Devin Zarkowsky
@DevinZarkowsky
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California Vascular Health Specialists #aorta #AortaEd #AAA #aneurysm #aorticdissection #carotid #CLTI #CLI #PAD #spinalaccess No disclosures.
CA
Joined October 2019
@DrDiGiorgio One of the biggest things I instill in med students and residents is to recognize this erroneous idea about only being worth your wRVU. It’s pure sleight of hand but we continue to accept the narrative it because everyone else is accepting it.
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How can a doctor make money as a clinician without having any ownership of facilities or ancillary services? Professional fees - where doctors get paid a centrally set rate for seeing patients and doing procedures. Call coverage - where doctors get paid for taking ER and
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As a vascular surgeon who does not make millions of dollars, I invite Professor Markovits into my office to spend time with my patients, so that he might acquire firsthand knowledge to better-inform his outlook on what is fundamentally changing human behavior. @DSMarkovits
What is offensive is how coastal elites speak of healthcare. Professor Markovits from Yale Law really speaks without understanding how healthcare is delivered and why it is delivered in the way it is. But he is very confident that some "rockstar" surgeon is raking it in
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If you are currently in medical school or in residency, know this: Being salaried by a hospital, health system, corporation, or private equity are not your only four options. In fact, you can just do things. You have all the power and all the leverage, but you’re the only one
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Then stop punishments by independent physicians that don’t answer to Washington lobbyist and MBAs. The Same Room, Different Rules! Same surgeon, same patient, and same procedure. Medicare pays $15,000 to a hospital outpatient department owned by a non-profit health
Medical decisions should be made based on one thing: the wellbeing of the person—never on a financial bonus or a government mandate. Doctors deserve the freedom to use their training, follow the science, and speak the truth without fear of punishment.
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One of the more difficult type cases we treat. Virtually impossible to decipher planes. High risk of transection of Achilles tendon and PT artery #lymphedema #wounds #surgery #medtwitter #vascular .@FutureVascSurgn @JVascSurgCIT
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THREAD: The Nonprofit Touchdown UCLA Health is a state-funded, tax-exempt, nonprofit medical system. So why is it sponsoring an NFL team? Here’s how your healthcare dollars ended up in the Chargers’ locker room: 👇 @UCLAHealth
@chargers
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This Is Where We Get It Wrong (From an independent physicians perspective) Prior authorizations are a problem—but they’re a small part of a much larger, more dangerous system failure. They’re visible. They’re frustrating. They make headlines. But they’re not the core issue.
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Acutely thrombosed hemorrhoid incised and drained, followed by 4F from the left wrist. Patient able to sit in dialysis chair for 3.5h the next day without anxiety, pain resolution POD5. What an improvement vs. trans-anal procedures! #HAE @OEISociety @_backtable
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No AI cleans up after. No AI calls the coroner. No AI holds the mother while her son dies. That’s medicine.
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This is from 2018 and should be recompiled. Only 25% of the healthcare dollar flows to people who lay a hand on patients to heal them, 75% flowing to those who don’t. Here is the accompanying article I wrote at the time. https://t.co/StsBuwIFte
@somedocs
Hospitals, pharma, doctors, medical devices, health insurers, PBMs — the entire health care industry has crushed working households through higher prices and out-of-pocket spending, to the point that health care is a bigger expense than a mortgage. https://t.co/ZkeumZuffO
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The best way to reduce the cost of Medicaid is to distribute Medicaid payments appropriately. There are zero reasons why UCLA Health, Boston Medical Center, and Vanderbilt receive $600 for seeing a Medicaid patient and an independent doctor receives $46.25. Stop supporting
The best way to reduce the cost of Medicaid is to name and shame big employers that pay their full time employees so little, they qualify for Medicaid
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@spartywrx We ran a paid claims report on the health systems in south Florida. Largest academic was more than 600%. Non profit health systems was 330%.
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Why do physicians keep taking the crumbs? Why do some of the most intelligent, skilled people on the planet cower to payers, obey nonprofits, and beg for scraps from the system? Let’s talk about how physicians were turned into silent labor and how to break the spell. A 🧵….
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Why do health insurance premiums go up annually? A great question to start with: Why Health Systems Get Paid More Than Independent Doctors for the Same Exact Surgery? Ever heard of an HOPD or an ASC? If not, you’re not alone. But if you’re a patient, taxpayer, or
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The Medicaid Grift Nobody Wants to Talk About It starts in Westwood. A patient walks into UCLA Health for a routine checkup—CPT 99213. Fifteen minutes. Maybe less. The patient thinks she’s seeing a doctor. What she doesn’t know? She’s stepping into one of the most profitable
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“Notice of Nonpayment” from insurance companies: another insurance grift that should be addressed, particularly when secondary to Medicare? @realdocspeaks @DutchRojas @jahangirashga10
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Everyone talks about physician compensation. Almost no one talks about overhead. We debate how much CMS pays. Why procedural specialties are paid more. How physicians are reimbursed. But that misses the real driver of dysfunction: The single most expensive, least addressed
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Some younger employed physicians don’t fully grasp the root issue: Physician compensation and reimbursement is the problem. As Medicare/Medicaid rates drop, independent docs get crushed—forced to close, sell, or consolidate. Your salary feels stable—but it’s subsidized by your
@lovursl4n3 @MaxJordan_N All of those things are connected to how physicians are reimbursed. If you’re employed, your pay may be shielded—for now. But independent doctors are paid directly from reimbursement—often at a fraction of what systems receive. That disparity fuels consolidation, drives care
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Republicans Will Cut Off Student Loan Forgiveness For Medical Residents Under New Plan via @forbes
https://t.co/2RuHfpFL7u This seems wrong. Residents are already underpaid and under appreciated.
forbes.com
Buried deep in a new bill is a major change that would cut off a popular federal student loan forgiveness program for medical and dental residents.
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