" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

August 1, 2012






ksippKSIPP to Host Controlled Substance Management Conference




The Kentucky Society of Interventional Pain Physicians will host a conference titled: Evolution of Responsible Opioid Prescribing: Good, Bad, and Ugly on Aug. 18 and 19 at the MG Banquet Hall, 81 Lakeview Drive, Paducah.


Keynote speaker will be Joseph T. Rannazzisi, Deputy Assistant Adminstrator, Office of Diversion Control, Drug Enforcement Agency. The seminar will provide a concise and comprehensive review of controlled substance management for primary care physicians and specialists. Attendees can ear up to 10 hours of AMA PRA category 1 credits.


The conference is hosted for physicians, nurses, medical personnel and law enforcement and is designed for those who desire more information on KASPER, the Pill Mill law, pain management facilities, controlled substance guidance, adherence monitoring, and documentation.


Speakers will present information from 9 am to 5 pm on Saturday and 8 am to 12:30 on Sunday.


To register, go to http://form.jotformpro.com/form/22056746426960




kyPrescription Drug Abuse Bill Making its Mark Just Days After Going into Effect, KY Officials Say


Days after a landmark prescription drug abuse law took effect, the law appears to have already effected changes in the medical field and positioned Kentucky as a leader in battling prescription abuse.


"The enforcement of this bill began just a couple of days ago, and yet we already know that four 'pain management clinics' in Kentucky have waved the white flag and notified us they will shut their doors," said Gov. Steve Beshear, who joined Attorney General Jack Conway, lawmakers and medical providers in hailing the law's impact.







asippASIPP Plans Comprehensive Review Course and Cadaver Workshop and Vertebroplasty Course


    The Comprehensive Review Course and Cadaver Workshop - Basic, Intermediate, and ABIPP Preparation will be held Sept. 14-16 at the Hilton Memphis in Memphis, TN and the MERI Center.


Click here to register: https://secure.jotformpro.com/form/12975431212


The Vertebroplasty Comprehensive Review Course and Cadaver Workshop will be Sept. 15-16 at the Hilton Memphis and MERI Center.





Early registration is available until Aug. 21.


Click HERE for Hilton hotel reservations.




amaAMA Pushes for More Useful Explanations of Physician Performance Data and Methodology


Multiple health care organizations - including a few insurers - have pledged support for a set of guidelines developed by the American Medical Association that attempt to standardize and improve the way physicians are notified of their ratings by health plans, and the methodology used to reach those scores.


The "Guidelines for Reporting Physician Data" call for a reader-friendly notice to physicians that is consistent across insurers, so that physicians wouldn't have to wade through widely varying sets of data displayed in a different way by every insurer.


AMA news


one1 in 3 Physicians Plans to Quit Within 10 Years


Blaming low compensation and the hassles of healthcare reform, 34% of physicians say they plan to leave the practice of medicine over the next decade, according to a new national survey.

The online survey of 2,218 physicians by Atlanta-based healthcare staffing recruiters Jackson Healthcare also found that 16% of the respondents said they will, or are strongly considering , retiring, leaving medicine, or going part-time in 2012.


Sheri Sorrell, market research manager for Jackson Healthcare, says many of the essay responses from responding physicians were quite lengthy and emotional, especially as they related their reactions to the sweeping changes in medicine that will be brought on by healthcare reform and market demands.



Health Leaders Media



privatePrivate-Sector Physicians Run Clinical Trials Mostly for the Money, Study Finds


A study published this month in PLoS Medicine offers more troubling insight into how big money, rather than scientific inquiry, is driving and shaping much of our current medical research.


This time, researchers examined the motives of the ever-increasing number of private-sector physicians - ones not affiliated with academic institutions - who serve as principal investigators, or PIs, for clinical trials funded by the pharmaceutical industry.


Those motives are important. For how - and where - drug trials are conducted in the United States has undergone a major shift during the past two decades. In the 1980s, most clinical trials took place at universities and other academic institutions. By 2005, more than 70 percent of U.S. clinical trials were being done by nonacademic physicians. In fact, the number of private-sector physicians involved in these studies climbed from 4,000 in 1990 to a staggering 20,250 in 2010.


MinnPost. com



twoTwo Doctors Charged with Oxycodone-Related Deaths Resulting from Broward and Palm Beach Counties Pill Mill Operation


July 23 (MIAMI, Fla.)- Mark R. Trouville, Special Agent in Charge, Drug Enforcement Administration (DEA), Miami Field Division, Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Jeffrey C. Mazanec, Acting Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office, and José A. Gonzalez, Special Agent in Charge, Internal Revenue Service, Criminal Investigation Division (IRS-CID), announced the filing of a Second Superseding Indictment charging Cynthia Cadet, 42, of Parkland, Fla., and Joseph Castronuovo, 72, of Key Largo, Fla., both doctors, with dispensing oxycodone and other controlled substances that resulted in the death of nine individuals, among other offenses. The charges stem from Operation Oxy Alley, a coordinated investigation into pill mills in Broward and Palm Beach Counties.


 In August 2011, thirty-two defendants, including Cadet and Castronuovo, were charged with racketeering conspiracy, money laundering conspiracy, possession with intent to distribute controlled substances and other offenses. Twenty-eight defendants have entered guilty pleas and been sentenced in connection with the August 2011 Indictment.


The August 2011 Indictment alleged that defendants Christopher and Jeffrey George, twin brothers, operated, managed and financed four pain management clinics in Broward and Palm Beach Counties. According to the original August 2011 Indictment, today's second superseding indictment and statements made in court, from 2007 to early 2010, these pill mills distributed approximately 20 million oxycodone pills and made more than $40 million from the illegal sales of controlled substances. Thirteen of the thirty-two defendants were doctors, including Cadet and Castronuovo.






sendASIPP Members: Send in Your Published Article Information



 A new feature of the ASIPP enews will offer ASIPP members the opportunity to send in and have their published works listed.  Please email in notification of any published article that was not published in Pain Physician journal and we will ist in the weekly enews.


This week we will feature three article published by Laxmaiah Manchikanti et al:



Manchikanti L, Cash KA, McManus CD, Pampati V, Benyamin R. Fluoroscopic lumbar interlaminar epidural injections in managing chronic lumbar axial or discogenic pain. J Pain Res 2012; accepted.



Manchikanti L, Singh V, Falco FJE, Cash KA, Pampati V, Fellows B. The role of thoracic medial branch blocks in managing chronic mid and upper back pain: A randomized, double-blind, active-control trial with a 2-year follow-up. Anesthesiol Res Pract 2012; 2012:585806.


Manchikanti L, Cash KA, Pampati V, Wargo BW, Malla Y. Management of chronic pain of cervical disc herniation and radiculitis with fluoroscopic cervical interlaminar epidural injections. Int J Med Sci 2012; 9:424-434.



 Send in notification of your published works today to Holly Long (hlong@asipp.org)


waysWays and Means Holds Third Hearing on Reforms to Medicare Physician Payment


July 27, 2012-The House Ways and Means Health Subcommittee July 24 held a hearing focusing on how physicians are innovating to improve quality and efficiency as they continue their effort to reform the Medicare physician payment system and replace the sustainable growth rate (SGR) formula. This hearing is the third in a series conducted by the committee to explore new models for Medicare physician reimbursement that move away from traditional fee-for-service [see Washington Highlights, Feb. 10, May 13, 2011].


Health Subcommittee Chair Wally Herger (R-Calif.) opened the hearing by saying, "We must... determine how to improve the existing Medicare payment system and work with physicians to develop other payment models that preserve and promote the physician-patient relationship and reward physicians who provide high-quality and efficient care." He questioned the current approach and expressed concern that "[m]any are concerned about the lack of alignment among Medicare's current incentive programs to enhance quality, such as e-prescribing, meaningful use of electronic health records, and the so-called value-based modifier. Such programs were generally not developed nor led by the physician community."


Ranking Member Pete Stark (D-Calif.) agreed that Congress needs to work closely with physicians when designing and implementing a new payment system. He said, "As we work to replace the Medicare sustainable growth rate formula with a better way of paying physicians, it is important we understand what's happening in the private sector and learn how to incorporate that into an improved Medicare payment formula."








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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