The Final 2019 Medicare Physician Fee Schedule: Some Winners, No Losers

The Final 2019 Medicare Physician Fee Schedule: Some Winners, No Losers

Last week, CMS released the final rule for the 2019 Medicare Physician fee schedule. The initial proposed fee schedule was released last summer and would have radically changed the way that physicians are paid for outpatient clinical practice. There was a lot of criticism of the proposed fee schedule with most professional medical societies opposing […]

ABIM Maintenance Of Certification Points

ABIM Maintenance Of Certification Points

This post falls under the general category of shameless self-promotion. The American Board of Internal Medicine keeps changing the requirements for maintaining board certification. When I completed my internal medicine residency, it was easy – you took a board examination and then you were board certified for life. But after 1989, everything changed and the […]

You Can’t Buy Happiness With An RVU

You Can’t Buy Happiness With An RVU

To some physicians, the words “relative value unit” or RVU were created by Satan to inflict pain and torment on physicians. But the reality is that an RVU is just another medium of exchange. A few years ago, we had a fellow in our department who was from Peru. He said that if a family […]

Optimizing Surgical Block Time

Optimizing Surgical Block Time

It gives a sense of great accomplishment for a newly trained surgeon to be initially appointed to the medical staff of a hospital but surgeons really knows when they have “arrived” when they are granted block time in the operating room. Block time is when a specific surgeon (or surgical group) is assigned an operating […]

The Silent Victims Of The Opioid Crises: Physicians

The Silent Victims Of The Opioid Crises: Physicians

Last week, I delivered the opening introduction to the annual Addiction Studies Institute, an annual conference sponsored by Talbot Hall, the addiction recovery hospital at our medical center. This is the 28th year of the conference and was attended by more than 1,000 health professionals, clergy, educators, and criminal justice professionals who had one thing […]

The Cost Of Hospital-Acquired Conditions

The Cost Of Hospital-Acquired Conditions

This time of the year, all across the country, hospitals are creating scorecards of quality metrics for the upcoming year. But what are the economics of those quality metric choices? It turns out each metric has very different financial implications for the hospital and so there are some metrics that are more cost-effective to achieve […]