The Doctor's Lounge Radio Show

Hosted by Dr. Hal Scherz and Dr. Michael J. Koriwchak

Real doctors from the front lines of medicine engage the man-made crisis in American Healthcare. Hal Scherz, MD FACS (Pediatric Urologist) and Michael J. Koriwchak, MD, Otolaryngologist (Head and Neck Surgery) airs The Doctor's Lounge on America's Web Radio on Thursdays at 8:00 am Eastern.

"Every hospital has a private area where Doctors go to get a cup of coffee and get together to talk amongst themselves to discuss medical and health care matters... This show is a window into the private conversations doctors have that impact your world."

Blockchain to Transform EHR?

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Crypto-currency tech moving to Health IT

Michael Koriwchak, M.D.Bitcoin, the digital currency, rose to prominence from it’s start in 2009 built upon Blockchain encryption and records keeping technology.

Instead of a database that is centrally located and maintains the records (be they currency or health records), blockchain shares the data among a network of computers allowing users to add transactions (or information blocks) to the chain.

The information is kept secure through cryptography and distribution over a wide array of computers.  The implications of a decentralized network maintaining records and overcoming the ongoing challenges of interoperability have excited a flurry of articles and papers over the past six months.

Host Michael Koriwchak, M.D., our in house Health IT guru will unpack the complexities and comment on the problems and possibilities ahead.

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Prostate Standards Revised

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Scherz reviews the new standards and tackles the latest health news

Hal Scherz, M.D.Host Hal Scherz, M.D. returns to the Doctor’s Lounge to discuss the new standards rolling out in the American Joint Committee on Cancer (AJCC) Staging Manual.

Recommendations for prostate testing as well as mammograms have been swinging back and forth with perhaps the largest fury erupting over the USPSTF recommendations prioritizing economics and population data over the doctor’s clinical judgment.

Scherz, a pediatric urologist, will comment on this and the health news of the day.

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Maintenance of Certification

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Freedom Caucus Vindicated as Republican Leadership Pledges Repeal & Replace

Med Edison, M.D.Dr. Meg Edison touched off a firestorm in late 2015 when she decided she had had enough of MOC.

Edison exposed MOC (maintenance of certification) for ABP (American Board of Pediatrics) as a large scale money making scheme that allowed its leaders a laundry list of luxuries while costing struggling pediatricians thousands in direct fees, testing, and office based self reporting.

Edison published her reasons and ignited a groundswell of support from like minded doctors.  The ensuing outrage has even risen to a general vote by the AMA to (in part) reject MOC requirements for practicing physicians.

Meg steps into the Doctor’s Lounge with host Michael Koriwchak, M.D. to update us on the battle over MOC taking place in states around the country.

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AHCA Post-Mortem

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Freedom Caucus Vindicated as Republican Leadership Pledges Repeal & Replace

Michael HamiltonMichael Hamilton, Managing Editor of Health Care News for the Heartland Institute, just published “Health Care Reform Lives, Vindicating House Conservatives” and steps into the Doctor’s Lounge to discuss what happened, what went wrong, and how the potential for real reform (that was actually passed in prior Congressional) sessions is stronger than ever.

Host Michael Koriwchak, M.D. plans to discuss the opportunities ahead as Republican leaders reset for the future and commit to getting health care reform done.

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The Repeal Rundown

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Scherz Analysis of the Political Battle

Hal Scherz, M.D.Host Hal Scherz, M.D. looks at the state of the debate in Washington, D.C.

Earlier in the week, Dr. Scherz published an opinion editorial identifying some of the key problems in reforming health care that start with headlines designed to inflame or obfuscate.

As the first vote on the AHCA put forward by Republican leadership nears, Scherz will unpack what is going on behind the headlines.

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The Struggle for Reform

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The Republican Reform Bill and the Physicians Autonomy Project

Grace-Marie TurnerThe Republican bill dealing with ObamaCare has been released and taking fire from all sides.

Grace-Marie Turner of the Galen Institute and member of the D4PC Foundation Advisory Board steps into the Doctor’s Lounge to discuss not only the bill and the process, but her call for compromise.

She will be briefing us on the Physicians Autonomy Project – a working group in Washington, DC putting together policy suggestions to free physicians from government bureaucracy.

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Debriefing HIMSS

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A Game of Thrones in Health IT?

Michael Koriwchak, M.D.Host Mike Koriwchak, M.D. attended the 2017 Healthcare Information and Management Systems Society annual conference in Orlando last week.

Koriwchak described the competition for market dominance in health information technology as a Game of Thrones.  Tune in as he reviews the event and unpacks the state of IT post-conference.

Also, with last night’s Trump address to the joint session of Congress, expect extensive comment on the full court press to repeal and replace Obamacare.

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A Virtual Debate

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 From CNN to Contentious Nominee Hearings

Michael Koriwchak, MD

The past weeks have seen a contentious health care debate on CNN and an interrogation style HHS nomination process.

Dr. Michael Koriwchak is hosting a special virtual debate and virtual nomination process this week by engaging the tough questions from a doctor’s perspective on the front lines of medicine.

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Repeal! Now What?

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Trump & Congress Deal with Repeal

Brian Hill, M.D.President Trump took a first step toward repeal of the ACA with an executive order that made a clear statement of intent:

Section 1. It is the policy of my Administration to seek the prompt repeal of the Patient Protection and Affordable Care Act (Public Law 111-148) …

Host Dr. Michael Koriwchak will look at the reaction from a few segments of the medical community and give us an update on some encouraging news coming out of Johns Hopkins regarding workflow efficiencies arising from applying health IT.

The latter half of the show will revisit a few segments from Dr. Chuck Webster on a recent show where they discuss innovating IT workflows.

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Disrupting Health Care

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DPC transforming the landscape

Brian Hill, M.D.Direct Primary Care is gaining popularity across America- both with primary care doctors and patients. Over 4400 doctors are participating in some type of DPC practice.

This model which takes insurance out of the primary care space, gives doctors more flexibility in caring for their patients. By limiting the number of patients in their practice, they can spend more time with their patients, see them more often if needed, and concentrate on keeping them healthier.

This model actually costs patients less than the  traditional insurance based 3rd party payment system. DPC is a good start in bending down the healthcare cost curve and putting more control of healthcare decisions back where it belongs- in the hands of patients with the good counsel of their doctors. However, this is just the tip of the iceberg.

Dr. Brian Hill joins me in the Doctor’s Lounge to explain the scope of the problem and share the solutions that he thinks are necessary to disrupt and transform healthcare.

Hill is a full time practicing urologist and has been an activist in healthcare reform for over a decade. Along with two other Docs 4 Patient Care doctors (Hal Scherz & Jeffrey English), he has created a healthcare delivery model called HIP-Nation. As the President & Medical Director, he has used the DPC concept as the foundation for a broader healthcare ecosystem which includes specialists, ancillary services, and technology. This may be the next step in the transformation of the American healthcare system. He will describe this concept and share his thoughts about where we are failing and where we need to go.

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