In today’s health care economy, physician leaders are required to build programs that fill the unmet needs of their patient population in a cost-effective manner.1 The practice of gastroenterology has numerous areas of specialization that provide innovative and effective subspecialty care. These services include managing complex GI conditions, such as inflammatory bowel disease (IBD), chronic hepatitis, intestinal failure, dysmotility, pancreatology, and advanced endoscopy. As we continue to adopt cutting-edge strategies to treat these diseases, it is essential for GI specialists and medical practices to be aligned in forward-thinking approaches to care.