title: White Paper AGA: An Episode-of-Care Framework for the Management of Obesity-Moving Toward High Value, High Quality Care: A Report From the American Gastroenterological Association Institute Obesity Episode of Care and Bundle Initiative Work Group.
abstract: The American Gastroenterological Association acknowledges the need for gastroenterologists to participate in and provide value-based care for both cognitive and procedural conditions. Episodes of care are designed to engage specialists in the movement toward fee for value, while facilitating improved outcomes and patient experience and a reduction in unnecessary services and overall costs. The episode of care model puts the patient at the center of all activity related to their particular diagnosis, procedure, or health care event, rather than on a physician's specific services. It encourages and incents communication, collaboration, and coordination across the full continuum of care and creates accountability for the patient's entire experience and outcome. This paper outlines a collaborative approach involving multiple stakeholders for gastrointestinal practices to assess their ability to participate in and implement an episode of care for obesity and understand the essentials of coding and billing for these services.
authors.affiliation: Predictive Health LLC, Paradise Valley, Arizona.
authors.forename: Joel V
authors.initials: JV
authors.lastname: Brill
authors.affiliation: Baylor Scott and White Medical Center, Plano, Texas; Representative of the American Psychological Association.
authors.forename: Jamile A
authors.initials: JA
authors.lastname: Ashmore
authors.affiliation: Advanced Surgical Partners of Virginia, Richmond, Virginia; Representative of the American Society for Metabolic and Bariatric Surgery.
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Brengman
authors.affiliation: Clinical Pharmacology Services, Tampa, Florida; Representative of the American Pharmacists Association.
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Buffington
authors.affiliation: Minnesota Gastroenterology, St Paul, Minnesota.
authors.forename: S David
authors.initials: SD
authors.lastname: Feldshon
authors.affiliation: Duke University School of Medicine, Durham, North Carolina; Representative of the American Psychological Association.
authors.forename: Kelli E
authors.initials: KE
authors.lastname: Friedman
authors.affiliation: University Gastroenterology, Providence, Rhode Island.
authors.forename: Peter S
authors.initials: PS
authors.lastname: Margolis
authors.affiliation: OutcomesMTM, West Des Moines, Iowa.
authors.forename: Danielle
authors.initials: D
authors.lastname: Markus
authors.affiliation: American Gastroenterological Association, Bethesda, Maryland.
authors.forename: Leslie
authors.initials: L
authors.lastname: Narramore
authors.affiliation: Altarum Institute, Center for Payment Innovation, Newton, Connecticut.
authors.forename: Amita
authors.initials: A
authors.lastname: Rastogi
authors.affiliation: Greenwich Village Gastroenterology, New York, New York.
authors.forename: Anthony A
authors.initials: AA
authors.lastname: Starpoli
authors.affiliation: Palisades Healthcare Solutions, Camarillo, California.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Strople
authors.affiliation: University of Tennessee, Knoxville, Tennessee; Representative of the Academy of Nutrition and Dietetics.
authors.forename: Jane V
authors.initials: JV
authors.lastname: White
authors.affiliation: Stanford University School of Medicine, Stanford, California.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Streett
mesh_terms: D017050:Episode of Care; D006801:Humans; D009765:Obesity / Q000175:diagnosis* / Q000628:therapy*; D012958:Societies, Scientific; D014481:United States
keywords: Bundle; Coding; Episode-of-Care; Obesity; Value