For most hospitals, 60% of their costs are fixed and 40% are variable. Over the weekend, the New York Times published a head-turning tale about Dr. Mark Midei, a star cardiologist at St. Joseph Medical Center in Townson, Maryland. The PA hospital system is based in Philadelphia, not Pittsburgh. Go to a non-hospital-based doctor in the community. You can find other locations and directions on Sharecare. According to federal investigators, Dr. Midei implanted potentially dangerous cardiac stents in the arteries of as many as 585 patients who didnt need them. Maggie 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 The result goes: screening suggested for one reason or another > abnormal results in screeing > cath > abnormal cath findings > stenting. Find contact information here to make an appointment. equity, Investor In January of 2006, an article published in the journal Circulation observed that although there has been a dramatic increase in artery-opening procedures in order to prevent heart attacks over the last 10 to 15 years, the rate of heart attacks stayed relatively constant. Instead, when payers, including commercial payers as well as Medicare and Medicaid notice that a particular doctor and/or hospital is performing an unusually large number of procedures of any type, timely unannounced post-procedure audits should be performed by experts hired and paid for by the payers. Capitation has remained more common the West, where HMO penetration remains greater. C, Type Dr. Sharma served on the Cardiac Advisory Board of New York State from 2004-2016, which advises the Health Department and the Governor on issues of health policies and supervision, safety, and appropriateness of heart care by various hospitals in New York. This provider has 21 years of experience and is affiliated with Catholic health, Breast 954 salaries reported, updated at April 25, 2023 sclerosis, Parkinson's It makes a lot of sense as usual. The Affordable Care ACt also cuts increases in payment to hospitals and nursing homes by 1% a yearevery year. In some cases, he reports, when health care plans have been asked to cover a new, as yet unproven treatment, they have said: Try it. Samin Sharma, MD is a Cardiologist. arthritis, Diet I was put on maximum medical therapy after the surgery and have been on it ever since. WebDr. policy, Press The Accountable Care Act allows the Secretary of HHS to lower fees for overvalued medical services. One would expect that she will take MedPACs advice and that especially in light of the Senate Finance Committee report, as well as legal action in a number of states, procedures involving stents would come under scrutiny. With regard to the studies that claim to show that there is no benefit from stents regarding either life expectancy or preventing future heart attacks or strokes, they dont speak to the quality of life implications of reduced chest discomfort. He worked as a Hospitalist at Medical Centers in Michigan Massachusetts, and New Meanwhile, Medicaid pays them less than 70% of their costs with more payment reductions coming due to state fiscal pressures. Medicare beneficiaries should expect a typical cost of $158.18 with an average copayment of $39.54 for new patient appointments. Because physicians insurance participation can change, the insurance information on this page may not always be up-to-date. He is one of 595 doctors at The Mount Sinai Hospital and one of 114 doctors at NYC Health + Hospitals / Bellevue who specialize in Cardiology. Drugs and a change of diet 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). Reproduction, forwarding or reuse in any form is prohibited. Writing about the Midei case over at Kevin M.D,. Click on Contact Maggie on the blogs home page. Thanks for the explanation of how non-symptomatic patients wind up in a cath lab. As Dr. Hadler points out in his guest post, there are many ways for physicians to rationalize their use. 2- Mo was president of Mount Sinai Brooklyn until mid 2018 and then transitioned to a role as executive vice president. 1. Bob Wachter, Professor of Medicine and Chief of the Division of Hospital Medicine at the University of California, San Francisco, comments on the patient response: Most of his patients were probably quite content many had chest pain and a stent undoubtedly seemed like an appropriately aggressive, high-tech cure. 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. He received his medical degree from Sawai Man Singh Medical College and Dr. Sharma has been the recipient of numerous awards for excellence from medical societies and the community, to name a few recent ones: 2014 Physician Scientist Award by AAPI-QLI, 2011 Ellis Island Medal of Honor, 2011 American Heart Association Achievement in Cardiovascular Science & Medicine Award, 2011 American Association of Physicians of Indian Origin (AAPI), 2010 Association of Indians in America (AIA) for Excellence in Medicine, 2010 Honored by AAPI forum of Tri-State Area for Academic Excellence, 2005-2008 and 2011-2021 Best Doctors, 2008-2021 Super Doctors, 2007 Jacobi Medallion Award at The Mount Sinai Hospital, 2007 Physician of the Year at The Mount Sinai Hospital. The content on this website is intended to be used for informational purposes only. All, About Certainly, hospital executive knew that they were making handsome profits on Mideis stent procedures. Its fast, but a band-aid fix. If it fails, then its your cost, not ours., Researchers virtually never take the bet because they know that most research fails, says Halvorson. Dr. Sharma received the Governors Award of Excellence (2006), for his outstanding contribution to Medicine. In many cases, the malpractice insurance that was in force for the incidents had been acquired two decades earlier and had cash limits that were way too low for the settlements and judgements that were being given, leaving the pediatricians, many of whom had already retired, to pay 7 figure awards out of their own pockets. Obamacare Fines: How to Escape a Hefty Penalty If You Really Cant Buy Insurance. disorders, Heart He probably followed all the protocols mandated by accreditors and the relevant specialty societies. Despite the hoopla, nine months ago THCB was once again forced to ask Are Stents A Waste of Money? after reading about a study of 826 patients, published in Lancet, which suggested that the drug-coated stents made by J&J and Boston Scientific aren't cost-effective for all patients and should be restricted to those at highest risk for heart attack. In 2007 Business Week told the story of how stents rescued New Yorks Mt. As long as a doctor has obtained a signed consent, they are pretty much immune from assault charges, unless of course they engage in sexual or other illegal activity with a patient. If clearly unnecessary procedures are being done, especially when claiming that a blockage is much greater than the film shows it to be, the consequences for the doctor should be swift and severe including prosecution for fraud and, possibly, loss of his medical license. Well-Being, Well-Being 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. Established patients should expect a typical charge of $121.62 and an average copayment of 30.4. 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. diabetes, Vaccinations arthritis, Type Patients may wish to ask their physician about the activities they perform for companies. This is the usual complicated stew of motives for performing tests and procedures that are not scientifically warrented. And I do blame the hospitals. and slowing the progression of psoriatic arthritis, Back Dr. Sharma also has passion for teaching and training fellows who enjoy learning from his expertise, so much so they awarded him the Simon Dack Best Teacher in the Division of Cardiology in 2000 and Cardiology Fellows Appreciation Award in 2009. He currently practices at Mount Sinai Cardiology Assocs in New York, NY. 4- Bruno left in October 2018. Professional pride plays a role: doctors who implant stents firmly believe that they are helping their patients. And that 250,000 is considered an extremely low number, by those who understand the scope of the misbehavior. That hazingwhich includes being humiliated by people who are supposed to be "Cash compensation" includes base compensation, bonus and incentive compensation, and other reportable compensation from the hospital and related organizations. Find Dr. Sharma's phone number, address, hospital affiliations and more. Sinais Stent star, Cardio Brief, a blog for cardiologists and other cardiovascular health care professionals, heard from Dr. Sharma just last year, shortly after the Brief reported that Columbia University cardiologist Jeffrey Moses had earned $2.5 million in 2006-7, vaulting him to 8th place in the Chronicle of Higher Educations Hit Parade of individuals receiving the highest total compensation at private colleges, 2006- 2007. Apparently Dr. Sharma was miffed. Citys hospital specialists are raking in millions of dollars A regular fixture on international, national, and local TV stations, newspapers and magazines, Dr. Sharma has been the focus of news stories for media outlets like: The Today Show, CBS News, NBC News, Fox News, PIX11, The New York Times, The Wall Street Journal, New York Magazine, Reuters, Businessweek, Cardiology Today, India Abroad, India Today, Barrons, Forbes, Newsweek, The Washington Post, CrainsNew York Business, NY Daily News, Newsday and New York Post. Medication and change of diet, on the other hand, is much more likley to lead to long-term relief from angina. * Please verify this information when scheduling an appointment. Your story is a good example of why anecdotal results dont mean much. Dr. Sharma frequently treats the following conditions: Heart Disease, Coronary Artery Disease (CAD) and Hyperlipidemia. Sharma accepts several types of health insurance, listed below. Cardiologists dont perform caths on desert islands they are assisted by cath techs and nurses. When they have positive findings, the logical next step is to send the patient to cath. center, Health 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. What any cursory investigation reveals is truly jaw-dropping: 1. The Individual Mandate: Has the Obama Administration Silently Repealed the Rule that Virtually Everyone Must Have Health Insurance? (Im pretty sure I know the hospitals you are referring to) What did you think these CEOs would say? He left Mount Sinai in March 2021. And what about hospital administrators? he asks. He is also great teacher . I wonder, though, what role defensive medicine plays in the equation as compared to how decisions about how to treat screening test findings are determined in other countries. Search, Log and immunizations, Lung Samin Sharma is a Nephrologist in Kalamazoo, MI. Obviously, the Mideis of the world could be caught by requiring that every cath undergo an independent second reading, Wacther adds. Please note that this information may differ from information posted on corporate sites due to timing or classification differences. It is a good example of the problem of accidentally creating disease by the doctor boxing themselves in with testing that was not needed in the first place. 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. Pat run 75441- Meanwhile, just last fall, Dr. Eric Topol, chairman of the cardiology department at the Cleveland Clinic, warned Consumer Reports: Unfortunately, the extensive use of such stents is far ahead of the data that can be cited to support them.. Greater transparency will make it much harder for those who manufacture stents to paint a rosy picture of risks versus benefitsthe FDA aims to make sure that these companies are not hiding information about risks. 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. I was glad to get the stent at the time of the angiogram rather than have to come back for a separate procedure. therapeutics, Smart Home care, Digital At the time Dr. Thomas Graboys, a professor of medicine at Harvard Medical School, told the Center for Medical Consumers that stents are virtually useless, in stopping the progress of the disease itself. The public is looking for a magic bullet, Graboys warned. The popularity of stents is all part of a mindset that Drs. He also said that in the two years prior to this year, their costs per adjusted admission grew 3.5% with the comparable number for this year at 2.0%. A hard worker, he managed to knock off those 585 procedures in just two years, from 2007 to 2009. Samin Sharma received his Bachelor of Medicine and Bachelor of Surgery (MBBS) from the B.P. That can result in criminal charges and in permanent or temporary loss of the right to bill Medicare for services. us, Close The Massachusetts Blues program is the first major global capitation effort on the East Coast in a decade. See more on Sharecare. Dartmouth helped expose the problem. 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. NG 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 Medication doesnt work as rapidly. 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. 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?. Practice Locations. Well-Being Index, Blue cancer, Weight Please note: Interactive Pulse Extra is best viewed in a browser such as Google Chrome or Mozilla Firefox. 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. 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 management, Macular Often, if theyre moving too fast and Upasna Sharma (photo by C. Lagattuta) Upasna Sharma, assistant professor of molecular, cell, and developmental biology at UC Santa Cruz, has received a $1.18 Yes, but physicians rarely go to jail for malpractice. 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). he may find himself in trouble. 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. Finallyand I am afraid this is a major reason a great many hospital CEOs protect their professor, cardiology: $5,173,001: $1,161,279: $4,011,722: $42,531 I had quintuple bypass surgery in 1999. The findings came from two studies, one done in the U.S. and one done in Canada. 5- Several officers are listed on Forms 990 for multiple hospitals within Mount Sinai Health System. The politics inside hospitals can be ugly. Below are financial relationships with industry reported by Dr. Sharma during 2022 and/or 2023. Barry Samin Sharma, M.D. Dr. Samin K. Sharma is well known for performing maximum number of complex coronary interventions in the country with highest success rates while achieving an extremely low complication rate. 3- Lorin was named President of Mount Sinai Brooklyn in May 2018. (We need better laws protecting whistle-blowers). president and chief executive, health system, president for academic affairs and dean, Icahn School of Medicine, president, Mount Sinai Downtown; system executive vice president and chief medical officer, chief financial officer and chief of corporate services, executive vice president and president of the health network, executive vice president and general counsel, executive vice president and system clinical affairs officer, executive vice president and system chief strategy and integration officer, executive vice president and system chief administrative officer, senior vice president, real estate and facilities, senior vice president and chief operating officer, chief medical officer, Mount Sinai Brooklyn; president, Mount Sinai Brooklyn, senior vice president and system chief risk officer, former trustee, medical board president, and gastroenterologist, president and chief operating officer, Mount Sinai Hospital and Mount Sinai Queens, senior vice president and chief financial officer, executive vice president and chief population health officer, senior vice president and system chief medical officer, senior vice president and medical director, senior vice president and executive director, Mount Sinai Hospital Queens. patients guide to Graves' disease, Understanding 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. 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. Dr. Samir Sharma has a 4.5/5 rating from patients. 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. The rest of the complicated motives behind this, ranging from the desire of their hospitals to keep expensive equipment paying for itself to personal prestige to the financial rewards to the feeling that if they dont do something they might be sued all enter into the mix, but the first is the main thing. June 9, 2020Pulse Extra is available every Tuesday. If you are using Internet Explorer, please consider upgrading to a modern browser. I have been researching, investigating, speaking & writing on the ugly reality of physician misbehavior for more than a decade. Pat A second 2005 study, published in The New England Journal of Medicine, added to the uncertainty about the widespread use of stents by reporting that patients suffering minor heart attacks do equally well with drug therapy. 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. See more patient feedback on Sharecare. Mount Sinai's faculty policies relating to faculty collaboration with industry are posted on our website. 8300 Floyd Curl Dr Fl 4, San Antonio, TX 78229 (210) 450-9800. Just to clarify 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. I could see where formula based protocols might be developed here that would call for a stent if the percent blockage is above X depending on where it is maybe a lower threshold for the Left Main or, perhaps, the LAD as compared to one of the distal branches. According to the Sun: The 2007 study didnt find that stents are worthless, just that not implanting a stent can often be as good and avoids the real risks of complications or even death from the procedure. More imporantly, when patients undergo angioplasty with stents, long-term repeated reserach shows that their chances of suffering a heart attackor dying from a haert attack are NOT REDUCED.. Barry In Massachusetts, Blue Cross/Blue Shield, which owns about 45 percent of the private insurance market in the state, already has moved to a combination of capitation and bonuses for higher quality care. 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. plan, Public In other words, it seems that the hospital encouraged the doctor to implant those tiny mesh tubes in his patients arteries. But doctors can go to jail for malpracticetypically if they are found guilty of fraud and malpractice. I understand that stent placement is a lucrative procedure for both the hospital and the interventional cardiologist. 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. In February the U.S. Senate Committee on Finance, which oversees Medicare and Medicaid, began investigating. 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. It makes perfect sense. ), The problem is this, he concludes, as long as the cardiologist reading the cath is the one who pulls the trigger on the intervention, we have a potential Fox/Henhouse problem., What may be most troubling about the Medei imbroglio is that it highlights how our infatuation with high-tech medicine tempts us to ignore medical evidence. 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. He has more than 100 publications and over 500 citings. Fortunately, it was negative and everything ended there. He currently practices at The Lauder Family Cardiovascular Center and is affiliated with Mount Sinai Beth Israel. Maggie, Copyright 2021. I am afraid that many hospitals have resisted the news for one simple reason: procedures that involve stents are extremely lucrative. . Dr. Samin Kumar Sharma has 11 locations Mount Sinai Hospital Cardiology 1190 5th Ave Fl 1 New York, NY 10029 (212) 427-1540 ACCEPTING NEW PATIENTS The Mount Sinai Hospital 1468 Madison Ave New York, NY 10029 (212) 241-5881 Mount Sinai Cardiac Catheterization Laboratory 1450 Madison St KCC Bldg New York, NY 10029 To search within a table, use the box in the upper right corner. The Baltimore Sun notes that after a landmark 2007 study in the New England Journal of Medicine concluded that stents were often not beneficial, enthusiasm waned. He said that patients suffering from anginawho have never had heart attacks- undergo these procedures. Physicians and hospitals that work togetherand are paid as a teamwill become accountable for each other. Wachter goes on to suggest that team work can also reduce medical errorsincluding overtreatment. Hello, I got over to your post via Reddit. A product of Crains New York Business. As the number of specialists in a community grows, many people cut out visits to their primary care physicians altogether. He attended and graduated from Wayne State University School Of Medicine I think its encouraging that doctors may be starting to perceive greater litigation risk from doing this procedure as opposed to not doing it. The Baltimore Sun broke Dr. Mideis story in January. Samin Sharma is a cardiologist in New York, New York and is affiliated with Mount Sinai Hospital. Interventional cardiology became a key revenue source for Sinai. Under Dr. Sharmas leadership, The Mount Sinai Hospital Cardiac Cath Lab has become one of the best and busiest centers in New York, providing state-of-the-art cardiac and interventional care for all types of simple and complex heart patients. Dr. Samin Sharma, MD is a cardiology specialist in New York, NY. Part of this is pure overkill, and part of it is due to some physicians desire to locate patients with the so-called widowmaker lesion significant stenosis in the left main coronary artery before they suffer severe or life threatening events. Studies still do suggest that stenting is the preferred treatment in either acute heart attacks or in unstable angina, but the studies are very convincing, as shown elsewhere on this and the related thread, in showing that there is no real advantage and most likely a slight disadvantage to managing both standard angina and non-symptomatic coronary artery disease with stents instead of medical therapy alone. . WebDr. professor, infectious diseases: $616,469: But what I find most disturbing is that the story about Dr. Midei is not new; nor is it news. As Dr. Nortin Hadler, author of Worried Sick, argues in his guest-post below, medical research suggests that stents have been overused, nationwide, for years, exposing patients to needless risk and exorbitant expense. WebMount Sinai's Dr. Samin Sharma discusses the treatments available for heart disease. Yes, the Redding story eptiomizes what has been happening. . Just one example: they have three or four ORs that are all very busy during the morning and more or less empty in the afternoon. thank you Dr Sharma. Dr. Samin Sharma, MD is a Cardiology Specialist in New York, NY. ), What Doctors Should and Should Not Say to Obese Patients, Losing WeightWhat the Experts Are Reluctant to Tell You Part 1. Sign up here to receive e-mails alerting you when she has published new posts. The CFO said their current margin on their Medicare business overall ranges from 0 to -10%. In 2005 THCB questioned the cost-effectiveness of the new, improved drug-coated stents that are designed to prevent the growth of scar tissue inside the artery.

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