" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

October 2, 2103


  1. Register Today for Vegas Cadaver Workshop and Online Video Lectures
  2. Federal shutdown begins; health programs impacted
  3. Muted Rollout for Much-Changed Health-Care Law
  4. Health Law Hits Late Snags as Rollout Approaches
  5. A Personalized Tour of Obamacare
  6. Health-Exchange Prognosis: Unclear
  7. Cuts to Medicare Payments for Uninsured Begin
  8. Study: Some drug tests fail to detect synthetic marijuana
  9. Online tool calculates Medicare incentives, penalties
  10. Getting Mental-Health Care at the Doctor's Office
  11. Natural form of Tramadol discovered in Africa
  12. Adolescents at risk for substance misuse fit three subgroupsState Society News
  13. Physician Wanted

vegasRegister Today for Vegas Cadaver Workshop and Online Video Lectures


  Make plans today to join us in Las Vegas November 16 and 17th.


This 1½-day workshop is designed for interventional pain physicians, for a review, skills improvement, or to assist in preparation for Comprehensive Interventional Pain Management Examination qualifications. ASIPP offers the most in-depth, comprehensive, and individualized programs available in interventional pain management, featuring maximum hands-on training with cadavers in a state-of-the-art facility and maximum ability to interact with other participants.


Participants will experience a comprehensive and intense learning opportunity, focusing on interventional pain management techniques.

* Each cadaver station is limited to a maximum of 7 participants.

* Participants can choose the level of participation: basic, intermediate, or Comprehensive Interventional Pain Management Examination Preparation Course.

* C-arms and state-of-the-art equipment are utilized in this course.

* Participants will be provided with 7 video lectures relevant to the course material



 Brochure: http://www.asipp.org/documents/1113-cadaver_000.pdf


Online registration http://www.asipp.org/1113Cadaver-Registration.htm


Special room rates through Oct. 25 at the Westin Las Vegas


federalFederal shutdown begins; health programs impacted


With lawmakers unable to make a deal on how to fund the government, federal agencies began a partial shutdown on Oct. 1.


The government closure should not hit doctors in the pocketbook. Medicare is expected to continue "largely without disruption" in the short term, according to the Health and Human Services department contingency plan for operating during a shutdown. Payments for Medicaid and the Children's Health Insurance Program should also be unaffected, since federal monies for that program were previously set aside.


But the shutdown will impact many of the day-to-day functions at federal health agencies, from grant making to disease surveillance.


Family Practice News

mutedMuted Rollout for Much-Changed Health-Care Law


It's Oct. 1 and the Affordable Care Act is finally getting its rollout, but President Barack Obama's health-care law looks a lot different from the one he signed 31/2 years ago.


Thanks to a Supreme Court ruling, about half the states aren't participating in a Medicaid expansion that was a core part of the legislation. The federal government is running the bulk of new marketplaces for health insurance, not the states as originally envisioned. And some of the key provisions are delayed, including one that makes larger businesses pay a fine if they don't offer coverage.


Even the Oct. 1 date, long spotlighted as the big launch day for the new marketplaces, is being played down. The Obama administration is planning a low-key rollout.


Wall Street Journal


Access to this article may be limited

snagHealth Law Hits Late Snags as Rollout Approaches


Obama administration officials scrambling to get the health law's insurance marketplaces ready to open on Tuesday keep hitting technical problems, while government-funded field workers across the country say they aren't fully prepared to help Americans enroll in the program.


Implementation of the law is expected to proceed even if the government partially shuts down because Congress fails to pass the necessary spending bills. But insurers, who are counting on the law to usher in new customers, say that even short-lived quirks could sour Americans on participating. That could deter people who are on the fence about buying coverage-especially young, healthy people needed to make the law work.

Wall Street journal


Access to this article may be limited.

tourA Personalized Tour of Obamacare


Explore how America's health-care overhaul will affect you on this first-person adventure.



unclearHealth-Exchange Prognosis: Unclear


When the health exchanges created by the Affordable Care Act open for enrollment Tuesday, their success will be judged against a host of imperfect projections.


How many people will sign up? How much of a dent will the exchanges make in the number of uninsured? How much will they charge for premiums?


Providing a clear answer has proved tricky for economists and pollsters, underscoring the difficulty in predicting human behavior with economic models and the fallibility of employer surveys on Obamacare.


Wall Street Journal


cutsCuts to Medicare Payments for Uninsured Begin


Federally mandated cuts to Medicare and Medicaid hospital payments for uncompensated care go into effect on schedule, but hospital associations and lawmakers are actively proposing their delay.


The federal government may have shut down overnight, but provisions and funding cuts mandated by the Patient Protection and Affordable Care Act to be effective October 1 are rolling out as planned.


Much attention has been directed at the opening of the health insurance marketplaces, but Oct. 1 is also the day that the Centers for Medicare and Medicaid Services begins cutting Medicaid and Medicare disproportionate share hospital payments.



HealthLeaders Media

drugtestStudy: Some drug tests fail to detect synthetic marijuana


Drug tests required for people on parole or probation often fail to detect the use of synthetic marijuana, a substance that is increasing in popularity, according to a pilot study recently released by the White House Office of National Drug Control Policy.


The study, conducted by the ONDCP and the University of Maryland's Center for Substance Abuse Research across three sites in the District, Virginia and Maryland, prompted calls for updated testing.


"Most drug tests are testing for the old epidemics, and they need to update their panels," said Eric Wish, director of the center and the principal investigator in the study. "This is not only for the criminal justice system but the public health system as well."


 The Washington Post


toolOnline tool calculates Medicare incentives, penalties


Not sure if you're going to be getting a bonus or paying a penalty to Medicare this year? You're not alone.

Between the Medicare e-prescribing program, the "meaningful use" incentives for implementing electronic health records (EHRs), and the Physician Quality Reporting System (PQRS) - all with different incentive and penalty schedules - it's hard to keep track of whether payments are going up or down and by how much.


Apparently, officials at the Centers for Medicare and Medicaid Services (CMS) agree. They have launched an online tool that allows physicians to click through a few questions and figure out what their payment adjustments will look like based on 2013 participation in the eRx Incentive Program, the Medicare EHR Incentive Program, and the PQRS.



Family Practice News

gettingGetting Mental-Health Care at the Doctor's Office


Dr. Thomas Goforth with patient Magali King, who comes to the integrated-care center in New York City for physical and mental checkups.


Seattle psychiatrist Anna Ratzliff oversees mental-health care for nearly 500 patients-most of whom she will never meet.


As the consulting psychiatrist for four primary-care practices, Dr. Ratzliff confers weekly with 10 care managers who follow the patients closely, provide counseling and chart their progress in electronic registries. She helps devise treatment plans and suggests changes for those who aren't improving.



Wall Street Journal


Access to this article may be limited.

africaNatural form of Tramadol discovered in Africa


A team of researchers led by Michel De Waard, Inserm Research Director at the Grenoble Institute of Neurosciences (Inserm, University Joseph Fourier, CNRS), has discovered that an African medicinal plant produces large quantities of molecules with analgesic properties. Even more surprising, analysis show that the molecule is identical to Tramadol, a wholly synthetic medication that is used world-wide as a painkiller. According to the research team, this is the first time ever that a synthetic medication produced by the pharmaceutical industry has been discovered in strong concentrations in a natural source. This unexpected discovery had just been published in the chemical journal' Angewandte Chemie.


Nauclea latifolia (also know as the pin cushion tree) is a small shrub that is widely abundant throughout Sub-Saharan Africa. In traditional medicine, in particular in Cameroon, this plant is used to treat different pathologies including epilepsy, fevers, malaria and pain.



Medical News Today


adolescentsAdolescents at risk for substance misuse fit three subgroups


Adolescents appear to fall into three distinct subgroups at high risk of misusing drugs and other substances, based on a variety of their previous behaviors, a report published in Addictive Behaviors shows.


If future research confirms this finding, it points the way to tailoring prevention and intervention programs to these three target groups, said James A. Cranford, Ph.D., of the Addiction Research Center, University of Michigan, Ann Arbor, and his associates.


The investigators performed a cross-sectional Web-based survey of adolescents attending five middle schools and high schools in southeastern Michigan to assess whether certain substance-use behaviors could be used to classify them into risk groups. The 2,744 study subjects had a mean age of 14.8 years, and were equally divided between boys and girls. About 64% were white, 31% were black, 4% were Asian, and 2% were Hispanic or other ethnicities (Addict. Behav. 2013;38:2768-71).



Clinical Psychiatry News

State Society News



NY/NJ Societies of Interventional Pain Physicians Schedule Symposium


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.


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

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