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- Ruchika Talwar converses with Avinash Maganty about his study on Practice Competition and Treatment of Newly Diagnosed Prostate Cancer. They delve into the healthcare industry's shift from independent to employed physicians, especially in urology. This trend towards larger, consolidated practices could influence care decisions in areas with discretionary care, such as prostate cancer. The study us...
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- Ruchika Talwar engages in a deep-dive discussion with Kamal Golla on value in urology and its implications on healthcare policies. Dr. Golla sheds light on value-based payment, explaining it as aligning financial incentives with the aim of achieving high-quality patient care at a reduced cost. He discusses the complexities of implementing such payment systems, especially within specialties like ur...
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- Avinash Maganty discusses his published article on the Merit-Based Incentive Payment System (MIPS). MIPS, an initiative launched as part of the MACRA initiative, has revolutionized the way Medicare reimburses physicians. While aiming to align quality with physician reimbursement, the system requires physicians to measure performance across four categories. However, its impact on specialists, parti...
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- Ruchika Talwar interviews Raevti Bole on the impact of the recent Dobbs ruling on vasectomy patterns. Dr. Bole's research reveals an immediate, statistically significant increase in vasectomy consults and procedures in the wake of the Supreme Court's overturning of Roe v Wade. Most notable is the shift in demographics, with younger men and those without children now seeking vasectomies. Dr. Bole s...
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- Ruchi Talwar speaks with Zeynep Gul to discuss Gul's recent research article on the Price Transparency Final Rule and its impact on urologic procedures' prices at academic medical centers. The rule mandates hospitals to disclose standard charges for 300 shoppable services to increase price transparency and reduce surprise billing. The study highlights non-compliance with this legislation among aca...
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- Ruchika Talwar hosts a conversation with Brian Chun to discuss Chun's study on the impacts of the BCG drug shortage, a problem that has plagued urologists nationwide for nearly a decade, on the treatment of non-muscle invasive bladder cancer. Chun's research, conducted through a review of Medicare claims data from 2010 to 2017, reveals a decrease in BCG use across the country and a considerable st...
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- Kathryn Gessner discusses her focus on improving patient-centered communication for managing small renal masses, an issue faced by 30% of such patients. She explores how multiple management options, from surgical resection to active surveillance and cryoablation, can lead to decisional conflict for patients. Her work reveals that 20-30% of these masses are benign and carry a low risk of mortality...
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- Ruchika Talwar welcomes Ray Tan to discuss a study he presented at the 2023 AUA annual meeting. The study, titled "The Effect of Visual and Numeric Risk Information on Surgeon Behavior: a Randomized Clinical Vignette Experiment", examined how different forms of information presentation might impact surgical recommendations made by urologists. Through a mixed-methods, user-centered approach involvi...
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- In this conversation, Catherine Nam joins Ruchika Talwar in discussing her AUA 2023 award-winning poster, "Low Opioid Fill Rates Continue Despite Termination of a Financial Incentive for Opioid-Free Vasectomies." The research focuses on the aftermath of the termination of the Modifier-22 incentive that facilitated an additional 35% reimbursement for opioid-sparing recovery services in Michigan. Re...
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- In this conversation, Ruchika Talwar interviews Ben Stone, a urologic oncology fellow at Harvard, about his work on financial toxicity in cancer care. They discuss the growing importance of addressing the undue cost and financial burden associated with cancer treatment. The conversation focuses on catastrophic healthcare expenditures, defined as spending over 10% of household income on out-of-pock...
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