In this episode, Dr. Foran and I discuss dwindling reimbursement rates and how that ties to physician burnout. It's not a "woe is me" complaint session on how surgeons are not making enough money; it's a larger systemic issue and what it means to the quality of care for patients and little things to "fix" the system.
Dr. Foran is an orthopedic surgeon with Pure Orthopedics, a Panarama Company. He has a resume almost a mile long It's 14 pages. He attended medical school at Berkeley, his internship at Johns Hopkins, a Residency at the University of California San Diego, and a Fellowship at Rush in Chicago. See his full write-up after the show timeline below for his background and education.
0:00 - 0:38 - Intro
0:38 - 1:36 - Opening comments
1:36 - 3:58 Opting out of Medicare
3:38 - 6:26 - Inflation and its effects on the practice
6:26 - 8:58 - What does opting out mean
8:58 - 9:50 - A day in the life
9:50 - 11:48 - PE purchase
11:48 - 15:38 - Challenges to Growth
15:38 - 18:34 - Thoughts on fee for service moving to value-based care
18:34 - 20:56 - Burnout
20:56 - 23:46 - Show me the $$ - Is opting out of Medicare the new new thing
23:46 - 27:34 - Why doesn't Medicare pay a fair wage? What can make it better
27:34 - 32:16 - What would you do to "fix" healthcare
32:16 - 35:50 - Insurance companies
35:50 - Closing remarks
Jared Foran Resume
License and Certifications
Board Certified, American Board of Orthopaedic Surgery 2012-Present
Medical Licensees: California, Colorado, Illinois, Texas 2003-Present
Education
Rush University Medical Center, Chicago, IL
Joint Reconstruction Fellowship 2009-2010
UC San Diego Department of Orthopaedic Surgery, San Diego, CA 2004 2009
Resident Physician in Orthopaedic Surgery
University of California San Diego, San Diego, CA 2003 -2004
Internship in General Surgery
Johns Hopkins University School of Medicine, Baltimore, MD 1999-2003
Doctor of Medicine
UC Berkeley, Berkeley, CA 1996 -1998
Bachelor of Arts in Molecular and Cell Biology
Professional Experience
Co-Founder Pure Orthopedics 2023- Present
Founder, Chief Medical Officer 2017-Present
ForCast Orthopedics, Inc
forcastortho.com
Orthopaedic Surgeon 2010-Present
Panorama Orthopedics and Spine Center, Denver CO
UC San Diego Department of Orthopaedic Surgery, San Diego, CA 2004 -2005
Research Fellow, Muscle Physiology Laboratory
Preceptor: Richard Lieber, Ph.D.
Johns Hopkins University Department of Orthopaedics, Baltimore, MD 2000-2003
Clinical Research Clerkship
Preceptors: Michael Mont, M.D and David Hungerford, M.D.
Johns Hopkins University, Department of Orthopaedics, Baltimore, MD 2002-2003
Clinical Research Assistant
Preceptor: Paul Sponseller, M.D.
Current Research Interests
Principal Investigator, “My Mobility Study with Apple Watch,” 2019-Present
A prospective randomized controlled trial for the use of
the “My Mobility” application for rehabilitation following primary
hip and knee arthroplasty. Sponsor: Zimmer Biomet, Warsaw, IN.
- Principal Investigator, F14 randomized controlled drug trial. A 2017-Presentprospective, randomized single-blinded controlled drug trial on
- an investigational long-acting, injectable novel celecoxib formulation. Sponsor: AIC, Toronto, Ontario
- Principal Investigator, Zimmer Persona Partial Knee. A prospective 2016-Present
multicenter study on the performance of a novel unicompartmental knee arthroplasty. Sponsor: Zimmer Biomet, Warsaw, IN.
Distinctions
§ 5280 Top Doc Orthopaedic Surgery 2017 2017
§ Chair Knee Arthroplasty Program, ICJR Resident Course (ORTI)
Philadelphia, PA, May 2016 2016
§ Chair Knee Arthroplasty Program, ICJR Resident Course (ORTI)
Philadelphia, PA, April 2015 2015
§ Fellow American Academy of Orthopaedic Surgeons (AAOS) 2014-Present
§ Director Total Joint Service St. Anthony Hospital, Lakewood CO 2013-Present
§ Co-Surgeon, Operation Walk, Panama 2019
§ Director Total Joint Service OrthoColorado Hospital Lakewood CO 2012-Present
§ Editorial Board/Elite Reviewer the Journal of Arthroplasty 2012-Present
§ Reviewer for Orthopedics (Journal) 2012-2015
§ Co-Surgeon, Operation Walk, Tanzania 2012
§ Co-Surgeon Nigeria Medical Mission, GEANCO Foundation 2011
§ Member Colorado Medical Society 2012-Present
§ Section Editor of AAOS: “OrthoInfo” Hip and Knee Arthroplasty 2010-2022
§ President, Rush Adult Reconstruction Fellowship Alumni Association 2010-2012
§ Member American Association of Hip and Knee Surgeons (AAHKS) 2010-Present
§ Course Physician, BMW PGA Championship, Cog Hill, IL 2010
§ UCSD Department of Orthopaedics Executive Committee 2008-2009
§ WOA, San Diego Chapter, UCSD Resident Representative 2008-2009
§ Participant, Operation Walk, Vietnam 2008
§ Physician at “Camp LT” Ladanian Tomlinson’s charity football camp 2008
§ Elected UCSD Administrative Chief Resident 2008-2009
§ Selected AOA-OREF-Zimmer Resident Leadership Forum, 2008
Quebec, Canada
§ Fellow 3rd Annual Joint Arthroplasty Young Investigators’ Conference, 2007
San Diego, California
- Member Orthopaedic Research Society 2004-Present
- Member American Academy of Orthopaedic Surgeons 2004-Present
- Resident Physician Council, UC San Diego 2005-2006
- Joint Health Coordinator, Community Care Initiative, Baltimore 2002
- Curriculum Committee, Johns Hopkins University, School of Medicine 1999-2000
- Founder of Women's Suitcase Clinic (homeless women's healthcare clinic) 1997-1998
- President, UC Berkeley Pre-Medical Honor Society 1998
- Senior Class President, Yuba City High School...
