Adam Ostergar

Washington University School of Medicine, Urology PGY3 at Mayo Clinic AZ, dad, cyclist

[Adam Ostergar @adamostergar]

@dviprakasit @Endo_Society @LeviBowers22 @UNCurology @VUMCurology Congrats @LeviBowers22 !!!

[Mayo Clinic Urology @MayoUrology]

Congratulations to @MarkTysonMD for being selected as the newest member of the National Cancer Institute's Genitourinary Steering Committee! (https://t.co/zmzBsFOdmJ) @theNCI

[Mayo Clinic Urology @MayoUrology]

And one more thing… PGY-2 Sandeep Voleti and MS4 Alex Theophilopoulos cap off the last hours of #AUA2026

Well done to all @MayoUrology consultants, residents, students, and their supporting staff! See you next year, in San Diego!

[Bridget Lang Findlay, MD @BlFindlay]

Excited to share @drjnwarner technique of endoscopic urethral reconstruction for posterior urethral stenosis @SocietyGURS #AUA26

[Bridget Lang Findlay, MD @BlFindlay]

Excellent poster from ⭐️ PGY2 Dr. John Lin on outcomes of radiation after sling for male SUI
🔑 early profound loss of continence post RT
🔑 engage in SDM in high risk PCa with post prostatectomy SUI about 📉 durability of sling if potential for RT
@MayoUrology @SocietyGURS

[Bridget Lang Findlay, MD @BlFindlay]

Well done, Dr. Mimi Nguyen on highlighting this important topic. @MayoUrology #AUA26

[Roger Sur @roger_sur]

💡Check out our new paper with a novel pipeline for fragmentation detection during surgery, using point tracking💡 @jonathankatz77 @dsui_miami_uro @UCSD_Urology Prof Yip https://t.co/c9dIEyjGXm @SpringerNature Lasers in Medical Science

[Dutch Rojas @DutchRojas]

Dear @CMSGov

I was looking through some Medicare expenditure data, which I assume is not how most people spend their evenings, but I do…

And something jumped out at me.

Across five specialties, independent physicians had the lowest total Medicare expenditures:

$26,377 per beneficiary per year.

Okay. So that’s the baseline.

Now let’s look at the other models.

Private equity–affiliated practices: $26,824.

Corporate practices: $27,769.

Hospital-affiliated physicians: $30,416.

So just to make sure I understand this correctly…

The most expensive model in the system is the one where doctors are employed by hospitals.

And the least expensive model is the one where doctors run independent practices.

That’s a $4,039 difference per Medicare beneficiary every year.

Which would seem like the sort of thing policymakers might want to pay attention to.

But it gets better.

When physicians transition from independent practice to private equity, Medicare spending decreases by about $963 per beneficiary per year.

Okay. Interesting.

But when physicians transition to hospital employment, spending increases by $1,327 per beneficiary per year.

Corporate affiliation?
Also increases costs, by about $1,140.

So the pattern here seems… fairly consistent.

The model everyone keeps saying is “unsustainable” actually produces the lowest costs in the system.

Meanwhile, the model that keeps absorbing those practices is also the one that drives spending up.

And every time an independent physician disappears into a health system…

Costs go up.
Every time.

Which raises a small question:

If the goal is controlling healthcare costs…
why is the United States Government steadily replacing the least expensive model with the most expensive one?

Just asking….

-Rojas out

[Karen Stern MD @KSternAZ]

Awkward fellow photos meets elite training @MayoUrology AZ. Apply now via @Endo_Society for our 2-year combined MIS/Endo fellowship.
☀️ Sunny Arizona 🌵
🤖 Robotics
🪨 PCNLs
😁 HoLEPs (tons!)
🫜 Metabolic stone disease
🔬 Research

[Mayo Clinic Urology @MayoUrology]

We are proud to welcome our incoming urology residents from #UroMatch2026! 💙
Welcome to the Mayo Clinic Arizona Urology family: Christopher Guske, Jaxson Jeffery, William Jevnikar, and Matthew Loper
We can’t wait to have you here and watch you grow into incredible urologists!

[Real Doc Speaks @realdocspeaks]

The PBMs don't lower costs; they just extract billions from the system as a middleman we don't need.

We need to fire the PBMs.

[Adam Bruggeman, MD @DrBruggeman]

Everyone understands…. Hospitals, surgery centers, physicians, and patients, that these continued actions by insurers are inappropriate. I am thankful to Congress, the @ahahospitals, the @FAHhospitals, the @ASCAssociation, and all of the medical societies who have spoken out against this poorly thought out policy that hurts all parties but insurers while disrupting access to care.

[Mark Cuban @mcuban]

No one does this better than then the State of Oklahoma. Let’s hope they do the same for independent doctors and clinics next ! @mtleake09 , well done !

[Karen Stern MD @KSternAZ]

The world’s very first manuscript on CVAC 2.0 is officially up! We report safety outcomes (it’s safe!), SFR, & volumetric data based on thin-slice CT imaging. @MayoUrology

https://t.co/UIq77OksQN

[Adam Ostergar @adamostergar]

Was great catching up with old friends/mentors at WCET2025. @Dwonggg94 taught me everything I know about research back in my (not so long ago) med school days. @WashU_Uro @MayoUrology #WCET25 #WCET2025

[Ram Pathak, M.D. @RamPathakMD]

@MayoMitch getting the thanks he deserves for organizing #WCET25 @Endo_Society in Phoenix at the President’s Gala.

👏🏽

[Matthew Lee @MSLee_MD]

Dr Jackson Cabo presenting their retrospective comparison of CVAC 2.0 vs. FANS for > 1.5 cm stone burden. > 95% stone volume clearance but residual stone burden higher with FANS as pre op stone burden increased. Zero fragment rate 19% vs 28% @MayoUrology AZ #WCET25

[Focal One @FocalOneHIFU]

Join Daniel Frendl, MD, PhD (@dfrendl) from @MayoClinic at the Focal One Masterclass in Robotic HIFU during #WCET25. His presentation will discuss the role of focal therapy in prostate cancer care, focusing on patient selection, the role of the most recent diagnostic tools and how to launch and grow a successful focal therapy program.

September 10 at 10:00 AM | Phoenix, AZ

Register now – limited space available: https://t.co/5O4TSjIH8L

#HIFUmasterclass | #ProstateCancer | #RoboticSurgery | #Urology | #MedTech | @Endo_Society | @FocalSociety | @SocietySURS

[Karen Stern MD @KSternAZ]

Come get hands-on teaching for your favorite endo procedures at #WCET2025. Fantastic faculty with high-fidelity simulation models. HoLEP, FANS, CVAC, Virtuoso bladder tumor enucleation, laparoscopic hemorrhage, PCNL access, & much more! @Endo_Society. Registration link below.