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How Does a Gastroenterologist Demonstrate Value?

  • Lawrence Kosinski
    Correspondence
    Reprint requests Address requests for reprints to: Lawrence Kosinski, MD, MBA, AGAF, Illinois Gastroenterology Group, 745 Fletcher Drive, Elgin, Illinois 60123.
    Affiliations
    Illinois Gastroenterology Group, Elgin, Illinois
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      Podcast interview: www.gastro.org/cghpodcast. Also available on iTunes.

      Abbreviations used in this paper:

      CRC (colorectal cancer), IBD (inflammatory bowel disease)
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      References

        • Thomson S.
        • Schang L.
        • Chernew M.E.
        Value-based cost sharing in the United States and elsewhere can increase patients’ use of high-value goods and services.
        Health Aff. 2013; 32: 704-712
      1. Centers for Medicare and Medicaid Services, National Health Expenditures Projections 2011-2021. Available: www.cms.gov/Research-Statistics-data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/Proj2011PDF.pdf. Accessed March 2014.

        • Burns L.R.
        • Wharton School Colleagues
        The health care value chain: producers, purchasers, and providers.
        1st ed. Jossey Bass Wiley, San Francisco, CA2002 (Available:) (Accessed March 2014)
        • Miller H.D.
        Win-win-win approaches to healthcare cost control through physician-led payment reform.
        Clin Gastroenterol Hepatol. 2014; 12: 355-358
      2. AGA 2013 Strategic Plan. September 2013.

        • Brill J.V.
        • Jain R.
        • Margolis P.S.
        • et al.
        A bundled payment framework for colonoscopy performed for colorectal cancer screening or surveillance.
        Gastroenterology. 2014; 146: 849-853

      Linked Article

      • How Does a Gastroenterologist Show Value?
        Clinical Gastroenterology and HepatologyVol. 13Issue 3
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          We read with pleasure the article “Strategic Update on Health Value” by Kosinski1 in the October issue of Clinical Gastroenterology and Hepatology. In today’s world of health care reform and the trend of accountable care organizations and shared saving contracts, we are in the midst of a seismic shift from the volume-based fee-for-service model to a value-based payment model of care.2,3 We were grateful to see Dr Kosinski address this critical transition in the context of gastroenterology. We agree with his observation that the global definition of “value = quality/cost” excludes direct measurement of health outcomes and therefore will not benefit this transition directly.
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