Ep. 399 Pros and Cons of Independence in the OBL with Dr. Mahmood Razavi and Dr. Mark Garcia

In this episode of The Backtable Podcast, host Dr. Aaron Fritts and guests Dr. Mahmood Razavi and Dr. Mark Garcia discuss the intricacies of owning and operating an outpatient-based lab (OBL). Dr. Razavi and Dr. Garcia are practicing interventional radiologists at Vascular and Interventional Specialists of Orange County (California) and American Vascular Associates (Florida), respectively.

The doctors explore the advantages of OBLs, including autonomy, flexibility, and patient satisfaction. They also delve into the challenges of financial sustainability, decision-making restrictions, and insurance navigation. The conversation revolves around the need for a solid business plan before stepping into OBL operation. This includes awareness of potential regulatory oversight, costs, and patient sources. They also discuss the impact of OBLs on healthcare, and they specifically warn that the lack of evidence-based practices might have adverse effects. The doctors propose solutions such as societal guidelines, required accreditation, and stringent care delivery.

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SHOW NOTES

00:00 - Introduction

04:26 - Pros and Cons of Owning and Operating in an OBL

11:07 - Financial Aspects and Profitability of OBLs

23:42 - Exploring Alternative Models for OBLs

32:33 - The Role of Societies in Guiding OBL Practices

36:27 - The Future of OBLs: Regulation, Consolidation, and Quality

42:59 - Exit Strategies and Future Considerations for OBLs

50:38 - Final Thoughts on OBLs and the Importance of Quality Care

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RESOURCES

Impact of Office Based Laboratories on Physician Practice Patterns and Outcomes after Percutaneous Vascular Interventions for Peripheral Artery Disease:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555658/pdf/nihms-1524412.pdf