riahi

27 ms·

151.
by riahi 12y ago
This doesn't have to be a theoretical discussion. Dentistry residencies to specialize require tuition from the residents. Only a few provide salary. Dentists make more money and work less than doctors. Simply forcing medical students t
152.
by riahi 12y ago
1. New schools are being built and they aren't cheaper. Quinnipiac University is the newest medical school to open (accepted its first class in 2013) and it is just as expensive as any other private medical school. See: http:/&
153.
by riahi 12y ago
The number of medical students is wholly irrelevant to the conversation at hand. We currently have more residencies than medical students, so spots are filled by foreign medical grads. However, in about 2-3 years, there will be more Americ
154.
by riahi 12y ago
While it is true that PAYE is capped at 10% of AGI, if you have an average medical school debt and are making a resident's salary, your payment will be less than your interest accrued each month. PAYE does nothing to cap your interest
155.
by riahi 12y ago
Removing the need for undergrad does nothing to increase the supply. I also fail to see how it reduces costs. Everything is bottlenecked at the residency step. Current billing rules do not allow for additional reimbursement just because a
156.
by riahi 12y ago
Well, someone has to pay the salaries of medical trainees. Who would you suggest do it? Since the establishment of Medicare/Medicaid, CMS pays hospitals a set amount per year per resident. I suppose you could mandate that teaching ho
157.
by riahi 12y ago
I hate to make this a common refrain, but I make this same comment every time I see a comment like yours: The supply of doctors is not restricted by the AMA. The supply of doctors is determined by the number of residency spots available to
158.
by riahi 13y ago
This is actually illegal. See http://en.wikipedia.org/wiki/Stark_Law
159.
by riahi 13y ago
Yes, but you have to remember that these are Medicare data. The prevalence of 65+ patients getting Her2+ breast cancer AND getting treatment with Herceptin is probably lower than the number of 65+ patients getting ARMD and going on treatme
160.
by riahi 13y ago
Yes. If you download the April ASP data from CMS [1], you can search for "Ranibizumab injection". CMS has calculated a $397.014 payment per 0.1 mg. Each dose injection is 0.5 mg, so 5 * 397.014 = $1985.07. If you add 6% to tha
161.
by riahi 13y ago
He's actually being investigated for fraud. So if we take him out of the picture, the remaining numbers make sense.
162.
by riahi 13y ago
I'm skeptical for these ophthalmologists to be billing those numbers and NOT include the average sales price (ASP) of their injectable drugs. For those looking in, ASP is how medicare reimburses outpatient drugs. The physician practic
163.
by riahi 13y ago
I'm pretty sure they are including buy-and-bill numbers here. The #1 doctor, Salomon Melgen, is a retinologist who is currently being investigated by CMS for suspected Medicare fraud. The numbers in this article match the numbers fro
164.
by riahi 13y ago
This does not include cost of injectable or infused drugs. These are not paid separately by Medicare.
165.
by riahi 13y ago
Ranibizumab is the generic name of Lucentis, an injection into the eye that is used to treat age-related-macular-degeneration. The way Medicare works is that Lucentis is pre-purchased by the ophthalmologist and then reimbursed by Medicare.
166.
by riahi 13y ago
The way Medicare for these high-reimbursement specialties (Ophthalmology, Radiation Oncology, and Medical Oncology) is that the Doctor's practice will pre-purchase the medications/injections/treatments before administering to
167.
by riahi 13y ago
The app has been as high as $149 on the AppStore. http://appshopper.com/productivity/logmein-ignition
168.
by riahi 13y ago
Another reason that's not touched upon in the article is that many of these drugs are Schedule IV drugs. While prescribing a Schedule IV isn't theoretically more onerous than prescribing antibiotics, often pharmacy chains, insura
169.
by riahi 13y ago
It seems fun to hate on "evil" doctors, but why do we consider doctors as any different from "personal business consultants" who's business expertise is health? I'm curious how you guys think medical profession
170.
by riahi 13y ago
I'm applying for residency in Radiology now. I completely agree with your observations. Hopefully, we will make #1 happen.
171.
by riahi 13y ago
Your suspicion is correct. It is the price charged to Medicare. Medicare only reimburses $26,898.
172.
by riahi 13y ago
Probably not going to get seen in this morass of comments, but I went back and reviewed the CMS data that the article cites. The article used the Diagnosis Related Group (DRG) 238 - Major Cardiovascular Procedures without Major Complication
173.
by riahi 13y ago
The supply of doctors is not restricted by the AMA. The supply of doctors is determined by the number of residency spots available to new graduates; that number is entirely determined by the Centers for Medicare and Medicaid (CMS). Thanks
174.
by riahi 15y ago
Relevant Studies: http://www.nejm.org/doi/full/10.1056/NEJMoa1200225?query=fea... http://www.nejm.org/doi/full/10.1056/NEJMoa1200111?query=fea...
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Surgery on Diabetics May Be Better Than Standard Treatment(nytimes.com)
1 points by riahi 15y ago|1 comments
176.
by riahi 15y ago
Data point: Last I checked, Verizon only offered 4 phones that do not require a data plan. Everything else they offer is Android, BB, iOS, and maybe WinPhone. Even their semismart Samsung phones require some $15 data plan. At least when wal
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by riahi 15y ago
It should be feasibly possible. All the US carriers maintain email to SMS gateways, so with a sufficiently large amount of computers spamming one email address, you could cause some harm.
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OpenStudy Publically Launches (MIT OCW partner)(blog.openstudy.com)
2 points by riahi 16y ago|0 comments
179.
by riahi 16y ago
The common cold is caused by a variety of viruses and strains that identifying all the possible DNA sequences to target would overwhelm researchers for years. This treatment is incredibly targeted, which requires the exact target DNA seque
180.
by riahi 16y ago
Unfortunately, this piece is affected by typical science journalism that hypes up everything a titch. Fundamentally, this treatment is a textbook case of applied RNA interference (RNAi). While it is really awesome to see RNAi used in a me

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