PQRS MOC Incentive Program Eliminated

Via Dr. Paul Kempen:

Good news! Even the ACA and the congressmen have listened and destroyed the PQRS-MOC incentive-if we can only believe the ABIM and they probably are telling the truth on this one. The continued decline of ABMS and ABIM power base is evident!

“As of January 1, 2015, the PQRS MOC Incentive Program will no longer exist. The Affordable Care Act (ACA) enacted the program as a way to encourage physicians’ participation in the Physician Quality Reporting System (PQRS), while also recognizing the value and importance of American Board of Medical Specialties (ABMS) Maintenance of Certification (MOC) programs. ABIM participated as a member board from 2012 through 2014. The ACA ended the PQRS MOC Incentive Program after 2014 (though the underlying PQRS program continues).”


MOC: the tide is turning

From Paul Kempen, MD, PhD

The tide is turning. Be sure to put this from NEJM on the table of your medical staff and demand all requirements for board certification be removed from privileges, insurance payment and licensing.

If you want a solid understanding of the history and extortion of the ABMS, see this lecture, especially around minute 40 when the obvious requirement for YEARLY payments through threats of losing your certification in spit of a 10 year issued certificate is clearly stated-valid only if MOC compliant printed right on the darn thing! Stop paying extortion and rise up against this ponzi style enrichment scheme. Continue reading

“Your MOC Status Has Changed”

Dr. Jonathan Weiss shares his correspondence with ABIM:

Dear ABIM,

ABIM’s Maintenance of Certification (MOC) program in fact does NOT offer me a structured framework for keeping up with and assessing my knowledge of the latest scientific developments in practice in my specialty. Rather, it offers me a structured program in indentured servitude to the ABIM, a program which, you’ll have to forgive me, I will now take a pass on, after 20 years of foolish and blind participation, with NO benefit whatsoever to my practice of medicine. We understand how busy you are but wanted to inform you that since you did not fulfill your MOC requirements by December 31, 2014 your MOC status changed on January 1, 2015.  Really? I don’t think you have the slightest idea how busy a front line, in-the-trenches clinician is in this country, trying to stay afloat above EMR, MU, MOC and other burdens, but then, how could you know what we go through on a daily basis from your ivory tower?

Log in and view your MOC Status Report to check your status for the certifications you hold as well as your outstanding MOC program requirements. Your Status Report will tell you what you need to do. What I need to do is continue to deliver excellent care to my patients, continue to pursue self-directed inexpensive life long learning of my choosing and to not allow so much as one more dime of my hard earning money to pass into your overflowing coffers.

Your certification status will be restored as soon as your outstanding requirements are met.  There is nothing wrong with my certification status; like a lawyer who passes the bar, I became certified at the completion of my training and I will be forever certified. I am free of you.


Dr. Weiss


ABIM CEO Richard Baron, MD faces Pennsylvania Physicians

Earlier this month (December 2014) ABIM President and CEO Richard Baron, MD took the stage to defend MOC before a group of PA physicians overwhelmingly opposed to MOC in a debate hosted by the Pennsylania Medical Society. (Note: PAMED has taken a strong stand against mandatory MOC.) PAMED has made a video of the debate available so you can see what you missed:


Online Ratings Not Associated with Quality, Claims ABIM

Dr. Paul Kempen writes in with an expose on the latest self-serving “research” from the ABIM:

In spite of three main authors writing this we also read this nonsense-this is a paid ad for the ABIM brand of attestation which incidentally was used as the “standard.” Time to write some letters!

Study concept and design: Gray, Gao,McCullough, Lipner.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Gray, Vandergrift, McCullough, Lipner.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Gray, Vandergrift, McCullough, Lipner.

Administrative, technical, or material support: Vandergrift, Gao, Lipner.
Study supervision: Gray, Lipner.

Conflict of Interest Disclosures: Drs Gray and Lipner and Mr Vandergrift are
paid employees at the American Board of Internal Medicine.

Funding/Support: The American Board of Internal Medicine provided financial
and material support for this study. This study was partially supported by
National Science Foundation Career Award 1254021 (Dr Gao).

Role of the Funder/Sponsor: The American Board of Internal Medicine had no
role in the design and conduct of the study; collection, management, analysis,
and interpretation of the data; preparation, review, or approval of the
manuscript; and decision to submit the manuscript for publication.

Situation Normal: AOA toes government line leaves out opposition

Dr. Chip writes:

SO, AOA shows us the government line and entirely leaves out the opposition. Situation normal.

Without taking a side please look at the details of the other view which is in fact looking at the risk versus benefit issues that physicians have to look into, discuss intelligently and then resolve with patient input as to what they, the patients, are planning, from which to risk in order to take benefit.

This is the physician in the trenches issue that government, MOC, MOL, OCC, FSMB, ABIM and IOM continues to ignore.

Continue reading

ABA Leadership has seen the Light and it is $$$

Dear Tom:

I know you received my prior and recent email and have not heard from you since. This was evident in your concerns that your “secret” communication was disseminated. Please realize the open nature of the internet and ability to find data there!

As an ABA diplomate, currently listed as “moc compliant”-what a joke, and member of the ASA and licensed physician anesthesiologist in PA, I find it UN-collegial of you to fail to respond to my previous email. Think it is time to really sit down and discuss the problems facing the ABA as a member of the ABMS. Your non-response clearly indicates your inability to discuss openly the real issues of extortion propagated by the ABMS. NO wonder, with the imposing leadership and financial obligations your new position imposes. YOu could make THE difference,but we both know you never would have gotten the job if you had a moral backbone. We both also recognize that the ABA NEVER wanted to go down the road of MOC or time limited certification, but I guess you and the leadership Have seen the Light and it = $$$$$$$$.

Continue reading