Dr Bricker, your fund of knowledge is boundless. As an arthroplasty leader having navigated our hospital based COE through this evolution, I can confirm not only your data but your conclusions. Perhaps do a sequel on what it takes to move this mass of patients from IP to ASC in just a matter of years, safely and effectively, without compromising clinical outcomes - not an easy feat. We should also recognize that many of these ASCs are privately held by smart entrepreneurial orthopedic practices and the strong economic incentive of new facility fee revenue streams is omnipresent. Thank you!
Very interesting thanks for sharing. this rapid shift are clearly going to drive more demand to ASC’s in the years to come; but in certain states I suspect that the shift will be much less dramatic due to tight restrictions on Certificate of Need.
Great video as always Eric!!! Very informative that traditional medicare doesn't have P/A and medicare advantage does - that incentive alone may keep Medicare alive. I think payments for EVERYTHING will be shifted away from the hospital and hospitals will be reserved for the most complicated cases - don't you think ??
Thank you for your feedback. As an Internal Medicine doctor, I can tell you there are a ton of non-complicated medical admissions. But I can see your point for surgery.
Very informative as always Dr. Bricker. How about following up this message with one about the efficacy of Regenerative Treatments for Hip and Knee and Spine problems using non-surgical Mesenchymal Stem Cells (MSCs) grown from the stem cells found in Wharton's jelly connective tissue from non-stressed (C-Section) umbilical cords. Professional athletes have been using non-surgical regenerative medicine instead of the stress of a surgical mechanism to keep them active and functional. I would love to hear your thoughts on this topic of MSCs.
Thanks Dr. Bricker, i learn so much from your videos, thanks for making these videos. So my question is that do you think the trend of moving surguries to ASC will continue even though CMS paused the elimination of the inpatient only list ? I know they intialy said they get rid of it by 2024 and that's why you still have the point in your video but they back down on it!
Hi Dr. Eric. Thanks for the awesome and highly informative videos. All of these videos are a great source of knowlege about the US Healthcare system. Whenever you have time, kindly make a short video on the current medical trends post COVID, like the one titled 'Where does Medical Trend Come From?', which was uploaded in 2020. It was a great 6 minute video summerizing how the industry functions. Have a great day, Dr. Eric.
Hi Doctor, another great video, thank you so much, my question is that : why CMS's action has impact on the commercially insured patients who are now seeking surgeries outside of their hospital system? because Isn't it CMS only impact medicare, medicaid, etc, but not commercial insurance? If that's the case, commercial patient should go to ASC anyways just as they used to, nothing change for them, and those who were covered under CMS would seeking surgeries outside of their hospital system. Then what do you mean by that outflow of commercial patients to ASC? Sorry if its a stupid question. thank you so much for your patience.
Another question is that I understand ASC has a cheaper facility fee, and that will save money for the insurer, how does that benefit the employer, because aren't the employers still pay whatever they need to commercial insurance ? Same, sorry if that's a stupid question, just really hope to understand that.
Great questions. Couple reasons… 1. Many commercial insurance plans mirror CMS policy. 2. If orthopedic surgeon can schedule Medicare patients at ASC then more likely to schedule commercial insurance patients there too for purely logistical reasons… saves time since they are already there. Don’t need to travel back and forth. Thank you for watching.
Over half of employees in America are on self-funded plans, which means the employer takes the risk… not the insurance company. For self-funded employers, the insurance company is paid a fixed fee for their network and to process claims. Hope that helps.
@@ahealthcarez thank you so much, then its interesting because Why would commercial insurance plans and employer sponsored plans don't direct patient to ASC at the begining, given that its cheaper no matter what the CMS policy is? The 100% in-patient before the CMS new policy is hard to understand from employer self funded plans financial perspective. its easier to understand ASC number goes up after the policy ( doctor logistical reasons) but difficult to understand why from completely O ASC to 33% because of the employer sponsored commercial plans. :) sorry to challenge you but just hope to understand. No need to reply if you are busy. thanks
Very Interesting So commercial employer insurance are doing way more of these procedures especially if they are doing it in those places that are cheaper than hospitals While people on Medicare are getting less ( they might need it as much) Is Medicare still only covering 15000 while the procedure costs 60 to 70? Is the rest of it or let me rephrase this, how much out of pocket is costing those on Medicare
If inpatient on Traditional Medicare, then just Medicare deductible which is $1,556. Many people have Medicare Supplement Insurance that pays for the deductible.
![[MV] A leap of faith...ความเชื่อใจครั้งสุดท้าย (From "Petrichor the series")](http://i.ytimg.com/vi/U1piZH2CNXA/mqdefault.jpg)
Dr Bricker, your fund of knowledge is boundless. As an arthroplasty leader having navigated our hospital based COE through this evolution, I can confirm not only your data but your conclusions. Perhaps do a sequel on what it takes to move this mass of patients from IP to ASC in just a matter of years, safely and effectively, without compromising clinical outcomes - not an easy feat. We should also recognize that many of these ASCs are privately held by smart entrepreneurial orthopedic practices and the strong economic incentive of new facility fee revenue streams is omnipresent. Thank you!
Thank you for watching and sharing your perspective.
Your content is gold. As a primary care doc, I am learning so much about health care economics.
Thank you for your feedback.
Awesome video! A current MHA candidate and had a case study competition about this! Explained really well!
Thank you for your feedback.
"where you stand depends upon where you sit" gold
No my expression… but very #True. Thank you for watching.
Always...follow the money 💰
Great update 👍
Thank you for watching and for your feedback.
@@ahealthcarez will be interesting to see how bundled payments in the value-based model will articulate with the shift.
These AHealthcareZ videos are simply amazing. Thank you so much Doctor.
Thank you for watching and for your kind feedback.
Very interesting thanks for sharing. this rapid shift are clearly going to drive more demand to ASC’s in the years to come; but in certain states I suspect that the shift will be much less dramatic due to tight restrictions on Certificate of Need.
Thank you for watching and sharing your thoughts.
Great video as always Eric!!! Very informative that traditional medicare doesn't have P/A and medicare advantage does - that incentive alone may keep Medicare alive. I think payments for EVERYTHING will be shifted away from the hospital and hospitals will be reserved for the most complicated cases - don't you think ??
Thank you for your feedback.
As an Internal Medicine doctor, I can tell you there are a ton of non-complicated medical admissions. But I can see your point for surgery.
Amazing 👏. Love all your informative videos. Keep recording 'em.
I've been watching your videos for my master's program...😁
Super! That’s what they are for. Students leave similar messages all the time.
Very informative as always Dr. Bricker. How about following up this message with one about the efficacy of Regenerative Treatments for Hip and Knee and Spine problems using non-surgical Mesenchymal Stem Cells (MSCs) grown from the stem cells found in Wharton's jelly connective tissue from non-stressed (C-Section) umbilical cords. Professional athletes have been using non-surgical regenerative medicine instead of the stress of a surgical mechanism to keep them active and functional. I would love to hear your thoughts on this topic of MSCs.
Thank you for watching and sharing your thoughts.
Thanks Dr. Bricker, i learn so much from your videos, thanks for making these videos. So my question is that do you think the trend of moving surguries to ASC will continue even though CMS paused the elimination of the inpatient only list ? I know they intialy said they get rid of it by 2024 and that's why you still have the point in your video but they back down on it!
Yes. Thank you for watching and for your question.
Hi Dr. Eric. Thanks for the awesome and highly informative videos. All of these videos are a great source of knowlege about the US Healthcare system. Whenever you have time, kindly make a short video on the current medical trends post COVID, like the one titled 'Where does Medical Trend Come From?', which was uploaded in 2020. It was a great 6 minute video summerizing how the industry functions. Have a great day, Dr. Eric.
Thank you for watching and for your suggestion.
Hi Doctor, another great video, thank you so much, my question is that : why CMS's action has impact on the commercially insured patients who are now seeking surgeries outside of their hospital system? because Isn't it CMS only impact medicare, medicaid, etc, but not commercial insurance? If that's the case, commercial patient should go to ASC anyways just as they used to, nothing change for them, and those who were covered under CMS would seeking surgeries outside of their hospital system. Then what do you mean by that outflow of commercial patients to ASC? Sorry if its a stupid question. thank you so much for your patience.
Another question is that I understand ASC has a cheaper facility fee, and that will save money for the insurer, how does that benefit the employer, because aren't the employers still pay whatever they need to commercial insurance ? Same, sorry if that's a stupid question, just really hope to understand that.
Great questions. Couple reasons… 1. Many commercial insurance plans mirror CMS policy. 2. If orthopedic surgeon can schedule Medicare patients at ASC then more likely to schedule commercial insurance patients there too for purely logistical reasons… saves time since they are already there. Don’t need to travel back and forth.
Thank you for watching.
Over half of employees in America are on self-funded plans, which means the employer takes the risk… not the insurance company.
For self-funded employers, the insurance company is paid a fixed fee for their network and to process claims.
Hope that helps.
@@ahealthcarez thank you so much, then its interesting because Why would commercial insurance plans and employer sponsored plans don't direct patient to ASC at the begining, given that its cheaper no matter what the CMS policy is? The 100% in-patient before the CMS new policy is hard to understand from employer self funded plans financial perspective. its easier to understand ASC number goes up after the policy ( doctor logistical reasons) but difficult to understand why from completely O ASC to 33% because of the employer sponsored commercial plans. :) sorry to challenge you but just hope to understand. No need to reply if you are busy. thanks
Very Interesting
So commercial employer insurance are doing way more of these procedures especially if they are doing it in those places that are cheaper than hospitals
While people on Medicare are getting less ( they might need it as much)
Is Medicare still only covering 15000 while the procedure costs 60 to 70?
Is the rest of it or let me rephrase this, how much out of pocket is costing those on Medicare
If inpatient on Traditional Medicare, then just Medicare deductible which is $1,556. Many people have Medicare Supplement Insurance that pays for the deductible.
@@ahealthcarez thank you
What do thing if they change the rule for cardiac catheterization?
Not sure. Sorry I can’t be more help.
Thank you for watching.