AMA looks for gold in mining patient and physician data.

Two more items to pitch into “the AMA is utter Garbage” file:

  1. The AMA supports resuscitating the dead-end failure that is the “Affordable Care Act.”  Patients have seen soaring premiums, deductibles, and medical costs, while at the same time often losing access to their doctor and other medical facilities of their choice. Physicians have suffered continued suffocation by ACA red-tape. But the AMA supports propping up this disaster of a law and throwing more good money after bad. 
  2. AMA looks for gold in mining patient and physician data. Why is the AMA advocating against the best interests of doctors and patients? Follow. The. Money. The AMA has discovered it is more lucrative to sell patients and doctors out than to support their interests. Since 1983 the AMA has been making millions of dollars per year from the CPT monopoly it secured in a secret deal with the feds back in 1983. CPT has metastasized into the EHR fisaco that now plagues nearly every office and facility. Now the AMA is hoping to find another pot of gold by mining the data CPT helped to create… patient and physician medical data to be exact. How much can the AMA make of the data? Who knows, but you can read more about the new initiative here: https://healthitanalytics.com/news/ama-launches-integrated-healthcare-big-data-analytics-platform.

Danger, Will Robinson! Danger!

The AMA is utter garbage. But, you knew that.

Here they go again. Once again the AMA is promoting what’s best for the big government / big insurance / big hospital cartel instead of advocating solutions that will truly empower patients, physicians, and increase access to high-quality, low-cost care.

Real Solutions Encourage Responsibility; Safety Nets Should Not Become a Chronic Need

Dr. Robert Villare responds to the AMA’s continued support for Medicaid Expansion and ACA:

To K B O’Reilly on AMA wire. Better question to ask is why so many Ohioans (700,000) are on Medicaid.

It is well documented that these populations reproduce with abandon and lack a mother and father family presence, are irresponsible and non-compliant, and practice poor health habits. You write nothing about their need to get responsible or the need for Ohio to create jobs to resolve this root cause problem of the need for Medicaid. Safety nets, while appropriate in some cases, should not become a chronic need for residents.

The rant about covering everyone, with no contingent duties and responsibilities is old. You note nothing about how you think this should be paid for–the real dilemma over the last 30 years. Easy to say “cover everyone” but not easy to pay for it without burdening hard-working people that you will mandate the taking of more monies out of their pocket to give to others who feel entitled and may well lack appreciation for the handout.

Solve that problem. Give them jobs to earn at least some of their medical care, and terminate the costly regulations and liability issues facing providers in this litiginous population.

Who does “Organized Medicine” work for?  Follow. The. Money.

With a significant portion of their physician constituency opposing the misnamed Affordable Care Act, i.e. Obamacare, and set to be harmed by bureaucracy-laden MACRA regulations why are some of the biggest names in “organized medicine” out in front cheering on these harmful programs?

Follow. The. Money.

The American College of Physicians has received about $3.5 Million in taxpayer funds from the federal government since 2011:
https://www.usaspending.gov/Pages/AdvancedSearch.aspx?sub=y&ST=C,G,L,O&FY=2016,2015,2014,2013,2012,2011&A=0&SS=USA&RN=American%20College%20of%20Physicians

The AMA $5.4 Million (not including CPT royalties):
https://www.usaspending.gov/Pages/AdvancedSearch.aspx?sub=y&ST=C,G,L,O&FY=2016,2015,2014,2012,2011&A=0&SS=USA&RN=american%20medical%20association

And this is “chump change,” explains Dr. Meg Edison, compared to the $86 Million taxpayer dollars the American Academy of Pediatrics raked in. “No wonder they were hashtagging the heck out of #VoteKids at election time. It’s a big business.”
https://www.usaspending.gov/Pages/AdvancedSearch.aspx?sub=y&ST=C,G,L,O&FY=2016,2015,2014,2013,2012,2011&A=0&SS=USA&RN=American%20academy%20of%20pediatrics

Bob Doherty, Exec. Dir. of ACP retorts that the taxpayer dollars “to help docs improve quality isn’t a COI but core to ‘ mission to promote excellence in medicine.”

“Helping docs improve quality” is apparently a euphemism for training physicians to comply with the crushing burdens of ACA and MACRA, a program passed in the name of “quality” but which ultimately punishes physicians for practicing individualized patient care, instead of cook book medicine as defined by CMS policy-wonks.

A sizable chunk of the funds flowing to ACP is ACA-driven funding “to help health providers achieve large-scale transformation” and “ensure sustainability” of these efforts.

With these large sums of money flowing into the coffers of those supposedly representing America’s physicians and their patients, it’s past time for hard questions to be asked and answered. Whose interests is “organized medicine” really looking out for? A hint: it’s not physicians or patients…

AMA Seeks to Soothe MACRA Mania?

Dr. Robert Sewell, author of A Surgeon’s Heart, replies to comments by AMA President Steven Stack’s comments about MACRA:

This statement from Stack is the exact same Drivel we heard from the AMA surrounding the passage of the ACA. “Don’t worry, we will revisit it every year and we’ll make it better.” To that I have only 2 words and they start with the letters B S. AMA “Leadership” is in the tank for the government and their total take over of medicine. No matter how the AMA tries to soft-sell all this crap, it is clear they are satisfied because they’ve salvaged themselves by making a deal with the devil. I say to hell with them. This is why I left the HOD in 2013 after four years of actively trying to change the organization from the inside. It can’t be done. Unless you are willing to play along with their scheme, your voice is ignored. They even have all board members agree to never discuss what goes on inside their closed meetings, AND every decision must be openly supported by every board member. I wish I could find a bookie who would take odds on the likelihood that MACRA will be delayed or altered in any substantive way. I might finally be able to retire by mortgaging my house and putting everything on the AMA/Government plan standing pat, despite the preponderance of negative feedback they are receiving. Continue reading

Tell CMS #MACRA #MIPS is bad 4 both patients & physicians

Dear AOA leadership,

Below you’ll find for links on MACRA MIPS, the latest price-fixing and medical practice control mechanism from The President and congress via CMS. If you’ve read the legislation, you’ll find that all solo and small private practices will be eliminated over the next few years, and eventually even the larger practices will follow because of “negative payment adjustments.”

Please act immediately to exclude all practices under 10 physicians, with 10,000 Medicare patients, billing less than $1 million a year. The current exclusion is 100 Medicare patients and $10,000 a year. Further, we need to get government entities out of the practice of medicine. Furthermore, the AOA must make a plan and take steps to take back the practice of osteopathic medicine from third-party “stakeholders” as well.

#MACRA #MIPS is bad 4 both patients & physicians

#CMS slides https://innovation.cms.gov/resources/macra-intro2.html

MACRA regulations out ensuring demise of private practice
http://medcitynews.com/2016/04/macra-regulations-out-ensuring-the-demise-of-private-practice/

MACRA MIPS legislation
https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-10032.pdf

To submit a comment to CMS visit https://www.regulations.gov/#!docketDetail;D=CMS-2016-0060 and scroll down to “Comment Now” button.

Must comment by 06/27/16

Members of our profession testified on Capitol Hill and sold us out.

Dr. Kris Held’s writes in:

Members of our profession testified on Capitol Hill and sold us out. Culprits include the AMA, ACP, AAFP, and Aurora Health Care Medical Group . I just finished reading these testimonies, and clearly they are vying for MACRA’s $20,000,000 per year for the net 5 years doled out to SAN awardees and PTN grantees to “educate physicians” about MACRA and “engage” with CMS. Selling our souls.

I would love to know how much $ the AMA got as a grantee of the TCPI and as an Awardee of the SAN. The ACP, AAFP, and Aurora Group (from WI) are begging for grant/award. ACP is working with AHIP.

“The AMA is also a grantee of the CMS Transforming Clinical Practice Initiative (TCPI). As a Support and Alignment Network (SAN) Awardee, the AMA is promoting the goals of the TCPI to the TCPI network of clinicians through education about MACRA, CME, dissemination of best practices, promotion of clinical data registry use, and provision of tools and resources on APMs.”

How did these private groups get invited to testify? Who authorized the to embrace MACRA and seek $Millions is awards and grants “Educate” their members(us lowly physicians) about it? Why were other “stakeholders” not invited to the party?

Ayn Rand’s speech against socialized medicine in 1963; 100% relevance today.

https://ari.aynrand.org/issues/government-and-business/health-care/How-not-to-fight-socialized-medicine

Government, AMA, and AOA are all on one side, not the patients’ side, but the control side

Guest Post from Gina Reghetti, DO

So sad that government is in medicine at all!

The AOA & Government will end up pushing all doctors right out of their jobs. The problem isn’t drugs and doctors that are “over prescribing,” it’s their agendas that are aimed at taking our prescription writing ability away and putting it into the hands of the pharmaceutical companies, as planned.

The government & AOA are going right along with their created agendas that are to allow pharmaceutical companies to be the primary care centers all over the world.

That’s why they are located at every corner lot in the USA, and are allowed always to use eminent domain to obtain their prime real estate locations.

One can see the enormous powers the state pharmaceutical board has been granted over doctors, with their regulations and monitoring of doctors’ controlled substance prescribing. It’s going to get worse when they are permitted to regulate the doctors and take total control of medicine. Continue reading

ICD 10: anticipated and unanticipated consequences of government mandate

ICD 10: anticipated an unanticipated consequences of government mandate

Craig M. Wax DO

October 1, 2015 ICD 10 was mandated by the US federal government department of health and human services (HHS). Their stated goal was to improve data collection and research but the consequences, both anticipated and unanticipated, are becoming clear. 

Even before day one of implementation, it has been costly in time, money, and work that needed to be redone. Laboratories and other testing facilities call constantly for new codes in ICD 10 before they will do testing on patients, even though the codes are for billing, insurance, and government bureaucracy purposes only. Patients are being turned away from labs and radiology facilities. 

Patient history and examination time is now squandered due to electronic health records EHR and chasing new ICD 10 codes. Insurance companies have required “referrals” since about 2000. Originally, referrals meant when a doctor recommends another doctor or facility and gave them an RX script to use that service. Initially, referrals become a paperwork game where a form was filled out for insurance to recognize the service. The insurance companies even said that the referral wasn’t even a guarantee of payment, so what was it for? Since, it has become an electronic online process with an Internet company owned by insurance companies called Navinet. Now, our staffs have to enter all the referring information and diagnosis codes in order for the insurance process to even begin or the patient be scheduled for the test at all. Now with ICD 10, the systems are not recognizing the codes and not allowing these insurance mandated processes that waste our time to even carry to completion so a patient can get the study they need.

Due to all these exogenous process mandates, patient care suffers. Less patient physician contact time is possible in the exam rooms. Physicians, and their staff, are designated data gatherers for insurance and government whims. Time and money are wasted by all parties that are gathering the mandated data. The data will be aggregated by government and pirated, patients extorted, and data lost, with no party responsible except for the physicians who entered it. Patients get frustrated because care is denied due to insurance not reimbursing for procedures due to flawed, complicated processes mandated by the insurance industry. All individual patients’ and physicians’ privacy, security, and care is lost. 

This is yet another government, and their industrial cronies, scheme to command the data and make money for themselves, while patients go without care and physicians suffer the unanticipated consequences. The medical community and its physicians must stop abiding by all the nonsense and get back to patient care with direct primary care; putting the patient first and responsible for their care. 

Best wishes for good health,

Craig M. Wax, DO

Family Physician

Host of Your Health Matters

Rowan Radio 89.7 WGLS FM

http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS

Twitter @drcraigwax