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Health insurance exchanges continue to be a work in progress, at least for several states that are facing ongoing challenges. In particular, 5 states-Maryland, Massachusetts, Minnesota, Nevada, and Oregon-estimate that it will cost $240 million to fix their existing exchanges, or to transition to using the federal exchange.

There are rumblings that federal lawmakers may be willing to repeal Medicare's burdensome rule requiring physicians in critical access hospitals to make an educated guess that the patients they're admitting will be either discharged or transferred in less than four days.

Across the country, a historically fragmented hospital market is organizing around a select group of for-profit and not-for-profit systems. And that means competition has increased for fewer acquisition targets that still remain on the market.

The bundled payment model encourages health systems to provide high quality, better-coordinated care at a lower cost for Medicare beneficiaries. It's no wonder, then, why the American Gastroenterological Association (AGA) has developed a colonoscopy bundled payment model to help gastroenterologists achieve value-based health outcomes.

Patients want physicians to provide high-quality care and the health system requires good value for physician work. To help gastroenterologists achieve these goals, the American Gastroenterological Association (AGA) has developed a colonoscopy bundled payment model.