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Volume 138, Issue 1 , Pages 27-30 , January 2010

Community Colonoscopy: A Gordian Knot?

Comparison of current fee-for-service reimbursement and bundled payment for episodes of care. Fee-for-service payment is not dependent on patient outcomes. Proposed episode-of-care payments often are

Comparison of current fee-for-service reimbursement and bundled payment for episodes of care. Fee-for-service payment is not dependent on patient outcomes. Proposed episode-of-care payments often are linked with favorable outcomes or efficiency of resource use. Payments are made to groups that contract for financial and clinical risk and then divide payments internally—these are termed “accountable care organizations.”
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Conflicts of interest The majority of the author's annual income is derived from performing screening and surveillance colonoscopy under a fee for service reimbursement model. He is a partner in Minnesota Gastroenterology PA, and a part owner of 5 ambulatory endoscopy centers and a pathology laboratory.

Dr Allen is a subcontractor to Dr Timothy Church (co-author of the discussed article) on 3 on-going research studies and has co-authored papers with Dr Church.

Dr Allen was the original trainer for nurses performing sigmoidoscopy in the Prostate, Lung, Colorectal and Ovarian Cancer screening trial at the Minnesota site and received many of the participants referred for colonoscopy.

Dr Allen has chaired or participated in a number of state and national initiatives investigating resource use, guideline compliance and/or performance measurement as they pertain to screening or surveillance colonoscopy.

Dr Allen is a member of the Executive Committee that oversees the AGA's Digestive Health Outcomes Registry.

PII: S0016-5085(09)02052-6

doi: 10.1053/j.gastro.2009.11.035

« Previous Next » Gastroenterology
Volume 138, Issue 1 , Pages 27-30 , January 2010