Bariatric Surgery CED

This framework, currently under development, will allow for reimbursement of clinical costs for patients enrolled in a RCT for bariatric surgery.

CMTP is collaborating with Johns Hopkins University on the development and implementation of a framework to enable payers to provide reimbursement for all clinical costs (bariatric surgery and weight loss interventions) for patients enrolled in a pilot bariatric surgery randomized controlled trial (RCT). CMTP is also assisting JHU in developing a model to provide coverage for patients enrolled in a national multi-center RCT.

In February of 2013, CMTP hosted a stakeholder meeting of private payers, Maryland Medicaid representatives, a labor union, and self-insured employers.  Participants discussed challenges and opportunities for Coverage with Evidence Development (CED) in connection with three cases:  bariatric surgery, a diagnostic test, and interventions for autism.  

For more information on this project, contact Donna Messner.