And… No one called. Insult on top of injury (to my patient). So maybe it’s time to stop taking insurance.

“Surgery is a profession defined by its authority to cure by means of bodily invasion” @Atul_Gawande wrote this for the 200th anniversary issue of the @NEJM But what happens when bodily invasion is profitable? I guess that’s called “fee-for-service”

Surgeons need better (and painless) tools for measuring, analyzing, and reporting our own data… so we can survive and thrive as the ground beneath us shifts. More thoughts at The Measured Scalpel: @DrDiGiorgio @JohnHShinMD @PascalJabbourMD @ForSpine

The CAA started by targeting medication costs through PBMs, but third-party administrators (TPAs) of health plans are next. The costs and quality of healthcare services will need to be transparent, so that employers can fulfill their fiduciary responsibility to optimize benefits

Not long ago, the Consolidated Appropriations Act (CAA) was passed as an amendment to ERISA. For the first time, it created a fiduciary responsibility for self-insured employers to choose the best health plans for their employees. So why does this matter for surgeons?

I’ve made a move! @TJUHNeurosurg is rarefied air, and I will miss it dearly @HSpecialSurgery is now in #Naples, thanks to Sheeraz Qureshi, and I’ve joined to help build the spine program I’m doing it with Nick Clark… my brother-in-arms and former co-fellow Wish us luck!

“Try to draw a flowchart of a patient’s journey from initial diagnosis to final resolution… it’s a hornet’s nest. It’s like a street market where every vendor wants to sell you as much of their stuff as possible. ‘Hey you! … Buy some of this!”

Proximity to AGI should not be measured by the performance of models, but by the depth of our introspection. The more we ask “What does it mean to be human?” … “What is my identity?” … “What is creativity?” … “What exactly is an original thought?” … the closer we are to AGI.

I asked AI to paint a picture of what our healthcare system “feels like”. This is what @OpenAI’s Dall-E came up with. Check out this latest @SpinePod episode to see how we can solve this problem: @VUMC_Neurosurg @martinphammd @AshSharan @TJUHNeurosurg

I’m a surgeon. Do you think I get paid for the good that I do? Or for how much I do? Check out this latest episode of the @SpinePod for the answer:

@advithsarikonda Great work @advithsarikonda !