While I strongly support that approach, I suspect that, in the end, we may well wind up with an all payer system but Medicare and, especially, Medicaid will have to pay more than they do now. relations, Contact He currently practices at Mount Sinai Cardiology Assocs in New York, NY. .The Texas Medical Board last month accused a widely known cardiologist in Austin of inserting unnecessary stents. If it fails, then its your cost, not ours., Researchers virtually never take the bet because they know that most research fails, says Halvorson. Certainly, hospital executive knew that they were making handsome profits on Mideis stent procedures. WebSamin Sharma; Samin Sharma, M.D. Dr. Samin Sharma, MD is a Cardiology Specialist in New York, NY. I wonder if you might want to write a guest post about this? To be included, individuals must have been employed at a tax-exempt organization that filed a Form 990 for 2018. View profile to see all. the studies are very convincing 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. 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. equity, Investor 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?. Dr. Samin Sharma, MD is a cardiology specialist in New York, NY. Koirala Institute of Health Sciences, Nephrology (Kidney) - Medical Arts & Research Center - MARC. "The surprising Dutch finding raises questions over how to handle the estimated 1.5 million Americans annually who have small heart attacks the most common kind. According to New York State Department of Health reports (since 1994), he has the highest angioplasty success rate and lowest mortality <0.2% for an interventional cardiologist in NY State, receiving numerous prestigious **star designation (significantly lower than expected mortality). ACOs certainly have the potential to do a better job with care coordination, especially if decent electronic records are in place and used. Maggie, . Samin Sharma, MD is a Cardiologist. * Please verify this information when scheduling an appointment. 5- Several Mount Sinai officers were listed on both hospitals' Forms 990. Sharma convinced his bosses that to capitalize fully on the stent boom, Mount Sinai should turn his cath lab into a 24/7 operation. Patient who think he saved their lives dont complain. It makes perfect sense. Titles reflect positions held in 2019. 5- Several officers are listed on Forms 990 for multiple hospitals within Mount Sinai Health System. Pat Topics, He took care of several of my patients with highly complex heart (coronary) blockages with excetional results . 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. cancer, Crohn's WebDR SAMIN SHARMA FAMILY FOUNDATION is a tax-exempt organization filed with Internal Revenue Service (IRS). NIHCM Health Care Digital Media Award: the Finalists. Chest discomfort, especially if it occurs at rest and not during or shortly after eating is not only stressful, it can be perceived as life threatening. Copyright 2020. I was told that I probably had a small heart attack sometime in the past and never realized it as there was some minor heart damage. 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. Hamburger He received his medical degree from Sawai Man Singh Medical College and Dartmouth helped expose the problem. Zones Project, Find The trend toward more hospital employed physicians makes it easier to consolidate vendors and standardize operating room protocols. So having their personal incomes tied to the actual success of their unproven care isnt at all attractive. But these cases also force us to consider the kind of culture that could allow such a fraud to take root and go on for years a culture that likely prized the hospitals and physicians financial health over the clinical health of their patients. Yestand hank you. 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. This is relatively unusual in medical circles, although there have been some spectacular cases of litigation for performing a procedure that is useless or causes harm. The PA hospital system is based in Philadelphia, not Pittsburgh. Nevertheless, as the Center for Medical Consumers reported in 2006: The number of people undergoing artery-opening procedures continues to rise not only because they are huge money-makers , but they are also very effective at relieving the severe chest pain of angina, which is a common symptom of heart disease. Patients like the quick fix of the stent treatment for angina. In the end, both would lose their licenses, and each would pay a $1.4 million fine in lieu of federal criminal prosecution. Such clots can be life-threatening. As Director of Interventional Cardiology, Dr. Sharma oversees all Health System catheterization laboratories to maintain the highest level of care. Dr. Samin Sharma, MD is affiliated with Mount Sinai Hospital, Mount Sinai West, Mount Sinai Morningside and Mount Sinai Beth Israel. The result goes: screening suggested for one reason or another > abnormal results in screeing > cath > abnormal cath findings > stenting. I feel like [Dr. Midei] saved my life., Moreover, Im guessing that Dr. Mideis complication rate was quite low, Wacther continues, as it usually is when one does procedures on healthy people. Yes, the Redding story eptiomizes what has been happening. Major emphasis of the live course has been the technical aspects of safely performing complex coronary interventions. While trimming costs, Davis also decided to build up practices in high-margin specialties. He also enjoys teaching other cardiologists through the annual live symposium called the Complex Coronary Cases (CCC) Symposium, which is in its 22nd year. In my experience, these folks become as adept at reading cath films as any physician. In gratitude, the hospital pampered them with department chairmanships and perks. This live program focuses on helping the audience understand the complexity of interventional disease management. 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. 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. (Im pretty sure I know the hospitals you are referring to) What did you think these CEOs would say? In a study colliding with established practice, recovery from small heart attacks went just as well when doctors gave cardiac drugs time to work as when they favored quick, vessel-clearing procedures, the NEJM reported. After six years, an angiogram following new complaints of chest pain found one artery that was 85% blocked and a stent was inserted on the spot which took only an incremental 15 minutes or so beyond the time for the angiogram by itself. Dr. Sharma received the Governors Award of Excellence (2006), for his outstanding Dr. Sharma received his medical degree from S.M.S. Please note: Interactive Pulse Extra is best viewed in a browser such as Google Chrome or Mozilla Firefox. therapeutics, Smart Reproduction, forwarding or reuse in any form is prohibited. In fact, in most stent patients the stent most likely is responsible for the pain effects for only a fairly short time, at which point the maximal medical therapy they are almost always on as well takes over and carries most if not all of the weight. As Americans we tend to believe in whats newas if medical science progressed in a straight linear fashion, one breakthrough after another, from Madame Curie to me. It is very very hard for doctors to admit to themselves that something they have been doing for a while is now demonstrated to be of little value or even potentially harmful. Conversely, I also wonder how many patients who receive stents would have been better off for the longer term with a CABG. At a cost of $400,000 a year, he figured, the hospital could put enough doctors and nurses on call to do emergency angioplasties late at night and on weekends. And as Pat S. points out in his comment, pain-relieving drugs can help patients until the other medications kick in. Barry disease, Rheumatoid Information regarding insurance participation and billing by this physician may be found on this page, and can also be obtained by contacting this provider directly. disease, Rheumatoid Privacy Policy Let me add that I dont think that most doctors who recommend procedures using stents are motivated by greed. Industry-Sponsored Lectures: MSSM faculty occasionally give lectures at events sponsored by industry, but only if the events are free of any marketing purpose. B.P. Sharma wanted to let Click on Contact Maggie on the blogs home page. The Natl Practitioner Data Bank holds files on a whopping 1/4 million physicians just since 1985. . In my own case in 2005, there were some symptoms and a stress test showed a significant adverse change from my prior stress test a year or so earlier. 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. If a second doctor had to sign off to confirm the need for one or more stents, it would delay treatment and add to the patients anxiety. Since 2007 Study, Use of Stents Has Dropped, but Many Remain Undaunted, Not everyone has ignored the research. To search within a table, use the box in the upper right corner. Mount Sinai requires that salaried faculty inform the School of their relationships with such companies. A small group of unfortunate pediatricians who had been somewhat behind the curve on the issue ended up being sued by the children when they reached adulthood, 18 to 21 years later. VA 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. 2- Mo was president of Mount Sinai Brooklyn until mid 2018 and then transitioned to a role as executive vice president. Intent is very important. 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. 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. The average salary for a physician is $185,515 per year in California. Medication and change of diet, on the other hand, is much more likley to lead to long-term relief from angina. The lists include officers, trustees, directors and employees reported by each institution. us, Close Terms and Conditions, Innovative Collaborations Enhancing Education and Care, Link to Innovation in Science and Medicine, Link to Innovative Collaborations Enhancing Education and Care, Cardiology (Heart), Cardiovascular Disease (Heart Disease), Klingenstein Clinical Center Floor 6th Floor Room 6N-665, Mount Sinai Center for Vaccine Research and Pandemic Preparedness, Converting Discoveries to Clinical Treatment, SENIOR VICE-PRESIDENT, OPERATIONS & QUALITY, MOUNT SINAI HEART, DIRECTOR, INTERVENTIONAL CARDIOLOGY, MOUNT SINAI HEALTH SYSTEM, ANANDI LAL SHARMA PROFESSOR OF MEDICINE (CARDIOLOGY), Eternal Heart Care Centre and Research Institute Private Limited (EHCRI), Abbott Laboratories;Boston Scientific Corporation;Cardiovascular Systems, Inc. (CSI);Miscellaneous Teaching and Lectures at Academic Institutions. See more on Sharecare. Titles reflect positions held in 2018. Medication doesnt work as rapidly. Mount Sinai Heart reaches $5 million endowment goal for the Dr. Samin K. Sharma Family Foundation Cardiac Catheterization Laboratory. While it is possible that no St. Joes leader knew precisely what was happening, Im guessing that some did but chose to look the other way: the pressure to steer clear of the golden-egg-laying goose must have been intense. 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. 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). 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 If hospital compliance departments want to perform their own audits as well, more power to them. For heart patients, medication, and diets like Bill Clintons plant diet are likely to be favored. guide to managing wet age-related macular sclerosis, Parkinson's Please contact this physician directly to obtain the most up-to-date insurance information. Note what happened this year when the Secretary of HHHS negotiated with Medicare Advantage insurers on prices: next year, premiums will be 1% lower than they were this year, and Sebelius insisted that they slash co-pays for extremely expensive drugs for cancer, MS, etc. Bruce Leff and Thomas E. Finucane have termed gizmo idolatry.. (We need better laws protecting whistle-blowers). Dr. Samir Sharma has a 4.5/5 rating from patients. He performs angioplasty at New York's Mount Sinai Medical Sinai executives repeatedly have fended off rivals attempting to hire away Sharma and grab his lucrative practice. 1 Gustave L. Levy PlaceNew York, NY 10029-5674, 2023 Icahn School of Medicine at Mount Sinai The Employer Identification Number (EIN) is #201593513. It makes a lot of sense as usual. disorders, Heart I had quintuple bypass surgery in 1999. Meanwhile patient care suffers in the fee-for-service environment. Medicare will not force physicians to give up fee-for-service, but those who cling to being paid piece work are less likely to be eligible for the bonuses that reward collaboration and better outcomes. 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.. 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. Thanks for the very thorough and nuanced explanation. @ NG medical malpractice is not assault. These CEOs are making 7-figure salaries as a reward for running a hospital as a revenue center (as opposed to a patient-care center).Of course they will say that the government isnt paying hospitals enough. New patients are generally accepted by Dr. Samin Sharma, MD. The physician himself becomes part of a mass cultural delusion about the efficacy of certain procedures. His point is that the physician who diagnoses the need for stents shouldnt be the one who also performs the procedure. Practice Locations. . Your story is a good example of why anecdotal results dont mean much. 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. I personally once had a stress ecg clear back when I was in my late 40s as a screening test at the urging of my doctor despite being asymptomatic at the time. I have no idea of what the percentages of people who are non-symptomatic who end up getting stents, but simple angina is the most common cause of heart cath and stenting in many centers. 1. 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. As for hospitals having greater market power as phyisicans abd hospitals consolidate, the government pays more and more hospital bills, the makket is not going to determine prices. As to the sentence: it may be awkward because of the parenthetical phrase, but what it says, minus the aside, is: For example, the Sun reports, "Dr. Mideis [use of stents] increased, by his own estimate, 50 percent, to about 1,200 a year., As for Mt. and . As for whether hospitals can make money on Medicare-or lowered Medicare payments sse the Medicare Payment Advisory Commission report which I have referenced in the past showing that Finally, the new reform driven approach to pay hospitals modest bonuses if they meet certain quality standards is not likely to be as effective as you think or imply. The politics inside hospitals can be ugly. 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%. center, Health At the same time, they could lead to even greater concentration of market power which could result in healthcare costs even greater than they would have been under fee for service even with global payments, bundled payments for surgical procedures or partial capitation. 2 The report reveals that Midei was a favorite son of Abbott Laboratories, the company that manufactured the stents. He may well believe he is saving lives. For an expert opinion on the best and most persuasive of the many studies that raise serious questions about invasive heart procedures, see Dr. Hadlers post below. Hello, I got over to your post via Reddit. health, Men's If the allegations against Midei are true, it strains credibility to think that no one in the lab knew that inconsequential lesions were being read as tight stenoses and treated with stents. Ive read that the hazing experience of med school causes doctors to bond with He has authored over 350 articles, 420 abstracts, 15 book chapters and three books to his credit. 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. 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. 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. Many thanks for putting together something worthy of reading! The content on this website is intended to be used for informational purposes only. (Oh yeah, except for the ones regarding professionalism. The popularity of stents is all part of a mindset that Drs. Its fast, but a band-aid fix. Back in June of 2006, a few months before I began HealthBeat, I wrote a post about our use of stents for The Health Care Blog. This is the usual complicated stew of motives for performing tests and procedures that are not scientifically warrented. How likely are you to recommend Dr. Sharma? Yet it wasnt until one of Patels fellow doctors at last secretly sued him in federal court under a special whistleblower law that the hospital revoked his admitting privileges. Finally, as I reported earlier this year, a more proactive Food & Drug Administration has announced that it plans to begin requiring drug makers and device makers to disclose details about their clinical trialsproviding detail on their failures as well as their successes.
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