American Society of Interventional Pain Physicians | January 10, 2018

The American Society of Interventional Pain Physicians will hold its 20th Annual Meeting March 15-17, 2018 in Orlando, Florida at Marriott Orlando World Center.

  • Topics covering Interventional Pain Management

  • 70+ speakers discussing topics and conducting panel discussions, on over 125 topics.

  • 8 keynote speakers enlightening attendees on multiple topics

  • Overall meeting theme '"Excellence in IPM: Education, Research, and Advocacy

  • 100+ exhibitors showcasing new IPM products and services

  • Enjoy a luxurious stay in the stylish rooms and many amenities of Marriott Orlando World Center

  • 120+ educational and entertaining lectures/panel discussions of interest to Interventional Pain Physicians

Breakout Sessions:

  • Abstract Session
  • Current Concepts in IPM
  • Fluoroscopy: Riskier Than You Think
  • Resident/Fellow Session
  • Regenerative Medicine
  • Society of Interventional Pain Management Surgery Centers
  • Best Practices in Neuromodulation
  • Opioids
  • Compliance, Billing and Coding
  • Managing Spinal Stenosis
  • Beyond Epidurals: The Role of the Interventionalist
  • Dry Needling in IPM
  • Research and Publications in IPM as Part of Your Practice
  • Emerging Concepts in IPM
  • Family Session NEW

Thursday General Session:
Mesenchymal Stem Cells: Today, Tomorrow, and Future of Pain Management
Evidence Synthesis in IPM: Evolution of EBM or Death of Expertise and Truth
Friday General Session:

State of Health Care in the US: Past, Present, and Future
Health Care Advocacy: ASIPP Involvement with Grass Roots Advocacy Find everything you need for a successful stay.
Health Care Reform: A View from Washington
ASIPP is Pleased to announce Dike Drummond, the Happy MD, as a Keynote Speaker at the Annual Meeting
Dike Drummond MD, CEO
Physician Coach and Healthcare Speaker

Dike Drummond MD is a Mayo trained Family Practice Physician and the leading coach, trainer and consultant on ...

  • The prevention of burnout in individual physicians
  • The realization of the Quadruple Aim in healthcare organizations

Dr. Drummond is a Mayo trained family doctor, professional coach, author, speaker and trainer whose sole professional focus since 2011 has been addressing the modern burnout epidemic in physicians.

He has two keynote speeches during the General Session on Saturday

8:30am – 10:00am               
Burnout Proof Live Workshop: Lower Stress Levels, Build More Life Balance and a More Ideal Practice with Practical Tools to Recognize and Prevent Burnout

1:00pm – 2:00pm               
The Quadruple Aim Blueprint: Four Steps to Proactive, Organization-Wide Burnout Prevention Program
Start Planning NOW!
ASIPP Abstract Submission for 2018 Annual Meeting is Open

This year, we will be making significant changes to the Abstract and Poster Sessions. Submissions will be in two categories: Resident/Fellow and Physician.  Selected posters will be on display for all meeting participants during all breaks and meal times.
The Abstract Committee will select the top 25 for publication in Pain Physician and of those 10 will be selected for Abstract presentation and judging during the Annual Meeting. The top 3 will receive cash prizes.

2017 Physician Market Report: How Consolidation, Reimbursement Trends, and Consumer Demands are Impacting Physician Offices
The 2017 Physician Market Report looks at how consolidation, reimbursement trends, and consumer demands are impacting physician offices.
·     In 2016, Americans made more than 884 million physician office visits
·    58% of physician practices anticipate medical-surgical supply budget increases
·    T hree-quarters of physician practices receive support from a nurse practitioner or physician assistant
In the past year, 74% of U.S. adults visited a primary care physician, while 38% visited a specialty physician. Annually, there are 884.7 million physician office visits, which bring in $513 billion in revenue to practices. An aging population and newly insured patients has driven new volume for physician offices, and demand for medical supplies. The leading factor for growth in the primary care market over the next five years is population growth.
More Opioid Prescriptions Seen in Those With Lower Socioeconomic Indicators
HealthDay News — Among disabled Medicare beneficiaries, county-level socioeconomic factors are associated with opioid prescriptions, with more prescriptions seen with lower socioeconomic indicators, according to a study published in the January issue of  Medical Care .
Chao Zhou, PhD, from the Health Care Cost Institute in Washington, DC, and colleagues examined  opioid  prescriptions of disabled Medicare beneficiaries without record of cancer treatment, palliative care, or end-of-life care using complete 2014 Medicare enrollment and part D drug prescription data. The authors examined the demographic and geographic variation and the correlation between the local economic environment and measures of individual opioid prescriptions.
Click HERE to view December issue of IPM Reports

Interventional Pain Management Reports is an Open Access online journal, a peer-reviews journal dedicated to the publication of case reports, brief commentaries and reviews and letters to the editor. It is a peer-reviewed journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine. 

Interventional Pain Management Reports is an official publication of the American Society of Interventional Pain Physicians (ASIPP) and is a sister publication of Pain Physician . Interventional Pain Management Reports Interventional Pain Management Reports is an open access journal, available online with free full manuscripts.  

The benefits of publishing in an open access journal that has a corresponding
print edition journal are:  
  • Your article will have the potential to obtain more citations.
  • Your article will be peer-reviewed and published faster than other journals.
  • Your article can be read by a potentially much larger audience compared with traditional subscription-only journals.  
  • Open Access journals are FREE to view, download and to print.

So submit today your:
  • Case Reports
  • Technical Reports
  • Editorials
  • Short Perspectives

Click HERE to submit
Webinar: The CMS Quality Payment Program: MACRA– MIPs Final Rule for 2018
The Final Rule of the CMS Merit-Based Incentive Payment System for 2018, MIPS, was published on 11/02/17, and is ~ 1,200 pages. Identified as the Quality Payment Program, QPP, it is extensive in scope to reward or penalize providers for performing certain measures in four performance categories. Last year 2017, the first year of the QPP, was modified and contains changes to the reporting requirements for 2018. The four categories are: (1) Quality (2) Cost (3) Improvement Activities, and (4) Advancing Care Information. The four categories result in a final score of between 0 to 100 points. Depending on the provider's final score, a penalty/reward is assessed, or the provider remains neutral. For 2018 the penalty is 5%. Selecting certain reporting options avoids penalties and even lead to bonus payments on future claims. MIPS replaces PQRS, MU, and the VM (value modifier) programs, but rolls these same programs into the 3 performance categories above and the new category implemented in 2017, Improvement Activities, has been expanded for 2018.

This webinar will explain and review:
•     MACRA – MIPs
–    Components of MIPs, 2018
»    QUALITY PQRS), ACI (Advancing Care Information), IA (Improvement Activity), COST (Resource Use)
»    Scoring
–    A comparative report prepared by CMS for attributing the COST of care to physicians and groups used to determine resource use in 2018
–    Obtaining an EIDM portal thru Medicare
WEBINAR DATE: January 25, 2018
TIME: 11:00am-12:30pm CST 
LENGTH: 90 Minutes 
SPEAKER: Deborah H. Tracy, MD, MBA
-Board Certified Anesthesiologist
-Subspecialty Certified Pain Management, ABA
-Board Certified Pain Management, ABIPP
-Diplomat of interventional Pain Practice, WIP

FDA Issues 1st Stem Cell Warning Letter of 2018 to American CryoStem
The FDA started off 2018 with a bang on the direct-to-consumer stem cell clinic front with a warning letter on January 3rd to American CryoStem, a firm involved in processing and distributing adipose stem cells. The company’s ATCELL™ adipose stem cell product was the focus of much of letter.
The FDA indicated in the warning letter and in an accompanying press release (PR) that ATCELL™ is not minimally manipulated and that its administration did not qualify as homologous use. For these reasons, the letter said that ATCELL™ is a drug product, but the firm does not have an IND or other required drug approval. The FDA inspected the company last summer and you can read the 483 inspection report here.
Physicians Frequently Work With a Cold or Fever
HealthDay News — Many physicians continue working and caring for patients while they are sick, according to an article published in  Medical Economics .
A new US Centers for Disease Control and Prevention study reports that 4 in 10 healthcare professionals report to work while experiencing influenza-like symptoms; many physicians work with a cold, fever, or other illness.
According to the article, there are financial penalties associated with missing work when ill, as well as pressure from administrators; missing too much work can result in a physician being placed under a Performance Improvement Plan, which will stay with the physician if they want to add or change licenses. However, in flat capitated systems, physicians are less likely to practice while unwell. The article also notes that some physicians feel a sense of obligation to their patients that results in their working while sick. However, the level of sickness should be considered when deciding whether to miss a day of work. Medical educators are recognizing that the concept of working while sick is problematic and are introducing topics such as  burnout , physician impairment, and self-care in their curricula.
Epidural Use Takes a Dip, Opioid Deaths Due to Heroin and Fentanyl Increase Astronomically
Laxmaiah Manchikanti, MD, Amol Soin, MD, Dharam P Mann, MD, Sanjay Bakshi, MD, Vidyasagar Pampati, MSc, and Joshua A. Hirsch, MD published statistics showing decline in utilization of interventional techniques with reductions in reimbursement, with reductions in reimbursement. Opioid prescription reductions, increasing deaths, with increasing heroin and fentanyl correlate with decline in interventional techniques, despite promotion of nonopioid techniques.
In the November/December of Pain Physician, Manchikanti and Joshua Hirsh have assessed with an in-depth look at growth of interventional techniques over the past 17 years. Interesting, they have divided the periods prior to 2009 - enactment of Obamacare, and after 2009, that is, i.e. pre- and post-Obamacare.
This analysis showed overall reduction of interventional techniques from 2009 to 2016 of 0.6% per year; however, startling statistics show the following:
Epidural injections and adhesiolysis procedures declined at an annual rate of 1.7% per 100,000 Medicare population. It appears that there may be slight increase for facet joint interventions, specifically in the cervical spine without substantial increase in the lumbar spine. There is also annual decrease of 2.2% for disc procedures and other types of nerve blocks.
For full manuscript, please see
Click below to view full article pdfs available only online at: 
CMS Launches Data Submission System for Clinicians in the Quality Payment Program
Easier for clinicians to submit data by offering one user-friendly site for all submissions
On January 2, CMS announced that doctors and other eligible clinicians participating in the Quality Payment Program (QPP) can begin submitting their 2017 performance data using a new system on the  QPP  website. This is an improvement from the former systems under the CMS legacy programs, which required clinicians to submit data on multiple websites. The 2017 submission period runs from January 2 to March 31, 2018, except for groups using the CMS Web Interface whose submission period is January 22 to March 16, 2018.
“The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requires CMS to implement the Quality Payment Program, and we are committed to doing so in the least burdensome way possible,” said Seema Verma, Administrator of CMS. “The new data submission system makes it easier for clinicians to meet MACRA’s reporting requirements and spend more time treating patients instead of filing paperwork.”
There are multiple data submission options. As data is entered into the system, eligible clinicians will see real-time initial scoring within each of the Merit-based Incentive Payment System performance categories based on their submissions.
Eligible clinicians are encouraged to log-in early and often to familiarize themselves with the system. Data can be updated at any time during the submission period. Once the submission period closes, we will calculate your payment adjustment based on your last submission or submission update. For assistance with the data submission system, contact  or 866-288-8292.
For More Information:
QPP  website
See the full text of this excerpted  CMS Press Release  (issued January 2).

SOCIALIST PARADISE: British National Health Service Cancels 50,000 Surgeries
In a stunning move, the British National Health Service, which operates the government-run medical system, ordered the cancellation of over 50,000 “non-urgent” surgeries in every hospital across England, leaving sick patients in limbo as they wait for procedures.
The order came on Tuesday, as hospitals dealt with large crowds stemming from a winter outbreak of the flu. Some patients were forced to wait 12 hours, standing in the corridors as seating areas became overwhelmed, according a Washington Free Beacon report.
British Prime Minister Theresa May offered an apology on Thursday during an interview with Sky News. "I know it's difficult, I know it's frustrating, I know it's disappointing for people and I apologize," she said as she visited patients at a London hospital.
Ketamine May Represent an Effective Treatment for the Management of Chronic Noncancer Pain
Current evidence suggests ketamine may be an effective therapy for the management of chronic noncancer pain, according to a meta-analysis published in the  European Journal of Pain .
In this study, researchers evaluated 6 clinical trials comparing  ketamine  (n=99) with placebo (n=96) in patients with chronic pain. Primary endpoint for this analysis was pain relief at 4 weeks after treatment initiation; secondary outcomes included pain relief at 1, 2, 8, and 12 weeks and incidence of psychedelic manifestations.
Doctor charged with having wife killed to protect drug ring
A New Jersey doctor running an illegal prescription opioid drug ring with a motorcycle gang had a member hire someone to kill his wife after she threatened to expose the scheme while trying to force him to agree to a divorce, authorities said Tuesday.
James Kauffman and a member of the Pagans Outlaw Motorcycle Gang were charged in the May 2012 shooting death of radio host April Kauffman. Another six people connected to the gang were charged with racketeering in the drug ring, which prosecutors said continued until last summer, when Kauffman was arrested at his office while brandishing a gun.
Kauffman "was intent to have her killed, as opposed to losing his financial empire," Atlantic County prosecutor Damon Tyner said.
State Society News 
April 18-22, 2018
GSIPP 2018 Annual Meeting
Georgia Society of Interventional Pain Physicians
Thursday, April 18, 2018 - Sunday, April 22, 2018
The Ritz Carlton Reynolds, Lake Oconee

July 19-22, 2018
FSIPP 2018 Annual Meeting, Conference, and Trade Show
Florida Society of Interventional Pain Physicians
One South County Road, Palm Beach, FL 33480

Send in your state society meeting news to Holly Long,
ASIPP | Pain Physician Journal | Phone | Fax | Email