, The Times went on to quote Dr. Steven Nissen, chief of cardiovascular medicine at the Cleveland Clinic: What was going on in Baltimore is going on right now in every city in America. Nissen added that he routinely treats patients who have been given multiple unneeded stents. Since 2007 Study, Use of Stents Has Dropped, but Many Remain Undaunted, Not everyone has ignored the research. 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. In February the U.S. Senate Committee on Finance, which oversees Medicare and Medicaid, began investigating. health, Breast Under reform, accountability is likely to extend beyond the individual patient-doctor relationship. Fortunately, it was negative and everything ended there. patients guide to Graves' disease, Understanding Fellowship, Cardiology, City Hospital Center at Elmhurst, 2007Mount Sinai Physician of the Year Award, 2002Zena and Michael A. Wiener Professor of Medicine, 2000Simon Dack Award for Best Teacher at Cardiovascular Institute. health. Well-Being Index, Blue blow the whistle on other doctors. By the end of 2006 the hospital's total patient revenues had grown 41%, to $1.2 billion. Dr. Samin Sharma, MD is a Cardiology Specialist in New York, NY. Dr. Samin Sharma, MD | San Antonio, TX - Vitals May 25, 2021Pulse Extra is available every Tuesday. Dr Samin Sharma Actually, I did say that asymptomatic patients undergo cath and stenting, under the circumstances that I outlined in my answer to Barry. Dr Biologist Upasna Sharma wins $1.18 million grant from No one can ever tell me that I didnt need that stent, she told the Baltimore Sun. 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. Dr. Samin Sharma, MD is a cardiology specialist in New York, NY. health, Digestive Dr. Sharma's fasting day - Forbes I would love to see the Times expand on these comments by exploring the larger national problem. 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. Barry . management, Macular relations, Contact 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%. (Im pretty sure I know the hospitals you are referring to) What did you think these CEOs would say? This edition of Pulse Extra highlights the highest-paid people working for hospitals and health systems in 2019. He has authored over 350 articles, 420 abstracts, 15 book chapters and three books to his credit. Dr Samin Sharma The most spectacular was the case of retrolental fibroplasia causing blindness in infants who had been given too high of levels of oxygen in intensive care nurseries, usually because of prematurity. How likely are you to recommend Dr. Sharma? It is always a good idea to verify your insurance when making an appointment. Being, Community ] Privacy Policy Some physicians remain clearly undeterred by the research. Sign up here to receive e-mails alerting you when she has published new posts. Medication doesnt work as rapidly. . Please note that this information may differ from information posted on corporate sites due to timing or classification differences. 1. Samin K Sharma - Cardiology (Heart) | Mount Sinai - New York Today, stents are used in 85% of all coronary interventions in the United States. I interviewed some of the victims of Redding when I wrote Money-Driven Medicne. Samin Sharma, M.D. He accepts multiple insurance plans. Many at the hospital must have known what Midei was doing, he suggests, but looked the other way. As a society, we are getting exactly what we tolerate which as of this writing, includes skyrocketing health care costs, and almost exactly 500 innocent deaths . ), The problem is this, he concludes, as long as the cardiologist reading the cath is the one who pulls the trigger on the intervention, we have a potential Fox/Henhouse problem., What may be most troubling about the Medei imbroglio is that it highlights how our infatuation with high-tech medicine tempts us to ignore medical evidence. Centers, Understanding and treating thyroid eye disease, Understanding and treating Crohns disease, Understanding your treatment options for MS, Your guide to managing wet age-related macular degeneration, A patients guide to managing ankylosing spondylitis, Managing and slowing the progression of psoriatic arthritis, Back to school pediatric ADHD headquarters, Alzheimer's Both said that they could not make money if they had to take Medicare rates from all comers even if there were no uncompensated care. and equity, Investor Dr If hospital compliance departments want to perform their own audits as well, more power to them. Malpractice insurance generally does not cover punitive damages. In other words, governmetn is beginning to regulate prices. I wonder if you might want to write a guest post about this? Instead, when payers, including commercial payers as well as Medicare and Medicaid notice that a particular doctor and/or hospital is performing an unusually large number of procedures of any type, timely unannounced post-procedure audits should be performed by experts hired and paid for by the payers. and nutrition, Type Titles reflect positions held in 2019. Pat S. Mount Sinai requires that salaried faculty inform the School of their relationships with such companies. Bob Wachter, Professor of Medicine and Chief of the Division of Hospital Medicine at the University of California, San Francisco, comments on the patient response: Most of his patients were probably quite content many had chest pain and a stent undoubtedly seemed like an appropriately aggressive, high-tech cure. and immunizations, Lung Sinais King of Stents, ran a cath lab which was central to this campaign, performing procedures that typically brought in as much as $20,000 a The content on this website is intended to be used for informational purposes only. How well provider explains medical condition(s), How well provider listens and answers questions, Hpends appropriate amount of time with patients. Health 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. Samin Sharma is a Nephrologist in Kalamazoo, MI. Any savings the physicians achieve remain with their group, unless they share the risk with a hospital; in the latter case, part of the savings flow back to the hospital. Medicare wants to put hospitals under some fianncial pressure because MedPAC reserach shows that when hospitals are under financial pressure, they learn to become more efficientand, in fact, beginning making a profit on those Medicare reimbursements. WebMount Sinai's Dr. Samin Sharma discusses the treatments available for heart disease. diabetes, Vaccinations Back in 2003, THCB quoted a Stanford study which suggested that, over the long term, patients with multi-vessel disease would achieve better outcomes, at a lower cost, if they opted for the bypass operation. Before turning to the new Cedars Sinai study, it should be said that THCB has long harbored doubts as to whether these cunning devices represented the best solution for quite so many patients. Stent Scandal: A Shocking Story, But Not News Drugs and a change of diet In other words, it seems that the hospital encouraged the doctor to implant those tiny mesh tubes in his patients arteries. Thanks for the explanation of how non-symptomatic patients wind up in a cath lab. The CFO said their current margin on their Medicare business overall ranges from 0 to -10%. 5- Several Mount Sinai officers were listed on both hospitals' Forms 990. Dr. Sharma has been the recipient of numerous awards for excellence from medical societies and the community, to name a few recent ones: 2014 Physician Scientist Award by AAPI-QLI, 2011 Ellis Island Medal of Honor, 2011 American Heart Association Achievement in Cardiovascular Science & Medicine Award, 2011 American Association of Physicians of Indian Origin (AAPI), 2010 Association of Indians in America (AIA) for Excellence in Medicine, 2010 Honored by AAPI forum of Tri-State Area for Academic Excellence, 2005-2008 and 2011-2021 Best Doctors, 2008-2021 Super Doctors, 2007 Jacobi Medallion Award at The Mount Sinai Hospital, 2007 Physician of the Year at The Mount Sinai Hospital. Still, there are ways stop them. In September, federal prosecutors accused a cardiologist in Salisbury, Md., of performing unnecessary stent surgeries, and last year a Louisiana doctor was sentenced to 10 years in prison for inserting unneeded stents. I dont understand why and under what circumstances asymptomatic patients would ever be sent to the cath lab in the first place. . . Dr. Sharma received his medical degree from S.M.S. to prove intent, or whether there are cases where criminal negligence could put a doctor in jail. WebDr. training you makes doctors extremely sensitive to criticism. Under the Affordable Care Act (ACA) bonuses will encourage doctors to move away from fee-for-service, and toward working on salary (as doctors already do at multi-specialty clinics such as Kaiser or the Mayo Clinic) or accepting capitated payments. plan, Public The payments are risk-adjusted for age, gender, and health status. 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. professor, cardiology: $5,087,562: $1,084,866: $4,002,696: $42,637: Shirish Huprikar, M.D. The PA hospital system is based in Philadelphia, not Pittsburgh. . Dr. Sharma completed a residency at Nyi Bd Hospital. Medical Journals Have Been Telling Us This for Years. center, Health health, Hepatitis 2 diabetes, About Dr. Sharma, his family, and other generous donors helped the Foundation reach its $5 million endowment, funding that will help support the labs clinical, research, and educational initiatives. But doctors can go to jail for malpracticetypically if they are found guilty of fraud and malpractice. Why dont doctors police themselves and blow the whistle on bad doctors? According to WikiPedia, Sharma performs 1,500 complex coronary interventions each year, which apparently is an American record. Dr Samin Sharma Family Foundation is a private foundation in Scarsdale, NY, which was founded in 2004 and most recently had $1 in revenue and no employees. Barry Insurance and health plan networks that the various Mount Sinai Health System hospitals and facilities participate in can be found on the Mount Sinai Health System website. 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. In the meantime, simply releasing payment information would help the press and public target such excess, as the WSJ piece on prostate care indicates. Thats a heavy lift in the current fiscal environment. Office environment, cleanliness, comfort, etc. If clearly unnecessary procedures are being done, especially when claiming that a blockage is much greater than the film shows it to be, the consequences for the doctor should be swift and severe including prosecution for fraud and, possibly, loss of his medical license. us, Community You are correct-you if you make physical contact with your victim, thats battery. Medicare beneficiaries should expect a typical cost of $158.18 with an average copayment of $39.54 for new patient appointments. 2,500+ doctors are found responsible of Felony-level crimes each year another 5,500 convicted of lesser bad behavior. Dr. Samir Sharma has a 4.5/5 rating from patients. Moon even enjoyed occasional use of the hopitals emergency helicopter to fly to golf tournaments. . They currently practice at The Lauder Family Cardiovascular Center and are affiliated with Mount Sinai Hospital, Mount Sinai West, Mount Sinai Morningside and Mount Sinai Beth Israel. Doctors Confirm Damar Hamlin Experienced Commotio CordisBut What Is It? Mount Sinai's faculty policies relating to faculty collaboration with industry are posted on our website. Of course very, very, very few doctors ever intend to harm a patient. On the other side of the coin, stent patients have much higher incidence of problems related to stent failure, re-stenosis, and delayed stent complications, plus face the risk of acute complications, including death, during the procedure. There is some irony in the fact that the same researchers who enthusiastically extend hope to individual patients are, almost without exception, far too practical about the actual value of their experimental care to risk their own income., ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~, Monday, the Times story acknowledged that Prosecutors, malpractice lawyers and state medical boards are only now waking up to the issue . If it fails, then its your cost, not ours., Researchers virtually never take the bet because they know that most research fails, says Halvorson. This is why they paid him those bonuses to shepherd unwitting patients to their cath-lab where doctors can diagnose heart attacks, and quickly open arteries. 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. Windows, Condition Education Even if the interventional cardiologist knows that the patient has stable angina or is non-symptomatic, if the percent blockage is above the threshold, and he doesnt put a stent in, what if the patient has a heart attack in the next week / month / year? Under the Affordable Care Act doctors who create a medical home also will be rewarded if they are able to keep their patients healthy and out of the hospital, while avoiding invasive treatments. Midei was a rainmaker. In, 1 Gustave L Levy Pl # 1030, New York, NY 10029, Your Privacy Stents, you may remember, are those tiny metal scaffolds that cardiologists use to prop arteries open after they have been cleared of fatty deposits. In 2007 Business Week told the story of how stents rescued New Yorks Mt. Topics, He took care of several of my patients with highly complex heart (coronary) blockages with excetional results . 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). 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. degeneration, Women's Practice Locations. Yet drug-coated stents have become wildly popular, thanks in part to what The Annals of Internal Medicine describes as aggressive marketing and the unbridled expectations of patients. Top earners at Mount Sinai Beth Israel and Mount Sinai Hospital The main area where all hospitals have the potential to get better is in reducing 30 day readmission rates and they are all working on that. Yes, Dr. Samin Sharma, MD holds board certification in Cardiology, Cardiovascular Disease and Internal Medicine. Self-fulfilling Media Narratives: How One Man Wound Up Deciding the Fate of Healthcare Reform. . Go to a non-hospital-based doctor in the community. The stent story illustrates a major problem in our money-driven health care system. and treating thyroid eye disease, A For capitation or bundled payments to work, they would need probably to be assured of total revenue equal or at least close to what they are generating today. Its a Coin Toss. Below, an excerpt : Last week The Annals of Internal Medicine roiled the medical world by publishing a study suggesting that the drug-coated stents produced by companies like Boston Scientific and J&J may not be quite as miraculous as first advertised. Citys hospital specialists are raking in millions of dollars Its one thing to close your eyes when a colleague is wheeling one patient after another into the cath lab, quite another to associate your name with his activity. 2- Scanlon left at the end of 2020. Yet for years before, their building reputations as top-notch cardiologists brought in patients from all over Northern California. You can find other locations and directions on Sharecare, Likelihood of recommending Dr. Sharma to family and friends. Let me add that I dont think that most doctors who recommend procedures using stents are motivated by greed. Please contact the office to determine whether you are eligible. As you know, a profit margin turns on the cost of operations. The article reports that Samin Sharma, the director of interventional cardiology at the hospital, was paid $4.8 million by Mount Sinai in 2012: Kenneth Davis, Mount doctor, Find 954 salaries reported, updated at April 25, 2023 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. WebDr. device and biotechnology companies to improve patient care, develop new therapies and achieve scientific breakthroughs. The powerful hospitals will vigorously resist value based insurance design though BCBS of Massachusetts is moving ahead with the introduction of a tiered in network insurance product on January 1, 2011. Cardiologists dont perform caths on desert islands they are assisted by cath techs and nurses. Please note: Interactive Pulse Extra is best viewed in a browser such as Google Chrome or Mozilla Firefox. Sharma wanted to let I have a different take on this. It was titled: Tech: Is Newer Better? 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. "Cash compensation" includes base compensation, bonus and incentive compensation, and other reportable compensation from the hospital and related organizations. thank you Dr Sharma. This provision is designed to put pressure on hospitals to become more efficient. The Baltimore Sun notes that after a landmark 2007 study in the New England Journal of Medicine concluded that stents were often not beneficial, enthusiasm waned. During the previous six months, Sinai had lost $50 million, partly as the result of tougher caps on Medicare reimbursement rates. Sharma currently performs the most interventional cases of anyone in the United States — more than 1,500 per year. The lists include officers, trustees, directors and employees reported by each institution. 1- Officers' compensation was funded by Mount Sinai Hospital, Icahn School of Medicine, Mount Sinai Beth Israel, Mount Sinai West, and/or New York Eye and Ear Infirmary. 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. Pat He currently practices at Mount Sinai Cardiology Assocs in New York, NY. Pat The business address is 20 Castle Walk, Scarsdale, NY 10583-3221. 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. Dr. Samin Sharma, MD Furthermore, I believe you mean battery. This is pretty much what happened in one notorious case,that of Shasta Regional Medical Center in the small town ofRedding, California. Most previous studies support the aggressive, surgical approach. If a colleague tries to bring this to the attention of the administration, "Cash compensation" includes base compensation, bonus and incentive compensation, and other reportable compensation from the hospital and related organizations. Sinais King of Stents, ran a cath lab which was central to this campaign, performing procedures that typically brought in as much as $20,000 a piece for the hospital. cancer, Crohn's Top earners at Mount Sinai Hospital and Mount Sinai Beth Israel A shocking number of them fall into the categories of Dangerous or Questionable.. Sharecare, About A more practical reason is that doctors are concerned about being sued if they try to disease, Mental WebSamin Sharma; Samin Sharma, M.D. 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. He received his medical degree from Sawai Man Singh Medical College and 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. . If so, let me know, and I can go in and make the fix. C, Type While looking at overtreatment, Dartmouth researchers realized that Redding was doing an extraordinary number of bypasses and angioplasties. See more on Sharecare. I understand that stent placement is a lucrative procedure for both the hospital and the interventional cardiologist. More imporantly, when patients undergo angioplasty with stents, long-term repeated reserach shows that their chances of suffering a heart attackor dying from a haert attack are NOT REDUCED.. Barry he may find himself in trouble. In addition, of course, doctors are subject to investigation and censure by their hospitals, potentially leading to loss of privileges (the right to work in the hospital) or other lesser sanctions, and by state medical boards, potentially leading to loss of license or other lesser sanctions. Established patients should expect a typical charge of $121.62 and an average copayment of 30.4. health, Exercise Samin Sharma He also enjoys teaching other cardiologists through the annual live symposium called the Complex Coronary Cases (CCC) Symposium, which is in its 22nd year. This provider has not specified a telehealth appointment method. The hospital subsequently agreed to pay a fine of $3.8 million but still denies it had any way of knowing about the safety or effectiveness of Dr. Patels care.