" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

July 17, 2013




delayACA Delay: U.S. Struggles to Meet Health-Law Deadline

Delay in Big-Employer Requirement Raises Questions About Administration's Ability to Implement Overall Policy


When Obama administration officials delayed a central plank of the new health law-requiring that big employers offer health insurance to workers-they said it was to help businesses pleading for more time.


Left unsaid was the federal government hadn't written key rules guiding employers, according to current and former administration officials, and computer systems that were supposed to run the program weren't operational.


The delay has opened the door for critics and allies alike who are now raising questions about the administration's ability to implement the biggest domestic policy initiative in a generation.


Wall Street Journal


physicianProposed Policy and Payment Changes to the Medicare Physician Fee Schedule for Calendar Year 2014




On July 8, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2014. Currently, Medicare only pays for primary care management services as part of a face-to-face visit. In the proposed rule, in order to support primary care, CMS proposes to make a separate payment to physicians for managing select Medicare patients' care needs beginning in 2015. The proposed rule also proposes changes to several of the quality reporting initiatives that are associated with PFS payments - the Physician Quality Reporting System (PQRS), the Medicare Electronic Health Record (EHR) Incentive program, as well as changes to the Physician Compare tool on the Medicare.gov website. Finally, the rule continues the phased-in implementation of the physician value-based payment modifier (Value Modifier), created by the Affordable Care Act, that would affect payments to physician groups based on the quality and cost of care they furnish to beneficiaries enrolled in the traditional Medicare fee-for-service program.


This fact sheet discusses the proposed changes to payment policies and payment rates for services furnished under the PFS. A separate fact sheet, also issued today, discusses the proposed changes to the quality reporting programs, the Medicare EHR Incentive program, and the proposals for implementing the Value Modifier. That fact sheet is available at:http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2013-Fact-Sheets-Items/2013-07-08-2.html


Proposed Rule:



Details for Regulation:


hopdCMS Proposes Hospital Outpatient and Ambulatory Surgical Centers Policy add Payment Changes for 2014



July 8, 2013 - The Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates proposed rule [CMS-1601-P] on July 8, 2013.


The proposed rule with comment period would update Medicare payment policies and rates for hospital outpatient department and ASC services, and update and streamline programs that encourage high-quality care in these outpatient settings consistent with policies included in the Affordable Care Act. Total CY 2014 OPPS payments are projected to increase by $4.37 billion or 9.5 percent, and CY 2014 Medicare payments to ASCs are projected to increase by approximately $133 million or 3.51 percent as compared to CY 2013.


Fact Sheet:



Proposed rule: http://www.ofr.gov/(X(1)S(lab5ts2yndjmdyt0p0aai0ir))/OFRUpload/OFRData/2013-16555_PI.pdf

boardWhat are YOU Waiting For? Next Chance 2015. Register Today for Board Review Course



 Make plans today to attend the 2013 Board Review Course set for July 29-Aug. 2 at the Chase Park Plaza in St. Louis, MO. The next board review course will not be held until 2015.


This intensive and comprehensive high-quality review will prepare physicians appearing for the American Board of Medical Specialties (ABMS)-Subspecialty Pain Medicine examination and for the American Board of Interventional Pain Physicians (ABIPP)-Part 1 examination.



* A five-day review covering anatomy, physiology, pharmacology, psychology, ethics, interventional techniques, non-interventional techniques, controlled substances and practice management

* 39 unique lectures by experts in the field

* Participants can earn up to 44.25 AMA PRA Category 1 Credits

* Extensive educational materials

* Extensive evaluation sessions with daily pre-test, post-test, and review questions



You can earn up to 44.25 AMA PRA Category 1 credits.


Click HERE to Register:  


Click HERE for Chase Park Plaza. Special ASIPP room rate through July 7, 2013.



Click HERE to view Brochure:

spaceSpace Still Available for Pain & Addiction Management Course 


pain addiction 


This comprehensive course is planned as a CME activity in Pain & Addiction Management in Interventional Pain Management and other medical specialties.This two-day review course will provide in-depth evaluation of the knowledge of the participants with extensive review of subject.



This course is intended to present interventional pain management specialists, nurses, and other healthcare providers an in-depth review of multiple areas of pain and addiction management.



* Review basic science and core concepts

* Discuss pharmacology

* Identify clinical use and effectiveness

* Identify substance abuse

* Discuss topics with regulatory issues, legal issues, and ethical issues



Participants in the Pain & Addiction Management course should be able to apply the fundamental concepts of managing controlled substances in your practice, from pharmacology and the clinical uses to identifying abuse and the legal aspects of prescribing, for better outcomes and reduced side effects.



Chase Park Plaza

212 N. Kingshighway, St. Louis, MO 63108

(877) 587-2427


 Click HERE  to view the brochure.


Here is the link for Registration

EHREHR Adoption Steady, but More Work Needed


Physicians are continuing to adopt electronic health records at a steady clip, but more work is needed to have those systems communicate with each other, according to two studies published Tuesday.


In 2012, 72% of physicians had adopted some type of EHR system and 38.2% had capabilities required for a basic system (P<0.05), a review by the CDC's National Center for Health Statistics in Hyattsville, Md., found.


The number of basic EHR adopters was up from just over 25% in 2010, Chun-Ju Hsiao, PhD, and colleagues reported in a study that appeared online in Health Affairs. A basic EHR was defined as having seven capabilities including recording patient history and clinical notes, viewing lab results and imaging reports, and using computerized prescription ordering.


MedPage Today

choiceChoice More Common in Medicaid Plans


WASHINGTON -- States are increasingly moving to privatized managed care programs for their Medicaid recipients as state lawmakers look to change the safety-net system despite objections from naysayers, members of Congress were told Monday.


Kansas, Louisiana, and, most recently, Florida have received federal OKs to offer expanded managed care programs that allow patients to choose from a list of plans with varying benefits.


"The states set the floor of the benefits on those plans, but then the plans can add additional benefits on top of that using the savings they create by better coordinating care," Tarren Bragdon, chief executive of Foundation for Government Accountability, a conservative think tank in Naples, Fla, said after a House Energy and Commerce Health Subcommittee hearing Monday examining Medicaid.


MedPage Today

healthHealth Insurance Exchange Subsidies Will Be Granted on the Honor System!--Is There Something Wrong With "ObamaCare's" Federal Data Hub?


Come October millions of people will be applying for tens of billions of dollars in federal health insurance premium subsidies on the honor system.

On the Friday after the Fourth of July--when the administration apparently hoped no one would be paying attention--the Obama administration dropped 606 pages of regulations. Buried inside was the news that that insurance exchanges can ignore any personal income information they get from the Federal Data Hub during 2014 if it conflicts with "attestations" made by individuals.

That came three days after the administration announced it was putting the employer mandate on hold--and therefore not requiring detailed information from employers regarding the health plans they offer to their workers. The administration said the delay was because of the burden the reporting put on employers. But, was the administration ready to handle the data?


Health and Market Spot Blog




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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