne English (Access to Care Chair), Lloyd Stegemann (TX Chapter President), and John Morton (Secretary-Treasurer) are pleased to announce that Novitas Solutions (JH) jurisdiction has posted a revised medical coverage policy now covering Laparoscopic Sleeve Gastrectomy (LSG), effective December 21, 2012, for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. Also note, for Sleeve claims with dates of service on or after June 27, 2012, Novitas Solutions will cover all claims that are…

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