" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

September 4, 2013


  1. Heart-Disease Gains Partly Elude Younger Adults
  2. More Employers Overhaul Health Benefits
  3. Medicare Rates Continue to Fall Behind Practice Expenses
  4. 42% of Physician Leaders Think Medicare Should Publish Individual Physician Payment Data
  5. Employers weigh health care costs, penalties
  6. Obamacare, but by Any Other Name
  7. Smart syringe turns red to tell you it's been used
  8. Sign up for ASIPP Dr. Finder
  9. State Society News
  10. Physician Wanted
heartHeart-Disease Gains Partly Elude Younger Adults


Fewer people in the U.S. are succumbing to preventable death from cardiovascular disease, but most of the improvement in rates is among the elderly, rather than among younger adults who are also at risk, according to federal data released Tuesday.


The rate of so-called avoidable deaths from heart disease, stroke and hypertension declined 29% between 2001 and 2010 in people under age 75, thanks in part to healthier lifestyles and better cardiac care, according to an analysis of U.S. mortality data by the Centers for Disease Control and Prevention. But the rates of decline were substantially slower among adults under age 65, the agency said. Rates also varied widely depending on where people lived and their race or ethnicity.


Wall Street Journal


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overhaulMore Employers Overhaul Health Benefits


This fall, tens of thousands of U.S. workers will learn that they're getting their health benefits next year in a radical new way: Their employers will give them a fixed sum of money and let them choose their plan from an online marketplace.


The approach, which gained a high profile last year when it was adopted by Sears Holdings Corp. SHLD +1.36% and Darden Restaurants Inc., DRI 0.00% has the most momentum among small and midsize employers. But interest is growing among companies of all sizes, research shows. Accenture ACN +1.15% PLC projects that around a million Americans will get employer health coverage through such marketplaces next year, and the number will increase to 40 million by 2018.


Wall Street Journal


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ratesMedicare Rates Continue to Fall Behind Practice Expenses


Physicians have escaped massive cuts in their Medicare reimbursement in recent years, but here is one thing they have not escaped: the gap between sporadic Medicare pay raises, called updates, and practice expenses that are climbing even faster.


From 2002 to 2012, Medicare fee-for-service (FFS) rates increased 9%, while the cost of operating a practice - as measured by the Medicare Economic Index (MEI) - increased 27%, according to a recent report by the Medicare Payment Advisory Commission (MedPac). The MEI includes everything from physician and staff compensation to rent, exam room tables, postage, and computers. During that same period, the overall inflation rate was 33%.

The MedPac findings appear in its 2013 "data book" on Medicare spending, released in July. The independent Congressional agency has described the disconnect between practice expenses and Medicare rates in previous editions of the annual publication, so the 2013 edition merely freshens up the bad news.




data42% of Physician Leaders Think Medicare Should Publish Individual Physician Payment Data


A poll from the American College of Physician Executives questioned whether Medicare should release payment data to individual physicians, with the answers relatively split.


Among ACPE members responding to the survey, 46 percent said "No" and 42 percent said "Yes." The remaining 12 percent were unsure. CMS recently made the hospital chargemaster data public and is currently soliciting feedback on whether physician payment should remain private.


Those who say it shouldn't be released feel the data is too easily misinterpreted by the public and could shed an unfair light on physicians. Reimbursement depends on several factors, including geographic location, type of procedures performed and cost of medication.


Those who were in favor of releasing the data said the public has right to know about how taxpayer dollars are spent, according to an organization news release.



Becker's Spine Review

weighEmployers weigh health care costs, penalties


NASHVILLE, Tenn. -- Employers are just beginning to learn the financial ironies of the federal health law. Small nonprofits that pay no taxes can get tax credits. Some businesses that currently provide generous insurance may stop. And organizations could fork over more money covering part-time workers than full-time workers.


While the Affordable Care Act will provide access to insurance for millions more Americans, it is not a law of equality for employers. The impact differs according to how an employer's workforce is structured and the generosity of its health benefits.


Health Leaders Media



nameObamacare, but by Any Other Name


FALCON HEIGHTS, Minn.-At the Minnesota State Fair, state employees are promoting a health-insurance marketplace called MNsure by handing out fans imprinted with pictures of Paul Bunyan and Babe the Blue Ox.


The legendary lumberjack and his sidekick are just part of a pitch-including a humorous reference to the state as the "land of 10,000 reasons to get health insurance"-that seeks to sidestep references to "Obamacare" or the long-raging national debate over the Affordable Care Act and instead promote the marketplace as a home-grown creation.


Minnesota, along with thirteen other states and Washington, D.C. that are fully running their own health-insurance marketplaces, is marketing this way because it believes it will draw customers, even if it doesn't change popular impressions of Obamacare, the health overhaul designed to provide coverage to those who don't have it from their employer or elsewhere.


Wall Street Journal


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smartSmart syringe turns red to tell you it's been used


Of the four to five billion injections given each year in India, at least 2.5 billion are unsafe, according to one study. In some cases, that means they are administered using unsterilized second-hand syringes that could be contaminated with a blood-borne disease such as hepatitis or HIV.


A simple change to the way syringes are made could dramatically reduce those figures and save thousand of lives each year, according to David Swann of Huddersfield University, in England. His design for a new kind of syringe that changes color after it has been used was nominated for an INDEX: Award.


"1.3 million people (globally) a year die from unsafe injection practices," Swann says, quoting WHO figures. "It accounts for over 30% of hepatitis A and B cases and 5% of HIV cases."





finderSign up for ASIPP Dr. Finder


If you are an ASIPP Member Physician in good standing and want to make your customized information available on ASIPP Dr.Finder,
click here.


If you have multiple practice locations, each location must be submitted separately.


Patients can find your listing as an ASIPP Physician Member either by searching for a name or a location.



State Society News



CASIPP Plans Fall Meeting
The California Society of Interventional Pain Physicians will hold its 4th Annual Meeting this September 20-22 at the Terranea Resort  in Rancho Palos Verdes, CA.
Interested physicians can register online at www.casipp.com



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



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American Society of Interventional Pain Physicians ®
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Phone 270.554.9412, Fax 270.554.5394
E-mail asipp@asipp.org