States mandating colonoscopy

While it is hard to predict exactly how physicians would respond to the reduction of colonoscopy professional fees, potential responses such as de-emphasizing screening colonoscopy or performing shorter exams would reduce the societal benefit of CRC screening. Relation between Medicare screening reimbursement and stage at diagnosis for older patients with colon cancer.Rather than reduce endoscopist fees, alternative reimbursement policies could improve the efficiency of colonoscopy, while encouraging greater access. Alternative approaches are warranted to ensure appropriate utilization of colonoscopy for maximal societal benefit.

First, endoscopist reimbursement is only a small proportion of the overall cost for colonoscopy () may respond differentially to reductions in reimbursements.Second, endoscopists in different practice settings may respond differentially to reimbursement reductions.Finally, the blunt tool of reducing endoscopist reimbursement for all colonoscopies may incur the unintended consequence of reducing access to high-quality colonoscopy for screening and surveillance of colorectal cancer.• Alternative approaches are warranted to ensure appropriate utilization of colonoscopy for maximal societal benefit.Healthcare costs burden both individuals and businesses, creating pressure for policy makers and providers alike to improve the delivery of healthcare and to provide more value for less cost.

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