American Society of Interventional Pain Physicians | December 5, 2018
One Day Ultrasound Course February 21, 2019
Orlando, FL
3 Choices in February!
Review Courses and Cadaver Labs
Feb 22-24 2019, Orlando, FL
AMA Survey Collects Advice for Physicians Approaching Retirement

The transition from the workforce into retirement is always challenging, but for physicians accustomed to working long or odd hours, it can be especially difficult. The American Medical Association (AMA) surveyed more than 1200 retired physicians for the 2018 Report on US Physicians' Financial Preparedness, gathering advice on what makes for a successful retirement. 1,2
There is good news for physicians for whom retirement is just around the corner: 80% of retired physicians report having a satisfying retirement. In an article for the  AMA Wire , author Amy Farouk documented some suggestions that retirees had for moving into retirement.

Abstract Submission Open!

Abstract submissions are now being accepted for the 2019 ASIPP Annual Meeting Abstract and Poster Contest. The top 10 abstracts selected by our panel will be presented at the annual meeting. The top 25 abstracts will be presented as electronic posters in view for all our attendees.

Click HERE to submit. Deadline is Feb. 18

Employers Change Tactics to Curb Health-Insurance Costs

Company leaders are grappling with how to deal with the rising cost of health insurance in ways that get beyond the longtime strategy of simply passing on more of the burden to workers.
“The CEOs of our clients are more involved in the health-care benefits program than I’ve seen in 25 years,” says Jim Winkler, a senior vice president at consulting firm Aon PLC. “It’s, ‘What are we spending our money on, and does it make sense?’ ”
For years, employees’ deductibles have risen rapidly, putting the average amount at $1,350 for a single worker, says the Kaiser Family Foundation. Employers have relied on the high-deductible plans, which force employees to pay more out of their pockets for care, to help rein in the cost of insurance. Even so, employer-provided family coverage this year cost $19,616 on average, and the total is almost certain to pass the $20,000 threshold in 2019.

Access to this article may be limited.

Trump Administration proposes using ACA subsidies to buy non-Obamacare health insurance

The Centers for Medicare and Medicaid Services today has  released  proposed waivers that include the ability for states to provide financial assistance for different types of health insurance, not just qualified health plans under the Affordable Care Act.
States could choose to expand the availability of plans and could provide subsidies to a defined contribution, consumer-directed account for an individual to pay for premiums. Any remaining funds in an account-based subsidy could be used to offset  out-of-pocket  healthcare expenses, CMS said.
CMS said the waivers allow consumers to purchase more affordable plans, such as for catastrophic coverage, Democrats blasted the policy as a move to undermine the  Affordable Care Act  and have demanded answers. 

WEBINAR DATE: December 18, 2018
TIME: 7:00pm-8:30pm ET 
CREDIT: 1.5 AMA PRA Category 1 Credits™  
LENGTH: 90 Minutes 
SPEAKER: Sairam Atluri, MD

Regenerative Medicine is revolutionizing the field of Pain Management. "Stem Cells" has become the new buzz word among patients who are actively seeking non-traditional approaches for pain relief. Although regenerative procedures are not covered by insurance, many patients are willing to pay out of pocket for these game changing procedures. 

Evidence in the literature is favorable to date, and practice-based evidence is strong. Performed by the right hands and by following the FDA guidelines, these procedures can potentially be life changing for your patients.

This CME activity will review the latest research in Regenerative Medicine and discuss how it might best be incorporated into your pain management practice.

Participate in this webinar to learn the latest evidence-based information about Regenerative Medicine and how to seamlessly add this new technology to your practice!

Dr. Atluri is a pioneer of stem cell therapy in the Cincinnati area. He is one of the very few in the country performing intra-discal and subchondral stem cell procedures to treat back pain and joint pain. He gives national talks teaching other physicians about stem cell therapy. He is also a co-editor of one the largest text books about Regenerative medicine.   He is certified in Regenerative Medicine by American Society of Interventional Pain Physicians.
Data Age in Clinical Trials Is About Three Years at Publication

HealthDay News — The median data age in  clinical trials  in journals with a high impact factor is about three years at publication, according to a study published in the Aug. 10 issue of  JAMA Network Open .
John Welsh, from Yale-New Haven Hospital in Connecticut, and colleagues conducted a cross-sectional analysis of randomized clinical trials to characterize the age of clinical trial data at the time of publication in journals with a high impact factor. Data were included for 341 clinical trials published in 2015 in six journals.
The researchers found that the median data age at publication was 33.9 months; the median data age was 30.6 months among the 10.9 percent of trials with a follow-up period of one month or less. Overall, 19.9 percent of trials required more than four years to complete enrollment. 

Federal judge challenges CVS Health, Aetna merger

A federal judge has threatened to halt the merger of CVS Health and  Aetna  as he considers the deal's antitrust implications.
Judge Richard Leon of the U.S. District Court of the District of Columbia on Monday ordered both parties to submit their arguments by Friday, December 14 and scheduled another hearing for Tuesday, Dec. 18, according to  CNBC.

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

Malpractice, mistakes and misconduct: Doctors who surrender medical license in one state still practice in others

In Louisiana, Larry Mitchell Isaacs  gave up his medical license  in the face of discipline after he removed an allegedly healthy kidney during what was supposed to be colon surgery.
In California, he mistakenly removed a woman’s fallopian tube. According to  medical board records , he thought it was her appendix — which already was gone. More surgeries on the woman followed, including one in which he allegedly left her intestine unconnected. 
Facing state sanctions, he surrendered his license there, too.
In New York, where regulators were moving to take action based on his California problems, he also  agreed to give up his license .
But in Ohio, he has found a home.

The Insurance Companies That Are Most Likely To Refuse To Pay Doctors

Healthcare reimbursement in the U.S. is frighteningly complex. We have federal payers, like Medicare; state/federal payers, like Medicaid; private, for-profit insurance companies, like Aetna; private, not for profit insurers, like many local Blue Cross Blue Shield networks. Oh yes, and we have private insurance companies managing reimbursement for many Medicare and Medicaid recipients.
This complexity comes with costs. Doctors and hospitals need to hire armies of people to process bills for all those different payers. By one estimate, in fact, physician offices spend 30 billion dollars a year on billing-related costs.
A recent study shows which payers are most likely to reject the bills submitted to them by physicians' offices.  The winner, in case you haven't guessed it already, is Medicaid, regardless of whether the program is run by the government or private insurers.

Medical Device Maker ev3 to Plead Guilty and Pay $17.9 Million for Distributing Adulterated Device; Covidien Paid $13 Million to Resolve Civil Liability for Second Device
Minnesota-based medical device manufacturer ev3 Inc. has agreed to plead guilty to charges related to its neurovascular medical device, Onyx Liquid Embolic System, and pay $17.9 million, the Department of Justice announced today. Covidien LP, whose parent acquired ev3, separately paid $13 million to resolve False Claims Act allegations resulting from its alleged payment of kickbacks in connection with another medical device, the Solitaire mechanical thrombectomy device.
“The Department of Justice will hold corporations accountable when they violate laws designed to protect consumers and protect public funds,” said Assistant Attorney General Jody Hunt of the Department of Justice’s Civil Division. “This resolution demonstrates the Department’s continued commitment to protect taxpayer dollars and deter companies from putting profits before patient safety.”
Pursuant to a criminal information filed today in U.S. District Court for the District of Massachusetts, ev3 will plead guilty to a misdemeanor charge in connection with the company’s distribution of adulterated Onyx, in violation of the Food, Drug and Cosmetic Act. As part of the criminal resolution, ev3 will pay a criminal fine of $11.9 million and will forfeit $6 million. 


South Florida Pharmacist Sentenced to Over Six Years in Prison for Role in $5 Million Compounding Pharmacy Scheme
A South Florida pharmacist was sentenced to 78 months in prison today for his role in a $5 million compounding pharmacy scheme.
Assistant Attorney General Brian A. Benczkowski of the Justice Department’s Criminal Division, U.S. Attorney Ariana Fajardo Orshan of the Southern District of Florida, Special Agent in Charge George L. Piro of the FBI’s Miami Field Office, Special Agent in Charge Shimon R. Richmond of the Department of Health and Human Services Office of Inspector General’s (HHS-OIG) Miami Regional Office, Special Agent in Charge John F. Khin of the Department of Defense Office of Inspector General – Defense Criminal Investigative Service’s (DCIS) Southeast Field Office and Florida Attorney General Pam Bondi made the announcement.
Stephen Chalker, 42, of Wellington, Florida, was sentenced by U.S. District Judge Donald M. Middlebrooks of the Southern District of Florida, who also ordered Chalker to pay $4,980,679.50 in restitution jointly and severally and a forfeiture money judgment of $244,134. After a four-day trial before Judge Middlebrooks, Chalker was convicted by a jury in West Palm Beach, Florida, on Sept. 7, 2018 of one count of conspiracy to commit health care fraud and two counts of health care fraud.


South Texas Doctor Sentenced to Five Years in Prison for Role in a Fraudulent Medical Clinic
A Houston, Texas doctor was sentenced to 60 months in prison followed by three years of supervised release today for his role in a fraudulent medical clinic that ran costly, unnecessary diagnostic tests.
Assistant Attorney General Brian A. Benczkowski of the Justice Department’s Criminal Division, U.S. Attorney Ryan K. Patrick of the Southern District of Texas, Special Agent in Charge Perrye K. Turner of the FBI’s Houston Field Office, Special Agent in Charge C.J. Porter of the Department of Health and Human Services Office of the Inspector General’s (HHS-OIG) Dallas Regional Office and the Texas Attorney General’s Medicaid Fraud Control Unit (MFCU) made the announcement.
Faiz Ahmed, M.D., 66, of Houston, was sentenced by U.S. District Judge Gray H. Miller of the Southern District of Texas. Judge Miller also ordered the defendant to pay $4,192,156 in restitution. Ahmed was found guilty following a six-day trial in 2017 of one count of conspiracy to commit healthcare fraud and seven counts of healthcare fraud.


State Society News 

July 12-14, 2019
GSIPP 2019 - 15th Annual Meeting & Pain Summit
The Cloister Hotel at Sea Island
Sea Island, GA
For more information, contact Karrie Kirwan at or Tara Morrison at or 770-613-0932.

July 26-28, 2019
PAIN 2019
West Virginia Society of Pain Physicians
Loews Miami Beach, FL

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