" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

April 17, 2013


  1. Manchikanti and Hirsch Published in Harvard Health Policy Review
  2. 2013 ASIPP Spinal Interventional Techniques Guidelines - Pre-Order Your Copy Today  
  3. Affordable Care Act Enrollment Right Around the Corner
  4. FDA Updates OxyContin Label, Blocks Generics
  5. When Your M.D. Is an Algorithm
  6. Rx Drug Abuse: Doctors Work To Combat Prescription Misuse, Overmedication
  7. Kickbacks Alleged At Spine Hospital
  8. Arizona Legislature Revives Medical Price Transparency Bill
  9. Hospitals Profit from Complications
  10. Doctors Win First Safe Harbor Against ACA Use in Liability Suits
  11. E-prescribing to Grow to $794M
  12. House GOP Floats New Details of SGR Reform Plan
  13. Bill O'Reilly: Don't refer to drug abuse as a victimless crime - it's not
  14. State Society News
  15. Physician Wanted

burdenManchikanti and Hirsch Published in Harvard Health Policy Review


 Dr. Laxmaiah Manchikanti and Joshua A. Hirsch were published in a special issue of Harvard Health Policy Review on Assessing the Affordable Care Act and signed by Barack Obama


Here is the link to the Fall Issue of HHPR:




 Read the abstract for Dr. Manchikanti and Dr. Hirsch's manuscript titled: Regulatory Burdens of the Affordable Care Act below:


The Affordable Care Act, or Obamacare, is a historic comprehensive

health care reform bill, the first of its nature for the United States. This

legislation has survived a challenge in the Supreme Court and, with

the reelection of Barak Obama, is poised to move forward. Obamacare

has many features that appear attractive, principally the extension of

insurance coverage to previously uninsured individuals. However, the

empowerment of certain segments of the health care industry, improper

application of regulations, and the ability to provide minimal coverage

without accountability in addition to regulatory burden may result in

adverse consequences, both intended and unintended.


CLICK HERE to read the entire article .


 Guidelines 2013 ASIPP Spinal Interventional Techniques Guidelines - Free Shipping on Orders Placed by April 22



This is your exclusive opportunity to own your own print copy of the Spinal Interventional Techniques Guidelines Issue.

The Guidelines contain the following:

  •  An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain. Part I: Introduction and General Considerations
  • An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain: Part II: Guidance and Recommendations
  • And Abstracts of 10 Systematic Reviews
  • Over 90,000 words, 2400 references, 50 Tables,  20 Figures, and 300 Formatted Pages


Click here to Pre-Order Your Copy!


An additional $20 for US and a minimum of $50 plus costs based on country will be added to the cost on any orders placed after Monday, April 22.


genericFDA Updates OxyContin Label, Blocks Generics


The FDA has issued new labeling information for OxyContin -- on the same day the patent on the original formulation expired, thus blocking potential generic versions of the original that do not have abuse-deterrent properties.


The new labeling indicates that the product "has physical and chemical properties that are expected to make abuse via injection difficult and to reduce abuse via the intranasal route," according to an FDA press release.


MedPage Today


algorithmWhen Your M.D. Is an Algorithm


ORLANDO, Fla.-Despite all that drug-enforcement agents and regulators are doing to fight prescription painkiller abuse, the most effective combatant might turn out to be a computer algorithm.


That became apparent at last week's National Rx Drug Abuse Summit in Orlando. Joining an audience of patient advocates, policy makers and law-enforcement officers were members of a burgeoning cottage industry: a swarm of firms that are taking a data-driven approach to the drug-abuse epidemic.


Wall Street Journal


abuseRx Drug Abuse: Doctors Work To Combat Prescription Misuse, Overmedication


 Editor's Note: The Times Record today continues its series of reports on prescription drug abuse. Wednesday: Many people do not seek help because of stigma.


Doctors are making an effort to correct issues sometimes caused by overprescribing medications.

"The doctors are making a concerted effort to be better educated about how addictive these medications are," said Paul Smith, a narcotics detective with the Fort Smith Police Department. "They were prescribing quantities that they didn't realize would addict the patient."


Physicians who prescribed excessive amounts of pain medications to patients fall into two categories, Smith said.


Times Record



kickbacksKickbacks Alleged At Spine Hospital


Pacific Hospital of Long Beach is at the center of a federal probe.

The U.S. attorney for the Central District of California is investigating allegations that a hospital executive paid kickbacks to physicians so they would refer their patients for spine surgery at his facility, according to people familiar with the probe.


Over the past 15 years, Michael D. Drobot built a Southern California business empire centered on treating people with back problems, many of them workers' compensation patients. At the heart of the operation is Pacific Hospital of Long Beach, a 184-bed facility that Mr. Drobot bought in 1997 and turned into a spine-surgery center.



Wall Street Journal


arizonaArizona Legislature Revives Medical Price Transparency Bill


The Arizona Senate will once again look at a bill to provide medical pricing transparency after the original version of the legislation was vetoed last week by Republican Gov. Jan Brewer, according to an Arizona Republic report.

The bill would require hospitals to list "direct pay" prices for 50 commonly used inpatient and outpatient procedures. The new language added to the bill, sponsored by Republican Sen. Nancy Barto, includes a measure that changes state Medicaid reimbursement methods for hospitals, according to the report.


ASC Review


profitHospitals Profit from Complications


Hospitals make more of a profit when surgical patients develop complications finds a new study published Wednesday in JAMA.


A team of researchers analyzed findings from nearly 35,000 surgical discharges from a 12-hospital system in the southern U.S. They found that the occurrence of postsurgical complications was associated with a higher per-encounter hospital contribution margin for patients covered by Medicare and private insurance but a lower margin for patients covered by Medicaid and those who self-paid.


The study was conducted as a way to measure the financial implications associated with postsurgical complications. The goal, said study author Atul A. Gawande, MD, professor at Harvard Medical School, was to evaluate the fixed and variable hospital costs and revenues associated with the occurrence of one or more major postsurgical complications for four primary payer types - private insurance, Medicare, Medicaid and self-payment. The analysis included administrative data for all inpatient surgical discharges during 2010 from the nonprofit 12-hospital system.


Healthcare Finance News


safeDoctors Win First Safe Harbor Against ACA Use in Liability Suits


Physician leaders hope a first-of-its-kind bill approved in Georgia protecting doctors from civil liability for breaching federal health system reform requirements will be replicated in other states.


Medical associations long have been concerned that federal quality-of-care and payment reform measures, such as those authorized by the Affordable Care Act, could be used to fuel negligence accusations against individual physicians. The Georgia law, drafted from American Medical Association model legislation, prevents such health reform metrics from being used as evidence in liability cases. Georgia's law states that payer guidelines and quality criteria under federal law shall not establish a legal basis for negligence or a standard of care for the purposes of determining medical liability.



AMA news

prescribeE-prescribing to Grow to $794M


The electronic prescribing systems market is estimated to grow to $794 million, at a compound annual growth rate of 26 percent from 2012 to 2017, according to a new study by MarketsandMarkets, which analyzed major market drivers, restraints and opportunities around the world.


In the U.S., the HITECH Act designates e-prescribing as an essential requirement for meaningful use under the electronic health record incentive programs, thus driving the adoption of electronic prescribing systems, the report found. According to findings, costs can be reduced with the use of eRx systems as these help to improve quality and efficiency and show promise in reducing costs by actively promoting appropriate drug usage; providing information to providers and dispensers about formulary-based drug coverage, including formulary alternatives and co-pay information; and speeding up the process of renewing medications.



Healthcare Finance News


gopHouse GOP Floats New Details of SGR Reform Plan


Washington Signaling that they've heard the concerns of organized medicine, House Republican leaders provided more details to the physician community on how they plan to repeal Medicare's sustainable growth rate formula and transition to a system that would guarantee payment stability while rewarding care quality and efficiency.


The reforms are a top priority, wrote Republican leaders of the House Energy and Commerce and Ways and Means Committees in an April 3 letter to health care professionals, which included the latest draft of a blueprint to reform the way Medicare physicians are paid. Taking into account the input from physicians and others on an earlier draft of the plan, the letter assured doctors that the GOP's approach would give medicine adequate enough time to prepare for a new payment system that used evidence-based quality measures.



AMA news


billBill O'Reilly: Don't refer to drug abuse as a victimless crime - it's not


As this column has been reporting, there is a growing movement in America to "reform" the nation's tough laws against drug dealing. The pressure is coming primarily from liberal and libertarian groups who see the use of narcotics as a personal choice, something that freedom should allow.


That opinion is fallacious in the extreme because of the public safety issue involved.


In 2010, more than 38,000 people died in the USA from drug overdoses -- far more than have been killed in the Iraq and Afghanistan wars combined. If you combine two years' worth of drug overdoses, you get more deaths than occurred during the Vietnam War.


Sun Sentinel




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