And what about hospital administrators? he asks. Its not that easy for them to reduce costs in the short term. I felt relief., Although this patient, 66-year-old Peggy Lambdin, later received a letter indicating that her coronary artery was less than 50 percent blocked (clinically meaningless and not an indication for stenting), she was unfazed, Wachter observes. I was glad to get the stent at the time of the angiogram rather than have to come back for a separate procedure. Dr. Sharma's office is located at 1190 5th Ave New York, NY 10029. Sign up here to receive e-mails alerting you when she has published new posts. Dartmouth helped expose the problem. relations, Contact The content on this website is intended to be used for informational purposes only. . Choices, About Medicare will be penalizing hospitalis with excessive readmissions, and, each year, they will be cutting annual increases to all hospitals by 1%. professor, cardiology: $5,087,562: $1,084,866: $4,002,696: $42,637: Shirish Huprikar, M.D. The hospital subsequently agreed to pay a fine of $3.8 million but still denies it had any way of knowing about the safety or effectiveness of Dr. Patels care. If the allegations against Midei are true, it strains credibility to think that no one in the lab knew that inconsequential lesions were being read as tight stenoses and treated with stents. Furthermore, I believe you mean battery. In July 2009, Dr. Sharma launched a monthly live web series, (www.ccclivecases.org), a revolutionary teaching tool in nterventional cardiology globally. Yes, Dr. Samin Sharma, MD holds board certification in Cardiology, Cardiovascular Disease and Internal Medicine. Medical College in 1978, Jaipur, India, where he was ranked the number one student in his medical school and State University receiving eight gold medals and five honors. each other: anyone who has gone through this deserves to be a doctor. Sharma has built a 250-bed heart hospital (EHCC) in his native Jaipur, India to provide the best care to all patients irrespective of their financial and social status. Meanwhile, Medicaid pays them less than 70% of their costs with more payment reductions coming due to state fiscal pressures. and fitness, Sleep For an expert opinion on the best and most persuasive of the many studies that raise serious questions about invasive heart procedures, see Dr. Hadlers post below. He has more than 100 publications and over 500 citings. Find Dr. Sharma's phone number, address, hospital affiliations and more. These things may be true of manythough not necessarily most doctors. The politics inside hospitals can be ugly. Barry For after reviewing outcomes research, Cedars Sinais clinicians found that the drug-coated stents increase the danger that a blood clot will form inside the stent months, or even years after the procedure. If so, let me know, and I can go in and make the fix. . arthritis, Diet The physician himself becomes part of a mass cultural delusion about the efficacy of certain procedures. Insurance and health plan networks that the various Mount Sinai Health System hospitals and facilities participate in can be found on the Mount Sinai Health System website. Centers, Understanding and treating thyroid eye disease, Understanding and treating Crohns disease, Understanding your treatment options for MS, Your guide to managing wet age-related macular degeneration, A patients guide to managing ankylosing spondylitis, Managing and slowing the progression of psoriatic arthritis, Back to school pediatric ADHD headquarters, Alzheimer's As MedPAC reserach show, when hospitals are under some financial pressure, they find a way to cut waste in what it costs them to deliver care. Its a Coin Toss. Below, an excerpt : Last week The Annals of Internal Medicine roiled the medical world by publishing a study suggesting that the drug-coated stents produced by companies like Boston Scientific and J&J may not be quite as miraculous as first advertised. Click on Contact Maggie on the blogs home page. As Director of Interventional Cardiology, Dr. Sharma oversees all Health System catheterization laboratories to maintain the highest level of care. In a study colliding with established practice, recovery from small heart attacks went just as well when doctors gave cardiac drugs time to work as when they favored quick, vessel-clearing procedures, the NEJM reported. . The lists include officers, trustees, directors and employees reported by each institution. WebDr. Certainly, hospital executive knew that they were making handsome profits on Mideis stent procedures. Yes, the Redding story eptiomizes what has been happening. This is because they are terribly inefficient. Physicians who provide services at hospitals and facilities in the Mount Sinai Health System might not participate in the same health plans as those Mount Sinai hospitals and facilities (even if the physicians are employed or contracted by those hospitals or facilities). 8300 Floyd Curl Dr Fl 4, San Antonio, TX 78229 (210) 450-9800. We are being enormously group-stupid in not bringing the roof down on the bad boys of medicine. He may well believe he is saving lives. A shocking number of them fall into the categories of Dangerous or Questionable.. doctor, Find He left Mount Sinai in March 2021. Physicians and scientists on the faculty of the Icahn School of Medicine at Mount Sinai often interact with pharmaceutical, Samin Sharma is a cardiologist in New York, New York and is affiliated with Mount Sinai Hospital. Fortunately, it was negative and everything ended there. . NG In addition to coronary interventions, Dr. Sharma specializes in the non-surgical treatment of mitral and aortic stenosis and transcatheter aortic valve replacement (TAVR). Ideally, the nations paper of record would launch an investigation by looking into the use of stents in its own backyardManhattan. I was put on maximum medical therapy after the surgery and have been on it ever since. C, Type Meanwhile patient care suffers in the fee-for-service environment. Medicare will not force physicians to give up fee-for-service, but those who cling to being paid piece work are less likely to be eligible for the bonuses that reward collaboration and better outcomes. In addition, the Medicare Payment Advisory Commission (MedPAC) has suggested that when Medicare spots high volume combined with high profits margins, this is a place to look for overtreatment. Pat See more on Sharecare. 954 salaries reported, updated at April 25, 2023 I have been researching, investigating, speaking & writing on the ugly reality of physician misbehavior for more than a decade. 2 run 75441- Thanks for the commentI am afraid you are entirely right. Dr Samin Sharma Family Foundation is a private foundation in Scarsdale, NY, which was founded in 2004 and most recently had $1 in revenue and no employees. policy, Press Practice Locations. Sinais King of Stents, ran a cath lab which was central to this campaign, performing procedures that typically brought in as much as $20,000 a piece for the hospital. The stent story illustrates a major problem in our money-driven health care system. 2- Scanlon left at the end of 2020. . But some do set out to over-charge insurers, Medicare or Medicaid, and sometimes the patient suffers the collateral damage. No doubt many of the New Jersey insurers customersand some physiciansobject to the requirement. Barry Dr. Sharma completed a residency at Nyi Bd Hospital. To be included, individuals must have been employed at a tax-exempt organization that filed a Form 990 for 2019. disease, Mental What any cursory investigation reveals is truly jaw-dropping: 1. Note what happened this year when the Secretary of HHHS negotiated with Medicare Advantage insurers on prices: next year, premiums will be 1% lower than they were this year, and Sebelius insisted that they slash co-pays for extremely expensive drugs for cancer, MS, etc. BCBS pays contracting groups of doctors to provide all care, including inpatient services, for its members. disease, Crohn's Sharecare, About Both said that they could not make money if they had to take Medicare rates from all comers even if there were no uncompensated care. Mount Sinai Heart reaches $5 million endowment goal for the Dr. Samin K. Sharma Family Foundation Cardiac Catheterization Laboratory. Medicare wants to put hospitals under some fianncial pressure because MedPAC reserach shows that when hospitals are under financial pressure, they learn to become more efficientand, in fact, beginning making a profit on those Medicare reimbursements. Information regarding insurance participation and billing by this physician may be found on this page, and can also be obtained by contacting this provider directly. Interventional cardiology became a key revenue source for Sinai. COMPARISON OF THE MOUNT SINAI HOSPITAL INTERVENTIONAL OUTCOMES WITH NEW YORK STATE DATA: 20172021 Our Cardiac Catheterization Laboratory continues to serve the full range of cases, from the routine to the most complex Dr. Sharma received the Governors Award of Excellence (2006), for his outstanding contribution to Medicine. He attended and graduated from Wayne State University School Of Medicine They are not repeated here. The Baltimore Sun broke Dr. Mideis story in January. While looking at overtreatment, Dartmouth researchers realized that Redding was doing an extraordinary number of bypasses and angioplasties. Sharma accepts several types of health insurance, listed below. Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, provides another example of how high-volume rogue surgeons can escape scrutiny for years, either because hospital administrators dont know, or profit from pretending not to know, how dangerous they are. Search, Log (You will find the abstract here) Following a two-year study, researchers at the Cedars-Sinai Medical Center in Los Angeles are now suggesting that the putative superiority of drug-coated stents is founded on questionable premises. Or as The Wall Street Journal put it, the clinical trials of drug-coated stents (mostly funded by manufacturers), may have exaggerated their real-life advantage. [Dr. Midei was using a new generation of drug-coated stents.]. Intent is very important. Malpractice insurance generally does not cover punitive damages. Dr. Samin Sharma, MD is a cardiology specialist in New York, NY. But its not just that manufacturers over-estimated the benefits; they underestimated the new risk that the coated stent introduces. In, 1 Gustave L Levy Pl # 1030, New York, NY 10029, Your Privacy "Cash compensation" includes base compensation, bonus and incentive compensation, and other reportable compensation from the hospital and related organizations. Even in Redding, California, where a doctor performed hundreds of unnecessary bypasses and angioplasties, he did not go to prison. Such clots can be life-threatening. 4. Stent Scandal: A Shocking Story, But Not News, Center for Medical Consumers reported in 2006. All, About Web8 DR. SAMIN K. SHARMA FAMILY FOUNDATION | CARDIAC CATHETERIZATION LABORATORY . Its one thing to close your eyes when a colleague is wheeling one patient after another into the cath lab, quite another to associate your name with his activity. Court findings of fraud or willful negligence also expose the doctor to potential punitive financial damages, in addition to the usual compensatory damages. Find contact information here to make an appointment. Privacy Policy He probably followed all the protocols mandated by accreditors and the relevant specialty societies. Below are financial relationships with industry reported by Dr. Sharma during 2022 and/or 2023. Patient who think he saved their lives dont complain. It is very very hard for doctors to admit to themselves that something they have been doing for a while is now demonstrated to be of little value or even potentially harmful. 3- Lorin was named President of Mount Sinai Brooklyn in May 2018. The interesting thing is that the article in the Times suggests that the tide has turned and that doctors are actually at greater risk of litigation from DOING the procedure than from NOT DOING it. Koirala Institute of Health Sciences, Nephrology (Kidney) - Medical Arts & Research Center - MARC. Finally, if there is a finding that a doctor willfully or fraudulantly billed for false charges to Medicare, Medicaid, or private insurance, the doctor would be liable for a judgement of insurance or Medicare fraud. Sharma also wanted to let us know that the Chronicle's list failed to include Sharmas own salary of $2.75 million which would have put him ahead of Moses., Health Care Reform Legislation Points to Solutions, Bob Wachter recalls that when the Midei scandal broke, a reporter asked him Why didnt peer review catch this?. Residency, Internal Medicine, New York University Downtown Hosp. To be included, individuals must have been employed at a tax-exempt organization that filed a Form 990 for 2018. health, Exercise Very sad stories. The powerful hospitals will vigorously resist value based insurance design though BCBS of Massachusetts is moving ahead with the introduction of a tiered in network insurance product on January 1, 2011. sector, Brokers Physicians and hospitals that work togetherand are paid as a teamwill become accountable for each other. degeneration, A Compensation included $126,600 in severance pay. us, Close He has authored over 350 articles, 420 abstracts, 15 book chapters and three books to his credit. Dr. Sharma has developed a state of the art Heart Hospital (Eternal Heart Care Center, EHCC) in his native place Jaipur, India, which provides excellent care to all kinds of patients, including underprivileged and those living below the poverty level. health, Transgender 2 diabetes, Women's Pat didnt say that asymptomiatic patients undergo stent procedures. Established patients should expect a typical charge of $121.62 and an average copayment of 30.4. health, View He got in touch with the blog to point out that he performs 1,500 complex coronary interventions each year, which apparently is an American record, Cardio Brief noted. If it fails, then its your cost, not ours., Researchers virtually never take the bet because they know that most research fails, says Halvorson. But doctors can go to jail for malpracticetypically if they are found guilty of fraud and malpractice. WebSamin K. Sharma (born May 28, 1955) is an American philanthropist of Indian descent and an interventional cardiologist [1] [2] who co-founded the Eternal Heart Care Centre and therapeutics, Smart In my experience, these folks become as adept at reading cath films as any physician. plan, Public Still, there are ways stop them. "Other compensation" includes nonreportable compensation, deferred compensation, retirement-plan benefits, health care benefits and other fringe benefits from the organization and related organizations. I interviewed some of the victims of Redding when I wrote Money-Driven Medicne. They make decent money on the surgical procedures but the medical admissions, as a group, are more problematic from a financial standpoint. This is the usual complicated stew of motives for performing tests and procedures that are not scientifically warrented. The average salary for a physician is $185,515 per year in California. Clinical Manby Clifton Meador (Why Do So Many Of Us Need Medical Tests to Tell Us That We Are Well? Equity (Stock or stock options valued at greater than 5% ownership of a publicly traded company or equity of any value in a privately held company). They were included with Mount Sinai Beth Israel and are not repeated here. 6- Mo was president of Mount Sinai Brooklyn until mid-2018 and served as a system executive vice president until January 2019, when he left Mount Sinai. Barry People are thanking and congratulating him patients, their relatives, the hospital, etc. policy, Health "Cash compensation" includes base compensation, bonus and incentive compensation, and other reportable compensation from the hospital and related organizations. Pat S. And, research shown that while angioplasty with stents offers them quick relief from pain, over the long term, their angins often comes back. The Centers for Medicare and Medicaid is determined to move away from fee- for service payment because we know that inevitably, it leads to more procedures, yet earlier this year, the Commonwealth Fund reported that physicians and industry leaders [feel] that cost reductions of 20 percent to 30 percent are achievable under well-constructed global payment models which pay doctors a lump sum to keep patients well. Do you have any data on the percentage of stent placements that go into patients who are either asymptomatic or have stable angina? Pat Yes, but physicians rarely go to jail for malpractice. Thats a huge difference to those of us who live with heart disease. . Under reform, accountability is likely to extend beyond the individual patient-doctor relationship. Reproduction, forwarding or reuse in any form is prohibited. Just to clarify Finally, the new reform driven approach to pay hospitals modest bonuses if they meet certain quality standards is not likely to be as effective as you think or imply. He left the system in 2019. The CFO said their current margin on their Medicare business overall ranges from 0 to -10%. He completed his Residency in Internal Medicine at New York Downtown Hospital in New York, NY in 2009. According to New York State Department of Health reports (since 1994), he has the highest angioplasty success rate and lowest mortality <0.2% for an interventional cardiologist in NY State, receiving numerous prestigious **star designation (significantly lower than expected mortality). arthritis, Type Conversely, I also wonder how many patients who receive stents would have been better off for the longer term with a CABG. And as Pat S. points out in his comment, pain-relieving drugs can help patients until the other medications kick in. Instead, they skip from one specialist to another according to what body part gives them reason to complain that day, all the while gathering more and more bottles for the medicine cabinet. Phillip Longman Best Care Anywhere. They currently practice at The Lauder Family Cardiovascular Center and are affiliated with Mount Sinai Hospital, Mount Sinai West, Mount Sinai Morningside and Mount Sinai Beth Israel. . Since 2007 Study, Use of Stents Has Dropped, but Many Remain Undaunted, Not everyone has ignored the research. To search within a table, use the box in the upper right corner. Self-fulfilling Media Narratives: How One Man Wound Up Deciding the Fate of Healthcare Reform. If a second doctor must sign off on the reading, this could stop a serial stenter in his tracks. Dr. Sharma provides telehealth services. Wall Street likes them too. . Not some thing I regularly read through, although I appreciate your views nonetheless. 3- Gandhi became chief financial officer of Mount Sinai Health System in March 2020. Finally, most patients (and even many physicians) tend to assume that, when it comes to medical technologies, newer means better. This is why, when asked to participate in a randomized clinical trial, some patients refuse, fearing that they will miss out on receiving what they assume is the newer, better product. In 2007 Business Week told the story of how stents rescued New Yorks Mt. The Individual Mandate: Has the Obama Administration Silently Repealed the Rule that Virtually Everyone Must Have Health Insurance? Sinai hospital: The 2,000-doctor hospital was struggling in March, 2003, when Dr. Kenneth L. Davis took over as chief executive. Obviously, the Mideis of the world could be caught by requiring that every cath undergo an independent second reading, Wacther adds. Titles reflect positions held in 2019. Writing about the Midei case over at Kevin M.D,. The business address is 20 Castle Walk, Scarsdale, NY 10583-3221. As Pat S. points out, in his comment, anecdotes (or stories you hear from people with an ane to grind) are one thing; MedPACs well-documented analysis is another. The findings came from two studies, one done in the U.S. and one done in Canada. Cases like this one are terribly troubling, he continues, not just because they harm individual patients but because they do violence to the trust that is so fundamental to the physician-patient relationship. 2,500+ doctors are found responsible of Felony-level crimes each year another 5,500 convicted of lesser bad behavior. Medicare paid $3.8 million of the $6.6 million charged for the treatments. 1- Officers' compensation was funded by Mount Sinai Hospital, Icahn School of Medicine, Mount Sinai Beth Israel, Mount Sinai West, and/or New York Eye and Ear Infirmary. If a colleague tries to bring this to the attention of the administration, .The Texas Medical Board last month accused a widely known cardiologist in Austin of inserting unnecessary stents. If the first and second doctor each worked for the hospital with their compensation tied, at least in part, to the hospitals revenue and profit, Im skeptical how many times the first interventional cardiologist would be overruled. caregiver, Sharecare ), Will the Supreme Court Scuttle Obamacare Subsidies? Please note: Interactive Pulse Extra is best viewed in a browser such as Google Chrome or Mozilla Firefox. How well provider explains medical condition(s), How well provider listens and answers questions, Hpends appropriate amount of time with patients. Dr. Samin Sharma, MD is a Cardiology Specialist in New York, NY. . I have a different take on this. a caregiver, Your Being, Community Under the directorship of Dr. Sharma, the Live Symposium of Complex Coronary & Vascular Cases (www.cccsymposium.org) started in 1998 and has had overwhelming attendance every year (attended by >800 delegates). Maggie You are correct-you if you make physical contact with your victim, thats battery. While it is possible that no St. Joes leader knew precisely what was happening, Im guessing that some did but chose to look the other way: the pressure to steer clear of the golden-egg-laying goose must have been intense. relations, Breast Yet the odds that the bleeding-edge therapy represents an improvement over existing technology are only about 50/50. Please contact the office to determine whether you are eligible. I think its encouraging that doctors may be starting to perceive greater litigation risk from doing this procedure as opposed to not doing it. blow the whistle on other doctors. Despite the complexity of many of the cases, Sharma had the highest Part of the problem is that in these cases, the doctor may well have thought that he was helping the patients. This provision is designed to put pressure on hospitals to become more efficient. He said that patients suffering from anginawho have never had heart attacks- undergo these procedures. 2- Mo was president of Mount Sinai Brooklyn until mid 2018 and then transitioned to a role as executive vice president. and nutrition, Type 4 Go-To Resources for Diabetic Heart Disease Management, Looking for a Protein-Rich, Plant-Based Snack? This is pretty much what happened in one notorious case,that of Shasta Regional Medical Center in the small town ofRedding, California. I had quintuple bypass surgery in 1999. In my own case in 2005, there were some symptoms and a stress test showed a significant adverse change from my prior stress test a year or so earlier. This is becuase many surgeons prefer to operate in the morning, and if these surgeons bring in business, hospital administrators do their best to please them. As an aside, I recently met with the CEO, who is also a physician (OBGYN), of a large hospital system in the NYC metropolitan area and the CFO of a well known hospital system in Pennsylvania. Hospitals that dont do procedures dont get paid. He currently practices at The Lauder There will be incentives to join Accountable Care Organizations where doctors or doctors and hospitals work together, and all share in the financial rewards if they are able to avoid waste. Thanks for the very thorough and nuanced explanation. Im not an attorney, so I dont know whether a prosectuor has Often, if theyre moving too fast and The article reports that Samin Sharma, the director of interventional cardiology at the hospital, was paid $4.8 million by Mount Sinai in 2012: Kenneth Davis, Mount He currently practices at Mount Sinai Cardiology Assocs in New York, NY. His point is that the physician who diagnoses the need for stents shouldnt be the one who also performs the procedure. If Medicare payments rise only 1% or so while their costs continue to go up at 2%, its a formula for continued cost shifting to commercial insurers. Sharecare, Editorial I understand that stent placement is a lucrative procedure for both the hospital and the interventional cardiologist.
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