Minimally Invasive Urologist at Washington University St. Louis. Former UCD Aggie, KUMC Resident, IU MIS Fellow. MPH in process… the journey continues.
So surgeons innovate… do cases faster, safer, and with better efficacy. @CMSGov sees this as “reduced effort”, and subsequently drops reimbursement. What other industry behaves like this? This is broken. Period.
@olsonplanner This is a clear worse case scenario with severe sequence of return risks. Gotta stress test that portfolio maintaining liquidity that doesn’t require blowing through equities on fire.
HUGELY IMPORTANT
Urology friends:
https://t.co/pasJn3Og1C
CMS is looking to cut procedural reimbursement by 2.5% on the presumption that we are becoming more efficient.
Sign this petition.
Medicare’s message to doctors: “Do more, get paid less.”
2025 conversion factor: $32.35
2015 conversion factor: $35.93
A decade of cuts while demands explode.
This isn’t reform—it’s sabotage.
In 2025, the Medicare conversion factor will be lower than it was in 2015. A decade later, doctors are getting paid less per unit of work—while inflation, admin burden, and burnout have all skyrocketed.
@olsonplanner Results, pt questions, call, all the above. Also my personality is more inclined to be plugged in, probably to my own detriment. The expansion of EMR into devices - phones and watches - has certainly eroded into “free” time. And speaking of free, it is usually a free service…
Social Security payments are inflation adjusted, but Medicare physician fee schedules are not... an interesting contraindication that has devalued physician efforts for far too long. Advocacy that only delays future reductions in payment are not good enough... change is needed.
@olsonplanner Just called. Provided my number provided I was disconnected. Was disconnected…. Was not called back. This behavior is criminal. Before I was disconnected they suggested that this push back would apply to some but not all IDR plans? Idk.
I don’t post on X often, but after two successful robotic adrenalectomies, channeling lessons learned from @CSundaramMD, I think it is important to state how valuable my time at @IUuro was. World class teaching here. Thank you.
2023 @WashU_Uro Justin J. Cordonnier Visiting Professorship featuring senior/junior faculty pairing of @JMHolzbeierlein & @CKowalikUroMD of @KHS_Urology. Exceptional 2 days of teaching, camaraderie, and resident and fellow-oriented education. I’m thankful to have both as mentors!
@JayChavaliMD@drjkaouk@CleClinicUro@Kc3Dr@urogoldjournal Would be interested in knowing patient reported outcomes, like anxiety. Would also be interested in knowing surgeon and anesthesiologist related outcomes. Would a case like this be more stressful knowing the patient was awake? Regardless, an interesting consideration.