Crouse Medical Practice General Surgery Team: Working Together to Provide Innovative, Patient-Centered Care

By: Elizabeth Landry

From breast cancer surgery, hernia repairs and laparoscopic surgery, to endocrine surgery, ulcer care, bariatric surgery and more, the Crouse Medical Practice General Surgery team offers a wide array of surgical procedures to help patients return to health and continue enjoying their lives. The team of 12 physicians brings a vast depth of knowledge and experience that combine to create a supportive practice that consistently focuses on patient-centered care. This patient-focused philosophy is built upon collaboration with the team, including primary care providers, as Clinton Ingersol, MD, Hillary McMullin, MD, Benjamin Sadowitz, MD, FACS and Angelina Schwartz, MD each explained in their own words.

“To me, the philosophy of our group revolves around patient-centered care and collaboration. It’s just been a very supportive environment and a supportive team to walk 

into, and I think that really benefits patients,” said Dr. Ingersol, a newer provider within the team who’s been with Crouse for almost two years.

Dr. Sadowitz has been working at Crouse for 10 years. He stated that one of the major reasons he chooses to practice at Crouse is the healthcare organization’s focus on patient satisfaction, making sure that each patient feels supported and valued.

“Patients want to feel like they’re being treated as human beings, and I think Crouse does an exemplary job of that from start to finish. You’ll find that patients are very highly complementary in that respect, and that’s one of the reasons I want to work at Crouse – patients feel that they’re part of a broader family and that they’re going to be taken care of in the same way we take care of our friends or family members,” explained Dr. Sadowitz.

Collaborative Support for Each Other and Patients Alike
Both Dr. McMullin and Dr. Schwartz have been practicing at Crouse for about a year, and they each expressed similar goals of building relationships with patients early on, to help them feel as comfortable as possible throughout the surgery process. Dr. McMullin was inducted into the Gold Humanism Honor Society while attending the University of South Florida, which focuses on managing the patient as a whole and not seeing patients as a series of medical conditions, a philosophy she carries over into her practice at Crouse.

“I find that when patients come into the office, they’re often nervous and scared to be seeing a surgeon at all,” Dr. McMullin said. “They know they’re going to have to be asleep for some portion of their care, and that gives them anxiety. If a surgeon can establish a rapport with a patient and develop a trust in the office before surgery, patients end up doing much better. I bring that philosophy to every patient I see. I think it’s really important to meet people where they are and to put them at ease from a social and emotional standpoint before we even get into the medical aspect of their care.”

Similarly, for Dr. Schwartz, her approach to patient care is focused on open communication and reaching decisions together as a team.

“Whenever a patient comes to see me in the office, we try to have a conversation essentially about what it is that should happen, and what the recommendations are. Ultimately, it’s a decision that I like to think we come together as a team to decide – both patient and doctor together deciding what’s best for that individual person,” explained Dr. Schwartz, adding that the team aims to make the referral and scheduling process as efficient and convenient as possible for patients.

Open lines of communication and support apply not only to patient care, but also to how the team works together to provide optimal healthcare for patients, as Dr.  Schwartz emphasized.

“We have a very collaborative group of surgeons here, and all of us openly communicate with each other. Oftentimes we’re working together very closely in discussion of patient cases. We just really like to work together amongst ourselves and also amongst our colleagues within the hospital and even outside the hospital and in the local community. We try to work pretty closely with everyone around us,” she said.

Dr. Ingersol echoed these ideas, highlighting the streamlined communication process within the Crouse healthcare network specifically. “It’s great for patients when everyone is on the same page and communicating in a multidisciplinary fashion. Especially within the Crouse network, it’s so easy to communicate with our primary care colleagues. We can send direct messages to each other to coordinate patient care and ask questions. Our office staff does a great job of coordinating referrals from primary care offices, making sure that patients are seen according to urgency, and making sure things are followed up on and communicated properly,” he explained.

Collective Experience Paired with a Fresh Perspective
Directly related to the high level of collaboration among the Crouse Medical Practice General Surgery team is the way the providers lean on each other’s diverse experience and unique perspectives. Dr. McMullin highlighted the mix of well established surgeons with younger providers offers immense benefits for patients.

“We have a wide range of practitioners at Crouse General Surgery. Some of our more senior partners have been in practice my entire life. Then we have a few surgeons who have only been practicing for one or  two years. That range of experience really offers a lot of benefits to patients because our more senior partners obviously have a great deal of experience – they’ve seen many different conditions and anomalies, whereas the younger practitioners trained in an era where technology is more common and prevalent – for example, we received robotics training in residency,” said Dr. McMullin. “Our senior partners have been very gracious about including us in their patient care. They really enjoy having us come along and assist with interesting or challenging cases. They also elicit our feedback on some of the cases they’ve managed to see what we would do, with our fresh perspectives.”

Dr. Ingersol, who specializes in endocrine surgery, shared how working with the more experienced surgeons in the group has led to an exchange of techniques and strategies that enhances patient care, especially when it comes to making decisions on complex, high-risk cases.

“Our senior partner, Dr. Schu, has been great to work with, has been a very willing mentor, and we frequently do cases together. There’s been a lot of exchange of ideas and techniques because I bring in certain expertise, knowledge and biases and he has this wealth of experience and way of doing things. Having all of that at our disposal to decide what is in the best interest of patients is really valuable,” Dr. Ingersol explained. “Any time I have a case that I anticipate being difficult or may run into something I wasn’t anticipating preoperatively, there’s always someone who’s more than willing to come in and take a look or join me if needed. That’s one of the advantages of a big group that has so much experience.”

Advanced Robotics and Innovative Surgical Techniques
Perhaps one of the most important ways the Crouse Medical Practice General Surgery team sets itself apart from other surgery programs is its focus on advanced surgical procedures, especially robotics, as Dr. Sadowitz explained. He shared how the Crouse administration provided crucial support to surgeons during the time when robotics was starting to take off, and how Crouse’s robotics program today is the largest and most experienced in the region.

“The administrators asked us surgeons, ‘Do you think this is the future?’ and ‘Do you think this is something that we should invest in?’ To their credit, once we told them robotics really is going to be the future for many service lines in surgery, they jumped in with both feet. They made an investment of both time and money because they saw how robotics was going to be better for patients, and they trusted our judgment,” said Dr. Sadowitz, adding that the general surgery team at Crouse now has 11 robots at its disposal, including the DV5, one of the newest systems, as well as an SP robot, Xi systems and a smaller X system.

While all the surgeons on the Crouse General Surgery team are familiar with and comfortable using robotics for surgery, the younger members of the team have the added advantage of having experienced robotic technology in their residencies.

“Dr. McMullin and I happened to go to a residency that is more advanced in its surgical robotic training than most other programs. We came out of training having a really good grasp on robotic techniques. I  think I graduated with more than 100 cases that I had performed on the robot already, which is fantastic,” shared Dr. Schwartz.

In addition to robotics, the Crouse General Surgery team is exploring other exciting advancements in surgical treatments. In the endocrine surgery space, Dr. Ingersol discussed a new treatment of thyroid nodules that’s on the horizon.

“In thyroid care, one thing that we’re starting to look into is a new technology called RFA, or radiofrequency ablation,” Dr. Ingersol said. “We’re not in an active phase yet, but it’s something that’s in the near future across the country and becoming a popular modality of treating thyroid nodules.”

Dr. McMullin also highlighted an exciting new application of laparoscopic surgery aimed at treating patients with bile duct stones. “This type of laparoscopic exploration is something that’s not offered in very many places, and can be really valuable for patients,” she said.

Preparing for the Surgical Needs of Tomorrow
With an administration that invests in cutting edge technologies, and a team of forward-looking surgeons always interested in the latest up-and-coming treatments for patients, it seems the Crouse Medical Practice General Surgery team is well-prepared for the evolving needs of patients and will continue to thrive.

“The future is very bright for Crouse in terms of overall surgery, with many great surgeons and a lot of advanced technology. The administration has made it a priority to make sure we stay technologically ahead of the game, so that’s a big piece of it,” said Dr. Sadowitz. “Crouse has always had the right mindset of ‘patients come first’ from the top down. The hospital always aims to keep very talented people in the hospital doing cases, so that not only are the patients highly satisfied, but the surgeons are, too. It’s a unique mix you really don’t find in many places, and it’s a hard balance to maintain, but Crouse has always excelled at doing just that, and as long as we keep that focus, I think it will continue into the future.”

For the younger providers who will carry the practice on into the next generation, this sentiment is certainly holding true.

“I plan on being here for a long time. It’s a great place to practice,” said Dr. McMullin. “The patient population is fantastic. The healthcare professionals are fantastic. I don’t plan on being anywhere else.”

 

Reflections On The Third Age

BY: Kathryn Ruscitto, Advisor

Driving across the western side of the Adirondacks, I made my way to a board strategy session held at The Beeches Manor in Rome,  NY—a vibrant place in years past, once known for hosting weddings and proms. I knew it had recently been acquired by Nascentia Health, and I was delighted to see a beautifully restored restaurant and conference center, along with signs of new construction. The site is being transformed into a wellness-focused campus that will eventually offer a variety of assisted living levels and home-like services promoting active aging.

After the session, I wandered the lovely grounds and became intrigued by the site’s future plans. This curiosity led to a conversation with Andrea Lazarek-LaQuay, Chief Clinical Officer of Nascentia.

We spoke about the evolving lifestyles of those entering what some call the “third age”—a time of reflection, purpose, and often changing health or living needs. Many of my friends and colleagues have been wrestling with choices: staying at home, moving into assisted living, or joining a continuum- of-care community that may include nursing home options. Recently, one couple I know researched communities nationwide, visited one that fit their needs, and are now relocating to an assisted living patio home in another state.

When I asked Andrea what guidance she gives clinicians whose patients are aging and asking questions about the future, she emphasized the importance of early planning. Her advice: choose the best housing option early so you can age in place.

“It’s more realistic now to think about remaining at  home,” she shared, “with services delivered to you from meals, to telemedicine, to remote health monitoring.”

Nascentia is actively working with physician practices to support patients as they transition from hospital to home, acting as a vital link in the care continuum. They offer a wide array of services, including:

• Home Health Care
• In-Home Primary Care
• A Medicare Advantage Health Plan
• Future 55+ living options at the former Beeches campus More at: nascentiahealth.org

Of course, health status, finances, and caregiver support influence these decisions. But those who  plan early are more likely to live the life they envision in their third age.

A growing concern is the increasing number of aging adults on Medicaid or limited incomes. Without sufficient public support, their choices may narrow. Nonprofits like Nascentia, Loretto, The Eddy, and others will play an even more critical role in serving these seniors in the years ahead.

As our population ages, options for aging are more robust than ever before. But with these options comes responsibility—for individuals, families, and healthcare providers.

How is your practice thinking about partnerships to support these changing demographics?

LOCAL & NATIONAL RESOURCES FOR AGING OPTIONS
Local Resources
• Nascentia Health
• Loretto (Syracuse-based elder care services) https://lorettocny.org/
• The Eddy (Albany and Capital Region services) https://www.eddyseniorliv ng.com/

Out-of-Area and National Tools
• A Place for MomFree service matching families with communities based on care needs, location, and budget.

• Caring.comConsumer reviews, pricing tools, and guides to senior care.

• SeniorHousingNetListings for independent and assisted living, CCRCs, and memory care.

•RetirementLiving.comState-by-state directories, amenities, and lifestyle planning.

• 55places.com Focused on active adult (55+)
communities with virtual tours and
floorplans.
• Seniorly Concierge services, virtual tours,
and price transparency tools.


Kathryn Ruscitto, Advisor, can be reached at linkedin.com/in/kathrynru citto or at krusct@gmail.com

Cyber Threats In Health Care: The Case For Comprehensive Cyber Insurance

By: Jenn Negley, Vice President, Risk Strategies Company

Technology plays a major role in the healthcare sector’s ability to store and handle private patient data. This has improved the efficiency of healthcare delivery, but it has also increased the susceptibility of healthcare providers to cyberattacks. The healthcare industry has witnessed a rise in cyber threats, including ransomware attacks, phishing scams, and data breaches. As a result, medical professionals need to take precautions against online threats to both themselves and their patients. A comprehensive Cyber insurance policy is one way to accomplish this.

Because medical records are so valuable on the black market, cybercriminals target the healthcare sector. The name, address, social security number, and medical history of a patient are all contained in their medical record. Medical fraud, identity theft, and other nefarious activities may be committed using this information. Healthcare professionals have a duty to safeguard the private information of their patients; otherwise, they risk legal action, government fines, and damage to their reputation.

The rising danger of cyberattacks in the medical field
The cybersecurity situation in the healthcare industry is still woefully inadequate, according to recent statistics. According to the Verizon Data Breach Investigations Report for 2025, 1,542 of the 1,710 security incidents that occurred in the healthcare sector were verified as data leaks. In a single year, over 630 ransomware incidents targeted healthcare organizations, marking a significant increase in ransomware attacks. These attacks frequently result in serious operational issues, including canceled appointments, delayed patient care, and even ambulance diversions. The healthcare sector is now the costliest industry for data breaches, with an average cost of $9.8 million, according to IBM’s 2024 Cost of a Data Breach Report. This figure encompasses both indirect costs, such as lost revenue and reputational harm, and direct costs, including the cost of the investigation and recovery.

The significance of having a good cyber insurance plan
One of the most effective ways to mitigate the risks associated with cyberattacks is through cyber insurance. Typically, incident response expenses include paying for legal counsel, recovering data, and notifying customers. Certain policies also provide companies with resources to help them prevent attacks, such as risk assessments and staff training.

Cyber insurance plans vary from one another. Many healthcare providers assume that the cyber insurance bundled with their medical malpractice insurance will cover them in any instance. Regretfully, this isn’t always the case.

Bundled Cyber Insurance Drawbacks
When offered as a “bells and whistles” supplement to medical malpractice insurance, cyber insurance frequently falls short in a few critical areas:

Coverage Gaps: Some cyber incidents, like ransomware attacks and phishing scams, might not be covered by these policies. For example, although thirdparty vendor data breaches make up 15% of all incidents, a policy may not cover them.

• Inadequate Limits: Bundled policies frequently have coverage limits that are not enough to pay for the entire cost of a significant cyberattack. Given that a ransomware attack typically costs $1.85 million, healthcare providers are at risk when they have a policy with a $500K limit.

• Absence of specialized assistance: Bundled policies might not grant access to specialized cybersecurity tools, like those employed by ransomware negotiators or forensic investigators. This can lengthen the time it takes to respond and make an attack more powerful overall.

• Regulatory Fines Exclusions: Many policies don’t cover fines and penalties for regulatory infractions, like those under HIPAA. The United States Department of Health and Human Services fined $12.84 million for data breach-related HIPAA violations in 2024 alone.

The Path Forward: Comprehensive Cyber Insurance
To fully protect themselves against the growing threat of cyberattacks, healthcare providers must acquire customized cyber insurance policies tailored to their specific needs. These regulations ought to have:

Broad Coverage: Verify that the policy includes coverage for a variety of cyber incidents, such as phishing, ransomware, and breaches by third parties.

• Sufficient Limits: Select coverage amounts that account for the possible expenses of a significant cyberattack.

• Regulatory Compliance: Provide coverage for penalties and fines associated with data breaches.

• Specialized Resources: Legal advice, forensic investigators, and cybersecurity specialists are available.

Because cyber threats are constantly evolving, healthcare providers must be proactive in safeguarding  both their patients and their organizations. Having medical malpractice and cyber insurance alone is no longer sufficient. Purchasing comprehensive standalone cyber insurance can help healthcare providers reduce the operational and financial risks associated with cyberattacks.

For more information, please contact Jenn Negley, Vice President, Risk Strategies, at 267-251-2233 or JNegley@RiskStrategies.com.

The Corporate Practice Of Medicine

by Marc Beckman and Benjamin Goldberg

Almost two years ago, New York enacted PHL Article 45 A, which took effect on August 31, 2023. One of the intents behind this law was flagging large business consolidation in the healthcare field, potentially allowing New York’s Department of Health to regulate the increased transaction prices, reduced competition, or narrowed access to healthcare for residents of the state. Please see our previous article formore information on PHL 45-A here. Importantly, New York’s statute includes Managed Services Organizations (“MSOs”), even though they do not provide healthcare services themselves, as part of any healthcarerelated transaction subject to review.

New York is not the only state to take steps, even if small ones, toward reinvigorating the Corporate Practice of Medicine (“CPOM”) doctrine, and the common law, statutes, regulations, and ideas that had previously undergirded it. In 2025 alone, 12 states, from California to Indiana to South Carolina, have introduced at least one bill each, intending, in some way, to revive CPOM doctrine and update it for the current century. As an example, one of the bills introduced in Connecticut is titled “An Act Prohibiting A Private Equity Firm From Acquiring, Owning Or Controlling A Health Care Provider’s Practice Or Health Care Facility And Requiring The Disclosure Of A Change In Ownership Of Such A Practice Or Facility.”

There are two obvious routes by which legislatures can strengthen statutory opposition to such corporate control of medical practices: 1) focus on the MSOmedical practice nexus by which previous CPOM doctrines have been circumvented, and 2) provide more tools for anti trust enforcement on the state level in order to give regulators the power to halt the industry consolidation. Taking New York’s PHL 45-A as an example, that law, in essence, provided some anti-trust regulatory power to the New York State Department of Health as it focused on the consumer harms of reduced competition. The other route, focusing on MSOs and their control of medical practices, is seen in proposed legislation in North Carolina and Vermont.

The North Carolina bill would prohibit common stakeholders between medical practices and MSOs. The bill also expressly reserves the right to make medical decisions for physicians under contract with an employer or working as independent contractors. Furthermore, the bill sets out that after receiving a complaint, the onus will be on the organization in question to prove, by explanations of the business structure and  affirmations, that the physicians are in control of the medical decisions. And recently, on June 9, 2025, Oregon signed into law “An Act Relating to the Practice of Health Care,” which is taking aim at the MSO practice model by prohibiting MSOs from having the ultimate authority over things like hiring physicians, setting work schedules and compensation, setting policies for billing and collection, and negotiating contracts with third-party payors. Another interesting aspect of the Oregon bill is that it takes direct aim at restrictive covenants. Restrictive covenants are a typical way for the MSO medical practice model to control the ability of physicians to break away from their current employer, and as such, are a powerful tool in the arsenal of private equity and other nontraditional business organizations that have moved in the healthcare industry seeking profits.

Finally, physicians are also beginning to push back. In Am. Acad. of Emergency Med. Physician Grp., Inc. v. Envision Healthcare Corp., No. 22-CV-00421-CRB, 2022 WL 2037950 (N.D. Cal. May 27, 2022) and Hosp. Internists of Austin, P.A. v. Quantum Plus, LLC, No. 1:18-CV-466-RP, 2019 WL 1922051 (W.D. Tex. Jan. 23, 2019), physicians have sued business organizations affiliated with Kohlberg Kravis Roberts (KKR) and Blackstone, winning the case in Texas and forcing a strategic withdrawal from the KKR group from the entire California market rather than lose the case and face continued scrutiny.

While the last decade or more has seen the increasing financialization of the healthcare field, with private equity groups and even Amazon angling for a portion of the approximately four trillion dollars that flows through the US healthcare industry, there appears to be more and more signs that states and physicians are taking steps, even if halting and uneven, to return power and force to CPOM doctrines by updating statutes and increasing regulatory power in order to combat the means of control used by those non-medical organization that have bought their way into the healthcare field and exerted control over physicians.

While it is still too early to tell how this will shake out on a national scale for the healthcare industry, private equity, and other large corporate interests, it will be important to keep an eye on the developments in this arena over the next several years. It should also be noted that these recent developments, the new bills, and the strengthening of the CPOM doctrine do not easily break down along the partisan lines in the United States. With widespread polling showing sustained dissatisfaction with the healthcare industry in its current form, this could be a rare bipartisan focus for the future. 

If you have questions pertaining to the aforementioned changes, please contact Marc S. Beckman (mbeckman@lippes. com), Benjamin W. Goldberg (bgoldberg@lippes.com) or another one of our qualified Health Care Practice Team members at Lippes Mathias.

Virtual Physical Therapy, Real Results: Excellus BCBS Members Report Better Function and Less Pain

A new Excellus BlueCross BlueShield benefit is helping members overcome one of the nation’s most debilitating health conditions, while also working to reduce the rising costs of health care.

Kelly Nye, an Excellus BCBS member in Jamesville suffered from shooting pains down her leg and numbness in her thigh. Her pain prevented her from doing the things she loves, like going for walks. Determined to overcome her pain, she enrolled in Vori Health* a virtual physical therapy program available to Excellus BCBS members.

Vori Health is ideal for members like Kelly who are suffering from certain musculoskeletal disorders, such as back, neck, or joint pain.

“It has really helped. I’m back to walking and I don’t have pain anymore,” says Kelly.

Virtual Physical Therapy
Musculoskeletal disorders are a leading cause of disability and increased health care costs in the U.S. More than one in three people are impacted by the disease.

To help members suffering from chronic pain, in January 2024, Excellus BCBS partnered with Vori Health to bring members a new virtual physical therapy option. Members are supported by a team of specialty medical providers, physical therapists, health coaches and nutritionists. At Kelly’s first appointment, she met virtually with a doctor and physical therapist. She’s continued to work virtually with the physical therapist, focusing on exercises she could do on her own time.

“I could do it in my pajamas. I didn’t have to drive anywhere,” explains Kelly. She accessed prescribed exercises through her personal portal and performed them with the assistance of video and motion tracking. “It is such a cool technology. You can really see if you’re doing things the right way.”

A Flexible Way to Access Care
“Virtual physical therapy can make it easier for patients to stay engaged by bringing care directly into their homes,” said Ankit Garg, MD, Excellus BCBS VP of Medical Affairs. “Early results are promising, and we’re proud to offer a program that supports members’ health goals. We’re excited for even more members to take advantage of this convenient option going forward.”

Members are encouraged to consult with their medical provider to find out what treatment options are best for them. In 2024, more than 3,000 Excellus BCBS members enrolled in Vori Health with:
• 75% noting improvement in pain
• 59% feeling that their function had improved
• 70% seeing an improvement in depression
• 64% experiencing an improvement in anxiety

Musculoskeletal treatments are also a top driver of rising health insurance costs.

“An added benefit of this program is its potential to curb rising health care costs by helping members avoid more invasive – and often more expensive – treatments in the future,” Dr. Garg said.

Curing Pain with Lifestyle Changes
Kelly also discussed lifestyle changes with her physical therapist. “He gave me ideas of how to best sit in my car. We talked about shoes that were good for me and how I might walk and maybe avoid some of the high hills I was doing. “It was just so thorough about my whole lifestyle.”

Vori Health is available to members enrolled in Medicare Advantage and in many employer health plans. Benefits and coverage can vary. See this member flyer for more information and watch more of Kelly’s story in this video.

*Vori Health is an independent company that offers virtual physical therapy to Excellus BlueCross BlueShield members. Excellus BlueCross BlueShield, an independent licensee of the Blue Cross Blue Shield Association, is a nonprofit health plan with about 1.5 million upstate New York members. The company’s mission is to help people live healthier and more secure lives through access to high-quality, affordable health care. Its products and services include cost saving prescription drug discounts, wellness tracking tools and access to telemedicine. With about 4,500 employees, the company is committed to attracting and retaining a diverse workforce to foster innovation and better serve its members. It also encourages employees to engage in their communities by providing paid volunteer time off as one of many benefits.

To learn more, visit ExcellusBCBS.com.

See this member flyer for more information: CLICK HERE

Watch more of Kelly’s story in this video link WATCH HERE