Author: Abhay Panchal

A recent study has highlighted the concerning low levels of clinician recommendations for colorectal cancer screening during wellness visits. The research, led by Jordan Baeker Bispo, PhD, MPH, from the American Cancer Society, analyzed data from over 5,000 adults who were overdue for such screenings. The findings revealed that less than 30% of these patients received a screening recommendation during their wellness visit. This percentage dropped to below 15% for individuals without a regular source of care or insurance. Despite clinicians reporting that they frequently recommend colorectal cancer screenings, the patient-reported data suggests otherwise, indicating a significant discrepancy. The study…

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US Digestive Health (USDH), one of the largest gastroenterology practices in the U.S., has announced a partnership with GI Specialists of Delaware, a specialty practice based in Wilmington. This collaboration aims to expand USDH’s presence in Delaware, offering top-tier gastroenterological care to New Castle County residents. Patients of GI Specialists of Delaware will maintain access to the Limestone Medical Center in Wilmington and the ASC at Glasgow Medical Center in Newark. Jerry Tillinger, CEO of USDHM, praised GI Specialists of Delaware for their commitment to innovative digestive health solutions. Michael Brooks, MD, the lead physician, sees the partnership as an…

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Considering disease stage and indications for treatment allows for more personalized recommendations for use of beta-blockers for bleeding prevention in patients with cirrhosis, according to a recent literature review. The therapeutic window for use of nonselective beta-blockers (NSBBs) traditionally was though to open when patients had high-risk varices, regardless of whether they had diuretic-responsive ascites, (Child-Pugh class B/C) and close when decompensated cirrhosis progressed to refractory ascites, the authors noted (J Hepatol 2023;78[4]:866-872).

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In June, UnitedHealthcare introduced a new advanced notification system for patients undergoing specific procedures like esophagogastroduodenoscopies, capsule endoscopies, diagnostic colonoscopies, and surveillance colonoscopies. Although gastroenterologists were pleased that the initially proposed prior authorization rules were not implemented, many still expressed reservations and skepticism about the advanced notification and gold carding process. Dr. Benjamin Levy, a gastroenterologist at the University of Chicago Medicine, stated that while the advanced notification system is preferable to prior authorization, there are still concerns about potential delays in diagnosing cancer in patients with alarming symptoms and general medical management. The medical community was relieved when the…

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Recent research published in JAMA Internal Medicine has shed light on the effectiveness of cancer screenings. Dr. A. M. McCarthy, University of Oslo, Norway; The study, led by Michael Brethauer, found that most routine cancer screenings prolong patient survival. A notable exception was sigmoidoscopy, for colorectal cancer screening, which showed a potential benefit of 110 days overall. While many doctors support cancer screening as a way to save lives, it is important to weigh the benefits against the potential harms. For example, colon cancer screening can sometimes cause complications such as bleeding or perforation. Studies show that while certain tests…

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The annual average billing amount to commercial payers from medical specialists is around $3.8 million, according to AMN Healthcare’s “2023 Review of Physician and Advanced Practitioner Recruiting Incentives” report released July 24. However, gastroenterologists far surpassed that number in 2023, with average billing to commercial payers reaching $5.3 million. Gastroenterologists had the fifth-highest billing average to payers in 2023, following general surgeons, who billed an average of $11.7 million; orthopedic surgeons; critical care physicians; and urologists.

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The American Hospital Association, which represents 5,000 member hospitals, health systems and other healthcare organizations, has submitted a letter to CMS commenting on its proposed hospital outpatient prospective payment system and ambulatory surgical center payment system rules for calendar year 2024. For calendar year 2024, CMS has proposed an update of 3 percent less a productivity adjustment of 0.2 percentage points for ASCs. The AHA has “strong concerns about this inadequate update, especially when taken together with the underwhelming market basket increases from calendar year 2022 and 2023,” according to the Sept. 8 letter. The AHA believes proposed changes do…

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A recent cross-sectional study has revealed a connection between Body Mass Index (BMI) and the severity of nonalcoholic fatty liver disease (NAFLD). The findings indicate that the risk of metabolic syndrome and the severity of NAFLD rise with an increase in BMI. Although non-obese NAFLD patients have similar clinical outcomes as their obese counterparts, there’s limited evidence on the cardiometabolic status and disease severity in lean NAFLD. Obesity is often associated with potential risk factors for NAFLD, even in patients with a normal weight. It’s also linked to metabolic syndrome risk factors like high cholesterol, insulin resistance, and high blood…

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Iterative Health and Gastro Health have formed a partnership to integrate Iterative Health’s AI-driven gastroenterology technology into Gastro Health’s endoscopy centers nationwide. The collaboration aims to standardize GI care across various demographics and conditions. Jonathan Ng, the founder of Iterative Health, was inspired to bridge the gap in medical training across countries after witnessing disparities in Cambodia. The company’s AI technology, designed to standardize the interpretation of visual health data, recently received FDA clearance for its ability to detect suspicious polyps during colonoscopies. Their Skout system can identify over two dozen clinical features in real-time, including inflammation and ulcers. Partnering…

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