2014-03-24 12:55:13 UTC

Bundled Payments Come to Gastroenterology

March 27, 2014

AGA has developed a bundled payment model framework for colonoscopy for colorectal cancer screening, diagnosis and surveillance. By developing a framework and educating GIs about value-based reimbursement, AGA hopes to inform physicians who wish to consider contracting with payors, purchasers and risk-bearing organizations around new payment models.

With health-care expenditures consuming larger and larger percentages of the federal budget, policymakers are exploring alternatives to fee-for-service payment. As part of its commitment to preparing gastroenterologists for success in new reimbursement environments, AGA has developed a colonoscopy bundled payment model, which has been published in Gastroenterology (login required).  

The framework for the AGA bundled payment model is specifically for colonoscopy for colorectal cancer screening, diagnosis and surveillance. The colonoscopy bundle model includes services and supplies provided in the pre-procedure period, the day of the colonoscopy and the post-procedure period. The bundle provides a framework for physicians and facilities to consider scenarios when negotiating payment, such as poor preparation, incomplete procedures and post-polypectomy bleeding. Read more

Join Us for a Webinar

On Thursday, April 17, from noon to 1 p.m. ET, Joel V. Brill, MD, AGAF, lead author of the bundle, will discuss:

  • Why do we need and what is a colonoscopy bundled payment model?
  • What is AGA’s new bundled payment framework for screening/surveillance colonoscopy?

Charles A. Accurso, MD, president, Digestive HealthCare Center, Hillsborough, NJ, will discuss his practice’s experience exploring bundled payment models for colonoscopy and will offer helpful implementation advice for practices interested in bundled payment models. Register now

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