Private practice with Dr Seth Bilazarian

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Medicare's physician compare initiative gets all the basics wrong

May 11, 2011 15:10 EDT


How much faith can we have in a system that gets even the most basic information wrong?

Review the data that Medicare has on file for your practice here.








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Medicare's physician compare initiative gets all the basics wrong
# 1 of 1
May 16, 2011 02:41 (EDT)
beckyc

Dr. Bilazarian, I really do "feel your pain".  I have worked with the hospital core measures since its inception in the late 90's.  HospitalCompare was horrid when it first came out.  It's gotten better over the years.  With 3200+ hospitals nationwide I expected some omissions (even though we as providers can't have them).  However, I can not imagine trying to put in place any kind of "PhysicianCompare" with the hundreds of thousands of practices in the nation.  The physician quality measures are all claims-based and so the info that will be compared is at least a full year old, and quite possibly older.  Then you get areas like where you are where you aren't being represented---so how "fair" is the comparison? 

Now you get the Value Based Purchasing into the mix for the hospitals and it's an even bigger nightmare---electronic health records needed (which one do you buy out of the myriads out there--who's a certified EHR vendor)---and then make this a reality for the physician office (one-man shows are all but gone now--will they all leave practice with this EHR thing?) and really you are enslaved to CMS for everything.  Mind you, it IS job stability for me---but I'm ever mindful of the impact this whole nightmare has and is impacting all of us.

I wish there was somewhere I could tell you to go get your practice put on there.  The only place I can honestly think of is your state's Quality Improvement Organization.  They may be able to intervene.

Best of luck!

Becky Christianson, RN


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About Dr Seth Bilazarian
Seth Bilazarian MD has been a Clinical and Interventional Cardiologist at Pentucket Medical Associates in Massachusetts since 1993. He is board certified in Internal Medicine, Cardiovascular Medicine, Nuclear Cardiology, Vascular Ultrasound, Interventional Cardiology, and Vascular and Endovascular Medicine.

Dr Bilazarian performs coronary and peripheral interventions at Lahey Clinic and Massachusetts General Hospital. He has been an investigator in the interventional laboratory for new devices including drug-eluting stents, distal protection devices, imaging devices (OCT and InfraRed), and anticoagulant pharmacotherapy.

Dr Bilazarian is an active participant in clinical trials in congestive heart failure, hypertension, coronary disease prevention, prediabetes management, anemia, atrial fibrillation, and anticoagulation/antiplatelet therapies in the outpatient setting. He has authored numerous papers and book chapters in clinical cardiology. He was appointed as a physician advisor to the circulatory device panel of the FDA in 2008.
About this blog
My intent is to create a forum for dialogue on issues pertinent to private practice cardiology around topics such as:

  • Integration of new data and guidelines on inpatient and outpatient practice in clinical and interventional cardiology
  • Practice approaches to the extra clinical issues in dealing with managed care insurers
  • Strategies for navigating the restrictions of pharmacy benefits managers (PBMs) on pharmacologic therapies for our patients
  • Experiences with restrictions on testing and imaging
The video blog (VLOG) will provide an opportunity to share broadly different approaches to the common conundrums we face in caring for patients. My hope is that this forum will provide useful data points for practice outside of tertiary and academic centers and a look inside community hospitals and physician?s practice patterns in the office, starting with mine.