AGA Institute Practice Management & Economics Committee

This Organizational Statement was last revised by the AGA Institute Governing Board, (19) VOTED, July 2017 .


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To meet the economic and operational needs of members across the spectrum of practice.


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Committee Functions

The committee will focus on defining optimal clinical practice and help gastroenterologists provide high-value care.
Objective 1: Translate the value-based model into clinical practice.
Objective 2: Measure and assess the impact of value-based tools to continuously improve the model. Create a flexible model for high-value care for GI disorders.

The committee's charge is to embrace the concept of the "medical business" model by identifying, developing and promoting innovative tools, products, lines of service and financial models that advance the efficiency, effectiveness and success of gastroenterology practices.

  • Develop and implement value-based payment initiatives, working with the the AGA Institute Quality Measures Committee, the AGA Institute Clinical Guidelines Committee and other relevant committees within the AGA.
  • Work with Medicare and commercial payors to advance the interests of gastroenterologists in the areas of coverage, reimbursement and payment models.
  • Maximize the usefulness of information technology to create tools, products and educational materials that are relevant and accessible and will equip gastroenterologists to succeed in today's practice environment.
  • Work with the quality measures committee to identify opportunities for improvement of existing measures and creation of new measures.
  • Provide recommendations to the AGA Institute Governing Board regarding policies and programmatic actions on reimbursement, value-based payment initiatives, and business and administrative practices that maximize efficiency and assure compliance with laws affecting academic and private practices.

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Committee Structure

The committee consists of 10 members (including a chair), plus a trainee. One member shall be a non-physician practice manager from a private practice setting, one member shall be a practice manager from a hospital setting and one member shall be a GI Hospitalist. One member shall be an AGA representative to the Accreditation Association for Ambulatory Health Care (AAAHC). The AGA representatives to the AMA CPT Editorial Panel and RBRVS Update Committee (RUC) (who shall not count against the maximum membership) shall serve as liaisons. The chairs of the AGA Institute Clinical Guidelines Committee and the AGA Institute Quality Measures Committee (who shall not count against the maximum membership) shall serve as ex officio members. A practice councillor (who shall not count against the maximum membership) shall serve as the governing board's liaison to the committee and shall attend all committee meetings. Additional members of the governing board (who shall not count against the maximum membership) may be assigned as team members to the committee but are not intended to attend any committee meetings. A chair-elect (who shall not count against the maximum membership) shall be appointed one year before the end of the term of the chair.

Appointment terms of all committee members shall be for two years, with the opportunity to be renewed for an additional year based on attendance and performance. One-third of the maximum terms shall expire annually.

The committee chair is authorized to create small, temporary subgroups consisting of members and nonmembers of the committee to address policy development and oversight of specific issues within the committee's mission. Costs of all such subgroups must be included in the committee's approved budget.

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Special Qualifications, Committee Chair

A physician who:

  • Has extensive knowledge and experience in private clinical practice.
  • Understands coding, nomenclature and reimbursement concepts and issues.
  • Understands the managed care environment.
  • Has a strong understanding of health-care economics.
  • Has knowledge and understanding of Medicare policy.
  • Has previously served on an AGA Institute/AGA committee, task force or Clinical Practice Section activities.

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Special Qualifications, Members

  • Members should have expertise in management, administration, coding and reimbursement policies, as well as some health economics/financing experience.
  • A majority of committee members must be members in private practice.

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Educational Activities and Materials

The Practice Management and Economics Committee develops programs to provide practitioners, administrators and practice personnel with tools to assist in both the day-to-day and future needs of the gastroenterology practice.


Educational Materials

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  • Sarah E. Streett, MD, AGAF (chair)
  • G. Anton Decker, MBBCh, MRCP, MHA (chair-elect)
  • Ihab I. El Hajj, MD, MPH
  • Oforbuike Ewelukwa, MD
  • Alejandro Fernandez, MBA, CMPE
  • Lisa K. Mathew, MD, MSPH
  • Darrell S. Pardi, MD, MSc, AGAF
  • Steven A. Porter, MD
  • Michael W. Ryan, MD
  • Marc B. Sonenshine, MD
  • Christopher J. Vesy, MD
  • Jenny D. Chiu, MD, PhD (trainee member)
  • Dawn L. Francis, MD, MHS, AGAF (liaison)
  • Braden Kuo, MD (liaison)
  • Shivan Mehta, MD (liaison)
  • Megan A. Adams, MD, JD, MSc (ex-officio)
  • Yngve T. Falck-Ytter, MD, AGAF (ex-officio)

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