GI case mix is shifting — here’s how

Advertisement

Chicago-based GI Partners of Illinois saw its GI case mix tilt toward more complex, chronic and multidisciplinary care in 2025, COO Dr. Geogy Vennikandam told Becker’s. 

Editor’s note: This interview was edited lightly for clarity and length.  

Question: Do you want to talk a little bit about how your case mix changed in 2025 and what changes you expect in 2026?

Dr. Geogy Vennikandam: We definitely saw a noticeable shift toward more complex GI pathology across our sites in 2025. A couple of trends stood out: higher rates of advanced endoscopy utilization — EMR, ESD, ERCP-related evaluations. I noticed an increase in IBD, metabolic liver disease and GERD-related diagnostic volumes. There’s continued strong demand for colorectal cancer screening, though increasingly risk-stratified.

And there’s growth in patients requiring multidisciplinary management. That creates opportunities for us in CCM, nutrition and hepatology expansion.

Looking into 2026, I anticipate a continued rise in NASH-related diagnostic and management needs, increased use of AI-augmented clinical pathways to refine case distribution by complexity, and a stronger demand for same-day access. One benefit of coming to an independent group like ours versus a hospital is same-day access and short-interval follow-up, especially with our virtual-first models that support it.

So our case mix is becoming more complex, more chronic and more multidisciplinary. We’re building the infrastructure to meet that shift head-on.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Building a High-Performance Cardiac PET Program: What Health Systems Should Consider

Thursday, July 30
12:00 PM - 1:00 PM CDT

Presenters: Rupa Sanghani, MD, FACC, FASNC, Rush University Medical CenterBrendon Loiselle, CDL Nuclear Technologies

Advertisement

Next Up in GI & Endoscopy

Advertisement