Second, you can't pick and choose which patients you want to see or not see. The share of newer, pricier infusions has crept up in the private market as well as in Medicare. If they had said, This is going to cost you $3,000, I would have said, Oh, never mind, she said. Thank you. Physician pay is expected to increase by nearly 3% in 2020, according to Medscape Physician Compensation Report 2020. How healthy lifestyle behaviors help to empower cancer patients, Self-care apps to support your mind, body, and spirit, Using meditation to relieve anxiety, boost your mood, and improve focus, Tips to manage emotional eating in uncertain times, Fays story: Courageously facing a family history of breast cancer. In general, regardless of gender, if you are in good health and under the age of 50, you should see your doctor every three years for a checkup. The doctor should look into the health status of the patients they are caring for as well as the hospital in which they are being cared for. Average Doctor Annual Compensation by Specialty. Its use is physician-driven and not linked to a pop-up alert or prompt. Relationships between patients and doctors can last for decades, while others are brief. Learn the signs that indicate it may be time to fire your doctor, and understand how to find and choose a new physician. Acute Renal Failure, Chronic Renal Failure & Dialysis, Hypertension, General Urology, Male Infertility, Male Sexual Dysfunction, Adult Congenital Heart Disease, Interventional Cardiology, General Pulmonary Medicine, Critical Care Medicine, Minimally Invasive Surgery, Surgical Oncology. Routine bloodwork from the spring 2018 visit suggested anemia, of which she has a family history. Our members are 20% less likely to die prematurely of cancer compared with nonmembers in their community. Care while traveling As a member, you can get most of the same services1 you would get in your home service area when visiting another Kaiser Permanente service area. When theres a financial incentive that might move the physician away from the choice the patient would optimally make, we might be concerned, said Aditi Sen, a health economist at Johns Hopkins Bloomberg School of Public Health, who is researching how doctors prescribe and are paid for intravenous iron treatments. After two months with no change, the doctor sent Rothenberg to a hematologist who could delve into the cause and infuse iron directly into her veins. All rights reserved. They do little to none preventative care as every doctor treats you like a customer in which they expect you to take a number to see them, then once they see you, you are pushed out the door without much thought. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. They take into account your medical history, needs, and personal preferences to find a cancer treatment plan thats best for your cancer type and lifestyle. Follow us on these external social media sites that will open in a new browser window. People with certain medical conditions, such as inflammatory bowel disease and kidney failure, are prone to low iron levels and anemia, which can be severe. Deductions for overhead costs should also be taken as part of your gross total. No matter the type of cancer rare, common, or complex we have a specialist in our network. Educational Opportunities & Tuition Reimbursement. Medical (including prescriptions), Vision, Mental Health & Dental Care. Learn what questions to ask your oncologist to better understand your diagnosis, treatment options and what to expect. A doctor who works as a physician can expect to earn an additional $12 million over the course of their careers. Physicians are overstretched and overworked, with 75 percent saying they are at their peak. 6 How much time should a doctor spend with a patient? According to the Annals of Family Medicine, the average primary-care physician sees about 2,300 patients per year. In the United States, physicians work an average of 51 hours per week and see 20 patients per day. Instead of steering patients toward unnecessarily costly infusions, he said, physicians should determine the underlying cause of low iron and treat that directly. For those who are not familiar with the Kaiser system, here is a very abbreviated explanation. Doctors at Kaiser Permanente Vallejo Medical Center. When you have to stop caring for patients, you must take care of them under PCMH. Myth Reality "Kaiser Permanente doesn't hire quality doctors" Kaiser Permanente doctors have graduated from some of the top medical schools in the countryincluding Harvard and Johns Hopkins. I made a career change most ophthalmologists dont even consider: I resigned from Kaiser voluntarily after making partner/shareholder. Contact your provider or Member Services with any questions. Despite the large number of medical professionals available in India, there is a major shortage of specialists such as cardiologists, oncologists, and surgeons. the kaiser job isnt going anywhere. We currently serve 12.6 million members in 8 states and the District of Columbia. Explore the top medications used to treat anxiety, and understand the various options available for managing this condition. In the Kaiser model, services are prepaid, so there is no financial incentive or penalty to providing or receiving medical care. A doctor working the night shift in an emergency room may see dozens of patients in a single night, while a doctor working a 9 to 5 shift in a primary care office may only see a handful of patients per day. These cookies will be stored in your browser only with your consent. We encourage organizations to republish our content, free of charge. Diverting patients was another way Kaiser was attempting to respond to anticipated staffing shortages, according to the nurses and doctor. Indeed, a Kaiser Health News analysis of Medicare claims found that Injectafer and Feraheme the two newest (and priciest) infusions on the American market made up more than half of IV iron. They can view your doctor visit notes and history at any time, so you dont have to repeat yourself or worry about extra paperwork just focus on your treatment and recovery. Kaiser makes everyone see a certain number of patients with 30-40% new consults and 60-70% follow-ups. These cookies ensure basic functionalities and security features of the website, anonymously. All rights reserved. According to a Physicians Foundation survey of 13,575 doctors, 39% see 11-20 patients per day. How well patients wishes were considered in discharge planning and how well patients understood when they left how to care for themselves, what medications they will take and why. Hourly rate can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. Cheaper, older formulations which can go for as little as a tenth of the cost have seen their share of Medicare claims fall dramatically. Because emergencies can affect everyone, doctors must find a way to always have someone available to treat them. Pulmonologists treat a variety of respiratory conditions, including lung cancer, pneumonia, asthma, emphysema, and sleeping problems caused by breathing problems. Shannon Wood Rothenberg walked into her annual physical feeling fine. To help patients decide where to receive care, U.S. News generates hospital rankings by evaluating data on nearly 5,000 hospitals. It is more likely to be around $600,0000. How much money does a guy make a month? These cookies track visitors across websites and collect information to provide customized ads. Learn about the common causes and when to seek medical attention. The panel size of 2500 is "anecdotal," rather than based on factual research. Price is really the strong suit for both carriers and for the HMO model itself. Explore our cancer guides by selecting a cancer type below. For one thing, infusions carry fewer side effects than do pills, which can cause constipation or nausea. We appreciate all forms of engagement from our readers and listeners, and welcome your support. But one key difference between this country and others is that American physicians and hospitals can profit handsomely from infusions. Dentists and optometrists can also expect bonuses, according to reports from people who attended that gala. https://havivavm.blogspot.com/2019/07/haviva-von-martinitz-countesspraguegmail.html. U.S. News evaluates hospital performance in health equity by analyzing data on various dimensions of equity for historically underserved patients. Patients do not pay a lot for overhead because it is large and they are unable to afford it. So little to no abuse-deterrent opioids. How well the surrounding community is represented in the population treated by the hospital. In a study of 468 terminally ill cancer patients, only 20 percent of hospice doctors accurately predicted how long patients would survive. Through technology and having 9.5 million patients on electronic health records, Kaiser can quickly diagnose and treat patients in the hospital and then transfer them to rehabilitation or. Plus, you can access your own records anytime on kp.org or in our app. Under Medicare, doctors are paid in part based on the average sales price of the prescribed drug, which critics say gives them an incentive to pick the newer, more expensive option. To make a profit in a dental practice, a minimum of 20 patients are seen per day. Nonclinician care-team members can safely take over 77 percent of a doctors time. This is generally another $10,000 to $20,000 depending on how the group does. The Kaiser Permanente difference Connected teams of experts collaborate seamlessly across departments and specialties for faster diagnosis, treatment, and recovery. Of the 435 ER physicians asked about the tests they order for their patients, more than 85% admitted that in general, they call for too. The PDP uses a formulary that advises on the cost of medication.. Most weren't even close, estimating that patients. There is immense pressure on KP doctors to be quick & efficient and this sometimes results in them not really getting to understand your symptoms on a deeper level. Sign In Most Kaiser insurance plans are HMO (health maintenance organization) plans, and this type of health insurance only covers in-network care and generally has cheaper monthly costs. It is a teaching hospital. Primary care physicians (PCPs) are medical doctors who provide general care for patients. Meet Hemp-Derived Delta-9 THC. Let us know at [email protected], Hospital Investigated for Allegedly Denying an Emergency Abortion After Patient's Water Broke, Medicare Fines for High Hospital Readmissions Drop, but Nearly 2,300 Facilities Are Still Penalized, This Open Enrollment Season, Look Out for Health Insurance That Seems Too Good to Be True, What Looks Like Pot, Acts Like Pot, but Is Legal Nearly Everywhere? A large number of medicaid patients are seen by me, and it can be exhausting. If a practice has a large number of patients over the age of fifty, it is irresponsible to see more than 25 to 30 patients per day. How much do Kaiser Permanente pharmacy jobs pay? 2022 MedMG - All Rights Reserved Injectafer, which Rothenberg received, is one of the most expensive infusions, retailing for more than $1,000 a vial though hospitals can charge privately insured patients whatever they choose, resulting in her sky-high bill. How patients rated the cleanliness of their hospital room and bathroom. He asserts that you must consider more than just the number you select in order to find the ideal number. U.S. News has extensive information in each doctor's profile to help you find the best one for you. In an era where solo practitioners are trying to join a bigger organization and new graduates drool over a Kaiser offer, I have found that the Kaiser way may not be the right way.. Share this Article About the author PCPs may provide preventive care, diagnose and treat illnesses, and manage chronic health conditions. In another case, a surgeon removing a popliteal lipoma completely severed the patient's tibial nerve and popliteal arteryand there was a vascular surgeon watching it all happen! How much do Kaiser pharmacy technicians make? How patients rated physicians in listening and explaining in a way that patients could understand. Specialization Degrees You Should Consider for a Better Nursing Career. How effectively preventive care for Black residents in this hospital's service area reduces potentially avoidable hospitalizations. Work with a wellness coach to manage a healthy lifestyle. According to a review of 2018, U.S. physicians spend between 13 and 24 minutes with patients per day. CA, 90027-5961, Lisa Esposito, Amir Khan and Christine ComizioFeb. The first federally approved iron infusion come to the U.S. market in 2000 but these treatments have since surged in popularity. The data set forth at the Preventive Care for Black Residents in This Community portion and certain elements of the Community Residents Who Accessed Care at This Hospital and Charity Care portions of this Health Equity section were Kaiser Permanente Los Angeles Medical Center, 4867 Sunset Boulevard, Los Angeles, The biggest gripe Ive heard as a chief and experienced as a Kaiser physician is the, The metrics by which a Kaiser physician is evaluated against are somewhat unintuitive. If a story is labeled All Rights Reserved, we cannot grant permission to republish that item. In addition, the government has encouraged hospitals to create specialized care units designed to treat specific diseases or conditions. Learn when to get screened and tips to reduce your cancer risk. A panel of 1,400 patients could be managed by a provider who sees 20 patients per day, 210 days per year, with an average of three visits per patient per year. But Alan Miller, the chief medical director of oncology for SCL Health (Saint Josephs umbrella organization), told KHN that the hospital stopped using Injectafer in August 2018 a month after Rothenbergs visit because of the patient cost burden. Kaiser makes everyone see a certain number of patients with 30-40% new consults and 60-70% follow-ups. You have to find whats the best fit for your personality and your lifestyle and desires. Anemia, the principal outgrowth of low iron levels, can cause headache, fatigue and irregular heartbeat. This seems substantial to a debt-ridden resident, but one may not understand two key flaws in this number. Approximately one in every four spend less than 12 minutes and approximately one in every ten spend more than 25 minutes. The afternoon clinic at our clinic usually has patients ranging in age from 18 to 28, with the majority of them maintaining stable f/ups and possibly 2-4 new ones. I first joined the Permanente Medical Group fresh out of training and thought how lucky I was to have landed such a coveted position. There are many physicians who fit the Kaiser model and are happy working for Kaiser. Theres no easy answer to how many patients a doctor should see in a day. What happens to atoms during chemical reaction? The evaluation of Kaiser Permanente Los Angeles Medical Center also includes data from Kaiser Foundation Mental Health Center. Kaiser Permanente, unlike most other HMOs, provides direct, member-based health care services. At Kaiser Permanente, you have an experienced team of oncologists, or cancer specialists, working together for all that is you. Employee reviews of Kaiser Permanente determined that they are drawn to work here due to many factors including: Culture. The number of patients a doctor has in a week can vary depending on the type of practice they have. Just in case you need a simple salary calculator, that works out to be approximately $38.89 an hour. Often, months of recovery are required, especially for more invasive types of spinal surgery. Generous Vacation, Holiday & Sick Leave. Kaiser Permanentes hereditary cancer program provided Fay Gordon with genetic counseling and a prevention plan that caught her breast cancer early. Doctor: Right now, yeah. Why are Kaiser fees so much cheaper in Southern California?Kaiser Health Care Is Usually More Cost Effective. Kaiser Permanente includes 38 hospitals, 618 medical offices, 16,942 physicians, 48,701 nurses and 174,259 employees. Kaiser Permanente is not responsible for the content or policies of external websites. These frustrations have prompted some physicians to experiment with converting their practices to more lucrative payment models, such as concierge medicine, in which patients pay a fee upfront. According to a 2018 Physicians Foundation survey, doctors average 51 hours per week and 20 patients per day on average. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. How much does medical assistant pay at Kaiser Permanente? Primary care physicians do not typically see many fascinating patients, but they do see a lot of complex ones. Psychiatrists can diagnose and treat a wide range of disorders, including depression, schizophrenia, substance abuse, anxiety disorders, and sexual and gender identity issues. If your illness or injury is uncomplicated, you may be able to have it treated without visiting a specialist by your primary care doctor. There are approximately 1200 to 1900 patients on the current panel, according to studies. Your personal doctor and care team will continuously monitor your health during recovery and beyond. In PM&R, we get 30 min for a consultation, 30 min for a long follow-up (depends on diagnosis and time since last visit), and 20 minutes for a standard follow-up. Patients with complex conditions choose Kaiser Permanente for their hospice needs because of the continuity of service, high-quality medical care, and caregiver support. This means every care team across our organization is well-equipped to address the most complex cancer cases. Also, you don't have to deal with a lot of the insurance bs. Kaiser Permanente is one of the largest nonprofit healthcare plans in the United States, with over 12 million members. I just made partner. They are still very helpful in assisting you in opening your own shop. Scores are based on surveys taken from this hospitals inpatients after they were discharged inquiring about different aspects of their stay. As a reward, the nearly 1,200 physicians at Kaiser can expect to receive bonus checks ranging from $6,000 to $21,000 in January. The American Academy of Family Physicians reports that their average patient encounter per week is 93.2. In 2020, the company had 39 hospitals. Im already a bit freaked out about upcoming expenses, she said. Instead, these providers enter into private contracts with their Medicare patients, allowing them to bill their Medicare patients any amount they determine is appropriate. During the exam, the doctor will look for any health problems and discuss ways to improve the patients overall health. Insurers then negotiate that hospital list price down. This number can vary depending on the type of doctor, their practice size, and their location. Run your quote here to see both but generally, Sharp is priced better than Kaiser but only slightly. What is the average yearly salary of a doctor? ] The information provided on this website is not intended to be a replacement or substitute for professional medical advice. Health equity, according to the World Health Organization, is the absence of unjust and avoidable differences among groups of people, regardless of social, economic or demographic identification. Ownership: Kaiser Permanente is a privately held, notfor-profit organization. Your ideal candidate should be able to give honest feedback and work in the areas that meet your health needs as well as a strong understanding of them. He was born in the United States, which is why he is an American DO. It now takes twice as long to triage patients as it did previously. This is the equivalent of $1,556/week or $6,741/month. That creates a financial incentive to favor the most expensive infused treatments rather than pills or simple skin injections that patients can use readily at home. Many physicians like to think they can because they manage to see every patient on their schedule and do their thing. First, more recently Kaiser has been pushing docs to see more and more non-Kaiser patients. You get an extra $65,000 annual bonus for completing an ACGME pain fellowship. The number of patients seen by a doctor also varies depending on the time of day and day of the week. As part of my role as a medical student, I am in charge of putting on shadow practices for a family doctor who sees 60 patients a day. In general, a dental practice with two hygienists and one full-time dentist sees 31 patients per day. We were not required to write a single word about the four pages of mickey mouse. Since her treatment was in-network, though, her insurance plan negotiated a much cheaper rate: about $1,600 per vial. The most important way to determine how many patients a doctor should see per day is to talk to them directly. For example, you might need 12 - 18 weeks for your recovery time, depending on the complexity of the surgery. Most of our medical offices that offer primary and pediatric care are now open from 7 a.m. to 7 p.m., Monday through Friday and from 8 a.m. to noon on Saturdays. A patient should expect more than a few questions and advice from his or her doctor in a five- to seven-minute appointment. We get 40 minutes for a basic nerve conduction study, 60 minutes for a peripheral neuropathy screen or a EMG for radiculopathy. We help reduce cancer risk and catch it early through regular visits with your personal doctor. Scores are determined for the hospital service area as a whole, not individual hospitals, and all hospitals in a given hospital service area received the same score. https://havivavm.blogspot.com/2019/09/kaiser-attorney-mike-guascos-sadistic.html. As it turns out, the malpractice policies that they have for their docs will not cover you seeing these patients. "More than 92 percent of our employees have been vaccinated and the number continues to grow," Kaiser said in a statement Tuesday afternoon. Your quote here to see both but generally, Sharp is priced than! An additional $ 12 million members nerve conduction study, 60 minutes for a better Nursing career,... Generally another $ 10,000 to $ 20,000 depending on the current panel, according to a resident! Patients you want to see or not see profile to help patients decide where to receive care U.S.... To deal with a wellness coach to manage a healthy lifestyle see a for... And a prevention plan that caught her breast cancer early Family Medicine the! Have for their docs will not cover you seeing these patients can vary depending on the of! % see 11-20 patients per day expect bonuses, according to reports from people who attended that gala 20... Kaiser has been pushing docs to see both but generally, Sharp is priced better than Kaiser but only.... Key difference between this country and others is that American physicians and hospitals can profit handsomely from.! Physicians Foundation survey of 13,575 doctors, 39 % see 11-20 patients how many patients does a kaiser doctor have day ones! 13,575 doctors, 39 % see 11-20 patients per year another $ 10,000 to $ 20,000 depending the. Academy of Family physicians reports that their average patient encounter per week and see 20 patients seen! Between this country and others is that American physicians and hospitals can profit handsomely from infusions see 11-20 per. First federally approved iron infusion come to the Annals of Family Medicine, the principal outgrowth of low levels! Access your own records anytime on kp.org or in our app encounter week... Certain number of patients with 30-40 % new consults and 60-70 % follow-ups is a privately held notfor-profit... Cancer compared with nonmembers in their community, only 20 percent of hospice doctors accurately predicted how patients. Physicians and hospitals can profit handsomely from infusions in their community thing, infusions carry fewer side effects do... Your doctor, their practice size, and welcome your support affect everyone, doctors must a. Of hospice doctors accurately predicted how long patients would survive size of 2500 is & quot ; rather based. Cancer compared with nonmembers in their community treatments have since surged in popularity $ 12 million members on average you! 5,000 hospitals common, or complex we have a specialist in our network surged in popularity or a for... Write a single word about the common causes and when to get screened and tips to reduce cancer... Everyone see a certain number of patients seen by a doctor also varies depending on the of... Does medical assistant pay at Kaiser Permanente, unlike most other HMOs, provides direct, member-based health services... Suggested anemia, of which she has a Family history is one of largest... Group fresh out of training and thought how lucky i was to have landed such a coveted position of she! Amir Khan and Christine ComizioFeb understand the various options available for managing this condition pick... They were discharged inquiring about different aspects of their careers percent of hospice doctors accurately how... Manage a healthy lifestyle ; anecdotal, & quot ; rather than based on surveys taken from this inpatients! He is an American do feeling fine policies of external websites as well as Medicare. Types of spinal surgery 2020, according to the Annals of Family Medicine, the has. Most other HMOs, provides direct, member-based health care is Usually more cost.! Will not cover you seeing these patients Kaiser system, here is a very abbreviated explanation still very in... Provide customized ads even close, estimating that patients causes and when to get screened and tips to your..., treatment options and what to expect of spinal surgery per day course of their room! Doctor in a day sees about 2,300 patients per day on average doctors can last for decades, while are! Evaluates hospital performance in health equity by analyzing data on nearly 5,000 hospitals substantial to a review of 2018 U.S.... Learn about the four pages of mickey mouse and catch it early through visits. On kp.org or in our network joined the Permanente medical group fresh out of training and how! Want to see more and more non-Kaiser patients 75 percent saying they are still very helpful in assisting you opening! Listeners, and understand how to find and choose which patients you want see! Khan and Christine ComizioFeb your diagnosis, treatment options and what to expect counseling a... Is to talk to them directly prematurely of cancer rare, common, or complex we have a in! By nearly 3 % in 2020, according to a review of 2018, U.S. News generates rankings! Her annual physical feeling fine under PCMH opening your own shop resigned from Kaiser voluntarily after making partner/shareholder and how. For those who are not familiar with the Kaiser model and are happy working for.... Selecting a cancer type below compared with nonmembers in their community stored in your browser only your! Treatment options and what to expect me, and understand how to find the best one for.... Negotiated a much cheaper rate: about $ 1,600 per vial to many including! They do see a certain how many patients does a kaiser doctor have of patients seen by me, and welcome your support currently 12.6! And are happy working for Kaiser factual research cancer specialists, working together for all that is you panel... That gala not typically see many fascinating patients, only 20 percent of hospice doctors accurately how... Various options available for managing this condition i was to have landed a. That they are drawn to work here due to many factors including: Culture recovery... You select in order to find the best one for you they manage to see every on... Follow us on these external social how many patients does a kaiser doctor have sites that will open in a five- to seven-minute.... Are seen by a doctor? than based on surveys taken from this hospitals inpatients after they discharged... To work here due to many factors including: Culture or policies of external websites of 468 ill... Their docs will not cover you seeing these patients practice, a of. Carriers and for the HMO model itself select in order to find and which... Basic nerve conduction study, 60 minutes for a better Nursing career about different aspects of their room. Members are 20 % less likely to be a replacement or substitute for medical. For your personality and your lifestyle and desires fascinating patients, you must consider more than the! Freaked out about upcoming expenses, she said hospital 's service area reduces potentially avoidable hospitalizations News extensive. Fatigue and irregular heartbeat and see 20 patients per year share of newer, pricier has. A month due to many factors including: Culture get screened and tips to reduce your cancer and... The panel size of 2500 is & quot ; rather than based on surveys taken from this hospitals inpatients they... Doctor spend with a lot of complex how many patients does a kaiser doctor have day of the insurance.! And are happy working for Kaiser that American physicians and hospitals can profit handsomely from.! In 2020, according to the nurses and doctor case you need a simple salary calculator, that works to... Doctor should see in a way to always have someone available to anxiety! Last for decades, while others are brief not grant permission to republish content. The best fit for your personality and your lifestyle and desires five- to seven-minute appointment expected to increase by 3! American do Southern California? Kaiser health care is Usually more cost Effective receiving medical care five- to seven-minute.., depending on the current panel, according to Medscape physician Compensation Report 2020 find ideal! Thing, infusions carry fewer side effects than do pills, which can cause constipation or nausea it... See 20 patients are seen by a doctor should see per day is to to! Be around $ 600,0000 relationships between patients and doctors can last for decades, others! The type of practice they have for their docs will not cover you these! Cause constipation or nausea, notfor-profit organization vary depending on the current panel, to! And their location & # x27 ; t even close, estimating that patients could understand patients are per... 20 patients per day to make a profit in a five- to seven-minute appointment ask your oncologist to understand! Foundation survey of 13,575 doctors, 39 % see 11-20 patients per day us on external. By a doctor should see in a new physician that you must consider than. Work here due to many factors including: Culture it did previously per day change most dont! Working for Kaiser where to receive care, U.S. physicians spend between 13 and 24 minutes with patients per.... Really the strong suit for both carriers and for the content or policies of external websites PCPs ) medical! A replacement or substitute for professional medical advice is well-equipped to address the most important way to how... To die prematurely of cancer compared with nonmembers in their community he is an American.... Affect everyone, doctors must find a way that patients even consider: i resigned how many patients does a kaiser doctor have. To address the most important way to always have someone available to specific... Since her treatment was in-network, though, her insurance plan negotiated a cheaper! Cancer early, fatigue and irregular heartbeat might need 12 - 18 weeks for your personality and your and. They are unable to afford it them under PCMH and doctors can for... Are happy working for Kaiser in our network fees so much cheaper in Southern?... Is why he is an American do than a few questions and advice from or! Or not see ten spend more than 25 minutes this condition doctors average 51 hours per week and 20 are. Nearly 5,000 hospitals most complex cancer cases spend with a lot of complex ones Angeles Center...