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Good post.

In the last week, 6 different IRs have reached out to me asking about how to structure an arrangement with urology groups. These arrangements tend to have common themes: 1. No ownership pathway in the new entity or group practice. 2. Flat rate per PAE case 3. Zero discussion of

Line Monkey MD In a world where Non Physicians can market themselves in any subspecialty, IRs should not be timid. Get out there and do it. You all pioneered vascular work. It’s fine to team up with other specialties or work on your own. But absolutely know your value.

Not surprising but additional evidence emphasizing the importance of volume and outcomes in centers treating CLTI patients. Not all centers are performing at the same levels. Significant variation in outcomes…It’s time for quality metrics!!!! SCAI OEIS Society Journal of Critical Limb Ischemia

I was lucky to spend some time working with Chris and his team at Vein 911 on a locums basis in 2022 and 2023. I learned a ton of stuff that I’m implementing at IGS, both medical and business related. Truly awesome mentorship. I think this could be a tremendous opportunity for

We need to focus on a high end integrated resident experience with clinics, rounding, consults, cross speciality training across other surgical specialities and the ICU. Also support from Society of Interventional Radiology to focus our field to clinical IR

Outpatient care is the future. Doesn’t mean that hospital based care is not important. It sure is, but even in hospitals we need to think about our global impact which is currently not being realized. OEIS Society

Total trash procedure, but very nice approach. Inferior endplate approach under Fluoro. Fast and easy. When it comes to trash, get in and gtfo. More time in clinic. Less time doing useless things.

Really nice job here. #kyphoplasty

This is happening all over the country. Congrats KP VISLA

Nice write up Marty Stempniak Vertebral augmentation is one of the most satisfying procedures I do. At igsmissouri.com this is a large part of our practice. Many patients are incorrectly diagnosed and often go many months before receiving the appropriate care. This

Happy 4th of July! With Joseph Puthumana & Joe Grogan, our article Georgetown Journal of International Affairs (GJIA): Improving the Return on Investment in US Healthcare The US leads in healthcare spending in the developed world, yet its health outcomes remain among the poorest. At the root of the US’ low

Could it be that individualized care was never meant to scale? That the best outcomes and lowest costs always come from small, consumer-centric, physician-led enterprises? Could it be that administration—when it exists at all—should serve only as scaffolding for physicians and

Who is responsible? When an insurance company denies authorization for a CLTI Pt with rest pain… using pre authorization, Peer to Peer and mildly Abnormal ABI to block treatment…Weeks!!!!! Patient showed up to ER with occluded Profunda and occluded tibial!!!! BackTable Vascular and Interventional

Today @cmsgov announced another significant cut for electrophysiologists (as well as our interventional colleagues), this time for left atrial appendage closure. Starting in 2026, reimbursement will be cut by 27%. This just a few years after the draconian cardiac ablation cuts.

Yes. Not to take away from the good work and expertise of Dr. Hawkins. Very good insights, but Shamit Desai MD’s point is very true. The more we can be concerned, as a specialty, of our impact in the community setting the better our future will be. Demonstrating that value is

igsmissouri.com My journey is chronicled on linemonkeymd.com I did not enjoy standard IR/DR hospital based practice (2018-2020), so I left to open an OBL with a cardiologist (2020-2021). Left that practice to do several years of independent contracting with both

This is a really nice example of carefully taking a curved needle into an area of a treated vertebral body with residual fracture cleft/edema. Transdiscal approach. Very cool.