8th Annual Association for Bariatric Endoscopy (ABE) Meeting: Practical Approaches to Treating Obesity and Related Comorbidities| May 2023 ABEANN2023-Show Me the Money-The Business Side of EBTs

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This document discusses the business side of offering Endoscopic Bariatric Therapies (EBTs) in a medical practice. The author, Shelby Sullivan, MD, discloses her financial interests and affiliations with companies related to EBTs. The steps to achieve success in offering EBTs include developing the treatment team, creating a business plan, addressing payment pitfalls, and implementing effective marketing strategies.<br /><br />The treatment team for EBTs should include various healthcare professionals such as physicians, surgeons, endoscopists, registered dietitians, psychologists, exercise specialists, behavior coaches, and physician extenders/nurses. Options for assembling the team include having an in-house team, creating a referral network, or incorporating virtual components. It is also important to consider the costs associated with the program, including support staff, program space, and procedural costs.<br /><br />Developing a business plan that accounts for all expenses and sets a price compliant with market forces is crucial. Revenue can come from self-pay patients or procedures covered by insurance. Sufficient volume of patients is needed to cover fixed costs and may result in bulk discounts for devices.<br /><br />Approvals and insurance coverage must be considered, as well as the coverage of complications and the necessity of demonstrating certification. Reimbursement can be challenging, especially with unlisted codes, and prior authorization may be required for every patient. Pitfalls include plans reporting no prior authorization needed and final determination made when a claim is sent. Marketing strategies should include press releases, advertising, an easy-to-navigate website, social media presence, and networking with referring physicians.<br /><br />In summary, offering EBTs in a medical practice requires building a strong treatment team, developing a comprehensive business plan, addressing payment challenges, and implementing effective marketing strategies. Obesity and related diseases are a significant burden on patients and the healthcare system, making the implementation of EBTs crucial for successful treatment.

Asset Subtitle

Shelby Sullivan, MD, FASGE

Keywords

Endoscopic Bariatric Therapies

medical practice

business side

Shelby Sullivan

financial interests

affiliations

treatment team

business plan

payment pitfalls

marketing strategies