Andrew J. Meltzer, MD - Cost drivers in vascular surgery

Dr. Meltzer is an associate professor of surgery and chair of vascular surgery at the Mayo Clinic in Arizona where in addition to a busy clinical practice, he researches cost drivers in medicine along with the safety and efficacy of new technology in Vascular surgery.    Dr. Meltzer received his undergraduate degree from Yale, completed medical school at Jefferson University in Philadelphia followed by a general surgery residency at the Massachusetts general hospital in Boston and finally vascular surgery fellowship at New York-Presbyterian hospital Columbia/Cornell where he stayed on as faculty at Cornell for 6 years prior to his appointment at the Mayo Clinic in Arizona.

• (08:01) Administrative expansion in healthcare 
• (08:30) Administrative costs in healthcare
• (10:50 Defensive medicine and IVC filter placement
• (12:45) Philip Goodney and the Dartmouth institute publications
• (14:20) Variation in health care utilization
• (15:25) Defensive medicine physician surveys
• • National Costs Of The Medical Liability System
  • Ending Defensive Medicine Is Key To Containing Health Care Costs
  • Perception of Resources Spent on Defensive Medicine and History of Being Sued Among Hospitalists
• (20:00) Association of medical liability reform with coronary artery disease management
• (20:30) Impact of provider characteristics on endovenous ablation procedures
• (35:00) Oligopoly in aortic grafts and costs
• • Variation in hospital costs and reimbursement for endovascular aneurysm repair
  • Hospital cost of endovascular versus open repair of abdominal aortic aneurysms
• (42:00) Regulatory Capture
• (45:00) Dr. Meltzer’s view on Paclitaxel