Father, radiologist, open wheel racing fan. Eagles fan. Beach bum.
Hagerstown or Prime Hook Beach
Joined May 2010
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Narasim Murthy retweeted
Let me be clear to those of you who did not grow up a Philadelphia @Eagles fan like myself - it is important that we let no positivity creep into the time before polls close. Be depressed. Read into every bad sign the worst. Hope is poison.
Narasim Murthy retweeted
Teleradiology is not one thing.
Some of it solves a real problem.
Rural hospital. Overnight ED. No local coverage at 2 a.m.
That work should exist. I have no quarrel with it.
The other kind does not add coverage.
It replaces it.
A radiology group already lives in the community, staffs the department, does the procedures, shows up at tumor board, and answers the phone.
Then a remote shop bids the contract cheaper, offers a faster average TAT, and sells the hospital a thinner product:
Reports without presence.That isn’t coverage added. It’s presence removed.
The hospital gets a line-item win.
The medical staff loses a colleague.
The patient loses the person who used to walk down the hall.
Call the first one supplemental telerad.
Call the second one replacement telerad.
One fills a gap.
The other creates one.
Narasim Murthy retweeted
Prescient advice for the AI era from MGH radiologist Laurence Robbins in 1956:
“If speeding-up processes in radiology merely mean examining more patients a day with an eye to more profit, if they mean going through the motions of an examination without intent or effort at the best possible study of the patient… automation will harm the patient and ultimately ruin a department of radiology as well as a hospital.
Narasim Murthy retweeted
When this man returns to Pennsylvania as a citizen, I want his Sheetz and Wawa rewards cards revoked. I want his shorts sewn into pants. His hoodies turned into crewnecks. May his pretzels always be stale. His hoagies all onions. His turkey hill iced tea sour. His ATV tires flat.
Narasim Murthy retweeted
No chance radiologists get replaced. A model is outdated the minute it is released.
Model usage costs money. A lot more than a radiologist.
Medicine is a business.
Putting together AI with domain knowledge is complex. When it can be the difference between life and death, who do you want building it and using it ?
People forget that using AI and trying to get accurate answers is a skill that will need to be taught in med school
AI won't replace radiologists. But every radiologist will use AI
Narasim Murthy retweeted
First @McLarenF1 signed golf bag giveaway!!
Just RT for a chance to win it!!
I’ll pick one winner on Monday 17th September… 🍀
Narasim Murthy retweeted
10% of all the debt accumulated in the 250 year history of this country will be incurred in the first half of Trump’s second term, with Mike Johnson and John Thune leading Congress.
I’m unashamed to have been kicked off “team debt” for not going along with this.
Narasim Murthy retweeted
I’m struck by how many hospitals have gone from treating physicians as professional colleagues to treating them with outright disdain.
Emergencies happen and surgeries get bumped. Everyone understands that.
What is harder to understand is the complete absence of basic professional courtesy. A simple notification, an apology, or an acknowledgment that you’re asking someone to rearrange their entire day goes a long way.
Instead, physicians are often expected to simply wait. Many surgeons receive no additional compensation for doing emergency procedures on weekends. They leave their families, assume significant medicolegal risk, and make themselves available because patients need them.
The least a hospital can do is communicate honestly, provide updates, and acknowledge the burden. Professional respect should not be too much to ask.
Narasim Murthy retweeted
The best doctors, the old guard, who view medicine as a calling rather than a business, are quietly retiring.
There's a gentleness & decency about them that's hard for me to explain but impossible to miss.
Medicine is losing the best part of itself.
Narasim Murthy retweeted
Radiology been dealing with CMS bullshit for 20 yrs.
CMS 2027 proposal to cut E/M payment by 50% when billed same-day as a procedure will badly hurt patient access.
Practices will of course split visits - E/M one day, procedure the next - leading to many more appointments, longer wait times, patients missing second visits, more fragmented care.
This really burdens elderly/chronic patients who due to health and transport reasons need same-day evaluation + treatment.
Urge CMS to reconsider.
Narasim Murthy retweeted
Hey @DrOz,
When you started practicing medicine in 1993, the RVU reimbursement rate was $31.60. @CMSgov is proposing that in 2027, it is $33.40.
Adjusted for inflation (+132%),
that’s a 54% cut…
No wonder you quit practicing medicine. The financials don’t make sense.
Can you tell @CMSGov…oh, wait a minute…
🤔🤨😒
Narasim Murthy retweeted
You can walk into the same building, see the same doctor, use the same MRI machine… and pay 6x more, just for using the wrong door.
The same MRI at an independent location is $450 and $2,800 in a hospital.
Same machine.
Same radiologist often.
Same 45 minutes.
The difference is not medicine.
It is billing architecture.
Across the 1990s and early 2000s, Congress and CMS created a second payment lane for hospital outpatient departments: a facility payment layered on top of the professional fee.
Then health systems discovered the trade.
Buy the independent practice.
Designate it as a hospital department.
Keep the service in the same building.
Bill it as a hospital.
Section 603 of the 2015 Bipartisan Budget Act tried to slow the game by applying site-neutral payment to new off-campus departments.
But existing departments were grandfathered. The old money stayed protected.
Twenty years ago, roughly 80% of outpatient care lived in truly independent settings.
Today, true independence is closer to 12%.
That did not happen by accident.
It happened because the payment system rewards ownership status more than clinical work.
The Congressional Budget Office has scored site-neutral reform at massive savings over ten years. Congress keeps circling it.
The hospital lobby, with the lawmakers they have purchased, keep killing it.
You are not paying for better healthcare.
You are paying rent on a billing code.
Narasim Murthy retweeted
They told us Democrats would turn America into a show-your-papers society.
They told us Democrats would strip away the Second Amendment.
They told us Democrats would jail us for what we say.
They told us Democrats would drag us into more foreign wars.
They told us Democrats would cover up a child sex trafficking ring.
And then Republicans took power and decided to do all of it themselves.
Narasim Murthy retweeted
“the party told you to reject the evidence of your eyes and ears. it was their final, most essential command." - george orwell, 1984
Narasim Murthy retweeted
Sect of State Rubio comment that Brazil is trading with China outside the Dollar that is the problem. And US would lose the ability to enforce sanctions on these countries.
As i said non dollar trade between BRICS+ is the crux of everything !
Narasim Murthy retweeted
Take a bow, Vic Fangio and the entire defense.
You deserve much, much better.
#Eagles
Narasim Murthy retweeted
Remember last week when the Eagles went under center and ran play action? Yeah, that was fun.
