Weight Loss. Expenses of weight-loss clinic attendance are covered up to 34 a lifetime limit of $300, if conditions are met as specified in either (1) or (2) 35 below:
36 a. Employee or covered dependent is obese (defined as being more than 37 100 pounds overweight or more than 50% over ideal weight), and weight 38 loss clinic attendance is prescribed by a licensed physician and confirmed 39 by a second opinion; or
40 b. Employee or covered dependent is more than 50 pounds overweight or 41 more than 25% over ideal weight, has a diagnosed disease for which 1 excess weight is a complicating factor, and weight-loss clinic attendance is 2 prescribed by a licensed physician and confirmed by a second opinion.
Weight Loss. Weight should be recorded at onset of engagement with T3 weight management programme. Weight should be recorded at the time of assessment at surgical MDT and post-surgery (WL) by surgical procedure. WL to be monitored at 6-months, 12- months, 18-months and 24- months’ post- surgery. Weight Loss for patients clinically unsuitable for surgery also to be monitored at 6- months, 12-months, 18-months and 24-months post intervention. 100% data submission to National Bariatric Surgery Registry: all procedures carried out will be entered into the NBSR as per Dendrite data entry criteria. Percentage (%) of patients lost to follow-up: 6-months; 12-months; 24-months. It is the responsibility of the bariatric provider to ensure follow up to 2 years. There is an expectation of <1% of patients will be lost to follow-up. Percentage of patients treated within 18-weeks; will be within current NHS waiting times standards and no patient will wait in excess of 52 weeks. (Please be aware that this does not mean surgery within 18-weeks of referral, first definitive treatment might be any non-surgical intervention deemed clinically necessary). Patient access will be managed in line with the latest NHS waiting list management guidance; this may be subject to random audit by commissioners. Post-operative complications (rate, type, onset time): leak rate, early obstruction, deep vein thrombosis, pulmonary embolism, chest infection, bleeding or other. In-hospital mortality rates: classified by operation type, BMI group and surgical risk score (separate data to be recorded for revision procedures). Post-discharge mortality rate: All deaths that occur post-discharge, reporting at 30days, 6-months and 12-months following primary or revision surgery. Surgical complications requiring HDU/ITU: Recorded admissions post operatively into ITU/HDU (reason for admission, duration of stay). Morbidity and mortality rates will be benchmarked against other Tier 4 services by commissioners. The surgeons in the multidisciplinary team should hold GMC (General Medical Council) registration, be on the specialist register for general surgery and have undertaken a relevant supervised training programme and have specialist experience in bariatric surgery. See IFSO guidelines appendix 2. They should be members of The British Obesity & Metabolic Surgery Society (BOMMS).
Weight Loss. Ongoing assessments to ensure that the patient is receiving adequate nutrition and consideration of other etiologies of weight loss may be warranted for patients receiving bardoxolone methyl.
Weight Loss. No less than ninety-five percent (95%) participation of all Eligible Enrollees alleging weight loss of more than ten percent (10%) of pre-injury body weight or more than twelve (12) pounds attributable to the use of Olmesartan Products.
Weight Loss. Expenses of weight-loss clinic attendance are covered up to a lifetime limit of $300, if conditions are met as specified in either (1) or (2) below:
a. Employee or covered dependent is obese (defined as being more than 100 pounds overweight or more than 50% over ideal weight), and weight loss clinic attendance is prescribed by a licensed physician and confirmed by a second opinion; or
b. Employee or covered dependent is more than 50 pounds overweight or more than 25% over ideal weight, has a diagnosed disease for which excess weight is a complicating factor, and weight-loss clinic attendance is prescribed by a licensed physician and confirmed by a second opinion. Note: the $300 amount will not apply to the State Health Plan deductible.
Weight Loss. Decreases in weight and reports of anorexia/decreased appetite have been observed following treatment with bardoxolone methyl in patients with CKD who also had type 2 diabetes. In studies of these patients, 17% of bardoxolone methyl patients reported adverse events of weight decrease or decreased appetite (irrespective of relationship to treatment). Weight reduction was more pronounced in patients treated with bardoxolone methyl than in those given placebo. Weight loss of approximately one kilogram per month was observed, with patients of higher body-mass index at baseline losing more weight (in absolute terms) than those of normal or moderately-elevated body-mass index. Bardoxolone methyl-treated PAH patients have also had decreases in weight, with mean weight decreases of approximately 3 kg versus placebo at Week 16. Weight loss in PAH patients has not coincided with reports of decreased appetite or anorexia adverse events.
Weight Loss. Expenses of weight-loss clinic attendance are covered up to a 23 lifetime limit of $300, if conditions are met as specified in either (1) or (2) below:
Weight Loss. Weight should be recorded at onset of engagement with T3 weight management programme. Weight should be recorded at the time of assessment at surgical MDT and post-surgery (WL) by surgical procedure. Weight loss to be monitored at 6- months, 12-months, 18-months and 24- months’ post- surgery. For patients undergoing surgery: At least 50% of excess weight should be lost at 12 - 18 months and maintenance at 2 years; Weight Loss for patients clinically unsuitable for surgery also to be monitored at 6- months, 12-months, 18-months and 24-months post intervention. 100% data submission to National Bariatric Surgery Registry: all procedures carried out will be entered into the NBSR as per Dendrite data entry criteria. Percentage (%) of patients lost to follow-up: 6-months; 12-months; 24-months. It is the responsibility of the bariatric provider to ensure follow up to 2 years. There is an expectation of <1% of patients will be lost to follow-up. Percentage of patients treated within 18-weeks; will be within current NHS waiting times standards and no patient will wait in excess of 52 weeks. (Please be aware that this does not mean surgery within 18-weeks of referral, first definitive treatment might be any non-surgical intervention deemed clinically necessary). Patient access will be managed in line with the latest NHS waiting list management guidance; this may be subject to random audit by commissioners. Post-operative complications (rate, type, onset time): leak rate, early obstruction, deep vein thrombosis, pulmonary embolism, chest infection, bleeding or other. In-hospital mortality rates: classified by operation type, BMI group and surgical risk score (separate data to be recorded for revision procedures). Post-discharge mortality rate: All deaths that occur post-discharge, reporting at 30days, 6-months and 12-months following primary or revision surgery. Surgical complications requiring HDU/ITU: Recorded admissions post operatively into ITU/HDU (reason for admission, duration of stay). Morbidity and mortality rates will be benchmarked against other Tier 4 services by commissioners. For patients undergoing surgery: Outcomes of 65% of patients achieving complete remission in diabetes, with a further 35% having better control of their diabetes should be expected. In addition reduced blood pressure rates should be expected to reduced by 50%. SUGGESTED TWO YEAR FOLLOW – UP SCHEDULE FOR POST - BARIATRIC PATIENTS
Weight Loss. I understand that weight loss will vary from person to person, based on individual metabolism and adherence to the guidelines of the applicable weight loss program, and I understand that the Membership does not guarantee the loss of any particular amount of weight or guarantee any particular result. Individual patient experiences with Lindora products and services may vary with respect to both effectiveness, and potential adverse reactions. Lindora products and services have not been evaluated, recommended, or endorsed by the FDA. I acknowledge that I am assuming all risks related to consenting to treatment, utilization of services and consuming products provided by Lindora and that I may experience an adverse reaction as a result.
Weight Loss. Expenses of weight-loss clinic attendance are covered up to a 23 lifetime limit of $300, if conditions are met as specified in either (1) or (2) below:
25 a. Employee or covered dependent is obese (defined as being more than 100 26 pounds overweight or more than 50% over ideal weight), and weight loss 27 clinic attendance is prescribed by a licensed physician and confirmed by a 28 second opinion; or 29
30 b. Employee or covered dependent is more than 50 pounds overweight or more 31 than 25% over ideal weight, has a diagnosed disease for which excess weight 32 is a complicating factor, and weight-loss clinic attendance is prescribed by a 33 licensed physician and confirmed by a second opinion. 35 Note: the $300 amount will not apply to the State Health Plan deductible. 37 10. Orthopedic Inserts. Medically necessary orthopedic inserts for shoes, when 38 prescribed by a licensed physician, are covered under the State Health Plan. 39 This benefit is included under the durable medical equipment benefit in Appendix 40 K. 41
