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Brazil's Ministry of Health is, however, running a two-year pilot study (Real-Bari) enrolling 250 SUS patients with severe obesity in Porto Alegre a necessary first step toward building the cost-effectiveness evidence that a Conitec recommendation would require

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The BALANCE Model, a voluntary program from the Centers for Medicare and Medicaid Services (CMS), is expected to launch in Medicaid as early as May 2026