AAPS Takes MOC to Court
AAPS Takes MOC to Court
October 24, 2014 update: The Court, "sua sponte" (on its own initiative), postponed the hearing that was scheduled on October 9 . It will be rescheduled. -------------------------------------------- September 14, 2014 update: A hearing in AAPS vs. ABMS will be held October 9, 2014 in Federal District Court in Chicago, Illinois. -------------------------------------------- July 28, 2014 update: A Wall Street Journal Article of July 21, 2014 reports: "The ABMS also says it has arranged with some 32 major health systems, including the Mayo Clinic and M.D. Anderson Cancer Center, for their own in-house quality improvement projects to satisfy some MOC requirements for... read more
Why AAPS? Message from AAPS President Lee Hieb, M.D.
Lee D Hieb, MD
Why AAPS? Message from AAPS President Lee Hieb, M.D.
AAPS was founded in 1943 to guard against the intrusion of government into the practice of medicine. It is the basic principle of our organization that medicine is a sacred relationship between a physician and a patient—not a relationship between a physician, a government bureaucrat and a patient. We believe in the Hippocratic Oath, and that our duty is to the individual, not the collective, society, or the state. I used to belong to a number of medical societies. One day I realized that the prime goal of my specialty society was to maintain my specialty’s government reimbursements. And, they... read more
Another ObamaCare Miscalculation
Another ObamaCare Miscalculation
On November 13th, the Government Accountability Office (GAO) issued a report finding that that enrollment for the state-operated Small Business Health Options Program (SHOP), created by the Affordable Care Act, was significantly lower than expected. The 18 State-based-SHOPs had enrolled about 76,000 individuals—including employees, their spouses, and dependent children—in plans purchased through nearly 12,000 small employers, as of June 1, 2014, for most states. No data was released for the federally-operated SHOP, but CMS told GAO it anticipates similarly low enrollment numbers. This report’s release comes just days after the Obama administration predicted that overall enrollment for next year is... read more
The Office of Inspector General (OIG) Summarizes Challenges Facing HHS
The Office of Inspector General (OIG) Summarizes Challenges Facing HHS
In its 2014 annual report, the OIG has noted the following challenges for HHS:Implementing, Operating, and Overseeing the Health Insurance Marketplaces. Specifically, payments of premiums, eligibility, and security. Ensuring Appropriate Use of Prescription Drugs in Medicare and Medicaid focusing on Utilization and Billing Patterns. Medicare paid $32 million for HIV drugs for beneficiaries with questionable utilization patterns in 2012. In 2014 the OIG found claims on behalf of many beneficiaries with no indication of HIV in their Medicare histories, claims for excessive doses or supplies of HIV drugs, claims for HIV drugs from a high number of pharmacies or prescribers,... read more
Senators Ask HHS to Recoup Money for Failed State Exchanges
Senators Ask HHS to Recoup Money for Failed State Exchanges
In a Nov. 18, 2014 letter U.S. Senators Orrin Hatch (R-Utah), Ranking Member of the Senate Finance Committee, Chuck Grassley (R-Iowa), Ranking Member of the Senate Judiciary Committee, and John Barrasso, M.D., (R-Wyoming) asked Dept. of Health and Human Services (HHS) Secretary Silvia Mathews Burwell to clarify the Department’s position on recovering taxpayer dollars used to implement state-based exchanges that have since failed. By way of background, several states, including Oregon, Nevada, Massachusetts, and Maryland, received grants from the federal government to create state exchanges. But they have since dropped their original exchanges and are now moving to the federal... read more
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