Thirteen Steps to Save American Medicine – Time Is Short!

Via Dr. Parvez Dara:

  1. Time Is Short!
  2. Opt out CMS & MOC
  3. Simultaneously educate our patients
  4. Bring in like-minded business people and thinkers
  5. Go Concierge or similar FFS.
  6. Treat Indigent patients 10%
  7. Back to black bag, stethoscope doctoring with New Tools.
  8. Build a base that can rise up against the CMS empire when NPI numbers control prescriptions.
  9. Provide Care for 5%-7% of the population in each state (might mean 200-2000 like minded docs in each state) – start proselytizing.
  10. Forget the loonies in DC – they are lobbyist controlled embedded clowns – both sides
  11. Join forces with AAPS, D4PC & all other entities instead of fragmenting – power in numbers
  12. Real care with limited monetary gain in the short term will lead to long term loyalty – passion brings monetary rewards if passion is the driving force.
  13. As Judith says let’s formalize the process.

These Barons are not sitting idle but they are happy in their stupor for now. Use it to our advantage. Time for checking the peeling paint is over. Substance over form. New forces will gather to self-enrich from MACRA.. & time is short!

Revolutions are never easy. Get ready to take the hits!

Buyer’s remorse for H.R. 2 – MACRA, SGR “Fix”

Dr. Chip writes in:

The two lines in the entire argument made in this article“The repeal of the SGR is the carrot; the far-reaching payment reforms that the legislation facilitates are the stick,” is the basis of the discussion we wanted to initiate nearly 4 years ago both at the house of delegates and in discussion through our own Publications in “Saving Private Osteopathic Medicine.” All our journals refused to publish our position for an invitation to have a discussion in a public forum AND NOT BEHIND CLOSED DOORS. Promises were made and never kept. Tyranny reins under circumstances like these. Continue reading

They Fell for the Fix: Short Term Doc Fix a Trade-Off For Patient-Physician Autonomy

krisheldmd

The march toward socialized medicine progressed from a marathon to a sprint when the House of Representatives passed H.R.2, the fatefully named “Doc Fix” bill, with overwhelming bipartisan support, and the Senate approved it 92-8. The 8 Senators who did not vote for this bill deserve credit. Two, Senators Ted Cruz and Marco Rubio, are running for President and deserve our support.

As groups professing to represent doctors, like the AMA (led by CEO Dr. James Madara who is a close pal and Chicago hospital board crony of Michelle Obama and Valerie Jarrett) and Doctors For America (formerly known as Doctors For Obama), “high-five,” I remain stunned that physician Congressmen and those who were elected on their pledge to repeal Obamacare supported this bill. Politicians sold out to specialty hospitals, IT, and other special interests.

That many of my colleagues naively embraced such transformative legislation without reading it and that…

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Not everyone in the Osteopathic community is happy about H.R. 2

Robert:

Not everyone in the Osteopathic community is happy about this bill.
Your rah rah support without any mention of the potential negative consequences to independent private practice physicians is very disheartening.

What I have seen over the past 6 years is AOA acceptance of just about whatever govt takeover of healthcare that has come out of Washington. Instead of truly having an open debate on the merits and risks of bills, laws and regulations, is just the AOA following like a lapdog? Continue reading

Don’t Fall for the Fix: Short Term SGR Fix a Trade-Off For Patient-Physician Autonomy

Call your senator and vote NO to MACRA HR2 SGR bill. Must fix first!
http://www.senate.gov/general/contact_information/senators_cfm.cfm

krisheldmd

On March 26th, the march toward single-payer medicine progressed from a marathon to a sprint when the House of Representatives passed H.R.2, the fatefully named “Doc Fix” bill, with overwhelming bipartisan support.

The “Doc Fix” is Obamacare on steroids. I remain stunned that physician Congressmen and those who were elected on their pledge to repeal Obamacare supported this bill. Politicians sold out to specialty hospitals, IT, and other special interests.

That many of my colleagues naively embrace such transformative legislation without reading it and that groups professing to represent doctors, like the AMA, are effectively campaigning for its passage in the Senate is disturbing.

Truth is, the hyped SGR/Doc Fix is little more than a diversion to distract physicians from the meat of the bill that forever puts a stake in the heart of the patient-physician relationship. The SGR fix becomes irrelevant in short order when “Alternative Payment…

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$8.5 Million Judgement Against MDVIP, Is ABIM Next?

Paul Kempen, MD, PhD writes in:

Please check these stories from Feb Modern Healthcare (links below). I think application of this information to the ABIM and ABMS would be a new and possibly very effective strategy. If a concierge firm can loose $8.5 million for essentially false advertisement-the ABMS “higher standards better care” is also false advertisement and THEY actively sell their certification based on “quality indicator” to patients and CONGRESS! Hundreds to Thousands of ABMS certified docs commit malpractice each year-not better medicine!

The second article indicates the FTC and the US Justice Department’s Antitrust Division should also be willing to investigate the ABMS for clear waste of funds as the same “Quality indicator” lie. The AAPS could stand to win MiIlions from a Qui Tam suit BECAUSE the FEDs PAID millions to doctors for nothing under the 4 years of PQRS-MOC and because it was now discontinued before the feds could introduce large penalties for NOT doing MOC, this was all a waste of federal Medicare dollars. I demonstrated per CMS FOI data the $1 million was spent in 2011 alone on MOC PQRS.

Antitrust enforcers study impact of new models on competition
http://www.modernhealthcare.com/article/20150221/MAGAZINE/302219947

Concierge firms rattled by med mal award
http://www.modernhealthcare.com/article/20150221/MAGAZINE/302219969

Are People Getting More Health Care Because of ObamaCare? – John C. Goodman – Page full

John C. Goodman John C. Goodman

By one estimate, 14 million people are newly insured because of the Affordable Care Act. In addition millions of others have more generous insurance, promising new benefits. So you might expect that doctors’ offices would be flooded with a host of new patients seeking more care than they had before.

It’s not happening.

To avoid the effects of the 2008 financial crisis, the recession, and the slow recovery, John Graham compared the latest estimates from the Centers for Disease Control and Prevention (CDC) with their survey from a decade ago. The result:

“The proportion of people of all ages with a ‘usual place to go for medical care’ was 87.8 percent last year, the same as it was in 2002-2003. Further, 5.7 percent reported that they failed to obtain needed medical care due to cost last year, the same as it was in 2003-2004.”

via Are People…

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Response to TMA President Dr. King Regarding His Campaign for H.R.2

Read what is wrong with MACRA HR2 SGR repeal docfix and call your Sen. to vote “NO.”

krisheldmd

Dear Dr. King,

I was stunned when I received your TMA alert instructing Texas physicians to contact Senator Cruz and tell him to support H.R.2 using your talking points. Have you completely read H.R.2 yourself? Where did you get your talking points? Whose interests do you represent? How did you conclude you as the leader of TMA should back H.R.2?

Like you, I have long held Dr. Burgess in highest regard. His goal of repealing SGR is laudable, but the associated side effects of this proposed SGR cure are worse than the disease. H.R.2 was exposed to far too much outside contamination, whether that be from specialty hospitals, IT, or other special interests, such that the intended SGR fix becomes irrelevant in short order when the Alternative Payment Models ushered in by H.R.2 take effect. Secretary Burwell is targeting 85% of Medicare to be delivered by such models by 2018…

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MACRA/HR2 is a death knell for professional integrity and a danger to patients

Doctor Robert Geist writes his Senators:

Please vote NO on HR-2, the current SGR “doc fix” bill. Repeal is necessary; but not this version.

Here is what the bill really does: “…shifting Medicare reimbursement from fee-for-service to pay- for-performance.” This is Orwellian double-speak for P4P “value” pay; the PPACA cost control stratagem, which only reproduces decades of the failed HMO capitation experiment.

Why is this not good?

1) The bill is a death knell for professional integrity—a serious danger to patients. Doctors at the bedside are literally paid (“bonus rewards”) for restricting use of “payer” money (government/corporate) for patient care under the guise of “stewardship”, “value pay”, “choosing wisely”, or whatever slogans can sell this bedside gatekeeper rationing bill. Continue reading