The New Jersey #APN Bill is back… please call your #legislators and tell them you oppose the S-1961/A854 Bill TODAY!

Dear friends of IP4PI,

Please read this important alert from the NJ Association of Osteopathic Physicians and Surgeons and TAKE ACTION!

CLICK HERE TO READ ALERT ONLINE

Independent Practice for APN’s “Consumer Access to Healthcare” **Call your Legislators now! – Request that they Oppose S-1961/A854 if posted for a vote**
New Jersey’s Current APN Scope of Practice

In New Jersey APNs are currently required to work in “collaboration” with a licensed physician. Collaboration is the ongoing process by which an APN and a physician engage in practice, consistent with agreed upon parameters. APNs must have a written joint protocol with their collaborating physician in order to prescribe medications and devices. An APNs ability to write prescriptions was a “legislative privilege” and therefore some protections, including the joint protocol with a physician, were put in place. Joint protocols can be as expansive or narrow as the parties agree; and typically is very personal to the experience of the APN and their working relationship with the collaborating physician. There are also NJDHSS regulations addressing the time period required for the collaborating physician’s review of a patient’s’ chart and records when seen by an APN. All of these safeguards will go away under this legislative proposal. 

Other State’s APN Practice Requirements

According to the American Academy of Nurse Practitioners, only 22 states allow APNs to practice completely independent of any physician involvement. These states tend to be more rural states (Alaska, Oregon, Washington, Idaho, Montana, North Dakota, Wyoming, Arizona, New Mexico, Iowa, Hawaii, and Colorado) with the only Northeastern states being Vermont, New Hampshire, Maine and Rhode Island. None of New Jersey’s neighboring states or states similarly situated geographically or demographically permit the independent practice of APNs. For more information, please access the following resources:

Time to Educate the Public on the Difference Between Physician Extenders and Physicians

NJ Physicians Mark Nemiroff, MD, George Petruncio, MD and IP4PI’s Craig M Wax, DO say the difference matters and believe it is time that the public knows the risks of having non-doctors imply that they have the same qualifications as physicians.

They have introduced Resolution 6-2019 at the Medical Society of New Jersey House of Delegates:

Title: Investigation of the autonomous practice of physician extenders in New Jersey and education of the public regarding the differences between physician extenders and physicians.

Sponsored by: Camden County Medical Society

Whereas, physician assistants (PAs) and nurse practitioners (NPs) in the State of New Jersey must have supervising physicians; and

Whereas, there appear to be PAs and NPs practicing semi-autonomously or autonomously in New Jersey with practice names implying they are “Certified Physicians,” and

Where as, physician extender and mid-level practitioner advertisements appear to fraudulently indicate medical licensure, putting public health at risk, and therefore be it

Resolved, the Medical Society of New Jersey call on the New Jersey licensure and regulatory agencies to investigate the legitimacy, guidelines and regulations pertaining to physician extender advertisements and autonomous practice, and be it further

Resolved, the Medical Society of New Jersey educate the public on the difference in education, ability and licensure requirements of physician extenders versus physicians.

Submitted by:

Dr. Mark Nemiroff, President Camden County Medical Society

Dr. George Petruncio

Dr. Craig M. Wax

Be There! New Jersey Doctor-Patient Alliance Inaugural Summit

You will not want to miss this summit on February 8-9, 2019!

IP4PI’s own Craig M. Wax, D.O. will join an all star lineup as a featured speaker. Dr. Wax will share reform priorities that will help put doctors and patients back in the driver’s seat. It is time to put and end to the shenanigans politicians pull to hand advantages to their crony buddies in the hospital industrial complex. Patients and their physicians must team up to reclaim their rights, increase the availability, and slash the cost of high quality care.

Rowan Univ. School of Osteopathic Medicine Remembers Dr. Robert Maurer’s 39 Years of Service

Dear Faculty, Staff, Residents, and Students,

With sadness, we share the news of the passing of Dr. Robert Maurer on September 11, 2016.

Dr. Maurer served as a faculty member in the Department of Family Medicine with the School of Osteopathic Medicine (SOM) for 39 years. During his time of service, he held a number of administrative and clinical roles. He retired from active employment at SOM in 1997, but continued in a volunteer role as an adjunct associate professor until his passing. Continue reading

R.I.P. Dr. Robert Maurer – a gentleman, a statesman, a renaissance man of Osteopathic medicine

Colleagues,

It is with a sad heart that I write to inform you that my longtime mentor, personal friend and friend to the Osteopathic profession passed away yesterday evening. Robert “Bob” Maurer DO died after a prolonged battle with cancer over the last few years. He was a gentleman, a statesman, and an osteopathic physician, through and through. He brought a kind, commonsense approach to his patient care and the professions fight for recognition and excellence. He was a PCOM graduate 1962, practiced family medicine and rheumatology, and was part of the team that established the school of osteopathic medicine at UMDNJ that became Rowan SOM. He worked for the school in the Department of family practice and established the Sicklerville healthcare center. In his career of that spanned more than four decades, he was a champion of the philosophy and politics of osteopathic physicians and their patients, tirelessly, until his final day. He spoke truth firmly to power, which is virtually unheard of nowadays.

He was described by his longtime friend Albert Talone DO:

“Dr. Bob was the most dedicated man to the profession, I know. His intellect, leadership and integrity were a rarity these days. I will surely miss him   We have truly lost a good friend; a renaissance man of Osteopathic medicine and letters.”

The funeral will be at Temple Emanuel, 100 James Street, Edison, NJ 08820 at 12:30 pm on Thursday.

Internment Beth Israel cemetery 2:15pm.

An In Memoriam from NJAOPS includes more info about Dr. Maurers accomplished lifetime of service:

Born in Brooklyn, he completed his undergraduate education at the University of Pennsylvania in 1953 and received his doctor of osteopathic medicine at the Philadelphia College of Osteopathic Medicine in 1962. Between degrees, he served in the U.S. Navy from 1953-1958.

Dr. Maurer joined NJAOPS in 1963, and served as the 1976-1977 president. He also served the osteopathic profession as a long-time officer of the Middlesex County Osteopathic Society, the NJAOPS House of Delegates, the AOA House of Delegates and the New Jersey Osteopathic Foundation. He was recognized for his contributions as the NJAOPS 1990 Physician of the Year and Life Membership in 2002.

An outspoken advocate for osteopathic physicians and their patients, he ran for the New Jersey Senate in 1983 and the New Jersey General Assembly in 1987.

Beyond New Jersey, in 1970 he became the youngest member ever elected to the PCOM alumni board, provided long-time leadership to the American Osteopathic College of Rheumatology, and secured financial support for osteopathic medical school scholarships and continuing education as a member of the Area VII Physicians Review Organization.

Continuing his advocacy on behalf of his colleagues long after his retirement from practicing medicine, Dr. Maurer has spent the last several years pressing for a reevaluation and reform of physician evaluation and testing unless it can be proven to improve patient care.

Best wishes for good health,
Craig M. Wax, DO
Family Physician
National Physicians Council on Healthcare Policy member
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS
Twitter @drcraigwax

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AROC conference spring 2016. (above)
Craig M Wax DO, Robert Maurer DO, Albert Tallone DO

maurer

 

California Bill is Bad for Everyone But Insurers

California’s legislature just gave a gift to the insurance and managed care industry and it’s bad news for independent physicians and their patients.

AB 72 is on the way to Governor Jerry Brown’s desk. This bill will not fix the surprise medical bill problem it claims to solve and it will harm patients’ access to medical care by independent physicians.  Insurers will in many cases be able to dictate the fees of out-of-network physicians and the result could be devastating for these doctors.

Doctors in California have sent an emergency request to Governor Brown, asking him to veto this bad bill. It reads in part:

Promoted misleadingly as a means to end ‘surprise billing,’ AB 72 will actually enrich insurance companies while creating shortages of care for patients. Patients are increasingly being forced into narrow networks, in order to cut costs for insurers. The care they need is often not available in the network. Many physicians stay out of network because the extremely low in-network fees they are allowed to charge wouldn’t cover the costs of keeping their doors open…. [T]his bill will exacerbate California’s current physician shortage. Hospital call panels that provide emergency and also safety-net care for uninsured and under-insured Medi-Cal patients will be unable to deliver adequate specialty services.

Continue reading

Be heard in Congress on MACRA – Submit testimony to Senate Finance Committee

On, July 13, 2016, The U.S. Senate Committee on Finance held a hearing on MACRA implementation, with Andrew Slavitt testifying.

Any individual or organization wanting to present their views for inclusion in the hearing record should submit a typewritten, single-spaced statement, not exceeding 10 pages in length. Title and date of the hearing, and the full name and address of the individual or organization must appear on the first page of the statement. Statements must be received no later than two weeks following the conclusion of the hearing.

Statements should be mailed (not faxed) to:

Senate Committee on Finance
Attn. Editorial and Document Section
Rm. SD-219
Dirksen Senate Office Bldg.
Washington, DC 20510-6200