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GI & Endoscopy

The American Gastroenterological Association, American College of Gastroenterology and American Society for Gastrointestinal Endoscopy recommend a repeat colonoscopy within 10 years of a screening colonoscopy in average risk patients, but little data on adherence or factors influencing adherence exists.

Bundled payments are one option for alternative payment models. The American Gastroenterological Association offers suggestions for creating a bundled payment option for colonoscopy.

The demand for price transparency in healthcare is growing. Almost a third of gastroenterologists, 28 percent, regularly discuss cost of treatment with patients, according to Medscape's Gastroenterologist Compensation Report: 2013.

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Irving Pike, MD, FACG, is Chief Medical Officer of Walnut Creek, Calif.-based John Muir Health and the Secretary of the American College of Gastroenterology. He provides executive staffing to  John Muir's CMS shared-savings accountable care organization and is working closely…

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