62
13th Annual Spine, Orthopedic and Pain Management-Driven ASC Conference + The Future of Spine – Call (800) 417-2035
DK: The Patient Protection and Affordable Care
Act has caused an explosion of patients eligible
for the Medicaid program. Unfortunately, the
legislation failed to address the unacceptably low
reimbursement rates to physicians and ASCs.
We have already seen significant increases in
the number of Medicaid procedures being per-
formed in 2014 and 2015. Physicians and ASCs
will need to monitor these numbers closely to
ensure that we are meeting the demands of our
local communities, but not putting ASCs at risk
of insolvency.
MG: Increased reporting requirements such as
PQRS and MU. These don't enhance patient care,
but they do enhance the amount of time it takes
to file documents to satisfy governmental regula-
tory agencies. I do not see an upside for patient
care, all I see is the work.
Q: What are some ways eye surgeons can
grow their practices in 2015?
SK: I believe that eye doctors should embrace
the opportunity to get involved with coordinated
care organizations that are being formed in their
communities. We can work closely with other
physicians to shape new ways of providing high-
quality care to our patients, while at the same time
looking for ways to practice more efficiently to
save healthcare dollars. It is important to send a
message that as eye surgeons we are interested in
partnering with other doctors in the move toward
alternative payment models. This will foster more
trust and cooperation with other healthcare pro-
viders. In turn, that will lead to more referrals and
more growth in an eye practice.
DK: I continue to be a strong advocate for the
golden rule — treat all of your patients as you
would a close friend or relative and your practice
will grow. It also helps to communicate quickly
and reliably with all of your referring physicians.
MG: Provide excellent eye quality care and make
sure that patient experience is a very positive
one. We try to get feedback from our patients
and address their issues. Happy patients make
more patients. I had a patient who had a positive
experience with me and decided to come back
for an orthopedic procedure with another doc-
tor in our facility. Happy patients also refer all
their friends.
Q: What are some key trends in ophthal-
mology technology adoption among eye
surgeons?
SK: In ophthalmology, the biggest recent techno-
logic advance was the introduction of the femto-
second laser-assisted cataract surgery. With new
laser technology, we are able to use a femtosecond
laser to make incisions and to perform other im-
portant parts of the cataract surgery with more
precision. In the future, the use of nanotechnol-
ogy to make eye drop medications more effective
is exciting. This technology can allow the elimi-
nation of postoperative eye drops after intraocu-
lar surgery. Also, the light adjustable intraocular
lens can revolutionize the customization we can
provide patients in enhancing their postoperative
visual outcomes.
DK: We are starting to see greater adoption in
laser-assisted cataract surgery with femtosecond
technology.
MG: One trend is the focus on the refractive re-
sults of the surgery. Good refractive results mean
that a patient's need for glasses after surgery de-
creases and patients like this. n
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