Dignity Health-St. Rose Dominican Neighborhood Hospitals Celebrate One-Year Milestone

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Four New Hospitals Added in Southern Nevada in 2017

This summer, Dignity Health – St. Rose Dominican Neighborhood Hospitals are celebrating their first year of delivering high-quality, compassionate care to the Las Vegas Valley.

“We are so pleased to provide the Las Vegas community with much-needed and improved access to the very best emergency and inpatient care available,” said Laura Hennum, Market CEO for Dignity Health – St. Rose Dominican Neighborhood Hospitals. “We’re proud the community has embraced us as a trusted care provider, and we’re thrilled to celebrate our one-year anniversary with the residents and patients we serve.”

Dignity Health-St. Rose Dominican opened four new hospitals in 2017 in the Las Vegas Valley:

  • North Las Vegas Campus: 1550 W. Craig Road
  • Blue Diamond Campus: 4855 Blue Diamond Road
  • Sahara Campus: 4980 W. Sahara Ave.
  • West Flamingo Campus: 9880 W. Flamingo Road

As part of this expansion in locations and services, St. Rose Dominican entered into an agreement with Emerus, a nationally recognized innovator in the delivery of efficient medical care, to build and manage these sites.

In less than a year, more than 50,000 patients received treatment in emergency rooms and inpatient units of these Neighborhood Hospitals, where they can see an ER physician within 15 minutes or less and complete their ER visit within 90 minutes or less. As they continue to grow, Dignity Health – St. Rose Dominican Neighborhood Hospitals remain committed to providing world-class health care services that put the needs of patients and their families at the forefront.

These Neighborhood Hospitals are providing vital, high-quality health care to underserved parts of the Las Vegas Valley. Among the features that set these Neighborhood Hospitals apart: They are fully accredited, independently licensed hospitals, open 24/7, and they treat all patients – regardless of their insurance status or ability to pay.
Four New Hospitals Opened in 2017

The hospitals are staffed with board-certified ER physicians and hospitalists; maintain transfer agreements with partner hospitals; offer on-site X-ray, CT scans, ultrasound and lab services; and will soon become a hospital and “healthplex” – providing ancillary services, such as physical therapy, primary care, wellness programs and more, depending on community needs.

These hospitals play a key role in the economic revitalization of the areas where they’re located. The Sahara Campus is a key redevelopment initiative, contributing to renewal efforts at Sahara and Decatur. The Sahara Campus replaced an abandoned car lot, and in addition to the hospital, new retail space is going in adjacent to the hospital at Sahara and Decatur.

As the community’s only not-for-profit, faith-based health system, Dignity Health-St. Rose Dominican has been guided by the vision and core values of the Adrian Dominican Sisters for more than 70 years. As the Henderson and Las Vegas communities grow, the St. Rose Dominican health system and its nearly 4,000 employees will continue the Sisters’ mission of serving people in need. St. Rose Dominican is a member of the 22-state Dignity Health network of nearly 9,000 physicians, 62,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging centers, home health and primary care clinics. For more information, visit their website at www.strosehospitals.org or follow us on Facebook, Twitter, YouTube or their Blog.

Emerus is the nation’s first and largest operator of micro-hospitals. Emerus partners with leading health systems to provide excellence, empathy and innovation in health care delivery through a network of efficient, value-based micro-hospitals. The Emerus network brings high-quality, patient-centric acute episodic and ambulatory clinical services to communities across a given market. This helps patients by positioning best-in-class provider services in the communities where they work, live and play. Emerus’ distinctive level of care earned the Guardian of Excellence Award for Superior Patient Experience in 2013, 2014, 2015, 2016 and 2017. More information is available at www.emerus.com.

HLTH Conference Returns to Las Vegas October 2019

By | News, Press Release

HLTH, the Blockbuster New Conference for Health Innovation that Launched this Spring, Announces Move to the Fall

HLTH, the industry’s groundbreaking new event covering disruptive innovations that are driving substantial reductions in health costs and dramatic increases in health quality, is moving from the spring to the fall, filling a major gap in the healthcare industry events calendar. The next HLTH event will be held on October 27-30, 2019 at MGM Grand’s brand new conference space in Las Vegas.

HLTH launched in May 2018 and broke the mold of traditional events with more than 3,500 attendees, including more than 700 CEOs, from 1,750 companies, making it the largest healthcare event launch in history. With 375 C-level speakers, 240 sponsors and 300 investors, HLTH immediately created a new model and established a new standard to empower health transformation.

“The tremendous success of our inaugural HLTH event this past May demonstrated the need for an all-in, must-attend health ecosystem conference where all major stakeholders share new solutions and strategies, where networking is curated and meaningful, and where key business-to-business exchanges take place,” said Jonathan Weiner, Founder and Chief Executive Officer of HLTH.

Simply put, no such forum exists today; instead, the spring already has far too many events, causing dilution and event fatigue in the first half of the year. “There is no definitive industry touch point in the fall,” said Weiner. “Shifting HLTH six months to the fall allows us to be even more impactful in our mission to serve as a catalyst for the improvement of healthcare in the US by enabling the industry to regroup as the current year comes to an end, as well as commence critical planning before the start of the new year.”

HLTH is planning several new and exciting additions to the 2019 event. The goal of HLTH 2019 is to bring all stakeholders together to commit to taking the necessary steps to flip the foundations of health. This will allow consumers to become better in making everyday decisions about how to be their healthiest selves.

The HLTH 2018 launch event received consistent high praise from throughout the health industry:

“Best health care conference I have ever attended. Bar none.”
~ David Feinberg, President & CEO, Geisinger

“Overnight, HLTH has become “the conference” for networking, business-building, idea generation and catching up with great friends for those of us focused on healthcare innovation. A must do event.”
~ Dr. Amy Abernethy, Chief Medical Officer, Chief Scientific Officer & SVP, Oncology,
Flatiron Health

“HLTH was a 2018 health conference that took us all by surprise, in a good way! Strong business leader representation across provider, payer, pharmaceutical and academic organizations attracted industry suppliers, media and venture capital. A great event place to learn about the key trends driving the health industry, network with peers, and find new business opportunity. A refreshing take on the overcrowded health conference scene.”
~ Dr. Simon Kos, Chief Medical Officer, Microsoft

“I really loved HLTH and it was incredibly well done! HLTH brought together a great mix of industry leaders and startups. I learned a lot from the sessions and enjoyed the one-on-one interactions. We’ll definitely be back in 2019!”
~ Anne Wojcicki, CEO and Co-Founder, 23andMe

“HLTH has inspired the entire health industry to step up and make profound decisions on the way we engage and inspire people to manage their health. There’s too much going on in the Spring, so holding HLTH in the Fall gives stakeholders the opportunity to dedicate their full attention.”
~ Marcus Osborne, VP, Health Transformation, Walmart

“There are a lot of conferences so people have to be choosy. HLTH is one of a small number I will appear at every year, if asked. I found it very professional with the right people there. As long as it’s not the dead of winter in Minneapolis, November in DC, or the dead of summer in Houston, there’s not a bad time for this.”
~ Andy Slavitt, General Partner, Town Hall Ventures

“The inaugural HLTH Conference was nothing short of exceptional! HLTH was loaded with meaningful content, high caliber speakers, attendees from all across healthcare, and a high energy, contemporary ambience. HLTH is on my MUST ATTEND annual conference list. Grateful for the move to the fall – prudent decision!”
~ James Mault, MD, FACS, SVP & Chief Medical Officer, Qualcomm Life

“HLTH was unique in facilitating serious conversations among leaders about our healthcare system and innovation, while creating an atmosphere of fun. Everyone was energized and contributing to the dialog”
~ Ana Gupte, Managing Director, Senior Research Analyst, Leerink Partners

About HLTH

HLTH is the leading event covering innovation in healthcare that is driving substantial reductions in costs, and dramatic increases in quality. It’s an unprecedented, large-scale forum for individuals, companies and policymakers who are reshaping the healthcare industry to learn, collaborate and evolve. The event is unique in bringing together all key industry stakeholders, ranging from large established providers, payers, employers and pharma services to disruptive startups and prolific investors as well as representatives from government, media and analysts. By helping reshape the dialogue and ecosystem, HLTH serves as a catalyst for the development of the healthcare industry during a period of fundamental change. To learn more, visit www.hlth.com.

UMP Growing and Adding New Team Members

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UMP is Growing

United Medical Providers (UMP) welcome Betty Driver, MHA and Jamie Melton, RN, BSN, Patient Care Coordinators, to its patient care team, as the company continues to grow its business

United Medical Providers has been serving the medical supply and equipment needs for thousands of clients in the United States since 1996. UMP carries thousands of products from top manufacturers like Bard, Coloplast (formerly Mentor), Hollister, Rochester Medical, Cure, hi-slip, and LoFric.

Betty Driver, MHA

Betty Driver, MHA is caring for the clinicians and patients in the Houston, Texas area. Betty is a native of Chicago, Illinois but found herself relocating to the Houston area in 2000.

Betty has 19 years of experience in the medical sales industry. Specifically, with Coloplast Medical, Abbott Lab, and Addiction Labs.

Betty came to UMP with a Masters of Healthcare Administration from University Phoenix and is using her education to reach more patients with urological needs.

Jamie Melton, RN, BSN

Jamie Melton, RN, BSN is caring for our urology patients in North and South Carolina. She is a lifetime resident of North Carolina and graduate of Lees- McRae College in Banner Elk, NC with her Bachelors of Science- Nursing.

Jamie is a Registered Nurse in North Carolina and has 5 years of experience in the ICU/PCU. With her clinical experience, Jamie understands the needs and necessities of patients, physicians and support staff. She can’t wait to meet and assist everyone in the Carolinas with their urological needs.

United Medical Providers is a national, HIPAA accredited urological supply provider that puts patient needs first. UMP’s representatives work with Medicare and Medicaid in most states and handle the paperwork for clients. The company takes care of patients with personal attention, education and respect, and in full compliance with the care guidelines that medical practices’ prescribe.

When patient needs catheters or other urological supplies, UMP delivers them directly to a patient’s door – quickly, correctly, and without the hassles of billing or insurance paperwork. When medical practices recommend UMP, patients receive an extraordinary level of care and service that is defined by personal experience and commitment, corporate character and industry knowledge.

ACAP Health Announces Partnership to Reduce Orthopedic Surgery Costs for Employers

By | News, Press Release

National leader in employer health solutions partners with groundbreaking surgical alternative

ACAP Health, a leading provider in innovative, clinical-based solutions has partnered with Regenexx to reduce high-cost musculoskeletal surgeries.

Regenexx provides non-surgical alternatives to treat orthopedic injuries, arthritis, and other degenerative conditions. Founding the field of Interventional Orthopedics, Regenexx cell-based procedures effectively intervene on 70% of orthopedic injuries and conditions where surgery was previously the only solution. This approach enables employers to save more than 80% on orthopedic costs, all while providing best-in-class outcomes. The Regenexx process of treating musculoskeletal conditions involves a level of physician skill and a patented protocols to customize cell based treatments which can only be achieved through their standards of practice.

“When it comes to solving America’s healthcare crisis, employers are the answer,” commented Wally Gomaa, CEO of ACAP Health. “With Regenexx, ACAP Health gains a partner dedicated to treating musculoskeletal injury, which is typically the leading diagnosis area for employer health plans in terms of total spend.” ACAP Health is now able to expand its clinical reach to this high cost area for employer clients through Regenexx.

Employers who partner with Regenexx not only report a significant drop in the need for high risk orthopedic surgeries, they show less absenteeism and an enhanced benefits package. In fact, when given the choice of a traditional surgical procedure or a Regenexx procedure, employees have chosen to pursue Regenexx 99.7 percent of the time. Employers who underwrite Regenexx have reduced their orthopedic health care costs by 84 percent. When combined, these two factors create a win-win scenario for companies in offering competitive yet cost-effective employee benefits packages.

“As the provider of the most advanced non-surgical orthopedic care available in the United States, Regenexx is excited to expand our mission of producing the best-possible patient outcomes for ACAP Health’s partners through our successful alternative to orthopedic surgery,” said Jason Hellickson, CEO of Regenexx. Regenexx clinics are the only regenerative medicine solution with the capability to serve a nationwide footprint with the same standard of care from coast to coast with 60 clinic locations across the country and an additional 70 locations projected by the end of 2019.

About ACAP Health
ACAP Health is a national leader in employer healthcare expense reduction offering a stark difference from traditional wellness companies. ACAP Health provides programs that have been clinically proven to help employees become healthier and reduce overall healthcare expense. While most programs waste time and money by measuring participation alone, ACAP Health offers guaranteed solutions with clinical results you can measure. ACAP believes that employers play a vital role in employee health and by upgrading employee health, employers can upgrade the health of their business. ACAP Health offers a range of solutions for employers and health insurers to offer to their covered members, including the industry-leading Naturally Slim® program.

About Regenexx
Regenexx is a nationwide network of physicians who practice Interventional Orthopedics, a new specialty that focuses on using the most advanced regenerative-medicine protocols available as an alternative to many orthopedic surgeries. Regenexx has published roughly half of the research world-wide on the use of stem cells for treating orthopedic injuries, and our patented treatment
lab-processing and treatment protocols allow us to achieve unmatched results. Our procedures use your body’s natural healing agents including blood platelets and stem cells to repair damaged bone, muscle, cartilage, tendons, and ligaments. We believe in educating patients, offering options, and encouraging people to take an active role in their own treatment.

For more information on Regenexx Corporate visit www.regenexxcorporate.com or call 888-547-6667. For more information on the Regenexx procedures visit www.regenexx.com.

Regenexx Offers Solutions for Connect Healthcare Collaboration Partner Employees

By | News, Press Release

Innovative Partnership to Reduce Self-Insured Employers’ Healthcare Costs

Connect Healthcare Collaboration works with consultants, brokers, and employers to reduce unnecessary healthcare spend while improving the outcomes of plan members by identifying and implementing proven strategies, then building the communication and education platform to ensure that plan members take advantage of these solutions. They will now be partnering to recommend Regenexx as a more effective and low-cost alternative to certain orthopedic surgeries. Through this partnership, Connect Healthcare Collaboration assist plan members in the education and ultimate consultation for Regenexx’s non-surgical, low-risk treatment alternatives for orthopedic injuries, joint conditions, and osteoarthritis.

Employee benefits are typically the second or third largest ongoing expense for employers behind payroll and raw materials — and it remains one of the few line items many employers don’t think they can do anything about. But Connect offers a tested and proven model to increase health literacy, engage employees, customize solutions, and reduce costs.

With this new partnership, Regenexx is now the solution for Connect Healthcare Collaboration partner employees who have been told they are in need of orthopedic surgery. Regenexx provides non-surgical alternatives to treat orthopedic injuries, arthritis, and other degenerative conditions. Founding the field of Interventional Orthopedics, Regenexx cell-based procedures effectively intervene on 70% of orthopedic injuries and conditions where surgery was previously the only solution. The Regenexx process of treating musculoskeletal conditions involves a level of physician skill and a patented protocols to customize cell based treatments which can only be achieved through their standards of practice.

Employers who partner with Regenexx not only report a significant drop in the need for high-risk orthopedic surgeries, they show less absenteeism and an enhanced benefits package. In fact, when given the choice of a traditional surgical procedure or a Regenexx procedure, employees have chosen to pursue Regenexx 99.7 percent of the time. Employers who underwrite Regenexx have reduced their orthopedic health care costs by 84 percent. When combined,

these two factors create a win-win scenario for companies in offering competitive yet cost-effective employee benefits packages.

“Our job is to help employers across the US implement ways to gain control of their benefits spend and reduce that massive line item, while simultaneously increasing productivity,” said Sally Pace, Chief Executive Officer of Connect Healthcare Collaboration. “Because musculoskeletal spend is generally one of the largest claims classes for an insured population, introducing Regenexx into these plans immediately allows for significant savings, and yet equally important, provides superior outcomes for the lives they touch.”

When asked about this innovative collaboration Regenexx Chief Executive Officer, Jason Hellickson said, “As a provider of the most advanced non-surgical orthopedic care available in the United States, Regenexx is excited to continue our mission of producing the best-possible patient outcomes for Connect Healthcare Collaboration through successful alternatives to orthopedic surgery.”

Contact us today to learn more.
Connect Healthcare Collaboration: 800-490-1852
Regenexx Corporate: 888-547-6667

Regenexx Partners with Edison Healthcare

By | News, Press Release

Innovative Partnership Focused on Reducing Employers’ Healthcare Costs

Edison Healthcare has chosen Regenexx as their exclusive option for low-cost, effective alternatives to orthopedic surgery. Both Regenexx and Edison Healthcare are dedicated to helping employers reduce wasteful spending in healthcare and provide patients with the quality-care they deserve. Through this partnership, Edison Healthcare’s corporate clients will now be able to offer their employees a non-surgical, low-risk treatment alternative for orthopedic injuries, joint conditions, and osteoarthritis.

Through their robust network of Smart Care Centers – Edison Healthcare is on a mission to help patients and employers avoid inefficient and unnecessary treatments. Adding Regenexx to their community of Smart Care Centers was both beneficial for the clients of Edison Healthcare and the patients they serve.

Each Smart Care Center consistently offers intelligent, thorough, and compassionate care for complex medical issues. By contracting directly with Smart Care providers around the world, Edison Healthcare is pioneering a new level of health care for patients and they are closing in on offering the most affordable medical services for employer groups.

With this new partnership, Regenexx is now the solution for Edison Healthcare patients who have been told they are in need of orthopedic surgery. Founding the field of Interventional Orthopedics, Regenexx offers a solution that provides a low-cost alternative to as many as 70% of orthopedic surgeries allowing employers to save more than 80% on orthopedic costs.

Tom Emerick, CEO and Co-Founder of Edison Healthcare, shared “Edison Healthcare welcomes Regenexx to the team. They offer a low cost and safe way to treat certain orthopedic problems. We expect employers and their employees to see great value in this program.”

When asked about this innovative collaboration Regenexx Chief Executive Officer, Jason Hellickson said, “As a provider of the most advanced non-surgical orthopedic care available in the United States, Regenexx is excited to continue our mission of producing the best-possible patient outcomes for Edison Healthcare through successful alternatives to orthopedic surgery.”

Contact us today to learn more.
Edison Healthcare: 866-982-7988
Regenexx Corporate: 888-547-6667

Las Vegas HEALS to Host 7th Annual ‘Inspired Excellence in Healthcare Awards’

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Community Leaders in Healthcare Honored on October 25 at Four Seasons

Las Vegas HEALS (Health, Education, Advocacy and Leadership of Southern Nevada), a nonprofit membership-based healthcare association, will recognize a group of deserving honorees as part of the 7th Annual “Inspired Excellence in Healthcare Awards” for their outstanding contributions to the Southern Nevada community.

Inspired by the pioneer exploits of Dr. Royce W. Martin, Las Vegas’ first chief surgeon, circa 1905, the award will recognize physicians of good standing in their professional and personal life, who have demonstrated achievements of exceptional leadership, and management proficiency to enhance strategic and operational effectiveness of healthcare delivery in their practice/community. The candidates sought should be worthy of recognition from colleagues as the best in their field, individuals who ignite and inspire continued possibilities for healthcare excellence. The candidates can be physicians and non-physicians.

Nominations are open now through Friday, July 27, and can be emailed to: nominate@lasvegasheals.org. Entries submitted on behalf of a healthcare group will be limited to one recipient per organization.

Past recipients have included the following healthcare leaders: Dr. Joseph Adashek, Dr. Chowdhury Ahsan, Dr. Mary Ann Allison, Dr. Howard Baron, Ms. Shelley Berkley, Dr. Charles Bernick, Dr. Joel Bower, Dr. Dale Carrison, Dr. Jim Christensen, Dr. Michael Ciccolo, Mr. Bob Cooper, Dr. Michael Crovetti, Dr. Jeff Cummings, Dr. Rutu Ezhuthachan, Dr. Mitchell Forman, Dr. Oscar Goodman, Jr., Dr. Joe Hardy, Dr. Don Havins, Dr. Florence Jameson, Dr. Yevgeniy Khavkin, Dr. Edwin Kingsley, Dr. J.D. McCourt, Dr. Russ Nevins, Dr. Ben Rodriguez, Dr. Anashu Shah, Dr. David Steinberg, Dr. Steven Thomas, Dr. Nick Vogelzang, Dr. Troy Watson, Dr. Dyland Wint, and Dr. Carolyn Yucha.

“This annual gala will be a very special event this year as Las Vegas HEALS celebrates its 15-year anniversary,” said Doug Geinzer, CEO of Las Vegas HEALS. “We are looking forward to honoring a group of individuals who set a higher standard for the healthcare community in Southern Nevada. Their contributions to our community are well deserving of recognition.”

The 7th annual gala will take place from 5:30 – 9 p.m. on Thursday, Oct. 25 at the Four Seasons Hotel in Las Vegas. Individuals interested in attending or sponsoring the event should contact Las Vegas HEALS at 702-952-2477 or visit the Gala page for more information.

About Las Vegas HEALS

Founded in 2002, Las Vegas HEALS (Health, Education, Advocacy, and Leadership in Southern Nevada) is a nonprofit, membership-based association whose mission is to foster strategic alliances in the healthcare community, collaborating on workforce issues, and being a proactive force for legislative initiatives to improve access and the delivery of quality healthcare. The organization now represents members who collectively employ over 34,000 healthcare professionals. Multiple task forces, councils and committees meet on a regular basis to address various issues and opportunities.

Collaborative Effort Needed to Combat Doctor Shortage in Nevada

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This piece was created by Las Vegas HEALS and posted in Healthcare Quarterly

Nevada’s economy is growing at a healthy pace, especially when looking at where the Silver State was a decade ago. More than 250,000 new jobs have been created in the state since the recession, a number that will be increasing with the dozens of new projects across the state, including the $1.9 billion Las Vegas Stadium and the $4 million Apple shipping and receiving warehouse in downtown Reno. But despite these promising job growth numbers coming to the state, there is still work to be done. The need for doctors in the state of Nevada is a very real problem, and because of the state’s low reimbursement rates, it’s an issue that won’t be going away anytime soon.

This real problem has dismal numbers, with the state ranking 48th in the country for physicians per capita. Nationally there are about 251 physicians for every 100,000 people, whereas the state of Nevada has just under 200. Las Vegas ranks poorly in the number of specialists and subspecialists, ranging from endocrinologists to oncologists, pediatrics to geriatrics. This problem in Nevada is due to several factors, including population growth, an increase of people with insurance since the Affordable Care Act took effect, a lack of graduate medical education (GME), and poor doctor reimbursement rates.

Graduate Medical Education

Having the opportunities for graduate medical education as well as seats in the classroom is key in fixing the doctor shortage problem in Nevada. According to Doug Geinzer, chief executive officer of Las Vegas HEALS, a nonprofit, membership-based association whose mission is to foster strategic alliances in the health care community, “we have doctor shortages across all areas, it’s not just in one particular specialty. An area that compounds the problem is that, as a region, we didn’t have significant academic medicine present until recently, but it’s growing now and will create more doctors for our future.”

Touro University, Nevada’s largest medical school, recently expanded its medical school from 135 students to 181 students due to its large number of applications; and UNLV’s medical school will be welcoming its second class of 60 students in July. Even with the graduate medical education expansion, including having residencies in almost every valley hospital, the state is lacking in graduate medical education opportunities, so that poses the question: Where will all these medical students go once they graduate?

“The challenge we have in the state is not the number of medical schools or medical students, it’s the lack of residency programs which are commonly known as graduate medical education,” said Shelley Berkley, Touro University chief executive officer and senor provost. “Our students who graduate from medical school have to leave the state in order to satisfy their 3-year residency requirements.”

A residency is a stage of graduate medical training for new doctors in which they practice medicine under the supervision of a hospital or clinic. The average residency lasts three years, and the students practice in their chosen specialty, such as emergency medicine or pediatrics. States typically have 40 residents per 100,000 people, but Nevada has somewhere between 12 and 14 residencies per 100,000. Funding for graduate medical education comes out of the Medicare fund from the federal government. A number of years ago, Congress put a cap on graduate medical education in order to attempt to balance the federal budget. For growth states such as Nevada, this action proved to be devastating, as there was no funding to create additional residency spots and no place to obtain additional funds. Fast forward to two legislative sessions ago, Governor Brian Sandoval announced that $10 million will be distributed throughout the state to expand graduate medical education opportunities.

“The legislature and Governor Sandoval have been helpful in providing resources to help create residency programs in the state, but it is just the tip of the iceberg,” said Berkley. “If we want to actually keep young future doctors from leaving town and leaving the state, we have to provide a dramatic increase in residency programs to keep them here. What is so troubling is that national statistics demonstrate that 70 percent of doctors end up practicing where they do their residency, so unless the student has strong ties to Nevada, if they are forced to leave in order to satisfy their residency requirement, 70 percent are not coming back. So right now, we are educating a whole lot of future doctors to practice someplace else.”

Population growth and low reinbursement

Low reimbursement rates are another reason that Nevada can’t seem to retain doctors. “Doctors are in high demand wherever you go in the country — there are shortages, it’s not just in Nevada. However, when these students get out of medical school, most are saddled with somewhere between $175,000-$225,000 of student loan debt,” said Geinzer. “Medical school garners the highest level of school loans, so these doctors have to earn a good living, therefore they need to be reimbursed at adequate levels or they can’t pay their student loans. Doctors can earn 20 percent more in the neighboring Southwest states, which will allow them to service their student debts a lot quicker.”

There is a common myth that all doctors’ wages come easily to them, and they spend their days on the golf course. However, doctors’ salaries are based on how much they get reimbursed from the insurance companies for services they perform, and those reimbursement rates vary by state. A doctor’s compensation is directly tied to reimbursement, and Nevada is one of the worst reimbursed states in the country, with Medicaid being the provider with the lowest reimbursement rates. In 2013, Gov. Brian Sandoval expanded Medicaid, and the number of enrollers in the state doubled from 320,000 Medicaid utilizers to 650,000. As supportive as the medical community has been about this expansion, the state’s reimbursement rates did not go up, so doctors are seeing triple the number of patients using the payer that reimburses the least in the state, Geinzer noted.

Todd Sklamberg, chief executive officer of Sunrise Hospital and Medical Center, said, “within the state of Nevada, Medicaid reimburses acute care hospitals across the state at 57 percent of our cost, not our charges, but the cost to provide care. Since 2001, there has been one increase in 2015, so over the last 17 years there has only been one rate increase. If you assume an inflation rate of 3 percent annually, our costs in this timeframe have gone up by almost 50 percent with no increase in the reimbursement. Sunrise Hospital specifically gets reimbursed half our cost — it’s a challenge.”

On the private practice end of the spectrum, the low reimbursement rates affect the level of care that patients receive due to the lack of doctors in primary care. “One of the things that happens with low reimbursement rates is physicians in primary care tend to see more patients per hour than they can easily accommodate,” said Dr. Howard Baron, president-elect of the Nevada State Medical Association. “What ends up happening is when physicians are overbooked in their primary care clinic, they end up making referrals to specialists for things that may have been able to stay in primary care in other states. Primary care doctors don’t have enough time per patient to do extended visits to take care of things that are more medically complex. With the influx of patients, the specialists get overwhelmed with problems that don’t always require specialty care, and then that drives up the cost and time for the patients, and also decreases the satisfaction of the service, so it’s a whole vicious cycle.”

Medical professionals agree that something has got to give in Nevada when it comes to reimbursement rates. “If we don’t get the reimbursement part of the equation right, we’re going to find ourselves in a place where our taxpayer dollars are going to be supplementing training doctors to go to other states to work, which is not what we want to happen,” said Geinzer.

The Future of Health Care in Nevada

Although health care has faced challenges in Nevada for years, significant efforts are being made to fix the problem including bringing top-of-the-line medical entities to the state, such as the new VA hospital, Roseman University and the Cleveland Clinic Lou Ruvo Center for Brain Health. Medical professionals also believe that just by starting the discussion on this topic, changes can be made. “I think having the conversation is a huge start, putting it out there really helps,” said Cleveland Clinic Administrative Director Erick Vidmar. “Bringing players in the market, like the Cleveland Clinic and others, have improved the quality of care provided in Nevada. As we improve quality, people will recognize that quality costs additional money so that will help drive reimbursements up and attract new providers.”

The doctor shortage is not just a Nevada problem. By 2030, studies predict a shortage of more than 100,000 doctors in the United States. Nevada needs to be committed to fix this problem by continuing to fund additional graduate medical education opportunities so the state can produce more homegrown doctors. The reimbursement rates also need to be improved as a way to recruit and retain doctors to the state.

“It has to be a collaborative effort to find a solution to improve reimbursement rates,” said Las Vegas HEALS Chairman of Board of Directors Bob Cooper. “It is a complex, challenging issue, but it’s one that needs to be addressed in order to improve health care for the future. Our organization’s goal is to start this serious conversation as soon as possible with our members and key stakeholders.”

Dr. Robert M. Lowe, M.D., Ph.D. Opens Kids Arthritis Care Clinic

By | News, Press Release

Dr. Robert M. Lowe, M.D., Ph.D. opens the first clinic of its kind in Nevada dedicated solely to the care of children with rheumatologic (autoimmune) conditions.

Dr. Robert Lowe, M.D., Ph.D.

Dr. Robert M. Lowe is the Founder and Medical Director of the Juvenile Arthritis & Rheumatology Care & Research Center (also known as Kids Arthritis Care), the only dedicated pediatric rheumatology clinic in the state of Nevada. The clinic houses a child-only infusion center so that pediatric patients may receive their medications in a safe and comfortable environment.

Dr. Lowe is also a clinical assistant professor at the University of Las Vegas (UNLV) School of Medicine, and is the only board-certified pediatric rheumatologist permanently based in the State of Nevada. He is credentialed with Sunrise Hospital, University Medical Center, and Summerlin Hospital.

Dr. Lowe opened his clinic in June of 2017 to fill a void in Nevada, a state with an alarming shortage of pediatric subspecialists. Dr. Lowe’s current patients regularly express past frustration in trying to receive timely pediatric rheumatology care without leaving the State of Nevada. Dr. Lowe hopes to eventually expand his clinic to draw patients from surrounding states with similar shortages of board-certified pediatric rheumatologists. The State of Nevada, by itself, could easily support five full-time pediatric rheumatologists, and Dr. Lowe plans to recruit other board-certified pediatric rheumatologists to the area.

Prior to coming to Las Vegas, Dr. Lowe served for five years on the faculty of the University of Alabama in Birmingham and Children’s of Alabama, in the division of Pediatric Rheumatology where he split his time between caring for kids with rheumatology (autoimmune) conditions and performing basic and translational research to improve our understanding of childhood lupus and Sjogren’s syndrome. Dr. Lowe spent several years in Washington State, where he received his medical degree and Doctor of Philosophy degree (Ph.D.) in Molecular and Cellular Biology, with a concentration in autoimmune disease, from the University of Washington.

Dr. Lowe has made a commitment to providing training and educational experiences to parents and other medical professionals. He hosts a Blog on the clinic website, where he answers commonly asked questions related to autoimmune conditions in children. Questions are also answered on his

Facebook page. He routinely accepts invitations to speak to doctors, medical organizations, and parent groups, and is creating training videos designed to help families learn how to safely perform injections. He is also in the process of writing several books toward the goal of promoting widespread understanding of pediatric arthritis and other autoimmune conditions affecting children. He hopes that this heightened awareness will also attract other doctors into the pediatric rheumatology profession, and there are fewer than 350 board-certified and practicing pediatric rheumatologists in the United States.

Dr. Lowe’s ultimate goal and vision is to provide the best collaborative, comprehensive and complete care for children with complex and misunderstood medical conditions. His model is to work closely with his patients’ other treating professionals, including their primary care pediatrician and any other pediatric specialists treating the child. Dr. Lowe believes that a collaborative approach is the best way to promote complete and long-term remission in rheumatology patients.

To schedule an appointment with Dr. Lowe, please visit the clinic’s website, or call (702) 686-9239.

Roseman Medical Group Opens First Practice Site in Spring Valley

By | Featured, News, Press Release

Practice Includes New ALS Multidisciplinary Clinic to Serve Southern Nevada

Roseman Medical Group, the medical practice of Roseman University College of Medicine, has opened its first location, adjacent to Spring Valley Hospital at 5380 S. Rainbow Blvd, Suite 120 in Las Vegas.

Roseman University’s New Location in Spring Valley.

The practice is currently offering neurology services led by David Ginsburg, MD. Dr. Ginsburg and his medical team specialize in the diagnosis and treatment of the nervous system and neuromuscular disorders. With Dr. Ginsburg serving as medical director, the practice also houses southern Nevada’s second clinic serving patients with amyotrophic lateral sclerosis (ALS).

The Roseman University ALS Clinic at Roseman Medical Group will provide evidence-based, multidisciplinary ALS care and services in a supportive atmosphere with an emphasis on hope and quality of life.

Dr. Mark Penn, Founding Dean of the College of Medicine explained, “Long-term plans for the Roseman Medical Group practice include expansion into primary care and a variety of medical specialties staffed by College of Medicine faculty physicians and other healthcare professionals.”

Roseman Medical Group Staff.

“We are delighted to have Dr. David Ginsburg as Roseman Medical Group’s first practicing physician and as a professor on our faculty,” said Dr. Bruce Morgenstern, Roseman University College of Medicine vice dean for academic and clinical affairs. “Practicing in southern Nevada since 1994, he brings with him remarkable history of exceptional patient care and clinical research in neurology, with emphasis in neuromuscular diseases like ALS.”

ALS is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. Eventually, people with ALS lose the ability to initiate and control muscle movement, which often leads to total paralysis and death within two to five years of diagnosis. Although there is currently no cure and no life-prolonging treatments for the disease, a recently FDA-approved medication has been demonstrated to slow the decline of various physical activities.

“We are very excited to have a second clinic in Las Vegas,” said April Mastroluca, executive director of the ALS Association Nevada Chapter. “Southern Nevada ALS patients and families will now have another option for ALS care in Las Vegas. We are grateful to Dr. Ginsburg, Roseman University and our clinic team for making this possible.”

Roseman’s Dr. David Ginsburg, MD, Professor of Internal Medicine.

Mastroluca adds, research has shown that multidisciplinary care, or, the practice of having physicians and other healthcare professionals collaborate to provide the most comprehensive treatment plan for patients, helps people with ALS have better quality of life—and actually prolongs life in most cases. The ALS Association Nevada Chapter has a long history supporting multidisciplinary care in Nevada as well as offering monthly support groups, an equipment loan closet, and respite care grants for caregivers of ALS patients.

“Our ALS Clinic is aligned to meet needs of patients and their families by providing all services in one convenient location at one time rather than having them travel to multiple locations at different times,” said Ginsburg.

Ginsburg received his Doctor of Medicine degree from University of Pittsburgh in 1988. Later, he completed his residency in neurology at Los Angeles County-USC Medical Center and a subsequent fellowship in clinical neurophysiology. This provided him with an extensive background in neurodiagnostic testing with Electroencephalogram (EEG) and Electromyography (EMG), and exposure to a large number of patients with neuromuscular disease. This training eventually led to him to lead local multidisciplinary clinics for the Muscular Dystrophy Associationœ and ALS.

About Roseman Medical Group
Founded in 2017, Roseman Medical Group is the medical practice of Roseman University College of Medicine. At Roseman Medical Group and the College of Medicine, PATIENTS are at the center of its VALUES and are the reason we strive for excellence in providing patient-centered care, conducting research and educating the next generation of physicians. For information, visit their website.

About The ALS Association Nevada Chapter
The ALS Association is the only national non-profit organization fighting ALS on every front. By leading the way in global research, providing assistance for people living with ALS through a nationwide network of chapters, coordinating multidisciplinary care through certified and recognized treatment centers, and fostering government partnerships, The Association builds hope and enhances quality of life while aggressively searching for new treatments and a cure. For more information about The ALS Association, visit their website.