What’s New
Direct Payment / Cash Friendly Practices
Direct Payment / Cash Friendly Practices
More and more patients are looking to work directly with their physicians without the government or insurance company in the exam room. To see a list of physicians with direct payment / cash friendly practices please visit: https://aaps.wufoo.com/reports/m5p6z0/. As this list grows we will work to make it more user friendly. It is sorted by state by default but can be sorted by any other column by clicking on the column heading. Are you a physician? Add your practice to the list: https://aaps.wufoo.com/forms/z7p0q5/
AAPS Takes MOC to Court
AAPS Takes MOC to Court
December 2014 update: We are awaiting a decision by the U.S. District Court in Chicago on Defendant ABMS's motion to dismiss. The AAPS brief in opposition to motion to dismiss reads in part, "The motion to dismiss by ABMS depends on its implausible denial that it is not maximizing its revenue by compelling participation in MOC, even though it has numerous agreements with other entities to impose MOC “requirements”. ABMS’s implausible denial does not justify dismissal." Read the full brief here: http://aapsonline.org/AAPSvABMSresponse-6-3-2014.pdf -------------------------------------------- October 24, 2014 update: The Court, "sua sponte" (on its own initiative), postponed the hearing that was... read more
The ‘Doc Fix’ and the End of Medicare
The ‘Doc Fix’ and the End of Medicare
By: G. Keith Smith, M.D. http://SurgeryCenterOK.com & http://MarketMedicine.org The “permanent” end to the yearly threatened cuts to doctors’ pay—the sustainable growth rate (SGR) formula—may satisfy my curiosity about what the end of a Ponzi scheme will look like. All Ponzi schemes are unstable and doomed to fail. Medicare and Social “Security” will be no different. The yearly postponement of SGR cuts was a bribefest held to tease and extort corporate health cronies and physicians. The “doc fix” was not an exception: just look at all the “stakeholders” acknowledged in its 263 pages. The purpose of the SGR was to delay... read more
SGR ‘Fix’ Means Time for Doctors to Opt Out of Medicare
After both Houses of Congress overwhelmingly passed a bill touted as averting a 21 percent cut in payments to physicians, the Association of American Physicians and Surgeons issued the following statement: “At the last moment before the 21 percent physician fee cut mandated by the Clinton-Gingrich sustainable growth rate (SGR) went into effect, the Boehner-Pelosi fix was enacted: H.R. 2, the Medicare Access and CHIP Reauthorization Bill. “While the bill permanently repeals the SGR formula, it does not lift the regime of price controls that doctors have endured since the 1980s. It gives physicians a tiny 0.5 percent or 1... read more
SGR Fix Pays Stakeholders, Not Doctors
This week's health policy news roundup curated by Jane M. Orient, MD The payment methodology in H.R. 2, though averting immediate severe cuts, is still a system of price controls. The “updates” over the next few years will not keep pace with physicians’ cost increases. Some physicians may see a bonus for use of an Alternative Payment Model (APM) or Merit-Based Incentive Payment System (MIPS), but when the pools of money for supporting these run out in 2025, most physicians will see a pay cut. In other words, it is another short-term fix, not a permanent one. http://www.healthcaredive.com/news/cms-actuary-says-sgr-bill-is-short-term-fix/385761/ So why... read more
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