Wednesday, December 29, 2010
Tuesday, December 28, 2010
Wednesday, December 22, 2010
Happy Holidays!
The Georgia Society of the American College of Surgeons will be taking a break for the holidays. The Daily Briefing blog posts will resume on December 29, 2010.
Tuesday, December 21, 2010
Monday, December 20, 2010
Sunday, December 19, 2010
Thursday, December 16, 2010
Wednesday, December 15, 2010
Tuesday, December 14, 2010
Monday, December 13, 2010
Sunday, December 12, 2010
Thursday, December 9, 2010
Wednesday, December 8, 2010
Monday, December 6, 2010
Thursday, December 2, 2010
Plan NOW to Attend the 2011 ACS Leadership & Joint Advocacy Conference
2011 ACS Leadership Conference
Use this link to access the Save the Date notice. Let's have the largest state delegation there.
Use this link to access the Save the Date notice. Let's have the largest state delegation there.
Wednesday, December 1, 2010
20th Century Medical Education And Training Will Not Work In The 21st Century
20th Century Medical Education And Training Will Not Work In The 21st Century:
Do you agree or disagree with the findings of this report?
Do you agree or disagree with the findings of this report?
GA tops nation in flu cases | The Augusta Chronicle
State tops nation in flu cases The Augusta Chronicle:
Georgia reports highest rate of infections so far
Georgia reports highest rate of infections so far
Tuesday, November 30, 2010
Monday, November 29, 2010
LaMar S.. McGinnis, MD, FACS appointed Vice Chair JCR Board
NEWS RELEASE
Media Contact: FOR IMMEDIATE RELEASE
Elizabeth Eaken Zhani
Media Relations Manager
630.792.5914
Dr. Suet Wun Lim to chair JCR Board
Dr. LaMar S. McGinnis to serve as vice chair
(OAKBROOK TERRACE, Ill. – November 29, 2010) Joint Commission Resources today announced the appointment of Suet Wun Lim, M.D., as chair of its Board of Directors and LaMar S. McGinnis, M.D., F.A.C.S., as vice chair for 2011. JCR is a not-for-profit affiliate of The Joint Commission.
Dr. Lim has served as an outside international director on the JCR Board since 2004; he is currently vice chair on the JCR Executive Committee and previously served as a member-at-large on the JCR Executive Committee. Dr. Lim has served on the JCR Accreditation Committee since 2004 and the JCR Human Resources and Compensation Committee since 2009. He is CEO of Tan Tock Sing Hospital in Singapore.
“Dr. Lim’s years of experience with JCR and the international health care arena, his familiarity with JCI’s reach internationally as we continue our rapid growth, and his leadership experience will be important as we seek new ways to create a culture of safety that supports the continuum of health care,” says Paula Wilson, president and CEO, JCR.
Dr. McGinnis has served as an American College of Surgeons (ACS) Commissioner on The Joint Commission’s Board of Commissioners since 2005. He has served on the Joint Commission Executive Committee since 2009 and is currently chair of the Governance Committee. Dr. McGinnis has also served as a commissioner on the JCR Board of Directors since 2009, currently serving as secretary of the JCR Executive Committee; he served as vice chair of the JCR Executive Committee in 2009. He currently is chair of the JCR Accreditation Committee. He also is senior medical advisor and liaison at the American Cancer Society.
In addition to the appointment of the chair and vice chair, JCR announced the appointments of Nabil Kronfol, M.D., Dr.PH., and Tamra E. Minnier, RN, MSN, FACHE, to the Board of Directors. Both will serve three-year terms through December 31, 2013.
Dr. Kronfol is president and founder of the Lebanese HealthCare Management Association, a professional not-for-profit association that aims at the further development of the science of management in the health sector and of the health care delivery systems in Lebanon and the Middle East. He is also a professor of health administration at the University of Balamand, Lebanon and at the Faculty of Public Health, Lebanese University. Dr. Kronfol earned a doctor of public health (health services administration) and master of public health from the Harvard University School of Public Health, as well as a doctor of medicine from the American University of Beruit. He has authored and edited numerous books and publications about health care in the Middle East.
Ms. Minnier is chief quality officer for the University of Pittsburgh Medical Center (UPMC). In addition, she serves as CEO for UPMC’s Sim Medical and as executive director of UPMC’s Beckwith Institute for Innovation in Patient Care. Ms. Minnier earned a master of science in the graduate program of nursing administration along with a bachelor of science from the University of Pittsburgh. She is adjunct faculty member at the University of Pittsburgh and Chatham University and has served on the national faculty for the Institute for Healthcare Improvement. Ms. Minnier is a member of Sigma Theta Tau, National Honor Society of Nursing, the American Organization of Nurse Executives and American College of Healthcare Executives. She is a frequent presenter at health care quality and safety conferences and has authored articles for numerous health care and nursing publications.
###
Joint Commission Resources (JCR), a not-for-profit affiliate of The Joint Commission, is the official publisher and educator of The Joint Commission. JCR is an expert resource for health care organizations, providing consulting services, educational services and publications to assist in improving quality and safety and to help in meeting the accreditation standards of The Joint Commission. JCR provides consulting services independently from The Joint Commission and in a fully confidential manner. Please visit our Web site at www.jcrinc.com.
Sunday, November 28, 2010
Tuesday, November 23, 2010
Monday, November 22, 2010
Sunday, November 21, 2010
LaMar S, McGinnis, MD, FACS elected to ACS Foundation Board
ACS FOUNDATION ELECTS NEW BOARD MEMBERS
At its annual meeting during the 2010 American College of Surgeons (ACS) Clinical Congress, the ACS Foundation Board of Directors elected five new members. They are: Robert E. Berry, MD, FACS, of Roanoke, VA; Christopher J. Daly, MD, FACS, of Mars, PA; Richard A. Lynn, MD, FACS, of West Palm Beach, FL; Lamar S. McGinnis, MD, FACS, of Atlanta, GA; and Jonathan M. Sackier, MD, FACS, of North Garden, VA.
ACS President L. D. Britt, MD, MPH, FACS, of Norfolk, VA, has joined the Foundation Board as an Ex-officio member. Kenneth W. Sharp, MD, FACS, of Nashville, TN, was elected in August 2010.
Members of the Foundation Board provide governance regarding the goals and work of the Foundation and promote philanthropy among the College’s constituencies—Fellows, Chapters, friends, and organizations—while fulfilling fiduciary obligations on behalf of the Fellowship.
Options for participation in the Medicare program
To help surgeons cope with the uncertainty of the SGR cut, the American College of Surgeons has prepared information about Fellows’ options for participation in the Medicare program, which can be accessed at http://t.democracydirect.com/?ti_dn__=d53e2122-5771-4ddb-9552-fe896dff951b&__u_idz=03096213&__turl=http%3a%2f%2fwww.facs.org%2fahp%2fmedicareoptions2010.html.
Social media strategy tips offered in new CDC tool kit :: Nov. 19, 2010 ... American Medical News
Social media strategy tips offered in new CDC tool kit.
The online service is geared toward helping healthcare organizations, including physician practices and hospitals with public health matters. Check it out.
amednews: Social media strategy tips offered in new CDC tool kit :: Nov. 19, 2010 ... American Medical News:
The online service is geared toward helping healthcare organizations, including physician practices and hospitals with public health matters. Check it out.
amednews: Social media strategy tips offered in new CDC tool kit :: Nov. 19, 2010 ... American Medical News:
Friday, November 19, 2010
Thursday, November 18, 2010
Medicare opt-out provision triggers scope-of-practice debate :: Nov. 15, 2010 ... American Medical News
amednews: Medicare opt-out provision triggers scope-of-practice debate :: Nov. 15, 2010 ... American Medical News:
As members of GSACS, you need to let your views on this issue known.
As members of GSACS, you need to let your views on this issue known.
Wednesday, November 17, 2010
From The Joint Commission: A follow-up report on preventing suicide
A follow-up report on preventing suicide on medical/surgical units and the emergency department
Issue 46: A follow-up report on preventing suicide Joint Commission:
Issue 46: A follow-up report on preventing suicide Joint Commission:
Monday, November 15, 2010
Sunday, November 14, 2010
Hospitals' new specialist: Social media manager
amednews: Hospitals' new specialist: Social media manager :: Nov. 8, 2010 ... American Medical News
Does your hospital have a social media presence?
Does your hospital have a social media presence?
Thursday, November 11, 2010
U.S. commission pitches $3.8T debt cutting plan that includes cutting Medicare benefits.
CBC News - Money - U.S. commission pitches $3.8T debt cutting plan: "
A commission set up by U.S. President Barack Obama is proposing an austerity plan that would reduce social security and Medicare benefits, modify personal and corporate tax rates and eliminate mortgage-interest tax deductibility.
A commission set up by U.S. President Barack Obama is proposing an austerity plan that would reduce social security and Medicare benefits, modify personal and corporate tax rates and eliminate mortgage-interest tax deductibility.
November 17 House Call on Congress. Stop the SGR cuts!
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Are Doctors Even Involved In The Healthcare Debate? View from a surgeon, Robert Sewell, MD FACS
Robert Sewell, MD, FACS is the author of this account of the recently completed AMA Interim Meeting.
Hailing from North Texas, Dr. Sewell the immediate past President of the American Society of General Surgeons and is now the ASGS Delegate to the American Medical Association. He also sits on the Board of Managers for Texas Health Harris Methodist Hospital - Southlake.
Hailing from North Texas, Dr. Sewell the immediate past President of the American Society of General Surgeons and is now the ASGS Delegate to the American Medical Association. He also sits on the Board of Managers for Texas Health Harris Methodist Hospital - Southlake.
Wednesday, November 10, 2010
How Mich. Blue Cross stifled Ford's attempt to control costs - USATODAY.com
How Mich. Blue Cross stifled Ford's attempt to control costs - USATODAY.com:
Do you know of other cases or stories like this one?
Do you know of other cases or stories like this one?
Congratulations to Dr. Fred Mullins and staff - Joseph M. Still Burn Center ICU Improves Patient Care | WJBF–TV
Be sure to share this great story and video with your colleagues, patients and staff. Congratulations to Fred Mullins, MD, FACS and his staff for the great work they do at the Joseph M. Still Burn Center.
Joseph M. Still Burn Center ICU Improves Patient Care WJBF–TV:
Joseph M. Still Burn Center ICU Improves Patient Care WJBF–TV:
Tuesday, November 9, 2010
AMA - New AMA Policy Helps Guide Physicians’ Use of Social Media
AMA - New AMA Policy Helps Guide Physicians’ Use of Social Media:
Got any social media success and/or horror stories?
Got any social media success and/or horror stories?
HHS chief says Obama sees SGR as "top priority".
HHS chief says President Obama sees the SGR fix as "top priority".
Part B News - latest Medicare rules with guidance, analysis and news coverage : Part B News Blog:
Part B News - latest Medicare rules with guidance, analysis and news coverage : Part B News Blog:
Trauma care remains real need in Georgia. Now what?
Forum: Trauma care remains real need in Georgia OnlineAthens.com
The need for a statewide trauma network with a sustainable funding source did not go away because Amendment 2 failed at the polls. What happens now?
The need for a statewide trauma network with a sustainable funding source did not go away because Amendment 2 failed at the polls. What happens now?
Monday, November 8, 2010
AMA chief says Medicare cuts will be catastrophic - Health - msnbc.com
Have you gotten out of the Medicare program? Have you stopped taking new Medicare patients? How has your decision about the Medicare program affected your practice?
AMA chief says Medicare cuts will be catastrophic - Health - msnbc.com
AMA chief says Medicare cuts will be catastrophic - Health - msnbc.com
Five ways to engage patients with Facebook pages - FiercePracticeManagement
If you are intersted in using Facebook to promote your practice, this is a great read.
Five ways to engage patients with Facebook pages - FiercePracticeManagement:
Five ways to engage patients with Facebook pages - FiercePracticeManagement:
Deal names remaining members of his transition team
Deal names remaining members of his transition team Georgia Elections News
Deal names remaining members of his transition team
Deal names remaining members of his transition team
Governor-elect Nathan Deal has announced the remaining members of his transition team and they include his former campaign accountant and attorney, his daughter-in-law, several Republican heavy-hitters and one former political foe.
The other members of his transition committee are:
Jimmy Allen, a forensic accountant who was hired by the Deal campaign for governor;
Denise Deal, Deal’s daughter-in-law;
Kit Dunlap, chairwoman of the Metropolitan North Georgia Water Planning District and CEO of the Greater Hall Chamber of Commerce;
Randy Evans, who served as the attorney for Deal’s campaign;
State Rep. Melvin Everson, R-Snellville, a former candidate for labor commissioner;
Dr. Brenda Fitzgerald, an obstetrician-gynecologist and the chairman of the Board of Governors of the Georgia Public Policy Foundation;
Georgia Senate President Pro Tem Eric Johnson, R-Savannah, a former Republican candidate for governor;
Georgia House Speaker Pro Tem Jan Jones, R-Alpharetta;
Georgia House Majority Leader Jerry Keen, R-St. Simons Island;
Dan Lee, a former state senator;
Rob Leebern, a principal with Troutman Sanders Strategies who served as the chief of staff to Saxby Chambliss when Chambliss was in the U.S. House of Representatives;
Bill Lingenfelter, former president of Wachovia-Georgia;
Steven Meeks;
State Sen. Jeff Mullis, R-Chickamauga;
State Sen. Chip Pearson, R-Dawsonville;
Tricia Pridemore, a Deal supporter and founder of the Georgia chapter of Glenn Beck’s 912 Project;
Neil Pruitt, chairman and CEO of UHS-Pruitt Corp.;
Wesley Smith;
Michael Shaffer;
Joe Tanner;
Charles Tarbutton;
Monty Veazy.
Last week Deal announced that Rogers Wade, the chairman of the Georgia Public Policy Foundation, would lead his transition team. And he named a few other members:
Pete Robinson, chairman of Troutman Sanders’ lobbying arm and a veteran of the Capitol lobbying corps. Deal’s team indicated that Robinson would stop lobbying while serving on the transition team;
John Watson, Perdue’s former chief of staff and the founder of a major Atlanta lobbying firm. He is now an executive in a commercial real estate firm;
Philip Wilheit, the president of a Gainesville-based packaging firm and a major Deal donor and business partner.
The other members of his transition committee are:
Jimmy Allen, a forensic accountant who was hired by the Deal campaign for governor;
Denise Deal, Deal’s daughter-in-law;
Kit Dunlap, chairwoman of the Metropolitan North Georgia Water Planning District and CEO of the Greater Hall Chamber of Commerce;
Randy Evans, who served as the attorney for Deal’s campaign;
State Rep. Melvin Everson, R-Snellville, a former candidate for labor commissioner;
Dr. Brenda Fitzgerald, an obstetrician-gynecologist and the chairman of the Board of Governors of the Georgia Public Policy Foundation;
Georgia Senate President Pro Tem Eric Johnson, R-Savannah, a former Republican candidate for governor;
Georgia House Speaker Pro Tem Jan Jones, R-Alpharetta;
Georgia House Majority Leader Jerry Keen, R-St. Simons Island;
Dan Lee, a former state senator;
Rob Leebern, a principal with Troutman Sanders Strategies who served as the chief of staff to Saxby Chambliss when Chambliss was in the U.S. House of Representatives;
Bill Lingenfelter, former president of Wachovia-Georgia;
Steven Meeks;
State Sen. Jeff Mullis, R-Chickamauga;
State Sen. Chip Pearson, R-Dawsonville;
Tricia Pridemore, a Deal supporter and founder of the Georgia chapter of Glenn Beck’s 912 Project;
Neil Pruitt, chairman and CEO of UHS-Pruitt Corp.;
Wesley Smith;
Michael Shaffer;
Joe Tanner;
Charles Tarbutton;
Monty Veazy.
Last week Deal announced that Rogers Wade, the chairman of the Georgia Public Policy Foundation, would lead his transition team. And he named a few other members:
Pete Robinson, chairman of Troutman Sanders’ lobbying arm and a veteran of the Capitol lobbying corps. Deal’s team indicated that Robinson would stop lobbying while serving on the transition team;
John Watson, Perdue’s former chief of staff and the founder of a major Atlanta lobbying firm. He is now an executive in a commercial real estate firm;
Philip Wilheit, the president of a Gainesville-based packaging firm and a major Deal donor and business partner.
AMA CEO to Step Down Following Furor Over Its Stance on Reform - Surprised?
AMA CEO to Step Down Following Furor Over Its Stance on Reform | Hospital Financial and Business News
Are you surprised or reassured by this change at the AMA?
Physicians and the Joint Commission-The Patient Safety Partnership
Physicians and the Joint Commission
This four part document from The Joint Commission includes:
This four part document from The Joint Commission includes:
- The role of the physician in The Joint Commission
- Focus on patient safety - accreditation process, standards and performance measurement
- Patient safety initiatives
- Enhancing physician involvement in quality and safety improvement initiatives
Sunday, November 7, 2010
Friday, November 5, 2010
Message From Dr. Dennis Ashley, Chair of GA Trauma Commission
As Chair of the Georgia Trauma Commission, I would like to take a few moments and provide some personal insights into the recent trauma campaign that was on the ballot on November 2 as amendment 2. Many thanks to all of the patients, paramedics, nurses, physicians, and the entire Yes2Savelives campaign team and supporters for their tireless efforts in attempting to provide sustainable funding for Georgia
Although disappointed in the outcome, it is important to note that 1.2 million Georgians supported access to trauma care and were willing to pay an additional fee of $10.00 per year. This is a significant amount of support even in these difficult economic times. As I traveled throughout the state and heard comments from voters and evaluating the polling data, it is clear that even the people that voted “no” want the same access to trauma care and the development of a trauma system. They however, would like the funding to be provided by the general fund of the state with no new taxes at this time. So it is important that we realize that this “no” vote is not against trauma system development, but simply an objection to the source of funding at this particular time in history.
The Tea Party has stated in various reports over the last two months that they support trauma care, but no new taxes. The Trauma Commission will take this information back to our legislators in the next legislative session and we look forward to working with them to develop a statewide trauma system that will provide the rapid access to trauma care that we need.
In closing, we must remember that the injured patient is the reason that we continue to fight this battle for trauma system development. Our patients are grateful for our support and are counting on us. I hope that everyone will continue to work with us in the development of our system and again thank you for your tireless efforts supporting trauma care inGeorgia
Dennis Ashley, MD
Dennis W. Ashley, MD, FACS, FCCM
Director of Trauma and Critical Care
MedicalCenter of Central Georgia
Professor of Surgery
Mercer University School
Although disappointed in the outcome, it is important to note that 1.2 million Georgians supported access to trauma care and were willing to pay an additional fee of $10.00 per year. This is a significant amount of support even in these difficult economic times. As I traveled throughout the state and heard comments from voters and evaluating the polling data, it is clear that even the people that voted “no” want the same access to trauma care and the development of a trauma system. They however, would like the funding to be provided by the general fund of the state with no new taxes at this time. So it is important that we realize that this “no” vote is not against trauma system development, but simply an objection to the source of funding at this particular time in history.
The Tea Party has stated in various reports over the last two months that they support trauma care, but no new taxes. The Trauma Commission will take this information back to our legislators in the next legislative session and we look forward to working with them to develop a statewide trauma system that will provide the rapid access to trauma care that we need.
In closing, we must remember that the injured patient is the reason that we continue to fight this battle for trauma system development. Our patients are grateful for our support and are counting on us. I hope that everyone will continue to work with us in the development of our system and again thank you for your tireless efforts supporting trauma care in
Dennis Ashley, MD
Dennis W. Ashley, MD, FACS, FCCM
Director of Trauma and Critical Care
Medical
Professor of Surgery
Georgia election | Failed amendment leaves trauma fix unclear | ajc.com
Georgia election Failed amendment leaves trauma fix unclear ajc.com: "Georgia election Failed amendment leaves trauma fix unclear"
Use of Prostate Cancer Treatment Fell When Medicare Paid Docs Less
Use of Prostate Cancer Treatment Fell When Medicare Paid Docs Less: "Use of Prostate Cancer Treatment Fell When Medicare Paid Docs Less
Financial incentives influence treatment rates, study finds"
Financial incentives influence treatment rates, study finds"
CMS Innovation Center Could Face Defunding Under the New Congress
The Brooking Institute's White Paper On CMS Innovation Center
The link above will take you to the Brooking Institutes's white papaer on the CMS Innovation Center. Should it be defunded?
The link above will take you to the Brooking Institutes's white papaer on the CMS Innovation Center. Should it be defunded?
American Medical Association CEO Michael Maves to Leave in June - Health Blog - WSJ
American Medical Association CEO Michael Maves to Leave in June - Health Blog - WSJ: "American Medical Association CEO Michael Maves to Leave in June"
Medicare's senior moment Pay, hassles have docs turning away older patients
Medicare's senior moment Cover Stories Arkansas news, politics, opinion, restaurants, music, movies and art: "Medicare's senior moment
Pay, hassles have doctors turning away older patients."
Pay, hassles have doctors turning away older patients."
Providers to see lower Medicare payments
Providers to see lower Medicare payments:
Following this news, will you stop seeing Medicare patients or limit the new Medicare patients in your practice?
Following this news, will you stop seeing Medicare patients or limit the new Medicare patients in your practice?
Wednesday, November 3, 2010
Tuesday, November 2, 2010
Private Practice - Is there a future?
During the recent ACS Clinical Congress, the sessions regarding hospital-employment of surgeons were very well attended and stirred a great deal of debate. And at the 2010 GSACS Annual meeting a similar session engendered much conversation.
The following articles from Fierce Practice Management offer more information and continue to raise questions. Have you sold your practice to a hospital? Are you considering selling your practice? What are the factors that will most affect your decision? Did you always know that private practice was not your calling?
MGMA: Hospital-employment trend rippling out to affect compensation - FiercePracticeManagement:
Employed physicians' paychecks reflect a fraction of what they earn for hospitals
Are independent medical practices endangered?
The following articles from Fierce Practice Management offer more information and continue to raise questions. Have you sold your practice to a hospital? Are you considering selling your practice? What are the factors that will most affect your decision? Did you always know that private practice was not your calling?
MGMA: Hospital-employment trend rippling out to affect compensation - FiercePracticeManagement:
Employed physicians' paychecks reflect a fraction of what they earn for hospitals
Are independent medical practices endangered?
GSACS Daily Briefing 11-2-10
Don't forget to vote today for Amendment 2. Remind your patients, family and staff to say Yes2SaveLives by voting for Amendment 2.
Washington Post
By Andrew Villegas and Mary Agnes Carey
Monday, November 1, 2010; A19
While most people are focused on the midterm elections Tuesday, the American Medical Association is gearing up for the lame-duck congressional session scheduled to start Nov. 15. Unless Congress intervenes, payments to doctors for treating Medicare patients will be cut by 23 percent on Dec. 1 and another 6.5 percent on Jan. 1.
Cecil B. Wilson, an internist from Winter Park, Fla., who became AMA president in June, is pressing for a 13-month patch that would prevent the Medicare physician cuts. In April, the Congressional Budget Office said that blocking the cuts until January 2012 would cost about $15 billion. A long-term formula fix, through 2020, would cost about $276 billion, it said.
The AMA argues that a 13-month reprieve from the reductions would give it time to work with Congress to overhaul the Medicare payment formula. In recent years, the payment formula has called for cuts, but each time lawmakers have stepped in to block them before they took effect or shortly afterward. The AMA could use a win on the issue. The organization was sharply criticized by some physicians for endorsing the new health-care law without getting the formula straightened out in return.
If Congress doesn't block the looming payment cuts, "this will be a catastrophe," Wilson said, with more and more doctors leaving the program and seniors having a harder time getting in to see doctors.
Whatever happens in the lame-duck session, the new Congress is likely to have more doctors. There are 16 physicians in Congress, but dozens more are running for the House or Senate this year. That might provide more sympathy for the AMA on the issue, but the cost of fixing the formula may still be viewed as prohibitive.
Edited excerpts of the interview with Wilson follow.
Q: What's your strategy in the lame-duck session to get the Medicare physician payment cuts canceled?
A: Our strategy is to say to Congress, "What we want from you is to stabilize Medicare payments to physicians for the next 13 months to get us through 2011." And then that will give us an opportunity working with the new Congress to develop a means of getting rid of the formula, putting in a formula or a payment mechanism that recognizes increased costs of care.
Q: But isn't it highly unlikely that's going to happen? What if Congress goes for a shorter-term fix or doesn't address the payment reduction at all?
A: There is no disagreement in Congress this formula is not working. . . . What we're saying to them and what we want seniors to say to them is, "You're threatening our access to care. If physicians cannot keep their doors open because Medicare now only pays about half the direct cost of running a practice, then we're going to lose access to care." It will be gut-wrenching for physicians to say, "I can no longer continue to see new Medicare patients." . . . But that's where we are, and if you're talking about a 30 percent cut if Congress does nothing by Jan. 1, this will be a catastrophe.
Q: The AMA has an item on its Web site helping physicians think through this very issue - should you stay in Medicare or not? Do you think that if you don't get a 13-month fix, doctors will simply say, "I'm out of this program?"
A: As a matter of fact, I participated in a webinar [recently] in D.C. Four hundred physicians across the country were involved in the webinar, in which we talked to them about their options. The reality is between now and the end of December physicians have to make a decision about their status related to Medicare. So we are trying to provide information to [them] so they can make a wise decision. Our concern, of course, is that if Congress in the lame-duck session does not address this problem, or they address it in ways that are disruptive to physicians' practices, more physicians are going to say, "You know, I'm just out of here. I cannot keep my doors open and provide care for other patients."
Q: But your efforts so far haven't worked, and now we're in a very severe fiscal situation. Maybe the AMA doesn't have the clout it used to have in Congress?
A: Well, this is not about the AMA; this is about senior citizens who need care. I can just tell you from my own [experience in] Winter Park, Fla., the conversation in the grocery store lines [or] at the shopping mart is, "Do you know any physician who is still taking new Medicare patients?" And the answer is no.
- Kaiser Health News
Kaiser Health News (www.kaiserhealthnews.org) is an editorially independent news service of the Kaiser Family Foundation, a nonpartisan health care policy organization that is not affiliated with Kaiser Permanente.
Requiem for the Pelosi Democrats
Veteran Democratic Rep. Brian Baird says that job creation should have been priority 'number one, two and three.'
By JOHN FUND
Washington Wall Street Journal
It took Democrats in the House of Representatives 40 years to become out-of-touch enough to get thrown out of office in 1994. It took 12 years for the Republicans who replaced them to abandon their principles and be repudiated in 2006. Now it appears that the current Democratic majority has lost voter confidence in only four years.
How did this happen? And what does the increasing speed of voter backlash mean for Republicans who will likely take control next Tuesday?
For answers, I decided to chat up Rep. Brian Baird, a six-term Democrat from Washington state. Even though he's never won re-election with less than 56% of the vote, Mr. Baird is retiring because the brutal congressional commute makes it impossible for him to see his twin five-year-old boys grow up. He's not sticking around, like so many former members of Congress, to lobby inside the Beltway. That allows him to be candid about Congress and his party.
"It's been an authoritarian, closed leadership. That style plus a general groupthink mentality didn't work when Tom DeLay called the shots," Mr. Baird says. "We've made some of the same damn mistakes, and we were supposed to be better. That's the heartbreak."
Mr. Baird, 54, is a loyal Democrat who voted for all of Speaker Nancy Pelosi's legislative priorities, including the stimulus bill, cap and trade and ObamaCare. But he admits all three have serious flaws.
Mr. Baird recalls that he was "very excited" when his party took control of Congress in 2006, but he saw ominous signs early on. Before the 2006 election, he says, Mrs. Pelosi had 30 members working on a rules package to make the House more ethical and deliberative. "We abandoned all that work after the election, and leaders told us we should trust them to clean things up. I don't know a single member of the Democratic caucus who saw the final rules package before they voted on it."
Democrats also watered down efforts to practice fiscal responsibility. "We initially had numbers a bit more honest than the Republicans—we at least included war costs in the budget," he says. "Now we're authorizing programs for three years instead of five in an attempt to pretend we're saving money."
When President Obama was elected in 2008, Mr. Baird was again optimistic that Democrats could bring real reform. But fierce Republican partisanship and the White House decision not to focus on job creation as its "number one, two and three" priority dashed that hope.
"Obama decided we weren't going to have a highway transportation bill because it might have required a gas tax increase," he recalls. After passing a misdirected stimulus bill, Mr. Obama made the fatal error of pushing forward with other priorities: cap and trade, financial services reform, ObamaCare. Each became compromised quickly.
View Full ImageTerry Shoffner
"You don't get real reform by pandering to every special interest. With cap and trade we wound up with a bill that didn't accomplish much, was enormously complicated and expensive." Mr. Baird is especially upset that "good solid members will lose this fall because they took a tough vote for a cap-and-trade bill that never made it through the Senate." He has told environmental groups that they lost sight of the goal of reducing carbon emissions by focusing on the minutia of regulation to achieve it.
For some of the shortcomings of financial regulatory reform, Mr. Baird blames the disillusioning battle over ObamaCare. "When the House had to pass the Senate version of health care unchanged, some members asked why should they invest the mental effort in mastering the details" of financial reform. Mr. Baird found parts of the bill mind-numbing.
Although he voted for it, he says he was troubled that Fannie Mae and Freddie Mac, the entities at the heart of the housing meltdown, weren't addressed. They have clearly exercised undue influence on Capitol Hill, he notes. "When I was first elected I was puzzled why they were holding events in my honor as a mere freshman. I asked myself, why is a federal entity so involved in political activity?"
Regarding health care, his specialty, Mr. Baird gave House Democrats real heartburn. He voted against the first version of ObamaCare in November 2009, because the Congressional Budget Office and the Centers for Medicare and Medicaid Services hadn't yet analyzed the bill's impact on insurance premiums and medical costs.
"What the hell were we doing voting on this? I had labor groups come to me and insist the bill was so important we couldn't wait to know what was in it," he recalls. "I asked them if they were handed a new union contract and told it was so important they had to agree to it without reading it, would they go along?" They continued to insist he vote for the bill and threatened him with a primary challenger.
Mr. Baird had developed his own health-care proposal that drew on his 23 years of experience as a licensed clinical psychologist treating patients with cancer and brain injuries. His plan would have provided universal health care but held down costs through vouchers for the poor, medical savings accounts for the middle class, and reform of malpractice insurance.
He admits to being frustrated that ideas like his never got a fair hearing in a Congress dominated by inertia and interest groups. "Our problems are now so grave we can't afford petty partisanship and closed thinking," he tells me.
The health-care bill experience spurred Mr. Baird to push harder for a "72-hour rule" that would require all non-emergency legislation to be posted online, in final form, for at least 72 hours before a floor vote. "Members are too often asked to make decisions on bills that can be longer than telephone books, and are given only a few hours to actually read them," he complains. "Both parties are guilty, and both should stop doing it."
Mrs. Pelosi eventually allowed a 72-hour pause before the final passage of ObamaCare, and Mr. Baird is pleased that Republicans have agreed to adopt the 72-hour rule if they take the House majority. He just hopes they honor it even when it's inconvenient.
Mr. Baird stands by his vote for ObamaCare, noting that something had to be done for those denied insurance due to pre-existing conditions. But he acknowledges that the bill carried within it the seeds of its unpopularity. These include the nightmare mandate that all companies report to the IRS all of their business-to-business transactions over $600, so the government can capture unreported business income. At a recent forum with small business owners in his district, Mr. Baird was stunned at the complexity of the rules they now must follow.
"I warned my fellow Democrats that the insurance companies they were whacking could increase premiums just before the midterm election and blame them for it," he sighs. "I pointed out that the major benefits wouldn't kick in till 2014, but the costs were up front. I asked them, where was the political win? There was no real answer."
In his new book, "Character, Politics and Responsibility," Mr. Baird argues that in order to afford caring for the needy, liberals will have to challenge "unsustainable entitlements." "I would eliminate the concept of entitlements and move to needs-based social insurance," he says. "The key is to both promote personal responsibility while lowering expenditures by not promising or giving money or other benefits to those who don't need it."
Although Mr. Baird believes that Republicans blocked compromise on ObamaCare and that tea party activists raised false fears, he acknowledges the political harm that Democrats have done themselves. "It looks like we're going to lose the House, possibly badly, and could lose the Senate," Mr. Baird laments. "We will lose a lot of centrists while the people in the party some voters are most mad at survive in safe districts."
"A lot of rethinking is needed" after Democrats take their drubbing, Mr. Baird says, especially since he anticipates "a huge number of retirements" from Democrats unwilling to serve in the minority. He proposes that the House elect an independent speaker who would help drain partisanship from the body. Britain's House of Commons uses such a model.
Democrats, he says, will also have to recognize why they lost touch with voters. "Back in September, we had pollsters and strategists from my party tell members that the mass of people didn't care about the deficit. The mind-boggling lack of reality coming from some of the people who give us so-called advice is stunning."
I ask Mr. Baird what he would tell the incoming class of freshmen Republicans if given the chance to address them before the new Congress convenes. He summarized his bottom line:
"Governing isn't as easy as you think. Many of you have taken pledges that are contradictory—to balance the budget and cut taxes, for example. You must be honest about the numbers, since our annual deficit now exceeds all discretionary spending combined. If you set as your goal to roll back the size of government, you have an obligation to answer the tough questions and show real courage, not just appeal to ideology. Treat the voters like adults."
Mr. Fund is a columnist for WSJ.com.
Insurance Commissioners Loom Large In Health Law
NPR News by SARAH VARNEY
Steve Poizner, California's insurance commissioner, forced health plans to scale back double-digit rate hikes. But people still don't know his name.
Voters don't give much thought to who runs their state department of insurance. But as key provisions of the new federal health law begin to take effect, the insurance commissioner will become the king of a much bigger kingdom.
Voters in four states, including Georgia and California, will directly elect an insurance chief on Tuesday. And in nearly three dozen other states, whoever is elected governor will name the commissioner.
Fame does not come easy to even the most heroic insurance commissioner. California's current chief forced health plans to scale back double-digit rate hikes, and still he's the white knight no one can name.
Steve Poizner is the California insurance commissioner, and whoever replaces him — and other insurance chiefs around the nation — could change your life.
"With the insurance market reforms, it's really going to be important for states to take a proactive role in responding to any problems that come up and making sure plans are complying with the law," says Sabrina Corlette, a health policy researcher at Georgetown University.
New Consumer Protections
She says that under the federal health law, state insurance chiefs will have a long list of new consumer protections to enforce. For example, starting in 2014, health plans can't charge women or sicker people more.
They're also helping to write the regulations for their own expanded powers. Congress left it up to an obscure group — the National Association of Insurance Commissioners — to essentially decide critical details, such as what health plans can claim as actual medical care vs. administration and profit.
Corlette says this decision made these humble regulators very popular with industry lobbyists at their spring meeting.
"I was stunned to discover that there were about 17 consumer representatives that were focused on health care, compared to over 1,000 different insurance industry representatives," she says.
Consumer advocates and industry officials say once the rules are written, state regulators will have to crack down on health plans looking to exploit fuzzy rules or weak enforcement. At the same time, if they're too heavy-handed, the plans might leave the market.
State Impact On Federal Health Overhaul
All of which means state insurance chiefs could very well play a key role in whether the federal health overhaul flies or flops. Laurie Sobel, a senior attorney with the consumer advocacy group Consumers Union, says it matters how the insurance commissioners view the new federal health law.
"If you have one that really doesn't want to enforce it, then consumers are going to need to fight it every step of the way," Sobel says.
The two candidates vying to become California's chief regulator have starkly different views on how best to protect consumers. Assemblyman Mike Villines, the Republican in the race, is a skeptic about whether the government can fix a system he admits is broken.
"When you start to get into mandating behavior and you have to tell the insurance companies there are these for-sure things in here that you have to do — I think that Californians and the nation is not quite ready for that," Villines says.
His opponent, Democratic Assemblyman Dave Jones, says the federal overhaul will offer critical protections and new choices to consumers.
"I plan to use the office both formally and informally, to take a very assertive role in terms of health insurance reform," Jones says.
Bad News For Reformers?
Overseeing the national rule-writing effort is Kansas Insurance Commissioner Sandy Praeger. She's up for re-election — a Republican in a solidly red state and running unopposed. With no challenger, she's instead spending her time worrying about all the details her group must decide.
"I don't want to get thrown under the bus," Praeger says. "We don't want to be blamed if this isn't working. So we've got a huge responsibility to try to get it right.
But many Republican candidates for governor think the law is just wrong. And in some states, those candidates — who could end up appointing new insurance chiefs — want to repeal the federal health overhaul.
With Democrats on the ropes nationwide, that could be bad news for reformers.
Monday, November 1, 2010
St. Joe CEO Kirk Wilson resigns | Atlanta Business Chronicle
What does this mean for the medical community in north Atlanta?
St. Joe CEO Kirk Wilson resigns Atlanta Business Chronicle:
St. Joe CEO Kirk Wilson resigns Atlanta Business Chronicle:
How will the mid term elections affect national heathcare reform?
The Washington Post has an interesting analysis. What are your thoughts? Will a change in the US House or Senate change the implementation and direction of national healthcare?
How will the mid term elections affect national heathcare reform?
How will the mid term elections affect national heathcare reform?
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