Engage Independent Physicians, Dr. Wax asks AOA

Dr. Craig Wax writes AOA Pres. Bob Juhasz, DO

Bob

Thank you for having me at the AOA advocacy meeting in Phoenix AZ. The lectures and workshops were informative and interactive. More importantly, thank you for your personal meeting with me on adaptive leadership and listening to the information to improve the AOA that I bring from independent physicians and all their contacts:

1. AOA needs to listen to all DOs in all practice specialties and practice styles from solo to health system leader. All have both core values and needs, but each has unique issues that the AOA needs to know, value and act on.

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Three Fixes for SGR

Steven Horvitz, DO writes ACOFP President Carol Henwood, DO

Dr. Henwood:

I just received your email blast about the SGR.

There are three fixes for SGR that come to mind that would immediately solve this never ending recurring problem for physicians.

1- eliminate the SGR entirely
2- advocate that all physicians opt out of Medicare
3- immediately freeze the physician fee schedule where it is AND allow physicians to balance bill patients for anything they want above it.

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What is regulatory capture of medical practice

IP4PI - Independent Physicians for Patient independence

We need to educate the world to the phenomenon of regulatory capture, which is completely worse than regulatory control – which already exists by license requirements of the state. It is simply put “extortion by law.”

http://techliberation.com/2010/12/19/regulatory-capture-what-the-experts-have-found/

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Taking the Crony Out of Capitalism – Paul Jacob – Page full

TeaPartyOccupyLee implores the “new Republican majority” to “make clear that our support for free enterprise cuts both ways. To prove that point, we must target the crony capitalist policies that rig our economy for large corporations and special interests at the expense of everyone else — especially small and new businesses.”

For starters, Lee suggests dissolving the Export-Import Bank and the Overseas Private Investment Corporation, and eliminating the “taxpayer bailouts for big insurance companies in Obamacare’s ‘risk corridors’ program.” He also notes the need to “break up taxpayer subsidies for the energy industry or large agribusinesses.

”Echoes of Ralph Nader, but with deep free-market rumblings. Not discord, but harmony.

via Taking the Crony Out of Capitalism – Paul Jacob – Page full.

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Privacy is a big problem getting bigger every day

Guest Post from Barbara Duck – @MedicalQuack

Privacy is a big problem getting bigger every day where its technology basically used against the consumer in the form of their data. With my background of both sales and developing, I have two thought processes going all the time if you will, the geek side visualizes and the sales side visualizes how they will market and potentially deceive the public with a lot of it to get folks on board so they can collect more data.

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Post-Obamacare Reform: Will Health Insurers Be Redeemed? | Health Policy Blog | NCPA.org

Robert Pear of the New York Times recently described the “symbiotic” relationship between the Obama administration and health insurers. It was not always so:

But since the Affordable Care Act was enacted in 2010, the relationship between the Obama administration and insurers has evolved into a powerful, mutually beneficial partnership that has been a boon to the nation’s largest private health plans and led to a profitable surge in their Medicaid enrollment.

“Insurers and the government have developed a symbiotic relationship, nurtured by tens of billions of dollars that flow from the federal Treasury to insurers each year,” said Michael F. Cannon, director of health policy studies at the libertarian Cato Institute.

The entire article is a depressing read. And it is not just the fact that insurers are profiting from Obamacare. It’s that Obamacare is motivating health insurers to consider other harmful public policies. Most glaringly, health insurers appear…

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Stupidity, Lies, and Videotape

singleton-smaller-0x150 By Marilyn M. Singleton, MD, JD

Gruber crystalized his jaded views during a panel discussion at the Annual Health Economics Conference at the University of Pennsylvania’s Leonard Davis Institute of Health Economics on October 17, 2013 Gruber said,

“This bill was written in a tortured way to make sure CBO did not score the mandate as taxes. If CBO scored the mandate as taxes, the bill dies… In terms of risk rated subsidies, if you had a law which made explicit healthy people pay in and sick people get money, it would not have passed… Lack of transparency is a huge political advantage. And basically, call it the stupidity of the American voter or whatever, but basically that was really really critical for the thing to pass.”

via Stupidity, Lies, and Videotape.

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The Wheel of Misfortune

downloadHow hard is it in today’s Healthcare climate to pin down a price? I thought I would test this query by making some phone calls to our local premier children’s urgent care facility. I proceeded to call the nearest location to my house to inquire about the cost of having my (hypothetical) healthy 9 year old evaluated for possible strep throat.

The very pleasant lady on the phone told me if I didn’t have insurance that it would be a minimum of $75.00. I told her that while minimums are nice to know, I was really more interested in the maximum. I asked the next most logical comparative question which was what the price would be if I had insurance. She said it all depended on the co-pay and the benefits, whether or not a met my deductible and so forth. I asked what amount they would bill to my…

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The “Average” Obamacare Rate Hike May Be Much Lower than Advertised — and That Indicates More Adverse Selection | Health Policy Blog | NCPA.org

So, I have little doubt that in March 2015, we will be hearing lots of stories applauding Obamacare for lowering premiums even more than indicated by these early estimates. This does not show that Obamacare is saving money: It shows that Obamacare’s insurers are getting better at attracting healthy applicants.

Indeed, the preliminary research makes it very clear that new entrants are often the low bidders. Incumbents, who have one year’s worth of Obamacare claims experience, want to shrink market share. These new, low-premium competitors have finely tuned their risk-selection techniques.

The sickest patients will continue to suffer, even worse than they did in Obamacare’s first year.

via The “Average” Obamacare Rate Hike May Be Much Lower than Advertised — and That Indicates More Adverse Selection | Health Policy Blog | NCPA.org.

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