Ajay Choudhri

Interventional Radiologist - Capital Health, NJ #blockchain, #AI, #cryptocurrency evangelist

[Ajay Choudhri @11Blade]

@ajgunnmd @UKYRadiology @cityofbhamal @uabmedicine @UKYMedicine @thefibroidlady @CheriCanon @UABRadiology @uab_ir @SIO_Central @SIRspecialists @danbrownIO Amazing.
Congratulations. I've enjoyed watching you carry the flag. Continue the great work

[Ajay Choudhri @11Blade]

@BelannF @TheFIREorg Merit is great but if it's close, the nod goes to the majority. We get it

[Ajay Choudhri @11Blade]

@Doc_Freedom1776 @residencyreview That option has flown the coop. You can't compete with integrated hospital systems or big PE firm backed practices. Independent practice accepting insurance is a crap shoot.

[Ajay Choudhri @11Blade]

@DocDifferently I don't know a single private neurosurgeon who doesn't get compensated for call. Once that precedent is set, it should be for all practitioners. It can be baked into your total comp as long as it's itemized in the contract. Assigning value to it is the first step

[Ajay Choudhri @11Blade]

@shycollie @drdanchoi Any doctor that drops out part time male or female is a drag on the workforce. Train more physicians. My experience of 25 years of hiring and managing is that current graduates want to work less. So if that's the case, train more physicians

[Ajay Choudhri @11Blade]

@shycollie @drdanchoi There is alot of dissatisfaction and grumbling amongst male surgeons and physicians about that. I think we have to really plan the workforce better if we want to balance the needs of male and female physicians. Increase the absolute number of physicians so both can have the same

[Ajay Choudhri @11Blade]

@TippetRing @drdanchoi Too long for X for sure but your points are well taken. Our diagnostic radiology practice is now shift based and you just clock in and clock out. I call it "clocking for the man" just an endless hamster wheel of cases 24/7

Rads don't deal with HUGE chart and admin burden

[Ajay Choudhri @11Blade]

@drdanchoi Not sure what specialities (a few) have better hours than a rad onc to be honest. I don't see any radiation oncologists in the building on any weekend.

As long as there are other options especially in pharmoncology where there is a gold rush. there will be brain drain.

[Ajay Choudhri @11Blade]

@LexLiberty123 @DutchRojas Ok so your statement actually concerns screening colonscopy for cancer. Colonoscopy has many other indications and is used for many other disease states

[Ajay Choudhri @11Blade]

@Third_i_Prophet @DutchRojas I am not disagreeing with your inefficiency argument, ASC are tasked with doing one thing and doing it well. They save the system money

You want to move those surgeries out of HOPD, find a way for the hospitals to make money on being a hospital otherwise they close. That's it.

[Ajay Choudhri @11Blade]

@abl57 @DutchRojas All new ASC in NJ require hospital co-owner ship. Hospital wins some revenue, doctor owners get better rates. Healthcare system loses by paying higher rates. Hospital co-opted a cheaper healthcare delivery method

[Ajay Choudhri @11Blade]

@vrabecj @DutchRojas The OBS argument is even stronger.

OBS gets even less than ASC which is less than HOPD

In NJ, you cannot get a certificate for OBS any more unless co-owned with a hospital.

@DutchRojas keep up the good work and add OBS reimbursement in your analysis

[Ajay Choudhri @11Blade]

@DutchRojas I don't think very many cataract surgeries are done at hospital.

You are assuming 4 million done at hospital, thus saving 5 billion? But the majority are not.

Am I wrong here?

[Ajay Choudhri @11Blade]

@LexLiberty123 @DutchRojas I'm intrigued with your statement. Seems very absolute "noone should get a colonoscopy" - what does it mean? Other alternatives? Blood tests? Cologuard? Virtual colonoscopy with CT? What about Crohn's dz, colitis? Please elaborate.

[Ajay Choudhri @11Blade]

@DutchRojas @Third_i_Prophet This all is in the lens of low risk, high profit easier surgery. You have to raise DRG, ICU and inpatient care reimbursement for hospitals to provide difficult care like chronic disease, ICU care so they can wean themselves off surgery.
Operating an ASC is easier than a hospital

[Ajay Choudhri @11Blade]

@KprasMD @shamitsdesai The discrepancy between OBL, ASC and hospital outpatient rates is insane. Kudos to those who make OBL reimbursement work.

[Ajay Choudhri @11Blade]

@KprasMD @shamitsdesai Good IR work requires a build it and they will come mentality, with the easy easy DR escape valve, we will only have pockets of strength

[Ajay Choudhri @11Blade]

@jeffreystirlin5 @shamitsdesai Very high for IR'S over 50 who lost the PAD turf wars and tired of the dumpster tricks at the hospital. Most of my residency class who were IR's (5) all read DR now instead of IR except for me. I still read DR as my BATNA

[Ajay Choudhri @11Blade]

@KprasMD @shamitsdesai We have a collision here. There are folks that want 100% IR jobs, then there are obl folks who want to DR, then there the OG's who did DR and IR.

Identity? I don't believe there will be one in a decade unless AI destroys DR.

[Ajay Choudhri @11Blade]

@SRajesh_IR Nice work.
Support like friends is always helpful.