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Is PTAC on the Right Track? Some Say ‘No’
-Physician groups express frustration with HHS payment advisory committee

In July 2017, the Large Urology Group Practice Association (LUGPA) submitted a proposal to PTAC. The “LUGPA APM for Initial Therapy of Newly Diagnosed Patients with Organ-Confined Prostate Cancer” proposed incentivizing urologists to choose “active surveillance” as a method for treating certain cancer patients when “clinically appropriate.”

 

In December 2017, PTAC voted not to recommend the LUGPA APM

 

In other words, doctors shouldn’t be paid for doing what they should, the committee seemed to argue. LUGPA President Deepak Kapoor, MD, said he was frustrated that even though PTAC agreed that the LUGPA model met many of the high-priority criteria, they remained “philosophically” opposed to the model. Click here to read about the frustrations that some physician group practices are expressing.

 

Prostate Cancer Awareness Campaign Viewed on NASDAQ Tower

New urologist at Advanced Urology Centers New York’s (AUCNY) Rockland location

Dr. Elliot Fagelman of Stony Point, is the newest urologist to join Advanced Urology Centers of New York’s (AUCNY) Rockland County office in West Nyack. Dr. Fagelman, a board certified physician, has extensive experience treating patients for all types of urologic issues. To learn more about Dr. Fagelman, please click here.

 

How One Specialist’s Advanced Alternative Payment Model Can Serve as a Framework For Value-Based Care

A urologist built an APM because the specialty of urology was left wanting when it comes to APM options. Deepak A. Kapoor, MD decided the best way to speed urology’s pivot to value-based care was to create an APM from scratch. To learn about this model, click here.

 

Bill Would Lift Stark Barriers to APMs

New legislation to modify the Stark antitrust law to remove barriers to independent physicians has been introduced. Deepak A. Kapoor, MD told Urology Times that the “30-year-old Stark Law self-referral prohibitions effectively block coordination of care by physicians. Stark was designed for fee-for-service, not value-based care.” To read the article, click here.

 

 

Proposed Bill Targets Prostate Cancer Misdiagnoses

Legislation would authorize CMS to pay for backup DNA tests

Deepak A. Kapoor, MD, chairman and CEO, Integrated Medical Professionals, Melville, NY, told the Energy and Commerce Committee that a 2015 study found that misdiagnoses based on needle biopsies occurred in 2.5% of cases and would largely be eliminated if the backup DNA test became standard practice (J Urol 2015; 193:1170-7). The study concluded that at least 1.28% of those patients were actually cancer free.

Dr. Kapoor is health policy chair at LUGPA, which along with the AUA, the Men’s Health Network, the Prostate Health Education Network, and several other related groups have endorsed the legislation. Read about the bill and how it benefits patients here.

 

 

AUCNY Doctors Defend LUGPA APM

Did you watch Dr. Deepak A. Kapoor and Dr. Kathleen Latino defending the LUGPA APM proposal to the full PTAC committee? If you missed it, click here.

 

 

John Rescigno, MD Joins Advanced Radiation Centers of New York in West Nyack

John Rescigno, MD, from Manhattan, recently joined Advanced Radiation Centers of New York (ARC). Dr. Rescigno is providing patient care at the Advanced Radiation Centers [ARC] West Nyack office. Learn about him by clicking here.

 

 

ARC Docs Provide Cutting-Edge Radiation Treatment at Good Samaritan Hospital

Thanks to the addition of a cutting-edge radiotherapy treatment, patients at Good Samaritan Hospital now have access to one of the newest tools in the fight against cancer, the TrueBeam Linear Accelerator system. Dr. Shawn Zimberg, medical director, Dr. John Rescigno, associate medical director, and Dr. Raman Kaul currently treat patients at Good Samaritan Hospital using the hospital’s new system. To read more, click here.

 

 

Dr. Alexander Epelbaum Appointed President of Medical Staff at St. Catherine of Siena

Dr. Alexander Epelbaum of Dix Hills, a urologist at Advanced Urology Centers of New York in Smithtown, has been appointed president of the medical staff at St. Catherine of Siena Medical Center in Smithtown. See the Newsday article here.

 

 

A Bill to ‘Eliminate Prostate Cancer Misdiagnosis’

More than 1 million prostate biopsies are performed in the U.S. each year. Provenance errors (i.e. switching and contamination) in prostate cancer diagnosis occurs at a rate of 1.28%. Deepak A. Kapoor, MD and colleagues feel that the DNA test ensures that a prostate cancer diagnosis is given to the correct person. The DNA test “definitely rules out” these errors, said Dr. Kapoor. To read more about the value of DNA tests, click here.

 

 

Incentivizing the Lower-Cost Decision: LUGPA Believes It Knows How

A newly proposed urology-specific alternative payment model (APM) could save up to 37% on costs of care, partly by giving physicians incentives to pursue active surveillance (AS) rather than active intervention (AI), according to the Large Urology Group Practice Association (LUGPA). To read about the model, click here.

 

 

Riccardo Ricciardi, MD accepted prostate cancer awareness proclamation

In recognition of the efforts in the fight against prostate cancer, Queens Borough President Melinda Katz presented Riccardo Ricciardi, MD of AUCNY Bayside with a prostate cancer proclamation and declared October 19th prostate cancer awareness day in Queens. Click here to see the article.

 

 

Stay Clinicians Embrace New Prostate Cancer Grading System

October 2017- First described in a paper published 4 years ago, the new Gleason grade group system for the risk classification of prostate cancer (PCa) is now routinely included in PCa pathology reports and commonly used in counseling patients newly diagnosed with the malignancy. Dr. Elliot Paul shares his thoughts about the new system. Click here to read about it.

 

 

Advanced Urology Centers of New York Adds Two New Doctors

October 2017- Drs. William Ulmer and Rajiv Saini joined Advanced Urology Centers of New York. Read about them in Long Island Business News.

 

 

Stay Vigilant About Prostate Cancer

September 2017- We know how important it is to be screened for prostate cancer. Early detection saves lives. More than 3 million men and their families are fighting the disease today. Deepak A. Kapoor, MD and an Advanced Urology Centers of New York patient discuss progress in prostate cancer treatments. If you didn’t read the story in the Anton Media newspapers, click here to learn about the advances.

 

 

Learn About our Services in Our New ARC TV Spot

September 2017- Did you see the new ARC commercial airing on Cablevision, Comcast and Verizon Fios? If not, learn about our services and meet some of our physicians and staff here.

 

 

 

 

Nicole Fleischmann, MD Shares the Benefits of Interstim on WCBS-TV

September 1, 2017, If you find yourself looking for bathrooms wherever you go, you’ll really want to watch Dr. Fleischmann’s interview with Dr. Max Gomez. She provides a valuable solution to overactive bladder.

 

Michael Ziegelbaum, MD, FACS Appointed President of LIJ Hospital Staff

 

Deepak A. Kapoor, MD Testifies to the House Energy and Commerce Committee

August 2017- The diagnosis of prostate cancer is usually established with a test called needle biopsy of the prostate. Doctors rely on the results of the biopsy to counsel patients about the treatment options available to them. “Precision medicine and targeted therapy requires complete and total diagnostic accuracy in this test,” says Dr. Kapoor. Despite best laboratory practices, errors are being made. Click below to hear the testimony.     https://youtu.be/ljq65riJiWY

 

 

Do you Plan Your Day Around Being Near a Bathroom?

August 2017- Visit an AUCNY physician and get back in control of your life!   https://youtu.be/Mt2xi-0A0P4

 

 

Suozzi Subject of “Probe”

August 2017- Congressman Tom Suozzi underwent a routine prostate exam as part of an effort to raise awareness about prostate cancer and the importance of getting checked. The screening was administered by Integrated Medical Foundation (IMF), a non-profit organization which promotes awareness and early detection of prostate cancer. It entailed a PSA blood test and a digital rectal exam administered by IMF Founding President Dr. Deepak Kapoor, M.D. of Advanced Urology Centers of New York. Read about the results here.

 

 

Sid Rosenberg of WABC radio’s “Sid & Bernie” Show talks about ARC

January 2017- Did you hear Sid Rosenberg of WABC radio’s “Sid& Bernie” show talk about ARC? If not, tune in to listen.

 

 

Sid Rosenberg of WABC radio’s “Sid & Bernie” Show talks about AUCNY

January 2017- Did you hear Sid Rosenberg of WABC radio’s “Sid & Bernie” show talk about AUCNY? If not, tune in to listen.

 

 

Origins of the U.S. Preventive Services Task Force

January 2017- Dr. David Crawford invited Dr. Deepak Kapoor to discuss the origins and background of the U.S. Preventive Services Task Force (USPSTF). This presentation is especially timely and important with the USPSTF’s recommendation against prostate-specific antigen (PSA)-based screening for prostate cancer. Listen here.

 

 

LHRH Agonists and Antagonists in Prostate Cancer

January 2017- Carl Olsson, MD, compared the efficacy of LHRH agonists with antagonists, which are commonly used to treat patients with prostate cancer. Tune in here.

 

 

Weighted Gleason Grade Group: A New Prostate Cancer Biopsy Reporting System with Prognostic Potential

December 2016- Drs. Carl A. Olsson and Deepak A. Kapoor teamed with colleagues from world-renowned institutions to propose a new prostate cancer biopsy reporting system which has prognostic potential. To see the poster presented at the 2016 Society of Urologic Oncology (SUO) Annual meeting, click here.

 

Adapting to the New Value-Based Payment Models

December 2016 Deepak A. Kapoor, MD discussed how physicians can adapt to the new value-based payment models. To listen to the interview, click here.

Dr. Nicole Fleischmann Takes the Questions out of many Female Health Issues

November 2016- Nicole Fleischmann, MD had a candid conversation about women’s issues with Lisa Davis of “It’s Your Health.” She discussed different diagnoses and the exciting new MonaLisa Touch® treatment. Click here to get answers to many of your questions.