RT Journal A1 Lisa L, Joseph S T1 CEnters of excellence JF Archives of Surgery JO Archives of Surgery YR 2010 FD January 1 VO 145 IS 1 SP 106 OP 107 DO 10.1001/archsurg.2009.256 UL http://dx.doi.org/10.1001/archsurg.2009.256 AB On April 21, 2009, HealthCore Inc, the outcomes research subsidiary of WellPoint Inc, released the findings of a study comparing outcomes at the Blue Distinction Centers for Bariatric Surgery with those from nondesignated facilities, all participating facilities in WellPoint's affiliated health plans' networks. The study showed that procedures performed at Blue Distinction centers had fewer infections and lower complications overall. A few days later, we were interested to read Dr Livingston's article in Archives,1 which concluded that designation as a bariatric surgery COE does not ensure better outcomes.