North Carolina’s Certificate of Need law is finally getting its day in court. Eye surgeon Dr. Jay Singleton has spent years fighting to perform common eye surgeries in his own facility. But under state law, he must send patients to a nearby hospital—the only one with a CON. Now, a three-judge panel will decide whether North Carolina’s CON law violates the state constitution’s bans on monopolies and exclusive privileges. Dr. Singleton argues the CON system shields established hospitals from competition. If he prevails, it could be a turning point for economic liberty in healthcare, restoring doctors’ ability to serve patients without first asking the state for permission. #endCON carolinacoastonline.com/regi…

I finally got one of my favorite people in the world to come on the show….only took 5 years of pestering! @UVARadiology @SIRspecialists

Again, why being beholden to mpfs is NOT the path forward

My name is actually Dr Anne Kroman. My father's name is James. He is very proud. However, he is not a physician and was not involved in the actual implant. I'm all for family inclusion, however sometimes us female physicians do get to do fun incredible things too!!

It’s important to know why Medicaid can actually be worse than no coverage. It all comes down to cash pay. It’s illegal for a doctor to offer a cash price to a Medicaid patient. (Medicare too for that matter). Meanwhile, Medicaid patients must wait months, sometimes years, for appointments and treatments that cost a few hundred dollars. Take a spine steroid injection. It’s about $400 cash price. Yet Medicaid patients often have to wait >6 mo, writing in pain the whole time. If they didn’t have Medicaid, they could get the injection for $400. Certainly a cash-equivalent subsidy would give them better access to care than Medicaid, right? A primary care doctor? Most Medicaid patients can’t find one. Yet a primary care appointment can go for as little as $20. Or $100 a month if you want unlimited ones under a direct primary care plan. Yet we literally make it illegal for Medicaid patients to participate in these markets. How is that for “equity.”

Fantastic meeting. :) highly recommend for trainees who want hands on experience in the PAD venous space.

Wrapped up our 2nd PVTL (Peripheral Vascular Trainee Lab) meeting this weekend in Chicago, and cannot be more proud and thankful of the efforts of all the exceptionally skilled and passionate expert friends of mine from all three vascular specialties, that came to shape the future of vascular trainees. From the one on one conversations, case based hot seats, Faculty debates and of course the amazing hands on cadaver & simulator workshops (thanks to all the industry friends that are equally passionate about helping educate the future of vascular professionals), we were able to provide an amazing experience for trainees that came from all over the country and also from as far as Egypt. My goal has always been for the trainees to see how we can all be true friends & family despite the barriers and turfs that we are consistently forced into, and this should be learned in training so that patients don't suffer from the silos that are created. The joy of what we are doing was seen with witnessing trainees getting to know each other, get together after the meetings and helping each other on the cadevars and sim stations. Hopefully this creates lifelong connections and they cross paths again as friends. Thanks to my HMP Global squad that continues to help me make this all about the trainees. Hopefully even better next year at #PVTL26 #FutureIsBright @JayMathewsMD @AmputationSuck @Watts_IR @DrLizGenovese @bahetimd @SDhandMD @HadyLichaaMD @AndrewNiekampMD @t_intheleadcoat @SriniTummala @NickMouawadMD @ChandraVenita @monteromiguel @JillSommerset @Samsayfo @michaelcsiah @dandu_n @SIRspecialists @SIRRFS @VascularSVS @SCAI @CLI_Global @BSIR_News @SVM_tweets @hmpVDM @_backtable @vascularpodcast

"All the images I’ve seen of places I’ve never been, people I’ve never met create a kind of pseudomemory from a pseudoworld that I don’t participate in." - Karl Ove Knausgaard benwhite.com/misc/the-thin-w…

Well this sucks @drcostantino1 @SIRspecialists @_backtable

Much love and thanks to @kmadass @SDhandMD and all the faculty this weekend at PVTL. Truly a fantastic multiD meeting! @_backtable @monteromiguel @JillSommerset @DrLizGenovese @Watts_IR @JayMathewsMD @AmputationSuck @HadyLichaaMD @ChandraVenita @NickMouawadMD @michaelcsiah @SriniTummala @t_intheleadcoat @AndrewNiekampMD

Live #PVTL2025 @kmadass meeting for trainees. Was honored to help train our next gen of vascular docs w/ great faculty @JillSommerset @SDhandMD @DrLizGenovese @Watts_IR @JayMathewsMD @AmputationSuck @HadyLichaaMD @bahetimd @ChandraVenita @ACCinTouch @SIRspecialists @VascularSVS

Now this bill is a great idea--require that Medicare Advantage (MA) plans comply w/ prompt payment requirements. State laws frequently have prompt payment laws but may also exclude "federal gov't programs" like MA. Bipartisan bill would require Medicare Advantage plans to reimburse claims within 2 weeks healthexec.com/topics/health…

Literally every time I talk to Ryan Trojan I learn so much. So glad he could chat with me about his job :)

I love recording episodes with Chris and Mike—- lucky I have such cool cohosts :)

Occasionally I'll read something that is so contrary to my own perception that I'll find myself questioning reality. This American Hospital Association piece about 340B is one of those. This is a masterclass in gaslighting. Here the profiteers are masking themselves as victims. They actually claim hospitals have no program integrity problems. HRSA audits have found over $1B in fraudulent duplicate discounts annually. State Medicaid directors say the scope of fraud is "enormous" but they don't know the scope because they're prohibited from tracking it. Multiple reports, including from the Senate HELP committee and the Minnesota 340B report have stated 340B concentrates revenue in large hospital systems with little evidence of benefit to patients. They claim the rebate system will harm safety-net hospitals. This ignores that it's large hospital corporations which are reaping the benefits. The Minnesota report showed that 13% of hospitals generated 80% of the revenue, and none of it went to safety-net facilities. Meanwhile, 340B hospitals charge higher commercial prices, which is a direct burden on patients since 90% of Americans don't hit their deductible. They claim that 340B hospitals provided $84B in "community benefits." Yeah, if you include activities that are already subsidized by other revenue streams. Meanwhile, reports from sources as varied as GAO, the Wall Street Journal and the New York Times have all found little evidence that 340B revenue translates into patient benefits. They claim upfront discounts have worked for 30 years. That ignores the exponential growth over the last decade. 340B was $8B in sales as recently as 2010 and is now closer to $70B annually now. Contract pharmacies have gone from around 1,000 to over 30,000. They cry about the admin costs and floating the acquisition prices for drugs. Meanwhile, the Minnesota report found that over $100B went to administration costs in that state in one year alone. Large hospital systems have massive cash reserves, investment portfolios and favorable bond ratings. The 340B rebate model is a great step to program reform. It's just a first step, and we should go further, if not just to see what sort of polemics the AHA can come up with.

So you're on the job hunt and are wondering how a private equity practice can shape your career. How will you find the right setting for you and what can you do to set yourself up for success? Join Dr. Oleksandra Kutsenko of Red Rock Radiology Associates as she discusses her path, her experience working within a large organization like Radiology Partners, and her advice for trainees. Watch: youtube.com/watch?v=OM-Cw7Ef… @bahetimd @benwhitemd @drmoneymatters @nedholmanmd @blakepparsons #VI566 #OBL #PrivateEquity #FutureRadRes #iRad #VIR

I was there, it was nuts

How will you lay the groundwork for your robust private practice? Tune in to hear from @ChengaziMD as he gives us insight into how he uses his understanding of the business side of medicine to advocate for the value of his practice to hospitals, harness multidisciplinary care to drive referral patterns, and take ownership IR's future direction. Watch: youtube.com/watch?v=ntGtaCAB… This podcast is supported by @Radpad2020 #VI652 #iRad #FutureRadRes #VIR #IR #InterventionalRadiology #PrivatePractice #OBL

🎬 Think your procedural tip could help others in the field? Submit it to the Tricks at the BackTable Competition! 👉 Winning videos will be featured on BackTable , social media, and win exclusive BackTable gear. First 10 entries receive discount codes for 50% off in the BackTable shopify store: backtable.myshopify.com/ 📅 Deadline: July 15, 2025 📤 Submit your entry here: forms.gle/LLPoRqN61Y7vPLwT7 📌 Top 10 videos will be included in our upcoming BackTable Tips & Tricks course! #IR #VascularSurgery #InterventionalCardiology #MedEd #BackTable @beckcj

The death of private practice doesn’t just hurt small clinics. It hurts all doctors. Employed physicians lose leverage. The system tightens its grip. Burnout rises, autonomy vanishes. We’re frogs boiling slowly. Every doctor should fight to preserve independent, physician-led care before it’s gone for good.