" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

November 20, 2014


  1. ASIPP Announces Agenda for 16th Annual Meeting: IPM: Not a Luxury nor Experimental, but Effective and Necessary
  2. ASIPP Cadaver Workshop, Imaging, Fluroscopy and Radiation Safety Course Set in Phoenix Jan 31- Feb. 2
  3. Volunteers for ASIPP opioid and IPM guidelines invited
  4. ASIPP Annual Meeting Call for Abstracts
  5. NEJM Article address Debt to Income ration for Medical Community
  6. Don't Freeze Medicare Rates, Docs Tell Congress
  7. Ponnuru and Levin: A Conservative Alternative to ObamaCare
  8. Bill Clinton Says Health Law May Need to Be Changed
  9. UnitedHealth Culls Doctors From Medicare Advantage Plans
  10. Obama allows sale of canceled health plans
  11. The Biggest Mistake Doctors Make
  12. After Obamacare fix, consumers remain uncertain
  13. Drug Use On Decline At Work, Except Rx
  14. Addiction Treatment With a Dark Side
  15. Expert to Testify Obamacare Site Has Major Security Flaws
  16. Obama Administration Maps Out Detour Around HealthCare.gov
  17. State Society News
  18. Physician Wanted

agendaASIPP Announces Agenda for 16th Annual Meeting: IPM: Not a Luxury nor Experimental, but Effective and Necessary 


We are pleased to announce the agenda for ASIPP's 16th Annual Meeting: IPM: Not a Luxury nor Experimental, but Effective and Necessary (download the brochure athttp://www.asipp.org/documents/0414-NewOrleans-brochure.pdf). Visit New Orleans with your family, attend the meeting, and spend a few days. Don't plan on leaving until later in the afternoon on Sunday April 6, 2014.


We are all suffering distress from Affordable (Obama) Care, the current regulatory environment, and decreasing reimbursements, making it difficult to practice and sometimes to even stay in practice. This annual meeting will have practical, evidence-based, education to help preserve your practice into the future. We believe you will find that this conference is quite different from the majority of other conferences, offering you much, much more than the typical lectures on emerging technologies, which constitutes less than 2% of your practice. We have worked hard to design a meeting for you and your staff that covers the many aspects of your practice.


This annual meeting will have many exciting features: not only practical, evidence-based education, but also our speakers, who we are proud to say are the highest quality we've ever had.   


Dr. Devi is the first interventional pain physician to be a medical journalist. She will deliver the keynote speech on "Interventional Pain Management and Media Interactions in the Modern Era." She will provide tips for all of us to present ourselves, provide proper evidence, and present ourselves with smiles rather than stress.


Former U.S. Assistant Secretary of Health and Human Services, Ben Sass, PhD, willpresent a lecture titled "Navigating Uncertainty in Health Care and Surviving as Individual Pain Physicians in the New Era."


Christopher J. Gilligan, MD, "Preparing for Accountable (Obama) Care: Understanding Value-Based Approaches and Cost Utility in Managing Patients with Spinal Pain" 


Debra Beaulieu, editor of Fierce Practice Management, "Independent Practice of IPM: Is it Feasible?"


James H. Diaz, MD, MPH, "The Public Health Perspective of Chronic Pain: The Role of Interventionalists."


Other speakers include eminent physicians Mark Huntoon, Steve Cohen, Joshua Hirsch, Gabor Racz, Laxmaiah Manchikanti, and many others-each with a lifetime of experience in interventional pain management.


For the first time we'll have an ultrasound workshop for non-spinal interventions, as well as sessions on practical billing, coding, and practice management and our always popular abstract presentations.


Last, but not the least is the entertainment portion with exhibitor interactions, our presidential dinner with congressional speakers, and New Orleans style entertainment.


We strongly recommend that you register immediately for the meeting and plan to stay through Sunday afternoon or longer. Arrive with the family, and enjoy yourselves before, during and after the annual meeting.


Staying on Sunday will be extremely important to you because of the discussion we'll have concerning practical issues, focusing on measures you can apply locally. As you know, all politics are local.


Click HERE to register

phoenixASIPP Cadaver Workshop, Imaging, Fluroscopy and Radiation Safety Course Set in Phoenix Jan 31- Feb. 2


ASIPP Is pleased to announce a Cadaver Workshop (Basic, Intermediate, and ABIPP Preparation), February 1-2, 2014 and the Imaging, Fluoroscopy, and Radiation Safety course on January 31, 2014, both in Phoenix, AZ.


The 1-day review course includes didactics on the topic of fluoroscopy. Participants experience a comprehensive and intense learning opportunity, focusing on interventional pain management techniques.


The intensive review course in fluoroscopy is planned as a CME activity for interventional pain physicians-for review, skills improvement or to fullfil state board requirements for CME hours in fluoroscopic interpretation and radiation safety.


After this course, participants should be able to:

- Describe the delivery of multiple aspects of interventional pain management.

- Review multiple areas of interventional pain management including fluoroscopic interpretation and radiation safety

- Demonstrate skills through interactive review of images



Click HERE to register


Click HERE to view brochure


Click HERE for hotel information.


volunteerVolunteers for ASIPP opioid and IPM guidelines invited



  Believe it or not it's that time again - time to update the ASIPP guidelines. And this time around we are going to update the Opioid Guidelines at the same time. That does not mean you have to participate in both! You can choose either one or be a part of both.


This year we will not only be updating the previous guidelines, but we will be making some changes and consolidating multiple systematic reviews.


All these will be discussed in detail and preparation of guidelines will be provided in a one day meetingheld on January 31 in Phoenix, AZ in conjunction with a cadaver workshop. It is mandatory, if you are a United State resident, that you attend this meeting, and after that you have to attend at least at a minimum, 50% of all online/telephone conference meetings..


If you are selected, we will provide reimbursement for the room for onsite meetings.


Please submit your interest in participation, along with your subjects of interest, to Holly Long at hlong@asipp.org, by December 2, 2013.

abstractASIPP Annual Meeting Call for Abstracts


Abstract submission is now open to  enter your abstract proposal into the American Society of Interventional Pain Physicians abstract and poster presentation at the 16th Annual Meeting set for April 4-6, 2014 in New Orleans, Louisiana.


The top 20 abstracts will be published in Pain Physician journal. The top 20 will be selected for Poster presentation during the annual meeting on April 5. The top 5 will be presenting their abstracts during the regular session of all members on Saturday. That evening at the Presidential Awards Banquet, the top three abstract presenters will receive cash prizes.


A final abstract submission deadline is at 5pm Monday, February 17, 2014. Those selected will be notified by March 4, 2014 and will receive free registration to the annual meeting.


Click HERE or a complete set of rules  


Click HERE to submit your abstract.

nejmNEJM Article address Debt to Income ration for Medical Community


The New England Journal of Medicine published a perspective looking into the debt to income ration for those going in to the medical field. The title of the article, published in the Nov. 21, 2013 issue is titled :Perspective: Are We in a Medical Education Bubble Market?"


The link to the article is below:


freezeDon't Freeze Medicare Rates, Docs Tell Congress


Organized medicine applauds the new bipartisan plan to repeal Medicare's sustainable growth rate (SGR) formula for physician compensation and phase out fee-for-service (FFS) in favor of pay-for-performance.


But while FFS is still around, the American Medical Association (AMA) and other medical societies want lawmakers to give physicians a rate increase, which they say is long overdue.


The plan crafted by the Senate Finance Committee and the House Ways and Means Committee would avert a 24.4% reduction in Medicare FFS rates on January 1 that is mandated by the SGR formula. Instead, Medicare rates would be frozen at their current levels for 10 years.




alternativePonnuru and Levin: A Conservative Alternative to ObamaCare


As ObamaCare's failures and victims mount by the day, Republicans have so far mostly been watching in amazement. They expected the law to fail, but even among its most ardent opponents few imagined the scale and speed of the fiasco.


Seeing the pileup, Republicans might be tempted to step aside and let ObamaCare continue to disappoint and infuriate Americans. After all, the GOP doesn't have the power to repeal the law, or even to make meaningful changes to undo its worst effects. So why not just watch the Democrats pay the price for their folly?


But such passivity would actually protect the Democrats from paying that price. What Republicans can and should do is offer the public something better. Now is the time to advance a conservative reform that can solve the serious, discrete problems of the health-care system in place before ObamaCare, but without needlessly upending people's arrangements or threatening what works in American medicine. That the Democrats are now making things worse doesn't mean the public wants to keep that prior system, or that Republicans should.


Wall Street Journal


Access to this article may be limited.

billBill Clinton Says Health Law May Need to Be Changed



Carlos Watson, co-founder of Ozy.com, and former President Bill Clinton after their interview in Rutherford, Calif. Leslie dela Vega/Ozy


Former President Bill Clinton said he thinks the AffordableCare Act may need to be changed to help consumers whose health insurance policies are being canceled.


"I personally believe, even if it takes a change in the law, the president should honor the commitment that the federal government made to those people and let them keep what they got," Mr. Clinton said in an interview with online magazine OZY released Tuesday.


Wall Street Journal


Access to this article may be limited.

unitedUnitedHealth Culls Doctors From Medicare Advantage Plans



UnitedHealth Group Inc., the nation's largest provider of privately managed Medicare Advantage plans, has dropped thousands of doctors from its networks in recent weeks-spurring protest from lawmakers and physician groups and leaving many elderly patients unsure about whether they need to switch plans to keep seeing their doctors.


Doctors in at least 10 states have received termination letters, some citing "significant changes and pressures in the health-care environment." The notices also tell doctors they can appeal within 30 days. That means many physicians and patients won't know for sure who is in or out of UnitedHealth's Medicare Advantage networks before the open-enrollment period to switch Medicare plans ends on Dec. 7.



Wall Street Journal


Access to this article may be limited

canceledObama allows sale of canceled health plans


WASHINGTON - Bowing to pressure, President Barack Obama on Thursday announced changes to his health care law to give insurance companies the option to keep offering consumers plans that would otherwise be canceled.


The administrative changes are good for just one year, though senior administration officials said they could be extended if problems with the law persist. Obama announced the changes at the White House.


"This fix won't solve every problem for every person, but it's going to help a lot of people," the president said.


New York Post


mistakeThe Biggest Mistake Doctors Make


A patient with abdominal pain dies from a ruptured appendix after a doctor fails to do a complete physical exam. A biopsy comes back positive for prostate cancer, but no one follows up when the lab result gets misplaced. A child's fever and rash are diagnosed as a viral illness, but they turn out to be a much more serious case of bacterial meningitis.


Such devastating errors lead to permanent damage or death for as many as 160,000 patients each year, according to researchers at Johns Hopkins University. Not only are diagnostic problems more common than other medical mistakes-and more likely to harm patients-but they're also the leading cause of malpractice claims, accounting for 35% of nearly $39 billion in payouts in the U.S. from 1986 to 2010, measured in 2011 dollars, according to Johns Hopkins.


The good news is that diagnostic errors are more likely to be preventable than other medical mistakes. And now health-care providers are turning to a number of innovative strategies to fix the complex web of errors, biases and oversights that stymie the quest for the right diagnosis.



Wall Street Journal


Access to this article may be limited

fixAfter Obamacare fix, consumers remain uncertain



Cathy Pedersen is in what amounts to health insurance limbo.


When President Obama announced a rule change last week to his Affordable Care Act that potentially would allow hundreds of thousands of Americans to keep their old insurance plans, Pedersen saw a glimmer of hope that the inexpensive, high-deductible plan she's been purchasing for nearly 20 years wouldn't be canceled after all.


Soon after Obama announced the rule change, Pederson of Gilbert, Ariz., made a quick call to Blue Cross Blue Shield of Arizona to see if she could get back her old plan, which did not meet ACA minimum requirements.



USA Today


workDrug Use On Decline At Work, Except Rx



More workers are just saying no, at least by one measure.


The share of U.S. workers testing positive for drugs has dropped sharply since 1988, according to an analysis of millions of drug tests being released Monday by medical-testing company Quest Diagnostics Inc.


Positive workplace tests for cocaine and marijuana have gone down sharply over the past two decades. Workers may have gotten more sophisticated when it comes to passing drug tests, however, especially for marijuana, as government studies show that its use is rising.


Wall Street Journal


 Access to this article may be limited

addictionAddiction Treatment With a Dark Side


For Shawn Schneider, a carpenter and rock musician, the descent into addiction began one Wisconsin winter with a fall from a rooftop construction site onto the frozen ground below. As the potent pain pills prescribed for his injuries became his obsessive focus, he lost everything: his band, his job, his wife, his will to live.


Mr. Schneider was staying in his parents' basement when he washed down 40 sleeping pills with NyQuil and beer. His father heard him gasping and intervened, a reprieve that led Mr. Schneider into rehab, not his first program, but the one where he discovered buprenorphine, a substitute opioid used to treat opioid addiction.


In the two years since, by taking his "bupe" twice daily and meeting periodically with the prescribing psychiatrist, Mr. Schneider, 38, has rebounded. He is sober, remarried, employed building houses, half of a new acoustic duo and one of the many addicts who credit buprenorphine, sold mostly in a compound called Suboxone, with saving their lives.



New York Times


expertExpert to Testify Obamacare Site Has Major Security Flaws


A respected security expert will warn Congress on Tuesday that the Obama administration's healthcare website has security flaws that put user data at a "critical risk," despite recent government assurances the data is safe.

"There are actual live vulnerabilities on the site now," David Kennedy, head of computer security consulting firm TrustedSec LLC, told Reuters ahead of his testimony at a Congressional hearing on the topic "Is My Data on HealthCare.gov Secure?"


Kennedy, a former U.S. Marine Corps cyber-intelligence analyst, said his firm has prepared a 17-page report describing some of the problems. It does not go into specifics in some areas, he said, because that could provide criminals with a blueprint for launching attacks.



detourObama Administration Maps Out Detour Around HealthCare.gov



WASHINGTON -- People interested in buying health insurance under Obamacare could soon skip the HealthCare.gov website and apply for coverage and financial assistance directly with private insurance companies and online brokers, the Obama administration said Tuesday, in its latest effort to work around the faulty website.


Health insurers and online brokers like eHealth have always sought the ability to let consumers to apply for subsidies to cut their health insurance costs without using HealthCare.gov, the online portal to health coverage in more than 30 states. But technological snafus with the system linking insurers to the federal government ruled out that option, even as HealthCare.gov itself has remained problematic.


Now these insurance issuers and brokers are about to get what they want. The Centers for Medicare and Medicaid Services is close to providing insurers with the technological capability to also take subsidy applications, as well as sell plans to customers, spokeswoman Julie Bataille said during a conference call with reporters Tuesday.


Huffington Post


State Society News


WISIPP Plans January Meeting


The Wisconsin chapter of the American Socieity of Interventional Pain Physicians will be Friday, January 24th, 2014, at Andrew's Bar & Restaurant in Delafield.  More details and registration information will be available shortly.


NY/NJ Societies of Interventional Pain Physicians Schedule Symposium


Following the great success of the 2012 program, this program again will be a joint effort between the New York and New Jersey Societies of Interventional Pain Physicians. The curriculum is presented by Course Directors: Sudhir Diwan, MD and Peter Staats, MD.


Speakers will be Sanjay Bakshi, MD, Sudhir Diwan, MD, and Peter Staats, MD.


Click here to register for the NYNJSIPP Pain Symposium.


Click HERE for more information.




* Please send in your State Society meeting news to:
 Holly Long at hlong@asipp.org


Registration is now open for the Pain Medicine Symposium, 2013, which is set for Thursday, November 7, 2013-Sunday, November 10, 2013 at the Hyatt Regency, Jersey City.

adsPhysicians Wanted


If you are interested in advertising on the Physicians Wanted page, please contact Holly Long for pricing information
Phone (270) 554-9412 ext. 230
Fax: (270) 554-5394



Click HERE to view Classified Physicians Wanted Ads listed on the ASIPP website.




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American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394
E-mail asipp@asipp.org