ASGE, along with GI Societies, Fight New BCBSMA Sedation Policy

In a united front, the ASGE, ACG, AGA, American Academy of Anesthesiology, and American College of Surgeons sent a letter this week to Blue Cross Blue Shield of Massachusetts (BCBSMA) urgently seeking a meeting to address growing concerns over the enforcement of medical policy 154 – Monitored Anesthesia Care (MAC) slated to take effect on January 1, 2024. Our letter addresses widespread apprehension regarding its potential impact on patient access and experience, healthcare disparities, workforce and training challenges and overall practice operations and highlights the barriers it creates for BCBSMA patients seeking screening colonoscopies at a crucial time. We also raised concerns about exacerbating health inequities, especially for populations with stigmas or fears associated with procedures like colonoscopies. Our societies will urge BCBSMA to reconsider policy 154 during our meeting with them later this month. We hope to begin a constructive dialogue that addresses critical concerns and preserves the integrity of patient care in the state.

About Gastrointestinal Endoscopy
Gastrointestinal endoscopic procedures allow the gastroenterologist to visually inspect the upper gastrointestinal tract (esophagus, stomach and duodenum) and the lower bowel (colon and rectum) through an endoscope, a thin, flexible device with a lighted end and a powerful lens system. Endoscopy has been a major advance in the treatment of gastrointestinal diseases. For example, the use of endoscopes allows the detection of ulcers, cancers, polyps and sites of internal bleeding. Through endoscopy, tissue samples (biopsies) may be obtained, areas of blockage can be opened and active bleeding can be stopped. Polyps in the colon can be removed, which has been shown to prevent colon cancer.

About the American Society for Gastrointestinal Endoscopy
Since its founding in 1941, the American Society for Gastrointestinal Endoscopy (ASGE) has been dedicated to advancing patient care and digestive health by promoting excellence and innovation in gastrointestinal endoscopy. ASGE, with almost 16,000 members worldwide, promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is the foremost resource for endoscopic education. Visit and for more information and to find a qualified doctor in your area.


American Society for Gastrointestinal Endoscopy
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