Government (taxpayers) already pays more than 50% of all health care bills in the U.S. whilst Im enthusiastic about CMS moving toward capitation, Im not holding my breath. You can find other locations and directions on Sharecare, Likelihood of recommending Dr. Sharma to family and friends. Yet the odds that the bleeding-edge therapy represents an improvement over existing technology are only about 50/50. Dr. Samin Sharma, Mt. Some physicians remain clearly undeterred by the research. If you are using Internet Explorer, please consider upgrading to a modern browser. Consult a health care provider if you are in need of treatment. 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. Why has it taken so long for state medical boards to wake up? Ideally, the nations paper of record would launch an investigation by looking into the use of stents in its own backyardManhattan. Dr. Sharma received his medical degree from S.M.S. Medical College in 1978, Jaipur, India, where he was ranked the number one student in his medical school and State University receiving eight gold medals and five honors. Samin Sharma, M.D. Dr. Samir Sharma has a 4.5/5 rating from patients. Just to clarify . Tools & Topics, Find 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 huge difference to those of us who live with heart disease. Health Dr. Sharma also has passion for teaching and training fellows who enjoy learning from his expertise, so much so they awarded him the Simon Dack Best Teacher in the Division of Cardiology in 2000 and Cardiology Fellows Appreciation Award in 2009. I wonder if you might want to write a guest post about this? He attended and graduated from Wayne State University School Of Medicine (caps added to no for empnasis.). 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. Despite the hoopla, nine months ago THCB was once again forced to ask Are Stents A Waste of Money? after reading about a study of 826 patients, published in Lancet, which suggested that the drug-coated stents made by J&J and Boston Scientific aren't cost-effective for all patients and should be restricted to those at highest risk for heart attack. 954 salaries reported, updated at April 25, 2023 The average salary for a physician is $185,515 per year in California. The popularity of stents is all part of a mindset that Drs. (We need better laws protecting whistle-blowers). He completed his Residency in Internal Medicine at New York Downtown Hospital in New York, NY in 2009. Over-Eating: Confusing Cause and EffectDoes Overeating CAUSE You to Re-Gain Weight, Or Do You Eat More BECAUSE You Are Overweight? relations, Breast This live program focuses on helping the audience understand the complexity of interventional disease management. disorders, Heart professor, cardiology: $5,087,562: $1,084,866: $4,002,696: $42,637: Shirish Huprikar, M.D. He currently practices at The Lauder Family Cardiovascular Center and is affiliated with Mount Sinai Beth Israel. Sharecare, About 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 . Instead, they skip from one specialist to another according to what body part gives them reason to complain that day, all the while gathering more and more bottles for the medicine cabinet. Phillip Longman Best Care Anywhere. "Cash compensation" includes base compensation, bonus and incentive compensation, and other reportable compensation from the hospital and related organizations. This is pretty much what happened in one notorious case,that of Shasta Regional Medical Center in the small town ofRedding, California. I could see where formula based protocols might be developed here that would call for a stent if the percent blockage is above X depending on where it is maybe a lower threshold for the Left Main or, perhaps, the LAD as compared to one of the distal branches. 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. . Find Dr. Sharma's phone number, address, hospital affiliations and more. Number of office visits you've had in the last 2 years: How would you like to confirm your survey information. 1. policy, Health 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. Yes, Dr. Samin Sharma, MD holds board certification in Cardiology, Cardiovascular Disease and Internal Medicine. 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. 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. Menu, Health health, Digestive As Director of Interventional Cardiology, Dr. Sharma oversees all Health System catheterization laboratories to maintain the highest level of care. Thanks for the very thorough and nuanced explanation. 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. 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. each other: anyone who has gone through this deserves to be a doctor. cancer, Crohn's 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. Dr. Sharma travels to India every month to teach the art of angioplasty to Indian cardiologists. First, my own experience goes like this. (Medicare Advantage insures will be pushing back, refusing to overpay drugmakers, hospitals, etc.) 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. 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). 6- Mo was president of Mount Sinai Brooklyn until mid-2018 and served as a system executive vice president until January 2019, when he left Mount Sinai. Search, Log ), 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. He may well believe he is saving lives. Dr. Sharma is able to speak Hindi. He performs angioplasty at New York's Mount Sinai Medical 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. There, two rogue cardiologists, Chae Hyun Moon and Fidel Realyvasquez Jr., headed a team that performed extraordinary volumes of unnecessary and recklessly dangerous heart operations. health, Hepatitis Samin Sharma is a cardiologist in New York, New York and is affiliated with Mount Sinai Hospital. . Im not an attorney, so I dont know whether a prosectuor has Sharma has built a 250-bed heart hospital (EHCC) in his native Jaipur, India to provide the best care to all patients irrespective of their financial and social status. 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 Choices, About But its not just that manufacturers over-estimated the benefits; they underestimated the new risk that the coated stent introduces. If the allegations are true, the penalties should be severe, not only for Dr. Midei but also for leaders who knew or should have known what was going on, yet remained silent.. Home care, Digital policy, Press In the end, both would lose their licenses, and each would pay a $1.4 million fine in lieu of federal criminal prosecution. 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. 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. As to the sentence: it may be awkward because of the parenthetical phrase, but what it says, minus the aside, is: Oh, and by the way, it pays well too. 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. Interventional cardiology became a key revenue source for Sinai. Samin Sharma is a Nephrologist in Kalamazoo, MI. Established patients should expect a typical charge of $121.62 and an average copayment of 30.4. and treating Crohns disease, You "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. most hospitals do turn a profit on most Meidcare patients. 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. sclerosis, Parkinson's Dr. Dr. Sharma received the Governors Award of Excellence (2006), for his outstanding In practice, this is rarely invoked except in cases involving falsifying records after the fact, perjury, and other similar things, but in theory it could be in some cases. He left the system in 2019. Reproduction, forwarding or reuse in any form is prohibited. The lists include officers, trustees, directors and employees reported by each institution. , 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. And, research shown that while angioplasty with stents offers them quick relief from pain, over the long term, their angins often comes back. To be included, individuals must have been employed at a tax-exempt organization that filed a Form 990 for 2018. Dr. Sharma in specializes in Cardiology. Thanks for the commentI am afraid you are entirely right. disease, Rheumatoid Dr. Sharma completed a residency at Nyi Bd Hospital. A doctor who knowingly performs unnecessary surgery or hospializes patients who dont need to be hospitalized is bilking the insurer while harming the patient, and can go to jail. Conversely, I also wonder how many patients who receive stents would have been better off for the longer term with a CABG. In 2007 Business Week told the story of how stents rescued New Yorks Mt. . Health information on this site is not meant to be used to diagnose or treat conditions. health, Exercise Clinical guidelines generally suggest that an artery be at least 70 percent blocked before a stent is used to open it up, and St. Joseph's rules consider anything less than 50 percent blockage to be insignificant. But court documents allege that some of Midei's patients were told they had blockages in the 90 percent range, while a subsequent review of their records shows blockages closer to 10 percent or less. Clinical Manby Clifton Meador (Why Do So Many Of Us Need Medical Tests to Tell Us That We Are Well? As for hospital CEOs at overpaid hospitals in NYC and PIttsburgh who tell you they couldnt surive on Medicare paymtents? He left Mount Sinai in March 2021. WebMount Sinai's Dr. Samin Sharma discusses the treatments available for heart disease. They make decent money on the surgical procedures but the medical admissions, as a group, are more problematic from a financial standpoint. 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. Greater transparency will make it much harder for those who manufacture stents to paint a rosy picture of risks versus benefitsthe FDA aims to make sure that these companies are not hiding information about risks. Dr. Sharma's office is located at 1190 5th Ave New York, NY 10029. management, Macular Tools, Health I wonder, though, what role defensive medicine plays in the equation as compared to how decisions about how to treat screening test findings are determined in other countries. 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. Physicians and hospitals also can receive bonuses of as much as 10 percent by doing well on nationally recognized process and outcomes measures. Dr. Sharma provides telehealth services. 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. Certainly, hospital executive knew that they were making handsome profits on Mideis stent procedures. But this is an example of how insurers can add value to health care, not by trying to make treatment decisions themselves, but by calling for more collaboration. Finally, most patients (and even many physicians) tend to assume that, when it comes to medical technologies, newer means better. This is why, when asked to participate in a randomized clinical trial, some patients refuse, fearing that they will miss out on receiving what they assume is the newer, better product. In other words, governmetn is beginning to regulate prices. As Maggie says, doctors who engage in inappropriate care are guilty of malpractice, a violation of contract (civil) law, not criminal law. Dr. Sharma received his medical degree from S.M.S. Self-fulfilling Media Narratives: How One Man Wound Up Deciding the Fate of Healthcare Reform. Citys hospital specialists are raking in millions of dollars In the meantime, with modern data analytics, I think both public and private payers could more aggressively audit some of these cases to confirm medical necessity, especially when they notice unusually large numbers of procedures being performed by a given institution or a specific physician or group. 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. Were spending a fortune as a country on procedures that people dont need.. Nephrology (Kidney) - Medical Arts & Research Center - MARC 210-450-9650; If you're a patient of Samin Sharma, Samir Sharma - Campbell, CA - Orthopedic Surgeon Reviews & Ratings - RateMDs. VA New patients are generally accepted by Dr. Samin Sharma, MD. This is because they are terribly inefficient. Major emphasis of the live course has been the technical aspects of safely performing complex coronary interventions. That hazingwhich includes being humiliated by people who are supposed to be and treating thyroid eye disease, A The Baltimore Sun broke Dr. Mideis story in January. Koirala Institute of Health Sciences, Nephrology (Kidney) - Medical Arts & Research Center - MARC. us, Community (Oh yeah, except for the ones regarding professionalism. Advocacy, CareLinx: Hello, I got over to your post via Reddit. Learn more about Dr. Sharma's background, education and insurance providers. 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. The Employer Identification Number (EIN) is #201593513. Dr. Sharma frequently treats the following conditions: Heart Disease, Coronary Artery Disease (CAD) and Hyperlipidemia. 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? Windows, Condition Education How likely are you to recommend Dr. Sharma? Please note: Interactive Pulse Extra is best viewed in a browser such as Google Chrome or Mozilla Firefox. If you are using Internet Explorer, please consider upgrading to a modern browser. Samin Sharma, MD, is a specialist in internal medicine who treats patients in San Antonio, TX. A product of Crains New York Business. See more patient feedback on Sharecare. 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. He has more than 100 publications and over 500 citings. (Im pretty sure I know the hospitals you are referring to) What did you think these CEOs would say? Stents, you may remember, are those tiny metal scaffolds that cardiologists use to prop arteries open after they have been cleared of fatty deposits. Titles reflect positions held in 2019. To search within a table, use the box in the upper right corner. 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. Dr. Samin Sharma is a cardiologist in New York, New York and is affiliated with multiple hospitals in the area, including Mount Sinai Hospital and Mount Sinai Beth Israel Hospital. He received his medical degree from Sawai Man Singh Medical College and has been in practice for more than 20 years. See more on Sharecare. This provider has not specified a telehealth appointment method. 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 Under Dr. Sharmas leadership, The Mount Sinai Hospital Cardiac Cath Lab has become one of the best and busiest centers in New York, providing state-of-the-art cardiac and interventional care for all types of simple and complex heart patients. 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. The stent story illustrates a major problem in our money-driven health care system. Despite the complexity of many of the cases, Sharma had the highest Click on Contact Maggie on the blogs home page. Patient who think he saved their lives dont complain. (September 29, 2014) 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 3. Such clots can be life-threatening. Very sad stories. Residency, Internal Medicine, New York University Downtown Hosp. Being, Community Sharecare, Editorial Medicare paid $3.8 million of the $6.6 million charged for the treatments. I have a different take on this. Wachter goes on to suggest that team work can also reduce medical errorsincluding overtreatment. Actually, I did say that asymptomatic patients undergo cath and stenting, under the circumstances that I outlined in my answer to Barry. Hamburger Dartmouth is on the ohter side of the country. Dr. Samin Sharma, MD is a cardiology specialist in New York, NY. C, Type Koirala Institute of Health Sciences in Dharan, Nepal in 2002. 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. Thanks for the explanation of how non-symptomatic patients wind up in a cath lab. When they have positive findings, the logical next step is to send the patient to cath. Medication and change of diet, on the other hand, is much more likley to lead to long-term relief from angina. training you makes doctors extremely sensitive to criticism. 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. 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. . 6- In March 2020 Ghandi was appointed chief financial officer of the health system. 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. According to the Sun: The 2007 study didnt find that stents are worthless, just that not implanting a stent can often be as good and avoids the real risks of complications or even death from the procedure. WebDr. According to WikiPedia, Sharma performs 1,500 complex coronary interventions each year, which apparently is an American record. rainmakers and this includes doctors who bring in revenues by doing too many surgeries (even when Samin Sharma, Mt. Thats a heavy lift in the current fiscal environment. 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 These hospitals need only two ORs. You are correct-you if you make physical contact with your victim, thats battery. While looking at overtreatment, Dartmouth researchers realized that Redding was doing an extraordinary number of bypasses and angioplasties. Mount Sinai's faculty policies relating to faculty collaboration with industry are posted on our website. Barry For heart patients, medication, and diets like Bill Clintons plant diet are likely to be favored. WebDr. In this new role within Mount Sinai Heart, Dr. Sharma will further enhance clinical care, operations, innovation, education, and clinical research. I am very thankful to the leadership of Mount Sinai for giving me the chance to further enhance the clinical operations and network of Mount Sinai Heart, says Dr. Sharma. 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
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