American Society of Interventional Pain Physicians | January 25, 2017

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Column: An Obamacare replacement Republicans and Democrats can agree on. Really.
Column from our keynote speaker Robert Laszewski on replacement of Obamacare with Republicans and Democrats working together..  


It is not a question of whether or not Republicans and Democrats will come to a compromise over replacing Obamacare. Since it will take 60 Senate votes, and the Republicans only have 52 seats, there is no way we can get to a solution to the Obamacare conundrum without a bipartisan compromise.

So, what might that look like?  

ASIPP Membership Benefits

You have heard the phrase, "membership has its rewards" and that is very true for members of the American Society of Interventional Pain Physicians.  This is a reminder for many of you who have fallen behind on your dues. ASIPP provides members with a wealth of advocacy, practice management, and quality improvement resources.
 
ASIPP Membership: Essential for the Survival of IPM
 
The Hidden Value of membership:
 
  Benefits at No Additional Cost  List Price  Member Savings
  Pain Physician Journal $500 Included $500
  IPM Report $500 Included $500
  ASIPP Weekly E-News $100 Included $100
  ASIPP Qualified Clinical Data Registry (QCDR) $750 $500 $250
  Advocacy Clinic $1000 Included $1000
  Advocacy Assistance $1000 Included $1000
  Discounts on Manuals, Books $500 Included $500
  Preservation of Payments for IPM Techniques NA Included $100,000
  PQRS/MIPS Fines NA Included $12,000
  MIPS Bonus NA Included $12,000
 
Over the years, ASIPP and the Society of Interventional Pain Management Surgery Centers (SIPMS) have saved facilities hundreds of thousands of dollars.
 
  Facility Benefits  Average Savings: $100,000-$500,000
 
MEMBERS POTENTIAL TOTAL SAVINGS: $30,000 - $750,000
 
Your ASIPP or SIPMS membership supports our important work, ensuring you get these savings. If you would like to become a member of SIPMS, please fill out this form.
 
Below is a new fee schedule for ASIPP annual dues.
 
Resident/Fellow Medical Student       $10
First Year of Practice                         $250
Second Year of Practice                     $400
Third Year and After                          $600
More than 10 Years in Practice          $750
 
Associate Member                              $300
(non-interventional physician, nurse practitioner, or PA member)                           
          
Affiliate Member                                $150
(RN, Staff)
 
Military Member                                $300
 
Life membership                                 $7,500 or $650 per month for one year
 
Your next dues letter will include the new fees as they apply to you.
 
Or you can make your payment now by clicking this link.


 

Federal Judge Blocks Aetna-Humana Merger on Antitrust Grounds  

A federal judge Monday blocked the proposed merger of health insurers Aetna Inc. and Humana Inc. on antitrust grounds, a potentially fatal blow to the $34 billion deal and a capstone victory for Justice Department antitrust officials under former President Barack Obama.


U.S. District Judge John D. Bates ruled the Justice Department had proven its case that the merger would unlawfully threaten competition. harming seniors who buy private Medicare coverage as well as some consumers who purchase health plans through an Affordable Care Act insurance exchange.
The government’s challenge to the merger was among the last major law-enforcement actions taken by Obama administration antitrust officials. The administration also challenged Anthem Inc.’s proposed acquisition of Cigna Corp., and a ruling in that case is expected any day. Together the deals could have transformed an industry already facing uncertainty from Republican plans to dismantle the Affordable Care Act and replace it with another health-care plan.

    Wall Street Journal
Charges Skyrocket When Patient Is Uninsured

Physicians generally billed uninsured or out-of-network patients several times what Medicare would have deemed appropriate, researchers found, with anesthesiologists topping the list of specialists racking up the most in excess charges.

In their study of Centers for Medicare & Medicaid Services records from the 2014 calendar year, Ge Bai, PhD, CPA, and Gerard F. Anderson, PhD, both of Johns Hopkins University in Baltimore, found that physicians typically charged a median of 2.5 times the Medicare allowable amount. They reported their findings from 429,273 physicians across 54 medical specialties in the January 17, 2017 issue of the Journal of the American Medical Association.

MedPage Today


Health Effects of Marijuana and Cannabis-Derived Products Presented in New Report

Nearly 100 Conclusions on the Health Effects of Marijuana and Cannabis-Derived Products Presented in New Report; One of the Most Comprehensive Studies of Recent Research on Health Effects of Recreational and Therapeutic Use of Cannabis and Cannabis-Derived Products  

WASHINGTON – A new report from the National Academies of Sciences, Engineering, and Medicine offers a rigorous review of scientific research published since 1999 about what is known about the health impacts of cannabis and cannabis-derived products – such as marijuana and active chemical compounds known as cannabinoids – ranging from their therapeutic effects to their risks for causing certain cancers, diseases, mental health disorders, and injuries.  The committee that carried out the study and wrote the report considered more than 10,000 scientific abstracts to reach its nearly 100 conclusions.  The committee also proposed ways to expand and improve the quality of cannabis research efforts, enhance data collection efforts to support the advancement of research, and address the current barriers to cannabis research. 

National Academies of Sciences, Engineering and Medicine


Important News About ASC Reimbursement Cuts

Many of you probably have not seen the cuts implemented at ambulatory surgery centers effective January 1st for epidurals (16.3%), facet joint injections (25%), adhesiolysis (25%), and sacroiliac joint injections (16%). 

We need to act on this issue to not only reverse the cuts for this year, but also proactively approach the problem for next year.  And with a new Administration now in office, we have a chance to reverse these cuts retroactively and reinstate or improve the previous reimbursement for 2018.  

ASIPP will be assisting in this endeavor; however, the main impetus will be from the Society of Interventional Pain Management Surgery Centers (SIPMS). If you are a surgery center owner, or have significant interest in one, please complete the MEMBERSHIP FORM. 

You can also contribute through the ASIPP-PAC FORM.   

And if you know of anyone else with ownership in a surgery center, please send their information to Savannah Gold at sgold@asipp.org. Be sure to include the name of the contact person, name of the surgery center, and any other contact information



Donald Trump’s Health-Law Directive Spurs a Dash to Decode It  

The order, issued late Friday, encouraged officials to use “all authority and discretion available to them” to waive or delay ACA provisions they deem onerous on individuals, states or insurers. It isn’t yet clear how many provisions officials may choose to apply that to or when, leaving the political and health care worlds in a state of some confusion.

At a minimum, the move signals Mr. Trump’s willingness to take aggressive public aim at the law often dubbed Obamacare, as Republicans in Congress wrestle with their own efforts to dismantle the law and come up with a new health-insurance system in its place.    

Wall Street Journal


2017 ASIPP Board Members   

The newly elected board effective April 20, 2017 is as follows:

President-Elect:  Hans Hansen, MD  

First Executive Vice-President of Regional Affairs [Emissary to the State Societies] (new):  Sudhir Diwan, MD  

First Executive Vice-President:  Frank Falco, MD  

Second Executive Vice-President:  Harold Cordner, MD  

Secretary:  Bradley Wargo, DO  

Treasurer:  Standiford Helm, MD  

Vice-President of Strategic Planning: Sanjay Bakshi, MD  

Vice-President of Strategic Alliances (new):  Sukdeb Datta, MD  

Directors Emeritus:  Ramsin Benyamin, MD, Peter Staats, MD  

Academic Directors:  Salahadin Abdi, MD, Christopher Gharibo, MD, Jay Grider, MD, Joshua Hirsch, MD  

Young Physician Directors:  Steve Aydin, DO,  Kaylea Boutwell, MD, George Chang Chien, DO, Devi Nampiaparimpil, MD, Amol Soin, MD  

Directors at Large:  Sheri Albers, DO, Scott Glaser, MD,  Dharam Mann, MD, Annu Navani, MD, Sanford Silverman, MD, Deborah Tracy, MD  

Resident / Fellow: Michael Lubrano, MD



Safety, Efficacy of Nonparticulate and Particulate Corticosteroids in Epidural Injections


Nonparticulate corticosteroids are safer and as efficacious as particulate corticosteroids in relieving radicular pain, according to a systematic review published in Physical Medicine and Rehabilitation.1 Based on their findings, the investigators suggest that nonparticulate corticosteroids should be the preferred treatment in patients receiving these agents via cervical and lumbosacral epidural steroid injections (ESIs) using a transforaminal approach. There was insufficient evidence for the researchers to make a recommendation on preferred steroid preparation when using a lumbar intralaminar approach.

“Given the lack of strong data favoring the efficacy of one [preparation] over the other, and the potential risk of catastrophic complications, all of which have been with particulate steroids, nonparticulate steroid preparations should be considered as first-line agents when performing ESIs,” the investigators wrote.  

  Clinical Pain Advisor


State Society News  

OHSIPP Meeting

August 25-27, 2017

The Ohio Society of Interventional Pain Physicians (OHSIPP) has set the dates for its 2017 meeting.

Dates are Friday Aug 25 thru Sunday Aug 27, 2017.
The meeting will be held in Cincinnati at the Westin Hotel, 21 E 5th St , at Fountain Square .
 

Contact Michelle Byers for more information MichelleHByers@gmail.com

 

FSIPP Meeting

August 27 - 30, 2017

The Florida Society of Interventional Pain Physicians (FSIPP) has set the dates for its 2017 meeting

Dates are April 27-30, 2107

The meeting will be held in Orlando, FL at the Orlando World Center Marriott  

Click Here for more information and to make reservation


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