Lancaster Physician Fall 2025 by Hoffmann Publishing Group

Local Health Care Systems Work to Bring Young People

INTO THE MEDICAL FIELD

BY JOSEPH MACDONALD, DO, MBA

BY AMANDA LONG, DO

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2025 BOARD OF DIRECTORS

OFFICERS

Sarah E. Eiser, MD President Penn Medicine Lancaster General Health Physicians Lancaster Physicians for Women

Stacey S. Denlinger, DO Immediate Past President UPMC Wound and Hyperbaric Center

Robin M. Hicks, DO President-Elect

UPMC Supportive Care & Palliative Medicine

Christopher R. Scheid, DO Vice President College Avenue Family Medicine

James M. Kelly, MD Treasurer Penn Medicine Lancaster General Health Physicians Family Medicine Lincoln

David J. Gasperack, DO Secretary WellSpan Health

DIRECTORS

Lena Dumasia, MD

Laura H. Fisher, MD

Abby K. Geletzke, MD

Anna Goetze, DO | Resident

Logan Lawson, DO, MPH | Resident

Jessica Miller, MD | Resident

Karen A. Rizzo, MD, FACS

Daniel J. Schlegel, MD, MHA, FAAFP

Susanne E. Scott, MD, MPH

Danielle Rubinstein, DO

Osvaldo Zumba, MD

EDITORS

D awn Mentzer

Bet h E. Gerber Lancaster City & County Medical Society

Stacey S.

LancasterPhysicianis a publication of the Lancaster City & County Medical Society (LCCMS). The Lancaster City & County Medical Society’s mission statement: To promote and protect the practice of medicine for the physicians of Lancaster County so they may provide the highest quality of patient-centered care in an increasingly complex environment.

Hello Lancaster County,

The summertime always seems to fly by! Here we are approaching cooler weather, sweaters, and backyard firepits.

This quarter, Lancaster Physician features another article from one of our area health systems as part of our Artificial Intelligence series. We have recently begun using AI in our practice offices at Penn Medicine Lancaster General Health, and it seems to be well-received by both patients and physicians.

Our fall issue also has an article that discusses some of the anticipated outcomes and impacts of the Medicaid cuts as well as the new federal bill.

Our Perspectives piece highlights information about how health systems are encouraging area students to pursue careers in medicine. And our usual favorites are back, including health system Best Practices, a Member Spotlight, a Frontline Group Spotlight, a Passion Outside of Practice Q&A, and the Restaurant Review.

I hope you all had a great summer!

Thank you,

Sarah Eiser, MD Penn Medicine Lancaster General Health Physicians Lancaster Physicians for Women

You’re proud to be a physician. Support the organization dedicated to serving you and your passion. United we are stronger and can work together to make a positive impact in Lancaster County medicine and beyond. If you aren’t already a member, we hope you’ll consider a membership investment in LCCMS.

Scan the QR code below to learn more.

At MADJ, we specialize in helping medical practices and health systems of all sizes thrive in competitive landscapes. From small beginnings to signiﬁcant success, our tailored strategies have transformed healthcare providers into community cornerstones.

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ALSO IN THIS SECTION

• WellSpan Health Leverages AI-Enhanced Mammography

• Penn State Health Expands Neurological Services in Lancaster County

Penn Medicine Lancaster General Health (LG Health) has emerged as a regional leader in Alzheimer’s treatment. It is one of only a few health systems in south central Pennsylvania to offer two revolutionary FDA-approved therapies that represent the first treatments to actually slow the progression of early-onset Alzheimer’s disease.

Since 2024, through LG Health’s specialized Alzheimer’s & Memory Care program at the Neuroscience Institute, 41 patients have received Leqembi and Kisunla, innovative infusion therapies that work by reducing amyloid plaque formation in the brain. These treatments mark a paradigm shift from previous approaches that only managed symptoms to addressing one of the underlying causes of the disease.

Breaking New Ground in Dementia Treatment

“We’ve never had any treatment before that actually addresses the underlying problem of Alzheimer’s disease,” said Dr. Matthew Beelen, Medical Director of LG Health’s Alzheimer’s and Memory Care Program. “The other treatments were just treating symptoms, sort of like bandages. But these new drugs are getting at one of the main causes—amyloid plaque.”

Both medications target abnormal protein accumulation in the brain but differ in administration schedules. Leqembi requires infusions twice monthly over 18 months, while Kisunla—the newer option— provides monthly treatments with potentially faster amyloid removal, leading many patients to prefer the less frequent dosing schedule.

The treatments require sophisticated clinical expertise to manage them safely. Patients must undergo comprehensive screening including amyloid PET scans, genetic testing, and regular monitoring for potential side effects.

Multidisciplinary Excellence

LG Health’s success with these breakthrough therapies stems from its comprehensive care model, which combines geriatrics, neurology, and neuropsychology expertise. The program leverages resources from Penn Medicine’s broader research network, allowing LG Health to model its protocols after established programs while maintaining local accessibility.

“Most organizations don’t have the expertise to manage these treatments,” noted Brad Stevens, LG Health Executive Director of Orthopedics.

The care team includes a geriatrician, neurologists, neuropsychologists, a nurse coordinator, a social worker, advance practice providers, infusion specialists, and radiologists working in coordination. Patients also participate in a national registry called ALZ.net, contributing to ongoing research with over 2,000 participants nationwide.

Expanding Access and Future Vision

With Lancaster County’s aging demographics—a quarter of the population is now 60 or older—demand for dementia care

continues to grow. LG Health is expanding services through a planned second outpatient facility at Willow Valley Communities, expected to open in summer 2026.

Willow Valley is also building a 140-bed residential Memory Care Center that will feature an innovative village-style design inspired by European models, representing a $45 million investment in comprehensive dementia care.

Looking ahead, researchers remain cautiously optimistic about advancing treatments. While current therapies address amyloid plaques, future developments may target tau proteins, another key factor in Alzheimer’s progression.

“There are going to be a lot of advances in the next 10 years,” Dr. Beelen said. “We’re cautiously optimistic about having more answers and more treatment options for our patients.”

As demographics point to dramatically increased demand for dementia care—with Alzheimer’s cases expected to more than double nationally by 2060—LG Health’s pioneering program positions the region at the forefront of this evolving medical frontier.

Minnie Taw, MD Board certiﬁed in Internal Medicine, Pediatrics and Obesity Medicine

WellSpan Health Leverages AI-Enhanced Mammography

TO IMPROVE EARLY BREAST CANCER DETECTION

The introduction of artificial intelligence (AI) into mammography screening has revolutionized the early detection of breast cancer. WellSpan Health implemented an FDA-approved AI solution across all its imaging facilities to aid in the detection of breast cancers.

While annual screening detects tissue anomalies most of the time, it still fails to detect about 20% of all breast cancers in the U.S.—and nearly 40% in women with dense breast tissue. WellSpan Health is working to close that gap.

A radiologist at WellSpan Health reviews a patient's mammography images enhanced by AI to help detect the early signs of breast cancer, even in women with dense breast tissue.

“Thanks to the quicker, more thorough readings, we’ve revamped our process so we can talk with patients who need follow-up care more quickly,” says Heidi Beilis, MD, DABR, FACR, vice president and chief medical officer of the Diagnostic Service Line at WellSpan Health.

Workflow integration

The quick turnaround time is possible because images go straight to the cloud. In about 10 minutes, the AI system does a firstpass read and flags any concerning images. This allows the team to prioritize patients whose results require further investigation.

“We like it because it’s a tap on the shoulder, a second pair of eyes,” says Dr. Beilis.

Enhanced early-stage cancer detection

One of the most notable benefits of this AI solution is its ability to detect early-stage breast cancers, particularly in women with dense breast tissue or breast implants. A

recent case exemplifies the AI system’s effectiveness. The system identified an area of concern on the mammogram of a young woman with breast implants. Prior to leaving the clinic, she received immediate follow-up testing that revealed a very early-stage breast cancer. Potentially curable at this point.

“While that is news no one wants to get, the patient told us she appreciated finding out sooner rather than later,” Dr. Beilis says.

The AI solution will allow radiologists to detect an additional 56 instances of breast cancer among the approximately 100,000 screening mammograms done each year at WellSpan Health. This represents an increase in the detection rate of these cancers by 10%—many of them early-stage cancers that could be obscured by dense breast tissue or implants. Early detection can lead to better patient outcomes and reduced anxiety, as follow-up testing and treatment can be started more quickly.

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Future plans and expansion

The AI system is just one piece of a broad effort at WellSpan Health to screen women for breast cancer and connect each patient with the testing and treatment they need. They are also implementing a risk assessment tool to identify high-risk patients aged 25–40 for early screening. This tool aims to further improve early breast cancer detection by targeting individuals who may benefit most from early, advanced screening methods.

The success of the AI system at WellSpan Health has also led to plans for expanding the use of AI in other diagnostic areas. This expansion can ensure that more patients have access to this advanced technology, potentially leading to a broader impact on cancer detection and patient care overall.

“These tools are building blocks on the pathway to exceptional personalized care for patients and their families,” Dr. Beilis says.

Expands Neurological Services in Lancaster County

Gabriel Lynch of Lititz, right, a Penn State Health neurosurgery patient, learns about the cervical disc replacement procedure performed to alleviate his arm pain and numbness.

Gabriel Lynch of Lititz experienced a severe cervical disc herniation that progressed from mild neck discomfort and loss of sensation in one arm to debilitating arm pain and numbness in just a few days. Conservative treatments provided no relief, and the pain became so severe that pain medications were insufficient.

Using a minimally invasive approach through the front of the neck, Penn State Health’s neurosurgical team performed a cervical disc replacement in approximately 90 minutes. The results were immediate and dramatic. “When I woke up on Tuesday after the surgery, no pain—zero,” Lynch reported.

EXPANDING ACCESS TO COMPLEX NEUROLOGICAL CARE

The Penn State Health neurological surgery program recently expanded its team in Lancaster County. At Penn State Health Lime Spring Outpatient Center, it provides Lancaster County patients greater access to care for both cranial and spinal trauma, including motor vehicle accidents, penetrating injuries, and other complex neurological emergencies.

Fellowship-trained, board-certified neurosurgeon Dr. Enyinna Nwachuku is part of Penn State Health’s expanded neurological team in Lancaster County.

“There’s really no spinal issue that we can’t deal with,” Nwachuku said. “With expertise in neurotrauma, both cranial and spine trauma, we treat all kinds of conditions and injuries, including motor vehicle accidents, penetrating gunshot wounds, et cetera.”

Nwachuku specializes in concussion, traumatic brain and spinal cord injury, complex and minimally invasive spine surgery and general neurosurgery, treating conditions such as degenerative spine disease, small disc herniation, and scoliosis. Surgeries are performed at Penn State Health Lancaster Medical Center, and patients with higher-level neurological needs receive care at nearby Penn State Health Milton S. Hershey Medical Center.

ADVANCING TREATMENTS THROUGH RESEARCH

In addition to patient care, Penn State Health also prioritizes research focused on functional neurological outcomes after traumatic brain or spinal cord injury. Nwachuku is currently working on two research projects:

1. Investigating biomarkers in chronic subdural hematomas to predict post-surgical recurrence rates

2. Exploring novel catheter-based approaches for central cord syndrome patients to optimize recovery.

“A lot of our patients are neurotrauma patients, and that dovetails

“Our dedication to providing expert neurological care within the local community promises to elevate patient outcomes and support consistent followup care, all while reducing the burden of travel. Most importantly, the program’s expansion allows patients and families to receive exceptional care without leaving the place they call home.”

—

Dr. Kevin Cockroft, chair of the Department of Neurosurgery at Penn State College of Medicine and

nicely into our research interests around traumatic brain injury and spinal cord injury,” Nwachuku said.

Dr. Kevin Cockroft, chair of the Department of Neurosurgery at Penn State College of Medicine and Milton S. Hershey Medical Center, said the expanded program brings invaluable services to Lancaster County.

“Our dedication to providing expert neurological care within the local community promises to elevate patient outcomes and support consistent follow-up care, all while reducing the burden of travel. Most importantly, the program’s expansion allows patients and families to receive exceptional care without leaving the place they call home.”

ACCELERATED RECOVERY AND RESTORED FUNCTION

Thanks to the minimally invasive procedure, Lynch experienced a remarkably quick and smooth recovery. Within 24 hours of surgery, he was discharged and walked out of the hospital independently. He experienced immediate resolution of his neurological symptoms with only minimal residual numbness in his fingers, which he expects will fully recover over time.

“Dr. Nwachuku and the staff at Lancaster Medical Center were excellent and very accommodating,” Lynch said. “It’s reassuring to know that this level of care is available in Lancaster County.”

Milton S. Hershey Medical Center

HEALTH CARE ON THE FOREFRONT OF AI

A series featuring different Lancaster County health care providers and how they are leveraging artificial intelligence to improve the patient experience.

FEATURED IN THIS ISSUE: PENN STATE HEALTH

ELEVATING CARE:

The Transformative Power of AI in Health Care’s Next Era

JOSEPH MACDONALD, DO, MBA Vice President, Chief Medical Officer at Penn State Health Lancaster Medical Center

The health care landscape is undergoing a profound transformation, and nowhere is this more evident than in the integration of artificial intelligence into clinical workflows. At Penn State Health Lancaster Medical Center, we are proud to be at the forefront of this evolution, embracing Ambient AI technology to enhance the way we deliver care.

During the past year, the acronym “AI” has been referenced more frequently than any other term. Given the prevalence of acronyms in health care, this is a notable development. Several questions are important to consider. How will AI impact health care? What is Ambient AI?

The answers to these questions reveal not just a technological revolution, but a reimagining of the care experience itself. Artificial intelligence is no longer a futuristic concept. It is now an integral part of the medical ecosystem, reshaping interactions, decisions, and outcomes. As with any innovation, the true measure of its value lies in its ability to serve both clinicians and patients in meaningful, tangible ways.

At its best, AI becomes invisible: an ever-present support that enhances every stage of the clinical journey, from the initial patient history to the final bill. Such technology is not about replacing the irreplaceable, namely, the compassion and expertise of health care professionals, but rather about amplifying their impact. The promise of AI is to lighten the clerical load, sharpen diagnostic acumen, and empower providers to focus on what truly matters: the art of healing.

Ambient AI refers to intelligent systems that operate seamlessly in the background, supporting clinicians without disrupting the patient encounter. At Lancaster Medical Center and across our health system, we will deploy Ambient AI within our electronic health record to assist with clinical documentation and revenue cycle optimization, while preserving the human connection at the heart of medicine.

Enhancing Documentation and Clinical Insight

One of the most immediate benefits of Ambient AI is its ability to assist in the documentation of patient encounters. By “listening” and summarizing conversations between clinicians and patients, the system generates accurate, real-time notes that reflect the nuances of the visit. This will not only reduce the administrative burden on providers but will also improve the quality and consistency of documentation. This technology, which typically will operate by creating ephemeral audio files, will be applied in various privacy-first applications that will ensure HIPAA.

Beyond transcription, Ambient AI can summarize care plans, highlight key clinical decisions, and even suggest evidence-based interventions. For complex cases, it serves as a cognitive partner, helping clinicians synthesize information and consider more comprehensive, personalized care strategies.

Supporting Charge Capture and Denial Prevention

Ambient AI will play a critical role in the financial health of our institution. By ensuring that documentation supports appropriate charge capture, it will help reduce missed billing opportunities and will minimize the risk of claim denials. The technology will flag potential gaps in coding and compliance, allowing for proactive correction before submission.

National Trends in AI Adoption

Penn State Health’s planned adoption of Ambient AI reflects a broader national trend. As of 2025:

• 66% of physicians are using health AI tools, a 78% increase from 20231

• 80% of hospitals now use AI to enhance patient care and workflow efficiency2

• The AI health care market is projected to grow from $21.66 billion in 2025 to $110.61 billion by 2030, with a compound annual growth rate of 38.6%1.

• Over 340 FDA-approved AI tools are currently in use, particularly for diagnosing strokes, brain tumors, and breast cancer1

• AI-generated operative reports have shown 87.3% accuracy, outperforming traditional surgeon-written reports at 72.8%1.

These statistics underscore the growing trust in AI’s ability to improve clinical accuracy, reduce administrative burden, and support better patient outcomes.

A Vision for the Future

As we continue to expand our use of Ambient AI throughout the health care landscape, I envision a future where technology amplifies—not replaces—the expertise of our clinicians. By streamlining routine tasks and surfacing actionable insights, AI will allow providers to focus more fully on what matters most: caring for patients.

Penn State Health is proud to lead this charge, demonstrating how thoughtful innovation can elevate both the efficiency and humanity of health care.

References

1 AI In Healthcare Stats 2025: Adoption, Accuracy & Market

2 AI in Healthcare Statistics 2025: Overview of Trends

THE LOWDOWN ON STEATOTIC LIVER DISEASE:

ITS PREVALENCE, RISK FACTORS, TREATMENTS, AND PREVENTION

Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as NAFLD, affects approximately 30% of the global population. It is projected to affect 41.1% by the year 2050 and is the leading cause of chronic liver disease in the world.1 The nomenclature was changed in 2024 after a global Delphi consensus, led by American Association for Study of Liver Diseases (AASLD), the European Association for the Study of the Liver (EASL), and the Latin American Association for the Study of the Liver (ALEH). The purpose was to eliminate the term “fatty” to combat stigmatization and to more accurately describe the pathophysiology of the disease.

WHAT ARE THE RISK FACTORS?

The overarching term “steatotic liver disease (SLD)” addresses multiple etiologies of steatosis in the liver including MASLD, metabolic dysfunction and alcohol-associated steatotic liver disease (MetALD), alcohol-associated liver disease (ALD), cryptogenic SLD, and etiology specific SLD (such as drug-induced steatosis of the liver). MASLD is defined as hepatic steatosis and one or more cardiometabolic risk factors (CMRF). This includes:

• BMI ≥ 25 kg/m3 or waist circumference > 94 cm (males) and 80 cm (females)

• Fasting serum glucose ≥ 100 mg/dL or 2-hour post-load glucose level ≥ 140 mg/dL or HbA1c ≥ 5.7% or type 2 diabetes

AMANDA LONG, DO US Digestive Health – Lancaster

• Blood pressure ≥ 130/85 mmHg or on antihypertensive medication

• Plasma triglycerides ≥ 150 mg/dL or on lipid lowering treatment

• Plasma HDL ≤ 40 mg/dL in men and ≤ 50 mg/dL in women.2

The new nomenclature more accurately defined a population of patients with hepatic steatosis, CMRF, and modest alcohol use, which was defined as weekly intake of 140350 g (10-25 standard drinks) in women and 210-420 g (15-30 standard drinks) in men. The upper level of this range is more consistent with alcohol predominant liver disease.

According to long-term data, about 12-40% will progress to metabolic dysfunction-associated steatohepatitis (MASH), which is characterized by liver inflammation and fibrosis.3 An even smaller percentage of this population will go on to progress to cirrhosis, or advanced scarring of the liver.

HOW IS STEATOTIC LIVER DISEASE DIAGNOSED?

The majority of MASLD is diagnosed incidentally on routine lab work or imaging. However, screening is recommended for patients with type-2 diabetes, medically complicated obesity, or first-degree relatives with MASH/MASLD. It should be noted that serum aminotransferase levels are often normal and should not be used to exclude the presence of MASH. It is important to exclude other etiologies for liver disease, including autoimmune etiologies and chronic hepatitis when appropriate, and quantify alcohol consumption.

Once identified, it is important to risk stratify these patients to determine who is at risk of progressing to advanced liver disease and who needs more advanced therapies. There are several noninvasive tests (NIT) and serum biomarkers that can be used in the primary care setting to quantify a patient’s risk. The FIB-4 index panel is the most validated serologic test and is recommended as first-line in the primary care setting to exclude advanced liver disease in a low-risk patient. It is a simple calculated score using the patient’s age, AST, ALT, and platelet

count. A score of < 1.3 has a negative predictive value of 90%. It should be noted that with FIB-4 the specificity decreases with increasing age and a score of < 1.3 alone could miss over 8% of at-risk patients. When the FIB-4 is ≥ 1.3, a secondary tool like vibration-controlled transient elastography (VCTE) should be used to better detect advanced fibrosis. Enhanced liver fibrosis (ELF) is a serologic test of three elements involved in matrix turnover. An ELF score ≥ 9.8 identifies a patient with increased risk of progression to cirrhosis with a positive predictive value of 95% and can also be used as a secondary risk assessment tool.4

WHAT ARE THE TREATMENT OPTIONS?

The cornerstone of treatment is similar to other metabolic disorders, with a strong focus on exercise, diet, and weight loss. The generally recommended goal is a weight loss of 5-10%, although higher goals may be more beneficial. The Mediterranean diet has shown some efficacy in reducing liver fat and improving cardiovascular health. It is characterized by a high intake of fruits, vegetables, whole grains, legumes, nuts, olive oil, and moderate fish/lean meats. Diets high in simple sugars, specifically fructose, are associated with increased risk of progression of MASLD.

Resmetirom, which is a thyroid hormone receptor-beta agonist, was the first FDA-approved medication for MASH with F2 to F3 fibrosis. In the MAESTRO-NASH trial, resmetirom achieved the two primary endpoints, which were resolution of steatohepatitis without worsening of fibrosis and improvement in fibrosis without worsening of steatohepatitis at 52 weeks. In clinical practice, resmetirom is recommended for patients with steatohepatitis, at least one cardiometabolic risk factor, and F2-F3 fibrosis—and it does not require liver biopsy to initiate treatment.

More recently, in August 2025, the FDA approved Wegovy (semaglutide) for MASH and moderate to advanced liver fibrosis, marking the first FDA-approved GLP-1 for the indication of MASH. In the ESSENCE trial, semaglutide significantly improved liver inflammation and fibrosis, with 63% of participants achieving resolution of steatohepatitis without worsening

fibrosis and 37% experiencing improved fibrosis without worsening steatohepatitis. One-third of participants saw both outcomes.5 There are currently several other GLP-1 agonists in clinical trials for the indication of MASH.

PREVENTION AND PATIENT AWARENESS START IN THE PRIMARY CARE SETTING

The prevalence of MASH is rising worldwide and is already a leading indication for liver transplant in patients with hepatocellular carcinoma (HCC). Diagnosis, risk stratification, and management often begin in the primary care setting. Although there are several new medications on the horizon for the indication of MASH, primary prevention starts in the office with discussion about healthy diet, exercise, and limiting alcohol intake.

References

1 Le P, Tatar M, Dasarathy S, et al. Estimated Burden of Metabolic Dysfunction–Associated Steatotic Liver Disease in US Adults, 2020 to 2050. JAMA Netw Open. 2025;8(1):e2454707. doi:10.1001/ jamanetworkopen.2024.54707

2 Kanwal, Fasiha1,2,3; Neuschwander-Tetri, Brent A.4; Loomba, Rohit5; Rinella, Mary E.6. Metabolic dysfunction–associated steatotic liver disease: Update and impact of new nomenclature on the American Association for the Study of Liver Diseases practice guidance on nonalcoholic fatty liver disease. Hepatology 79(5):p 1212-1219, May 2024. | DOI: 10.1097/HEP.0000000000000670

3 Lekakis, V., & Papatheodoridis, G. V. (2024). Natural history of metabolic dysfunction-associated steatotic liver disease. European Journal of Internal Medicine, 122, 3–10. https://doi.org/10.1016/j. ejim.2023.11.005

4 Younossi ZM, Felix S, Jeffers T, et al. Performance of the Enhanced Liver Fibrosis Test to Estimate Advanced Fibrosis Among Patients With Nonalcoholic Fatty Liver Disease. JAMA Netw Open. 2021;4(9):e2123923. doi:10.1001/ jamanetworkopen.2021.23923

5 Sanyal, A. J., Newsome, P. N., Kliers, I., Østergaard, L. H., Long, M. T., Kjær, M. S., Cali, A. M. G., Bugianesi, E., Rinella, M. E., Roden, M., & Ratziu, V. (2025). Phase 3 trial of semaglutide in metabolic dysfunction–associated steatohepatitis. New England Journal of Medicine, 392(21), 2089–2099. https:// doi.org/10.1056/nejmoa2413258

Daniel P. McIntyre, MD, FACEP

WellSpan Good Samaritan Hospital

Travel Hacking

Travel hacking has taken Dr. McIntyre and his family to exciting destinations, like Plitvice Lakes National Park in Croatia (left) and Porto Cervo, a seaside village in northern Sardinia, a large Italian island off the mainland’s western coast (right).

Would you briefly describe your passion outside of practice for those who might be unfamiliar with it?

My passion outside of my demanding professional life is the exhilarating world of travel, specifically through the strategic art of “travel hacking.” For those unfamiliar, travel hacking isn’t about shady tricks; it’s about leveraging loyalty programs, credit card rewards, and a deep understanding of airline and hotel systems to travel far more frequently and for a fraction of the usual cost. It’s the thrill of seeing new cultures, eating new foods, meeting new people, and experiencing incredible destinations without draining your savings. Essentially, it’s turning everyday spending into extraordinary adventures.

How did you develop an interest in your passion outside of practice?

My interest in travel wasn’t some sudden revelation; it was a slow burn, fueled by a deep-seated curiosity about the world that always felt just out of reach. Growing up, the idea of international travel, particularly to far-flung destinations, seemed like a luxury reserved for others, something I could only dream about. I’d devour travel documentaries and read books about distant lands, but the financial reality always seemed to put a firm cap on those aspirations.

The shift came about 15 years ago when I read Chris Guillebeau’s The Art of Non-Conformity. I started to consume similar media—devouring books and podcasts on the subject, and I became quite intrigued with the broader concept of life optimization, with a primary focus on making travel attainable. The more I researched, the more I realized it was a legitimate strategy for optimizing credit card rewards, airline miles, and hotel points. It was like discovering a hidden pathway to my long-held aspirations. The idea that I could transform everyday expenses into tangible travel experiences, unlocking the world for my family and me, was incredibly compelling. That initial curiosity about seeing the world, once stifled by perceived financial barriers, suddenly had a practical, actionable route, and I’ve been hooked ever since.

It’s our pleasure to highlight a Lancaster City & County Medical Society member’s “passion outside of practice” in each issue of Lancaster Physician. Beyond their commitment to health care, LCCMS members have many other talents, skills, and interests that might surprise you. In this issue, we’re thrilled to feature Daniel McIntyre, MD, FACEP, and his passion outside of practice.

How long have you been participating in this activity?

This passion has truly been a journey spanning about 15 years, but it’s important to stress that it hasn’t been static. It’s been a constantly growing and transforming activity for me. What started as simply collecting a few airline miles from a new credit card has evolved into a far more sophisticated and integrated approach to travel. It’s a continuous learning process, adapting to changes in loyalty programs and the travel industry, which keeps it endlessly engaging. So, while the roots are 15 years deep, the pursuit itself is dynamic and ever-evolving.

Why is this pursuit special to you?

This pursuit is incredibly special to me because it has fundamentally reshaped what I believed was possible for my family and me. For so long, the world felt like a distant, expensive dream. Travel hacking transformed that dream into a tangible reality. It’s not just about the convenience; it’s about the freedom and accessibility it provides to show my family the world. We’ve been able to immerse ourselves in new cultures without the crushing financial burden, and, most importantly, learn so much about diversity firsthand. This direct exposure to different ways of life, traditions, and perspectives has been an invaluable education that no classroom could ever provide.

What else would you like readers to know about this passion?

One thing I really want readers to understand about this passion is that it’s not just for those with high incomes or who travel constantly for work. It’s truly accessible to almost anyone, regardless of their budget or current travel habits. The key is simply being strategic and consistent. Many people overlook the immense value of the points and miles they could be earning from everyday spending— groceries, utilities, online shopping. It’s about optimizing what you already do rather than spending more.

KoLE CHOPHOUSE

Sometimes a family meal calls for something extraordinary, and our daughter’s brief five-day visit gave us the perfect excuse to indulge. KōLE Chophouse in Lititz offered just the kind of evening we hoped for: a celebratory dinner in a space that was beautiful, bustling, and just quiet enough for comfortable conversation.

The oysters were our opening note, and they set the tone. Fresh and briny, the lemon and pickled onions elevated them into something unforgettable—without exaggeration, they were the best oysters we’ve ever had. A round of cocktails followed, each one as thoughtful and artful as the food itself.

We then dove into the entrées. The Japanese Wagyu was all we imagined and more—silky, decadent, and melt-in-your-mouth tender. The Prime Striploin was equally memorable, its bone marrow and bordelaise a masterclass in rich flavor. The Tagliata, despite being the least expensive steak, stood tall among the lineup, perfectly prepared and paired with sweet, mellow garlic confit. The Branzino brought balance to the table, its light, delicate flavor a refreshing contrast to the depth of the beef.

Among the sides, the roasted broccolini stood out with its perfect char, while the earthy mushrooms brought a savory richness. The truffled macaroni and cheese leaned more subtle than bold, but hearty and comforting nonetheless. The watercress added a delightful bitterness, cutting through the richness and rounding out the spread.

A few notes about the overall experience. KōLE Chophouse doesn’t serve bread, but with flavors this well-executed, we never missed it. Reservations are essential, and parking may mean a short walk. Speaking of walking, the town of Lititz is a lovely place for a stroll after lunch, or on the second Friday of each month—dubbed “Lovin’ Lititz Every Second”—when shops stay open late and live music abounds.

As far as our evening was concerned, by the time dessert menus came around, we hardly needed them. The evening had already left us deeply satisfied. Our daughter left saying she felt “royally spoiled,” and we couldn’t have asked for more.

KōLE Chophouse

52 N. Broad St. Lititz, PA 17543 kolelititz.com | 717.625.2100

Image provided by and used with permission from KōLE Chophouse.

HOW THE ONE BIG BEAUTIFUL BILL ACT IS AFFECTING HEALTH CARE

PENNSYLVANIA MEDICAL SOCIETY

This year, on Independence Day, President Donald Trump signed H.R. 1, the “One Big Beautiful Bill Act” (OBBBA), into law, enacting sweeping reforms to federal health care programs. The legislation includes significant changes to Medicaid and the Affordable Care Act (ACA), with far-reaching implications for states like Pennsylvania. Health care advocates and physician organizations are raising alarms about the potential disruption to coverage, funding, and access to care.

The Pennsylvania Medical Society (PAMED) has been actively involved in advocacy efforts surrounding the bill for more than a year. As OBBBA moved through Congress, PAMED issued multiple calls to action to its physician members, urging outreach to lawmakers and participation in public comment periods. The organization submitted formal letters to U.S. Representatives Robert Brenshan and Brian Fitzpatrick, as well as Governor Josh Shapiro, outlining concerns about the bill’s projected impact on patients and providers.

“The Pennsylvania Medical Society recognizes the tremendous fiscal challenges facing the United States; however, we encourage you to work to find other policy proposals that do not threaten access to care for our most vulnerable patients,” the letter said.

National and State-Level Impact

According to the Congressional Budget Office (CBO), OBBBA will reduce federal Medicaid funding by $1 trillion over the next decade. The bill also rolls back ACA marketplace subsidies and coverage protections, resulting in an estimated 17 million individuals losing health insurance nationally.

In Pennsylvania, the impact is expected to be substantial. More than 310,000 residents could lose Medicaid coverage, with rural and low-income communities facing disproportionate harm. The state’s Medicaid program currently serves approximately 3 million people, including:

• 1.3 million children

• 123,000 individuals with disabilities

• 312,000 seniors

• 10,000 veterans

OBBBA introduces several structural changes that will further strain the system:

• New work requirements for adults ages 19–64 could result in coverage loss for approximately 200,000 Pennsylvanians.

• Six-month eligibility redetermination cycles, down from the current annual process, are projected to affect 110,000 individuals and cost the state an additional $18 million annually. The administrative burden would require hiring approximately 250 new staff.

• Changes to the provider tax structure, beginning in fiscal year 2028–29, could slash over $20 billion in Medicaid funding for Pennsylvania over the next 10 years.

State officials are still conducting fiscal modeling to assess the full impact. Budget negotiations are ongoing, and additional guidance from federal agencies is expected in the coming months.

Rural Health in Jeopardy

Rural health care providers are expected to be among the hardest hit. At least 25 rural hospitals in Pennsylvania are at risk of closure due to reduced Medicaid reimbursements and changes to the provider tax structure. These facilities already operate at financial deficits and rely heavily on public funding to remain viable.

While OBBBA includes a $50 billion Rural Health Fund slated for 2026–2030, PAMED has expressed skepticism about whether the fund will be sufficient to offset the federal cuts. Details about how the fund will be distributed remain unclear, and many rural providers fear they will be left behind.

Seven of Pennsylvania’s rural hospitals have closed since 2005, and a recent analysis found 42 percent of the remaining 43 rural hospitals are at risk of closing.

Physician Payment and Practice Viability

OBBBA also includes provisions that directly affect physician practices. A 2.5% increase in Medicare physician payments is scheduled for 2026. However, PAMED notes that the increase does not address existing payment shortfalls and will be offset by a rise in Medicare sequestration cuts, which are set to increase to 4% from 2026 through 2034.

These cuts compound the financial strain already felt by many practices, particularly those serving high-Medicaid populations or operating in underserved areas. PAMED is closely monitoring how these changes will affect physician recruitment, retention, and overall practice viability.

A Year of Advocacy

The passage of OBBBA follows a year of intense advocacy from PAMED and other health care stakeholders. As early drafts of the bill circulated in Congress, PAMED worked closely with the American Medical Association (AMA) to mobilize physician members to engage with lawmakers and share their firsthand experiences.

Despite these efforts, the bill passed largely along party lines. PAMED has pledged to continue its advocacy as the implementation phase begins.

PAMED released a statement shortly after stating:

Thank you to everyone who sent over 600 messages yesterday in response to the U.S. House of Representatives vote on proposed Medicaid cuts. Having your voice heard in the legislative process, on both the federal and state level, is so important. Direct communications from Pennsylvania physicians are vital in protecting both patient care and local economies. Although we know your voices were heard and swayed some Representatives, the House of Representatives passed language to cut Medicaid. These cuts will shift costs to states and specifically impact Pennsylvania’s rural physicians and hospitals at a time when those same groups are struggling to keep their doors open.

Congress also did provide a temporary lift in 2026 Medicare payments as part of this process. However, the version passed removed key elements that connected Medicare updates to the Medicare Economic Index.

PAMED continues to closely monitor the impacts of these Medicaid cuts on patient care, and we remain steadfast in our commitment to advocate for policies that support the health and well-being of all Pennsylvanians.

What Comes Next

While OBBBA is now law, its implementation will unfold over months and years. PAMED will continue to provide updates to its members and offer opportunities for engagement.

PAMED remains committed to ensuring that Pennsylvania’s health care system remains strong, equitable, and sustainable. The organization is calling on its members to continue sharing their stories, engaging with policymakers, and advocating for solutions that prioritize patient care.

Local Health Care Systems Work to Bring Young People

INTO THE MEDICAL FIELD

SUSAN SHELLY Writer

While the health care industry has rebounded significantly from highly detrimental job losses experienced during the COVID-19 pandemic of the early 2020s, many jobs remain open as systems struggle to meet the demand for workers.

And with staffing challenges expected to continue across nearly all aspects of the industry, creating talent pipelines has become a priority for many health care systems.

Heath care organizations across the United States and around the world are working hard to attract young people to the medical field while at the same time creating incentives for staff already in place to stay on.

Lancaster Physician reached out to the health care systems serving Lancaster County to learn what they are doing to create interest among young people in working in the health care industry. Representatives from WellSpan Health, Penn Medicine Lancaster General Health, Penn State Health, and UPMC responded.

WELLSPAN HEALTH

WellSpan Health is working to build a strong regional employment pipeline through partnerships with area colleges and universities, while also reaching out to middle and high school-aged students to inspire interest in pursuing jobs in the medical field.

Dr. Michael Bohrn

Dr. Michael Bohrn, vice president and chief academic officer, noted an agreement the health care system has in place with the Lewis Katz School of Medicine at Temple University.

The agreement, Bohrn said, calls for a regional campus of Temple’s medical school to be opened in York County.

And last year, WellSpan partnered with Jersey College, an accredited post-secondary institution specializing in nursing education, to open a school of nursing in York.

While located in York County, both schools can also serve aspiring medical students from Lancaster County.

“We’re looking to address future staffing concerns by creating a pipeline that will educate students and encourage them to stay here to work,” explained Bohrn. “We’ve found the pipeline approach to be very effective.”

The school of nursing, which offers an associate degree in nursing, opened to its first class of students in August 2024. The facility includes classrooms, a skills lab, collaboration areas, and a student lounge. Clinical sites are based in nearby WellSpan York Hospital, giving students the opportunity to access all WellSpan Health facilities during their training.

The school can accommodate three cohorts of 30 to 50 students each year.

The medical school, which will accommodate 40 students per year over a four-year program, is expected to open in August 2027. In addition to its main Health Sciences Center campus in North Philadelphia, Temple also has St. Luke’s University Health Network campus in Bethlehem, Northampton County.

“We’re really excited to collaborate with Temple to be able to offer this opportunity for medical students to get their educations close to home,” Bohrn said. “The program will benefit our patients and help assure improved health outcomes for the future.”

Other Efforts to Encourage Youth to Pursue Careers in Health Care

In addition to the new school of nursing and planned medical school, WellSpan has reached out to Franklin & Marshall College in Lancaster and hopes to pursue partnerships with Millersville University.

Bohrn said the health care system is eager to increase its offerings of volunteer and job shadowing opportunities.

“We’re going to be looking to magnify those opportunities, including for students in Lancaster County,” he said.

Lancaster County students also will be able to benefit from WellSpan’s Training and Education for Aspiring Careers in Healthcare program, known as TEACH. The program, which pairs students with a volunteer, provides the opportunity for them to participate in simulations relating to cardiology, respiratory, and trauma resuscitation.

Aimed at introducing students to a range of health care careers, TEACH is slated to be expanded into Lancaster County.

WellSpan also offers career days for students and is looking to plan a youth summit event for next year, and grassroot efforts are underway to reach younger students through more localized programs.

“We want to get health care on the radar of these young people,” Bohrn shared.

Another important part of WellSpan’s efforts to encourage young people to pursue careers in medicine is scholarship programs that support medical students who commit to working for the system after completing their education.

The programs can make it possible for students with limited financial resources to pursue careers that will benefit both them and their communities.

“We look for good, quality people who are passionate and want to help others in the places where they live, and we try to make opportunities available for them,” Bohrn

said. “We believe that’s the future of our communities.”

PENN MEDICINE LANCASTER GENERAL HEALTH

As a physician assistant working at Lancaster General Health Downtown Family Medicine, Luke Bingaman shares widespread concerns over staffing shortages anticipated for the medical field.

As a volunteer with Attollo Prep, a nonprofit dedicated to providing college access and leadership development for high school students in Lancaster County, Bingaman is working to minimize those shortages by encouraging young people to explore and seek career opportunities through the high school’s A-Med program.

A 10-week program intended to educate young people about careers in health care and inspire them to pursue jobs, A-Med provides early exposure to medical training for students.

They meet with LG Health professionals from various areas of health care and get to tour St. Joseph’s University in Lancaster, where they learn about the school’s programs and get hands-on experience in its simulation lab.

And, thanks to recent efforts by Bingaman and Leo Silva, chief executive officer of Attollo Prep, funding through a Penn Medicine Cares Grant is available for students in the A-Med program who want to obtain CPR/ AED/First Aid certification, an accomplishment that’s considered a key credential for potential health care employees.

“We know that training and certification can improve students’ qualifications for volunteer and employment opportunities in health care settings,” Bingaman said.

During the most recent A-Med class program, seven leaders from Penn Medicine Lancaster General Health met with

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Luke Bingaman

students to offer insights into their work, answer questions, and address any concerns of participants.

“The goal of those visits was to expose students to different areas of medicine and give them a little nudge toward pursuing careers in the field,” Bingaman explained. “We wanted them to experience a range of careers and let them know there are people who are willing to mentor and help them.”

Representing Lancaster General Health were Dr. Edmond Kabagambe, vice president of research administration; Elle Trainor, a certified nurse midwife and associate director of advanced practice; Dr. Tee Rhim, director of operations, Diversity, Equity, & Inclusion; and Daria Indeck, a certified physician assistant who works in Trauma and Critical Care.

Also participating were Dr. Ada Emuwa, a family medicine physician; Bianca Cruz, a certified registered nurse practitioner who works in Penn Medicine Lancaster General Health’s Street Medicine program; and Dr. David Dumornay, executive director, Diversity, Equity, & Inclusion.

“Attollo students come from diverse backgrounds, and we want to reflect that with our speakers,” Bingaman noted. “We purposefully invited speakers who the kids could relate to, and we gave them a chance to meet one-on-one with them and ask any questions they might have had.”

Overall, students are enthusiastic about the A-Med program, Bingaman said. He is hopeful it will continue to motivate them to consider the medical field as a potential for career opportunities.

Acknowledging that Penn Medicine Lancaster General Health’s involvement in the A-Med program is just a small part of the health care system’s overall plan for engaging young people, Bingaman believes the experience is valuable to students and has the potential for widespread benefits in the future.

“We’ve seen good results,” he shared.

“We’ve got some students already in medical school and others applying, while others are pursuing jobs as technicians or in other areas of health care.”

Systemwide Efforts to Engage Students

On a larger scale, Penn Medicine strives to engage young people in the medical field through efforts including the following:

• Summer internships and programs that provide hands-on experience in clinical and research settings

• Mentorship opportunities

• Outreach events such as health fairs and workshops in local communities

• Educational partnerships with schools and universities

• Student research projects

• Competitions in which students strive to find innovative solutions to health care challenges

The goal, according to Bingaman, is to provide experience, training, assistance, and inspiration to motivate students to consider careers in medicine.

PENN STATE HEALTH

Getting young people interested in entering the health care field is a vital piece in building a strong and engaged workforce, according to Jennifer Sarff, vice president, Penn State Health Human Resources.

“We want young people to know about all the opportunities available to them throughout Penn State Health,” Sarff said. “People tend to think of jobs in health care as provider positions, but the range of available jobs is huge.”

Sarff likened a health care system to a city that needs a skilled and varied workforce to keep it running efficiently. The challenge, she said, is getting the word out about all those different jobs and encouraging young

people to consider the possibilities.

“At Penn State Health we’re working hard to educate young people about the city that is health care and help them understand that whatever it is they want to do, we can help them get there.”

The system is expanding partnerships with area colleges to offer tuition-paid opportunities for students to train for positions such as cardiac sonographer, radiology technologist, medical assistant, respiratory therapist, licensed practical nurse, or surgical technologist.

GROW Career Pathways, a program currently in place with Harrisburg Area Community College, has been very successful, with Penn State Health covering some or all of tuition costs in exchange for a limited employment commitment following completion.

Once students have completed the course and are employed by Penn State Health, they can take advantage of incentives for advancement.

Sarff cited an employee who began her employment as a medical assistant and used the Penn State Health tuition benefit to advance to a registered nurse, then to a bachelor’s degree nurse, and then to a nurse practitioner.

“We need young people to be aware that those kinds of pathways are possible,” Sarff said. “Not everyone’s journey is as straightforward as that student’s, but it’s an example of what you can do here.”

Penn State Health also offers help for prospective employees who want to train in non-clinical areas.

Job-shadowing opportunities are available for high school and college students who want to learn about different positions within Penn State Health. Sarff noted that jobs are as varied as physicians and advanced care providers to chefs, accountants, and receptionists.

Jennifer Sarff

She recommends that students who want to explore possibilities for careers in health care visit Penn State Health’s Career Site to see what’s available, pointing out that the health care system even hires veterinarians to care for its support animals and those used in research.

“The opportunities in health care are really vast,” she said.

Another Piece of a Successful Workforce

While Penn State Health works hard to get young people interested in entering health care, it also is intentional about supporting employees at all levels, particularly newer ones.

New employees are surveyed as to why they chose Penn State Health and made aware of their opportunities for advancement within the system. Leaders are encouraged to have conversations with longer-term employees to confirm that they’re satisfied with their jobs and assess any needs they may have.

“It’s not just about getting people interested in health care, but also about paving the way for them to be successful and happy once they’re here,” Sarff said.

Staffing challenges experienced during and following the Covid pandemic have forced health care systems to improve their strategies for attracting and retaining employees, Sarff noted, and Penn State Health has risen to the challenge of doing so.

“We know that we always need to be working to be sure that our pay, benefits, and culture are attractive—both to people who already work with us and those who may someday be employees,” Sarff said.

UPMC

UPMC’s efforts to expose students to jobs in health care and get them interested in pursuing them are broad, but in her position as student initiatives recruiter for the Central Pa. Region, Morgan Nonnemacher focuses

primarily on job shadowing, community partnerships, and career exploration opportunities for high school students.

“Students as young as 15 can pick a department that matches their interests and job shadow a UPMC employee to learn all aspects of that specific role, for up to two weeks,” she explained. “We can have up to 60 student volunteers in each of our hospitals.”

As part of their experience, students might transport patients within the hospital or greet visitors at the front desk. They might work in the supply chain department, helping to stock cabinets and checking expiration dates on medications and supplies.

“They assist throughout the hospital in so many different ways,” Nonnemacher said. “It’s beneficial for us, and it’s a great experience for a young person who’s interested in the health care field.”

Qualified students may be hired right out of high school and then encouraged to work for advancement within the health care system.

“Once they’ve been with us for a while they can get tuition assistance to start advancing in their careers. It’s a fun part of my job to get to see them move onto that path to success,” she said.

UPMC also offers hands-on hospital experiences for Central Pennsylvania high school students in ways other than job shadowing. Participating students can put on hospital scrubs and practice taking preop and post-op patient care, placing IVs, performing X-rays, and caring in other ways for patient care mannequins.

One of those programs, set to start at UPMC Lititz in November, will allow 16 local high school students to gain patient care experience through hands-on, “reallife” scenarios in the hospital. Students will learn about the variety of health care careers including tech, nursing, administrative and other roles.

Working with parents is another part of her job that Nonnemacher enjoys, as she is able to convey how UPMC helps young people identify job opportunities and explain how the health care system can help with education costs.

“I think it’s reassuring for parents to know that these opportunities exist, and empowering for students,” she said.

Making a Difference with Future Life Changers

The Future Life Changers program was created in 2024 with the Neighboring Academy, an in-school program at Dauphin County’s Steelton-Highspire High School that works to break cycles of poverty by creating pathways to homeownership for students.

Nonnemacher explained that the program, held over the summer, provides cohorts of eight high school students opportunities to learn about future career opportunities, professionalism, and collaboration with healthcare professionals. The students spend five weeks in different department rotations at UPMC Harrisburg Hospital.

Students might learn the ins and outs of IV therapy, transport patients, witness a Caesarean section, and participate in other rotations at the hospital.

“We try to keep them engaged and busy, and they learn about jobs they never even knew existed.” Nonnemacher said. “Those five weeks go by quickly.”

Some students elect to continue their relationships with UPMC by serving as volunteers during the school year, which can lead to employment opportunities. Most Future Life Changers participants thrive in the hospital setting.

“I get emotional seeing the difference in these kids between the time they arrive and the time they leave,” Nonnemacher said. “They gain a lot of confidence and maturity in the time they’re with us.”

Morgan Nonnemacher

As Pennsylvania nears the end of the 2025–2026 fiscal year, the state legislature remains mired in negotiations over the still-unpassed 2026 budget. The prolonged impasse, now entering its third month, has slowed legislative momentum in Harrisburg, leaving many bills in a holding pattern.

Despite the lull, PAMED continues to advocate on key issues—including its recent opposition to the federal “Equitable Community Access to Pharmacist Services Act” (ECAPS). Alongside the AMA and other physician groups, PAMED has raised serious scope-of-practice concerns, warning that the bill’s expansion of pharmacists’ clinical authority could compromise patient safety and fragment care.

As budget talks continue, PAMED remains focused on monitoring several state-level bills that could resurface once negotiations conclude.

Bill for Diagnostic Breast Exam Coverage Advances

The Pennsylvania House has passed House Bill 433, which mandates health insurance coverage for all costs associated with diagnostic breast imaging. Introduced by Rep. Gina Curry (D–Delaware County), the bill defines diagnostic imaging to include diagnostic mammography, breast MRI (standard or abbreviated), and breast ultrasound. While current law already requires coverage for screening mammograms, HB 433 seeks to expand protection to follow-up imaging when abnormalities are found. The bill now awaits action in the Senate.

Cannabis Legalization Stalls in Senate

House Bill 1200, which proposes legalizing adult-use cannabis in Pennsylvania, narrowly passed the House with a 102–101 vote. The bill would allow adults age 21 and older to purchase cannabis through a regulated system and includes provisions for personal cultivation, expungement of certain low-level convictions, and reinvestment of tax revenue into community programs. However, after referral to the Senate Law and Justice Committee, the bill failed to advance following a vote on May 13.

PAMED continues to oppose broad-based use of cannabis as medicine, advocating instead for rigorous clinical research and trials. While supporting the decriminalization of personal use, PAMED does not endorse full legalization. Should legalization proceed, PAMED insists it must be accompanied by a robust regulatory framework—such as the one outlined in HB 1200—to mitigate harm and safeguard public health. PAMED will continue monitoring the bill’s trajectory.

Oversight of Health Care Transactions Involving

Private Equity

House Bill 1460, introduced by Rep. Lisa Borowski (D–Delaware), seeks to enhance oversight of major health care transactions involving private equity and large health systems. The bill requires advance approval from the Department of Health and the Attorney General, boosts transparency, and restricts sale-leaseback arrangements.

PAMED supports HB 1460 in alignment with its commitment to transparency and accountability in health care operations. The bill was reported as amended and

received its first consideration in the House on June 3. It has since been re-committed to the House Rules Committee for further review.

Supporting Primary Care in Under

served

Areas

House Bill 425, introduced by Rep. Kristin Marcell (R–Bucks), proposes the creation of a grant program to support J-1 visa physicians practicing in underserved communities. Employers of physicians with a Conrad 30 waiver would be eligible to apply for funding to help offset salary costs.

PAMED endorses HB 425 as a strategic measure to improve access to primary care across Pennsylvania. The bill was reported as amended and received its first consideration in the House on June 3. It currently awaits further deliberation in the House Rules Committee.

A Look Ahead

In addition, PAMPAC’s “Strengthening PAMPAC’s Political Muscle” campaign is back in action. The campaign aims to build robust political engagement ahead of PAMED’s House of Delegates meeting in mid-October.

In an era of heightened polarization, PAMPAC remains firmly non-partisan, resisting pressure to “pick a side.” While no legislative elections are scheduled for this November, PAMPAC is already preparing for 2026, when the entire State House and half the State Senate will be up for reelection. With a competitive cycle on the horizon, now is the time to build resources and momentum. Visit www.pamedsoc.org/PAMPAC to make a donation!

Retina Associates of Lancaster

Lancaster is now home to a premier destination for advanced retinal care, thanks to the vision and dedication of Dr. Salman Porbandarwalla, MD, MS. In 2023, Dr. Porbandarwalla opened his solo practice, Retina Associates of Lancaster, to provide personalized, cutting-edge care for patients with retinal and vitreous diseases.

Board-certified and fellowship-trained in vitreoretinal surgery, Dr. Porbandarwalla brings a wealth of experience and academic training to the region. His practice focuses on the diagnosis, treatment, and long-term management of a wide spectrum of retinal conditions, including age-related macular degeneration (AMD), diabetic retinopathy, retinal vein occlusions, macular holes, retinal detachments, and other complex vitreoretinal disorders.

Retina Associates of Lancaster is equipped with the latest diagnostic imaging and laser technology, allowing Dr. Porbandarwalla to offer a full range of medical and surgical treatments. Services include intravitreal injections, retinal laser therapy, pneumatic retinopexy, pars plana vitrectomy, and ongoing disease monitoring with advanced OCT and fluorescein angiography.

What sets Dr. Porbandarwalla apart is not only his clinical expertise but his commitment to exceptional patient care. His solo practice model allows for greater continuity, shorter wait times, and personalized treatment plans tailored to each individual. Patients consistently praise his calm demeanor, clear communication, and thorough approach to care.

In addition to comprehensive clinical services, Dr. Porbandarwalla is passionate about advancing the field of retinal medicine through clinical research. The practice actively participates in national clinical trials, offering eligible patients access to emerging therapies before they are widely available. This research component not only enhances patient care but also contributes to the broader medical community’s understanding of retinal disease.

“At Retina Associates of Lancaster, our focus is simple,” says Dr. Porbandarwalla. “We provide high-quality, compassionate care that

prioritizes the patient’s vision and well-being. We want our patients to feel heard, informed, and confident in their treatment.”

As the need for specialized retinal care continues to grow, Dr. Porbandarwalla is proud to serve the Lancaster community with integrity and excellence. Local physicians and optometrists can feel confident referring patients to Retina Associates of Lancaster, knowing they will receive expert care in a welcoming, patient-focused environment.

“Our team works hand-in-hand with medical providers to ensure patients receive quality palliative care. Through collaboration, we ease symptoms, support families, and allow care teams to focus on treatment while we focus on quality of life.”

— Colleen Hazlett-O’Brien, D.O. Medical Director Choices Palliative Care

Bethany Rommel, MD Manning, Rommel & Thode Associates

Where do you practice and why did you settle in your present location or community?

I am a comprehensive ophthalmologist and a partner in Manning, Rommel & Thode Associates on Noll Drive in Lancaster. I have the honor and pleasure of following in the footsteps of my mother, Catherine Rommel, MD, a founder of the practice. After residency, I practiced for a couple of years in Chambersburg, PA in a multispecialty group. With the arrival of my children, my husband and I made the choice to move back to Lancaster and have the kids grow up close to loving grandparents, aunts and uncles, and a band of wild cousins.

What do you like best about practicing medicine?

I enjoy collaborative problem solving with patients and that this is a career of continuous learning. I’m biased about ophthalmology in particular. It is a field with a high level of feedback. There are surgeries and procedures, systemic diseases with eye involvement, disease or trauma isolated to the eye, a neurology component, physics-optics, visual processing, incredible imaging technologies, AI, and of course, lasers!

Are you involved in any community, non-profit, or professional organizations?

Professional organizations include American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery, Women in Ophthalmology and LCCMS/PAMED (our practice is a Frontline group). I volunteer with EyeCare America which provides medical eye exams for underserved populations.

What are your hobbies or interests when you’re not working?

Even though I tell my kids not to play with sticks, I don’t heed that advice. I have an insatiable knitting hobby and am currently working on fingerless mittens, a two-color brioche sweater, and a dog sweater. My family and I also make an effort to support and enjoy the programming at the Ware Center for the Arts as well as hiking and kayaking in areas maintained by the Lancaster Conservancy. I also sit with Red Rose Sangha, a Zen Buddhist community in Lancaster.

For what reason(s) did you become a member of the Lancaster City & County Medical society and what do you value most about your membership?

As someone in private practice I appreciate that LCCMS keeps me connected to the larger medical community in Lancaster. I feel a bit more “in the loop” with the legislative briefs, the “Perspectives” updates from different hospital systems, and the “Patient Advocacy” sections that show the network of care that extends beyond the clinical setting. I value that LCCMS celebrates thinking and acting locally.

FRONTLINE GROUPS FALL 2025

Frontline Practice Groups have made a 100% membership commitment to LCCMS and PAMED. We thank them for their unified support of our efforts in advocating on your behalf and facilitating an environment for physicians to work collaboratively for the benefit of the profession and patients.

 Avalon Primary Care

 BestFit Virtual Health + Wellness, PLLC

 Carter MD Aesthetics

 Community Services Group

 Conestoga Eye

 DermaSurgery Center, PC

 Dermatology Associates of Lancaster, Ltd.

 Dermatology Physicians Inc.

 DermDox Dermatology Centers PC – Leola

 Eye Associates of Lancaster, Ltd.

 Eye Health Physicians of Lancaster

 Family Eye Group

 Family Practice Center, PC – Elizabethtown

 General Surgery of Lancaster

 Glah Medical Group

 Hospice & Community Care

 Hypertension & Kidney Specialists

 Lancaster Arthritis & Rheumatology Care

 Lancaster Cancer Center, Ltd.

New Members

Min

ji Bae, DO resident, UPMC Lititz

Sonya Fry student

Kevin Holsey student

Marnie S. Kaplan, MD

Penn State Health Medical Group – Noll Drive

Cheuk H. Kwok, MD

Matthew Langston, DO, MS fellow, ChristianaCare Health System

Ethan Minnich student

Sydney Morgan student

Vanessa Peduzzi student

Zachary D. Pryor administrator, Dermatology Associates of Lancaster, Ltd.

Abigail M. Schmolze, DO

Tyler Snavely student

 Lancaster Family Allergy

 Lancaster Skin Center, PC

 LNC Oculoplastics

 Luz Medicine

 Manning, Rommel & Thode Associates

 Nemours duPont Pediatrics Lancaster

 Patient First – Lancaster

 Penn Medicine Lancaster General Health Care Connections