[Bryan Steinberg]

Our hospital always says it is losing money. An impossibility in Maryland. The idea behind creating value and being paid foe value is to incrdase quality and decrease cost. This theoretically should attract more patients. This is the opposite of what hospitals in Maryland want to see happen. If the medical staff is fee for service private practice, how do you align these competing interests? My practice has the only two thoracic surgeons in Montgomery and PG counties. We are trying to create a regional service located at a single hospital. No hospital is willing to support this and invest in having an additional surgeon. We are left to either cover 9 hospitals and die from the inefficiency or move out of state. any thoughts?

Bryan

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