May 22, 2013
- ASIPP 15th Annual Meeting - Don't Miss
- ASIPP to Partner with Henry Schein
- Tavenner Confirmed as Medicare
- CMS: Do EHRs Lead to Upcoding?
- First ACA Physician Shield Becomes
- House Hearing Focuses on Quality's
Role in SGR Reform
ASIPP 15th Annual
Meeting - Don't Miss Out!
\If you have not yet registered for the ASIPP 15th Annual
Meeting, there is still time to do so. Not only is this the "can't miss" meeting
of the year,
will be the last year we will hold the
Annual Meeting in Washington, DC. Join us on June 8-11 for this historic
The ASI PP 15th Annual
Meeting titled "IPM: Strategies to Prevent Falling Over the Cliff," is geared to
help both you and your staff prepare for all the changes coming with the
Affordable Care Act (ObamaCare). The strategies and information you
will receive at this meeting will be unparalleled to any other
Take advantage of this
opportunity and "arm yourself for the future!"
Click HERE to
Click HERE to view
Partner with Henry Schein GPO
After almost 2 years of
struggles with single-dose vials cost issues, 3 solutions were recommended:
reduce the price, use compounded drugs, or allow physicians to divide them into
smaller vials in practices. While we disagree with the second option, we have
been pursuing the first and third options. The third option we continue to on,
however the first option has become a reality. Finally, we have
achieved what we believe is the best solution for this issue and one that will
provide significant reductions in price by joining a GPO.
ASIPP is pleased to
announce that we have formed a partnership with Henry Schein and PedsPal, a
national GPO that has a successful history of negotiating better prices on
medical supplies and creating value added services for the independent
physician. Working with MedAssets, PedsPal provides excellent pricing on
products like contrast media that alleviate some of the financial pressures you
experience today. While the cost of contrast media has skyrocketed due to the
single dose vial issue, because we have partnered with Henry Schein, this could
enable you to purchase Omnipaque 240mg/50 ml for slightly above
It will be easy for
ASIPP and SIPMS members in good standing. to enroll and begin to
realize the savings this partnership can bring you. We will keep
you updated on how to take advantage of this great savings opportunity. We will
have more information on this in the upcoming weeks. Henry Schein will
be on hand at the ASIPP Annual Meeting on June 8-11 to answer all your
Confirmed as Medicare Chief
The Senate on Wednesday
confirmed Marilyn Tavenner to head the Centers for Medicare and Medicaid
Services (CMS), making her the first confirmed administrator of the agency in
nearly 7 years.
Tavenner sailed through a
vote late Wednesday afternoon, receiving 91 of 98 votes cast.
Ophthalmologist-turned-senator Rand Paul, MD (R-Ky.), was one of seven senators
to vote against her confirmation.
CMS hasn't had a confirmed
head since Mark McClellan, MD, PhD, left the post in October
2006. McClellan was confirmed in March 2003.
CMS: Do EHRs Lead
The accuracy of physician
documentation has been scrutinized for years, but a relatively new focus of
complaints involves how doctors use features of electronic health record systems
to support their claims. Concerns that doctors are taking advantage of EHR
automation to bill higher-level services - intentionally or not - are misplaced,
physicians said during a May 3 forum at the Centers for Medicare & Medicaid
Federal lawmakers and CMS
officials have encouraged physicians and hospitals to adopt EHRs by offering
financial incentives and threatening eventual cuts to Medicare payments. Health
information technology can provide clinical support, allow sharing of records
across care settings and offer other functions, such as drug formulary checks.
EHRs are viewed as an asset in new care and payment models.
But the technology can be a
double-edged sword. CMS lately has become concerned about the unintended
consequences of EHR adoption. Auditors and lawmakers have suggested that recent
increases in the rates at which doctors bill costlier, higher-level services
could be attributable to the enhanced billing capabilities provided by
ACA Physician Shield Becomes Law
Republican Governor Nathan
Deal signed into law on May 6 what Bloomberg BNA reports is the nation's first
"provider shield" statute. The measure aims to protect doctors from malpractice
suits based on payment-policy standards established by the 2010 federal
health-care reform law, known as the Affordable Care Act (ACA). What's truly
amazing about this development is that both physicians and trial lawyers
supported the law.
The ACA establishes a
complicated array of new federal standards for doctors' fees and reimbursement.
The Georgia statute says physicians in that state cannot be sued under Georgia
law for failing to follow the new standards.
Focuses on Quality's Role in SGR Reform
Legislation that modernizes
the Medicare payment system will need to support physicians who are adapting to
pay models based more on quality and efficiency, doctor organizations told
lawmakers at a recent congressional hearing.
House Republicans have
drafted a framework for repealing the sustainable growth rate formula used to
calculate Medicare payments and control program spending. The SGR is broken and
must be repealed, said Rep. Kevin Brady (R, Texas), chair of the House Ways and
Means health subcommittee. The formula is projected to cut payments by 24.4% in
2014 unless Congress intervenes.
"Physicians, we know, are
understandably frustrated," Brady said. "In our communities, we're witnessing
firsthand how the current broken system is forcing doctors to rethink their
future with Medicare, consider closing their private practices or joining up
with a hospital. And who can blame them?"
is Here: What the Controversial New Changes Mean for Mental Health
The most recent revision of the
Diagnostic and Statistical Manual of Mental Disorders (DSM) has arrived, and the
latest changes have caused divisions among those in the psychiatric community.
Often touted as the
psychiatrist's "Bible," the DSM is published by the American Psychiatric
Association and establishes the almost universal standard by which doctors
classify, diagnose and ultimately treat mental disorders - making it an
essential part of the psychiatric profession. The DSM is utilized not only by
clinicians, but researchers and health insurance companies as well. Even
government officials take interest in the DSM's criteria in order to determine
grant funding, insurance coverage and new health care policies.
The latest version is the DSM's
fifth edition, and it is the manual's first major revision in nearly 20 years
since the publication of the DSM-IV in 1994. The DSM-5's release brings some
radical new changes, which have been met with both praise and disgust from
mental health professionals. Some of the most highly debated changes include the
elimination of Asperger's disorder and the addition of a few new controversial
conditions such as cannabis withdrawal, gambling addiction and the highly
contested disruptive mood dysregulation disorder (DMD).
Eye Bare-Bones Health Plans Under New Law
Employers are increasingly
recognizing they may be able to avoid certain penalties under the federal health
law by offering very limited plans that can lack key benefits such as hospital
Benefits advisers and insurance
brokers-bucking a commonly held expectation that the law would broadly enrich
benefits-are pitching these low-benefit plans around the country. They cover
minimal requirements such as preventive services, but often little more. Some of
the plans wouldn't cover surgery, X-rays or prenatal care at all. Others will be
paired with limited packages to cover additional services, for instance, $100 a
day for a hospital visit.
The Wall Street
Health Care Law Could Stick Doctors with Tab
A loophole in California's
upcoming health care overhaul could be exploited by families gaming the system
or responding to hardship in a way that doctors say could leave a pile of unpaid
A chain of events would
create a two-month period during which a family has medical coverage but no
insurer must pay its claims. Nonpayment of premiums for subsidized policies
would trigger the oddity: Federal law provides a three-month grace period before
cancellation - but insurers are responsible only for the first month.
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