Full article reprinted from "The Gray Sheet" - May 26, 2008
In response to media attention focused on bariatric surgery's potential to send diabetes patients into remission, a skeptical CMS said last week that it would consider whether a new national Medicare coverage policy was needed.
The national coverage analysis, opened May 19, will focus, in particular, on reviewing the evidence of the benefits of bariatric surgery in people with diabetes who are not considered morbidly obese by standard body-mass index (BMI) measures.
A CMS 1tracking sheet announcing the coverage analysis says such evidence is "scant" and cites the American Diabetes Association as urging caution in attributing a benefit.
According to the American Society for Metabolic and Bariatric Surgery, however, more than 30 studies support the effectiveness of bariatric surgery in the treatment of type 2 diabetes.