John D. Scott, MD FASMBS
Chair

Teresa LaMasters, MD FASMBS
Co-Chair

C. Joe Northup, MD
Co-Chair

John Morton, MD FASMBS
Executive Council Liaison

Members

Jawad Ali, MD
Fernando Bonanni, MD FASMBS
Nicholas Brown, MD FASMBS
Allen Browne, MD
Arthur M. Carlin, MD FASMBS
David L. Chengelis, MD
Christopher Daigle, MD FRSC
George Eid, MS
Dan Eisenberg, MD

Wayne English, MD FASMBS, Immediate Past Chair
Tammy Fouse, DO
Jeffrey Ganaw, MD FASMBS
Tanyaradzwa Kajese, MD
Linden Karas, MD
Ashutosh Kaul, MD FASMBS (Insurance Committee Co-Chair)
Robert B. Lim, MD FASMBS

Walter Lindstrom, Esq
Rachel Moore, MD FASMBS
Fady Moustarah, MD MPH FRCSC 
Robert O’Rourke, MD
Pradeep Pallati, MBBS
Carl Pesta, DO FASMBS
Joshua Pfeiffer, MD
Kinga Powers, MD PhD
Brian Smith, MD FASMBS

Regional Super STARS and STARS (State Access to Care Representatives)

Super STAR Northeast Region — Matthew Hutter, MD MPH FASMBS
CT — Darren Tishler, MD FASMBS
MA — Sheila Partridge, MD FASMBS
ME — Jamie Loggins, MD
NH — Maureen Quigley, APRN
NY — Terence Clarke, MD FASMBS
RI — Siva Vithiananthan, MD FASMBS
VT — Patrick Forgione, MD

Super STAR Mid Atlantic Region —
Guilherme Campos, MD FASMBS
DE — Rahul Singh, MD
MD — David Von Rueden, MD
NJ — Alex Onopchenko, MD
NC/SC — Ranjan Sudan, MD FASMBS
PA — Ann M. Rogers, MD FASMBS
VA/WV — Troy Glembot, MD FASMBS

Super STAR Southeast Central Region — Brandon Williams, MD FASMBS
AL — Todd Foreman, MD FASMBS
FL — Joseph Chebli, MD FASMBS
GA — Titus Duncan, MD
KY — Joshua Steiner, MD
OH — Joe Northup, MD
TN — Pamela Davis, BSN MBA RN CBN


Super STAR Upper Midwest Region — Luke Funk, MD FASMBS
IA — Matthew Christopherson, MD
IL — Jayaraj Salimath, DO BSN
IN — Brenda Cacucci, MD FASMBS
KS — Robert Aragon, MD
MI — Matthew Weiner, MD
MN — Daniel A.P. Smith, MD
MO — Christopher Eagon, MD FASMBS
NE — Gary Anthone, MD FASMBS
WI — Shanu Kothari, MD FASMBS & Kevin Wasco, MD FASMBS

Super STAR Lower Midwest Region — Richard Peterson, MD MPH FASMBS
AR — John Baker, MD FASMBS
CO — Matthew Metz, MD
LA — William Richardson, MD FASMBS
MS — Jennifer O’Flarity, RN BSN
NM — Charles F. Bellows, MD
OK — Laure DeMattia, DO
TX — Robert Carpenter, MD MPH FASMBS

Super STAR Northwest Region — Valerie Halpin, MD FASMBS
AK — Michael Todd, MD
ID — Alian Garay, MD
MT — John Pender, MD
ND — Luis Garcia, MD FACS MBA
OR — Valerie Halpin, MD FASMBS
SD — Kristin Turek, CNP
WA — Brian Sung, MD FASMBS
WY — Kevin Helling, MD


Super STAR Southwest Region — Ajay Upadhyay, MD FACS FRCS
AZ — Robert Berger, MD
CA — Ajay Upadhyay, MD FACS FRCS
HI — Steven Fowler, MD FASMBS
NV — Shawn Tsuda, MD
UT — Eric Volckman, MD

Industry AD Hoc Appointed

Michael Oberg — Apollo Endosurgery Kay Sadik — Ethicon
Gary A. Richardson – Ethicon
Vincent Zeringue — Medtronic


Gina Baldo – Medtronic
Michael Morseon – Medtronic
Joe Nadglowski — Obesity Action Coalition
Chris Gallagher — Potomac Currents
W. Scott Butsch, MD MSc – The Obesity Society

ASMBS Staff Liaison

Leslie Vinson

Mission

The Access to Care Committee has the principal mission to assist patients affected by metabolic disease and obesity in obtaining appropriate, safe and effective medical care.

Objectives

  • Increase awareness of access issues and progress among the public and members.
  • Identify reasonable targets for progress in short, medium and long term.

Description

The Access to Care Committee has the principal mission to assist patients affected by metabolic disease and obesity in obtaining appropriate, safe and effective medical care. Committee activities include: developing the strategic vision and strategies to make improvement in access to care; advocating for legislative changes on the state and local level that will affect health care coverage; addressing the politics, policies and ethics of access issues on the local, state and national levels; and bringing together initiatives/partners to effectively address access issues.

Objectives

  • Increase awareness of access issues and progress among public and members
  • Identify reasonable targets for progress in short mid and long term

Committee Goals

Short-Term

  1. Publish “Bundled Care” Toolkit for monitoring trends for bundled payments decisions in each state, and possibly for industry and private insurers
    • Effectively communicate this resource’s availability to the membership through email, website, social media, and notification to all committee members on any current committee of the ASMBS
  2. Publish Pre-Op Weight Loss Toolkit
    • Patient-led “Stop the Wait” Social Media Campaign
    • Physician-led letter writing using Super STARs and STARs to identify insurance companies’ CMOs
    • Example letters
    • Bibliography created by Dr. LaMasters
  3. ObesityWeek 2017 combined ASMBS and TOS Access to Care Symposium and Hill Visits during ObesityWeek to spread awareness of access issues
Specific Projects that Achieve Goals and Objectives:
  1. “Bundled Payments Toolkit published on ASMSB website under Access to Care Toolkits, Dr. Northup, Lead
  2. “Stop the Wait” Task Force formed February 2017 in conjunction with Communications and Insurance Committees: Dr. Scott and Dr. LaMasters (Leads), Dr. Richard Peterson (Communications Chair), Dr. Neil Floch (Communications Co-Chair), Dr. Billy (Insurance Co-Chair), Dr. Kaul (Insurance Co-Chair), Pamela Davis, Chris Gallagher, Joe Nadglowski
    • Collected patient denial examples
    • Task force met January and March 2017
    • Super STARs instructed to identify one insurance company that has a 6 or 12-month medical weight loss hold in their region; plan to initiate a conversation with Chief Medical Officer to discuss reducing or eliminating the requirement
    • Member meetings with various Medicaid offices and insurance companies, for example Blue Cross, Aetna and Centene
      Note: This project is on-hold
  3. Access to Care Scientific Session scheduled Wednesday, November 1st
  4. ASMBS Hill Visits in D.C. at ObesityWeek 2017 scheduled in conjunction with OAC
  5. Mid-month Access to Care conference calls with Chair, Co-Chairs, ASMBS Liaison, Joe Nadglowski (OAC), and Chris Gallagher (Washington)
  6. Monthly Access to Care Committee meetings

Mid-Term

  1. MEDCAC Health Outcomes After Bariatric Surgical Therapies in the Medicare Population Meeting 8/30/17 in Baltimore, MD at CMS
  2. Update Access to Care toolkit to include links to websites for improved access to current information
Specific Projects that Achieve Goals and Objectives:
  1. Several Access to Care members, directed by EC Liaison Dr. John Morton, including Chair, Dr. John Scott, Co-Chair, Dr. Teresa LaMasters, members Chris Gallagher, Joe Nadglowksi, Dr. Ranjan Sudan, Dr. Matthew Hutter, Dr. Wayne English, and industry members Kay Sadik, Michael Morseon, among other ASMBS members, attended preparatory conference calls, created presentations, and traveled to Baltimore to speak in person at the MEDCAC Meeting on 8/30/17

Long-Term

  1. Continue efforts with “Leave No States Behind” campaign
    • Convert 27 “No” states to “Yes” states
    • Monitor filed complaint
  2. Support for “National Obesity Care Week” in conjunction with OAC/industry
  3. Continued presence and response to healthcare changes that are coming
    • Future of Healthcare Reform in the Wake of AHCA defeat
  4. Medicaid Coverage in all 50 States: Only Montana remains
  5. State employee coverage in all 50 states: PA, SC, MT, ID, WI
    • Monitor pilot programs
  6. Advocacy Efforts Tracking
  7. Medtronic Local Level Support for Select ASMBS STARs
  8. Continue to support VA Bariatric Surgery Task Force
Specific Projects that Achieve Goals and Objectives:
  1. Sent state-specific complaints from ASMBS Attorney under Dr. Morton’s direction
  2. Healthcare reform is currently not clear and is a moving target, but it will require our response and involvement as soon as we know which direction it is going
  3. OCC Health Care Reform Principles
  4. Sign on Letter Opposing HR1313: Preserving Employee Wellness Programs Act
  5. Plans for reintroduction of Treat and Reduce Obesity Act
  6. OCAN Letter Focusing on Obesity as a Preventative Service to Insurance Commissioners
  7. Member meetings on Hill with Chris Gallagher and state constituents
  8. Advocacy Efforts document – updated monthly by members, STARs, Super STARS, Industry Ad Hoc Members, OAC and Chris Gallagher
  9. Medtronic creating plan for the states of TX, FL, PA, LA
  10. VA Bariatric Surgery Task Force collaborating with Military Committee

2017 Completed Projects

  1. Several committee members went to D.C. on February 27th for the OCAN Hill Visit Day
  2. Bundled Payments Tooklit published on ASMBS wesbite
  3. Several members attended the MEDCAC Health Outcomes After Bariatric Surgical Therapies in the Medicare Population meeting in Baltimore, MD on 8/30/17
  4. Combined ASMBS and TOS Access to Care course for Scientific Session at ObesityWeek 2017 on 11/1/17