Ryan Stanton

Over 9,000 elderly patients were sent back to #nursinghomes at the height of the pandemic via executive order. Janice, the author of this article, lost both of her in-laws. The families were not contacted. They (the state) also had alternatives via the USNS Comfort and Jacob Javitz that were empty. 💰 One of our biggest questions as the virus ravaged nursing homes is who came up with the March 25 directive that was in place for over six weeks and then suddenly reversed while magically disappearing from the Health Department’s website. 💰 It doesn’t take a #virologist to figure out that putting a highly contagious airborne virus into nursing homes would be a death trap. Interestingly, on June 3, there was a Harvard research paper released (the first of its kind) that studied the "Clinical Outcomes After Admission of Patients With COVID-19 to Skilled Nursing Facilities." Its conclusion stated: "That admission of COVID–19–positive patients into SNFs early in the pandemic was associated with preventable COVID-19 cases and mortality among residents." Even Cuomo knew that allowing #COVID #patients into a #nursing home would be a recipe for disaster. One of his most memorable quotes in the early stages of the #pandemic was when he addressed the importance of protecting nursing home residents and said the #virus, if allowed into their facilities, would spread like "fire through dry grass." 💰 And the other major point that needs to be addressed is why Cuomo and his staff went to such great lengths to cover up the death toll (by the thousands) and (still) continue to lie about it? Did it have anything to do with his $5.2-million #book deal that was auctioned off to the highest bidder? #accountability #findyourwhy https://lnkd.in/e4T97qWn

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I'm curious what health policy makers in Florida had in mind when they wrote recently approved legislation that allows OBs to perform #cesareans outside a hospital? Unlike most surgeries performed in ambulatory surgery centers, a C-section involves cutting into the uterus, which receives up to 1.5 liters of blood flow each minute. When hemorrhage occurs, hospital resources (embolization, blood, other clinicians) are needed immediately and there isn't time to transfer a patient to a real hospital. (Contrast that to a colonoscopy: if something goes wrong and the patient needs to be transferred to a hospital, they won't be happy but they won't be dead.) Excessive bleeding during C-section isn't super rare: I don't know an obstetrician who hasn't had to treat an unanticipated C-section hemorrhage at some point in their career. Florida already has a higher maternal mortality rate than most states, so this seems like a step in the wrong direction. Does anyone understand this?

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Mercy Medical Center in Baltimore, Maryland, has been recognized by U.S. News & World Report’s “Best Hospitals” rankings for 2024-2025. In Common Adult Procedures and Condition Ratings, Mercy earned High Performing status in Hip Replacement and Knee Replacement, as well as Colon Cancer Surgery. U.S. News & World Report rankings are based on data from nearly 5,000 medical centers and survey responses from more than 30,000 physicians. #cancer #coloncancerawareness #hipreplacement #kneereplacement

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Testosterone is extremely beneficial | top trt expert Dr. Elizabeth Yurth #trt #trtexperts #testosterone #toptrtexperts Elizabeth Yurth, MD, ABAARM, FAARM, FAARFM Dominate Your Game The panel discussion featuring top TRT experts highlights the growing interest and importance of TRT in optimizing hormonal health. Experts like Dr. George, Rick Collins, Dave Lee, Luke Leman, Dr. Elizabeth Yurth, Dr. Eric Serrano, Dr. Thomas O'Connor, and Nathan Pegan share their insights and experiences in the field of hormonal optimization and performance medicine.

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🎙️ Unlocking Emergency Medicine Insights! Join Drs. Petrosoniak & Hicks on Episode 18 of #DitchTheLabcoat. Explore user-focused design, team dynamics, & continuous improvement in trauma care. Tune in now! 🚑💡 #EmergencyMedicine

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In our latest episode, we talked with Katie Deming, MD. No longer practicing radiation oncology, Dr. Deming has chosen to shift gears and help people as a "conscious oncologist." Precisely what that is and how this approach brings healing to people with cancer is part of our discussion. We also discussed how to find the right language when talking to those who have (or had) cancer. Dr. Deming has her own podcast called Born to Heal. So, wherever you are already listening to us, you can check her out, too! Listen in and let us know what you think!

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I’m thankful that I could share my thoughts at that very hearing. There is so much misinformation about 340B. For me, it comes down to two main points: 1- if hospitals need that money as a subsidy to fund everyday activities, they should just ask for a subsidy. Let’s open up the books of these institutions, which already get a huge subsidy with their non-profit status, and see why they are running in the red. Are they really losing money on Medicaid patients or are they just bloated and inefficient? 2- let the subsidy follow the patient. This is a drug benefit program. Why does the funding go to an institution? Imagine if we did that with SNAP, giving a bunch of money to large restaurant chains in exchange for their promise to use the revenue to provide food for poor people (with no oversight to ensure that’s done). We don’t do that; instead we give the benefit to the person who needs it. Let’s change 340B to match that model. Adam J. Bruggeman, MD, MHA, FAAOS, FAOA Daniel Choi Colin Yokanovich John Strom Peter Stein Adam Fein Deborah Williams Lisa Grabert Maya Babu, MD, MBA Katie Orrico Larry Bucshon, M.D. Ann M. Richardson, MBA

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Physician-Owned Hospitals versus Corporate Healthcare - Is That the Real Question? This Medscape article by Charlotte Huff discusses existing Federal regulations essentially banning physician-owned hospitals - and new legislative proposals (H.R. 977/S. 470) to lift some of those bans.   This article notes that available reports, analyses, and debaters on f this issue are conflicted on whether physician-run hospitals improve patient outcomes - or just “cherry pick” optimal patients, increase or reduce competition or costs, and improve rural healthcare?   MY TAKE: What SHOULD be looked at - the OTHER SIDE of the equation: What happens when you REMOVE all clinically-practicing doctors and nurses from hospital management decision making groups = totally NON-physician-run hospitals? - Studies should look at similar outcomes analyses from Corporate Healthcare Systems where CLINICALLY PRACTICING doctors and nurses have been progressively and purposefully ELIMINATED (citing conflicts of interest) from senior decision-making boards and policy groups. Link - https://lnkd.in/e35CQxDx FYI: current Federal mandates including Stark Laws, Anti-Kickback Statutes, the Affordable Care Act - all support this corporate mantra of Doctor/Nurse conflict of interest!   I think we would find that – in such corporate situations (now increasingly dominating healthcare) where these major decision-making boards are now made up of and recruited from successful “Captains of Industry” with no clinical backgrounds - and with their focus entirely on profit (what they were recruited for) and with no clinically practicing physician/nurse input= no conscience – that patient outcomes and other measures the article mentions -are worse, healthcare workplaces are more turbulent, violent and increasingly in disarray, more doctors and nurses are quitting healthcare.    – BUT - profits are up. U.S. Senate Committee on Health, Education, Labor, & Pensions American Medical Association American College of Emergency Physicians Tennessee Medical Association Paige Haeffele Michael Arroyo Peter Stavros Chadd Kraus Noah Tong Aria Bendix Joseph Choi Ryan Stanton Molly Gamble Susanna Vogel Molly Fredriksson Deidre McPhillips Gabe Kelen, Erin Schumaker Alison Haddock, MD, FACEP Susan Morse Heather Landi Steven Ross Johnson Ben Leonard Amy Feldman C. Scott Franklin Claire Sandström Christina Jewett Jesse Ehrenfeld MD MPH Kevin Hern Larry Bucshon, M.D. Samantha Koehler Linda Restrepo Linda Lawrence Tisha Titus, MD, MPH Jonathan Fisher, MD, MPH Leon C. Adelman, MD, MBA, FACEP, FAAEM Shannon Firth Hannah Miao

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Fraud Without Consequences: Medicare Advantage Upcoding Diagnose$ By Paul Pender, MD Where is an auditor from the Centers for Medicare and Medicaid Services (CMS) when you really need one?  The WSJ article[1] offers graphic detail of how health insurance companies abuse the funding for their Medicare Advantage programs.  Ripping off the federal government, and the taxpayers who support it, is not new.  However, this expose has the scale and audacity to set records for fraud and abuse in CMS.  The question remains what Congress and administration regulators plan to do about it. The WSJ analysis of Medicare Advantage payments between 2018 and 2021 is an eye-opener.  The health insurer listed diagnoses that were not recorded by physicians in their medical records to inflate the payments they received. If a physician were found to intentionally do the same thing to get paid more, that doctor could be subject to criminal prosecution.  Then why have the giant health insurance companies escaped fines or avoided being banned from CMS programs?  As you may have guessed, a loophole allows Medicare Advantage health insurance carriers to modify what the medical record documents to get around normal billing for services. A provision in the Medicare Advantage program establishes ways to determine how sick are the people being covered by a process of risk assessment.  In other words, health insurance companies can claim that their covered population had more chronic diseases with greater severity that would justify added payment.  All they had to do was alter the medical record to boost their payments.  Some health insurance companies went as far as hiring home health care workers to examine patients in their homes to add new conditions to the medical record or to convince the patients’ primary care physicians of the new findings, many of which were fabricated.  Whistleblower physicians have called out such nefarious practices, while other doctors went along with the scheme.  It is but one more black eye for health insurance companies who collected billions of dollars in payments without justification. In a formal audit of the medical record of a patient, whether by CMS or by plaintiff’s attorneys requesting medical records, if a change is made in the record after such a request, that action is deemed a violation with potential fraud.  The term for such alternation is “res ipsa loquitur,” translated from the Latin as “the thing speaks for itself.” The lobby for health insurance plans is working hard to prevent clawing back payments by CMS for upcoding diagnoses of Medicare Advantage.  Congress and regulators need to close the loophole in the law before the Medicare program goes bust. [1] https://lnkd.in/gTyydtws

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It’s only fitting that the first state forms the first physician-led union. Here’s to hoping the union results in materializing solutions for the issues mentioned above. Certainly we can bridge the gap with such initiatives.

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More in the world of #340B shenanigans. Hospitals claim that if they lose their massive 340B subsidies, they will be forced to cut services to the poor... Well, it turns out that the only hospitals which actually expand services to the poor with 340B funds are public hospitals. Private, nonprofit hospitals show no increase in unprofitable services aimed at the poor (substance abuse, psychiatric and obstetrical services) with 340B participation. Why does this huge financial subsidy go to the institutions and not follow the patients? This strange quirk in the law makes it so large, consolidated health systems can use 340B to pad their revenue without increasing services for the poor. They instead use the proceeds to increase their market share and drive independent practices out of business. Don't fall for the argument that they'd have to cut services. They haven't used the 340B funds to increase them in the first place! Larry Bucshon, M.D. Deborah Williams Lisa Grabert Brian R. Gantwerker, MD, FAANS, FACS Cheerag Upadhyaya, MD, MBA, MSc, FAANS, FACS Michael Wang Joanne Spetz Adam Fein Sanat Dixit MD, MBA, FACS John Paul Kolcun https://lnkd.in/ga54etMy

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I learned so much from your article!

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🚨 A Heart Attack Survivor's Journey with TRT: Insights from Dr. Thomas O'Connor 🚨 As a heart attack survivor, the journey to recovery and optimal health is fraught with challenges and learning opportunities. Why Dr. Thomas O'Connor? Dr. O'Connor is not just a certified internal medicine specialist; he is a leading expert in TRT, particularly for patients with a history of cardiovascular issues. His approach combines deep medical knowledge with a real-world understanding of how hormonal health influences recovery and overall well-being. Check out full video on youtube https://lnkd.in/e7jDbTbH #TRT #HeartHealth #AnabolicDoc #TopTRTExpert #RecoveryJourney #MensHealth #WomensHealth #HormonalBalance #ViralShort #SurvivorStory

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🫡 Delegating in order to Empower Others 💪 In this episode of ‘Beyond The Ping Pong Table’ Kris Kaull discusses micro-managing, and the solutions he’s found in his experience. 🏓Watch the full episode of 'Beyond the Ping Pong Table': https://lnkd.in/gWPKiKQR #EMS #CompanyCulture #PositiveWorkplace #BeyondThePingPongTable

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