Balloon Adiposity

BMCS - balloon therapy (for obesity)

Here we provide the example of oneMarket access strategy for outpatient balloon therapy and private billing with health insurance companies

DESCRIPTION


Balloon therapy for obesity grades I and II is a very good alternative for patients before an operation (bypass or sleeve gastrectomy). However, the therapy is only used for obesity grade III. billed via the GKV.


WHEN

Location analysis 2024


WHAT

BMCS launched patient aftercare for balloon therapy in the area of outpatient and inpatient prescription.


TO DO

- Location analysis

- Development of patient pathway
- Development of applications for health insurance companies
- Price calculation
- Cost calculation model built
- Sales trained in economics
- Cases analyzed


‍ACTUAL

- Location analysis

- Development of patient pathway
- Development of applications for health insurance companies
- Price calculation

- ......


With permission from BMCS (2024)

COURSE


2023 (last quater)

Location analysis
The location analysis showed that the development of the story with the health insurance companies had not yet been completed. A clear, traceable patient path must be developed

The story quickly and clearly showed that a good reduction in weight can be achieved by inserting a stomach balloon. The long-term follow-up can convince health insurance companies to recognize a sustainable concept


In the S3 Leitlikidneys, surgery for obesity and metabolic diseases, iThe gastric balloon is shown as part of the step process.


Source:

https://www.awmf.org/service/awmf-aktuell/chirurgie-der-adipositas-und-metabolischer-krankenen




2024

Payers & stakeholders
Payers and stakeholders are the ones who pay for it and through whom all applications, inquiries and analyzes go. In this project, this includes private health insurance companies and patients. The involvement of the DGVSO is very important and must be involved accordingly. 

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