AOA is at Critical Point in Its History

Stuart Damon, DO shares his recent correspondence with then-AOA President (now Immediate Past President) John Becher, DO:

From: Stuart Damon
Date: April 13, 2016
To: John Becher
Subject: Re: What makes you and me different?

Dr. Becher –

Thank you for your reply. I do appreciate your response.

With respect, a HOD resolution isn’t enough. From what I have heard so far, the ACOFP has forwarded a recommendation encouraging review of OCC. Tactically and strategically inadequate. OCC and recertification both need to be done away with by immediate action of the AOA leadership.

OCC and the manner in which came into being is a symptom of a larger problem (more to follow).

There are virtually no data that compare lifetime with time-limited diplomates; I have found two such studies. Neither involved a large sample space, and both demonstrated similar results: though the marker of quality was different between the two studies, there were no differences between lifetime and time-limited certification holders. Continue reading

Anti-Trust Class Action Filed Against AOA by Osteopathic Physicians

Update: For more details and contact info related to this ground-breaking suit:
http://www.duanemorris.com/site/osteopathclassaction.html

anit-oocA group of the nation’s osteopathic doctors – including IP4PI founder, Craig M Wax, DO, along with Albert A. Talone, DO,  Richard Renza, DO, and Roy Stoller, DO – filed suit against the American Osteopathic Association (AOA) to recover millions of dollars in annual membership fees that the doctors have been forced to pay for years to the organization. The money is paid as a condition of obtaining and maintaining physicians’ board certification in any advanced medical specialty. The physicians—who have filed the suit as a class action—contend that the requirement that they purchase memberships is illegal, has no reasonable connection to the advanced certification and violates the antitrust laws.

Class-action lawsuit filed against American Osteopathic Association over membership fees Philadelphia Business Journal, August 2, 2016
Doctors of Osteopathic Medicine in Certification Dispute Philadelphia Inquirer, August 2, 2016

Duane Morris Press Release: Osteopathic Physicians Sue to Recover Millions of Dollars in Membership Fees Paid to the AOA to Maintain Their Board Certifications

Class Action Complaint: Filed on August 1, 2016 in the U.S. District Court for the District of New Jersey

 

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

New Medicare MACRA/MIPS Penalty Hits Solo & Small Groups Hardest – Open Letter to AOA and AMA

Dear AOA and AMA leadership,
Has anyone at AOA and AMA that enthusiastically supported MACRA actually taken the time to read it this week(links below)? It is a statisticians nightmare. When applied to the practice of medicine, it is a plague. It is more onerous than meaningful use and the sustainable growth rate that it replaces. Not only does it penalize solo and small practice physicians, but controls the practice of medicine through reimbursement and procedure micromanagement based on government MIPS data. 
We practicing physicians knew this when the AOA and AMA were busy jumping on the government bandwagon for change at any price. We are out of the frying pan and into the fire, ladies and gentlemen.
What will the AOA and AMA do to champion the cause of solo and small practice private medicine in the face of ACA, ACO and MACRA disaster? Try DPC-Direct primary care unhindered by government and third parties.
Everyone at AOA and AMA should attempt to read it as we concerned physicians are this week.
Commentary:
Whole MACRA here:
Best wishes for good health,

Craig M. Wax, DO
Family Physician
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
Twitter @drcraigwax

Resolved: End Re-certification Abuse

Resolution on Re-Certification Sent to NJAOPS HOD

To:       Robert Bowen, Executive Director, NJAOPS

Paul Morris, D.O. Speaker of the House, NJAOPS
Robert Pedowitz, D.O.,President, NJAOPS
Michelina Desantis, D.O., President-Elect, NJAOPS
Ira Monka, D.O., Member, AOA Board of Trustees
Al Talone, D.O., Chairman, JOPAC

Re:        Proposed Resolution on Re-Certification

Date:    Feb 10, 2016

RESOLUTION

Whereas Board Certification was always intended to be a one time accomplishment based upon completion of a course of intensive training, clinical experience and study, followed by an examination and Continue reading

Total betrayal by AOA of ALL its members.

Your AOA dues are hard at work promoting the Interstate Medical License Compact.  This will mean mandatory certification for all new graduates before obtaining a license.  And the claim that OCC isn’t required for licensure through the Compact is pure smokescreen.  Does the AOA underestimate the intelligence of its members? Or perhaps AOA staff overestimates their own?

Is OCC required for licensure through the Compact?  “The answer to this question is ‘no,'” states the Commission. Yet a few sentences later they explain, “a physician must demonstrate current certification to be eligible for licensure via the Compact.”

Except for “grandfathers,” osteopathic physicians must pay in time and dollars for OCC compliance if they want to maintain their certification. OCC IS required for Compact participation.  Q.E.D. Continue reading

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