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DJP Update 11-15-2011 Success for issue of private-contracting in Medicare at AMA Interim Meeting!

DJP Update 11-15-2011 Success for issue of private-contracting in Medicare at AMA Interim Meeting!

Great work by Coalition of State Medical and National Specialty Societies with a lot of help from friends, including large medical societies, Take Back the Profession group, etc.!  Keep up the momentum.

Many outstanding speakers went to microphone to advocate for this success at AMA.  But now we need ACTION!

See my DJP Update 9-23-2011 regarding importance of private contracting, balance-billing and H.R. 1700 concerning Medicare patients.

Go to link:  http://donaldpalmisano.com/djp_update/?p=753

Here is some great news.  AMA Interim meeting just ended and the tweets below tell of important action items concerning private contracting.

1- Dr. Robert Wah, Chair of Board of Trustees, went to microphone today and stated private contracting revision for Medicare will be placed in AMA 2012 Strategic Plan.
2- Substitute resolution 203 passed overwhelming by voice vote; only one negative view at microphone during debate.  The substitute resolution states:

Resolved, That our AMA now initiate and sustain our well-funded grassroots campaign to secure the support of the American People for passage of the Medicare Patient Empowerment Act in Congress as directed by the I-2010 meeting through policy D-390.960.

Note that the Medicare Patient Empowerment Act is H.R. 1700 by Congressman Tom Price, MD, of Georgia. See the link above in second sentence for more info about Act.

Get this passed in Congress and AMA membership will soar.  AMA is a membership organization with all states, specialties, etc. represented in House of Delegates.
Time to take control of our profession again.  As Dr. Bill Plested said when he was president of AMA, “Take back the Profession!”

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My tweets at AMA today regarding these issues:  www.twitter.com/DJPNEWS

DJPNEWS
AMA Interim ending now; now we need to implement the important policies such as grassroots campaign. Thx for coming to #NOLA #AMAmtg
11/15/11 10:04 AM

DJPNEWS
Sub for 203 #AMAmtg passes; well-funded grassroots campaign for H.R. 1700 Medicare Patient Empowerment Act; also see prev policy D-390.960
11/15/11 9:59 AM

DJPNEWS
Res 203 sub res rather than just reaffirm current policy on priv contracting: well funded grassroots campaign H.R. 1700 debate now #AMAmtg
11/15/11 9:55 AM

DJPNEWS
AMA Bd Chair Dr Wah #AMAmtg 2012 Strategic Plan will add efforts to remove restrictions private contracting #Medicare per request delegates
11/15/11 8:19 AM

Thanks for visiting New Orleans and participating in important debates!  I had great fun giving speeches to OSMAP and OMSS Friday and Saturday.  Great audiences.
Anyone who attended and who desires my handouts in electronic format, send me an email.  But your server has to accept large files.

I fly to Ohio tomorrow for a media tour.
Onward.

Stay well.

Donald

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, LA 70006
USA
504-455-5895 office
504-455-9392 fax

DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us

DJP Updates:  www.DJPupdate.com
Twitter:  www.twitter.com/DJPNEWS
YouTube:  http://www.youtube.com/user/IntrepidResources

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an  email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.
——-

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DJP Update 11-14-2011 p.m. edition with more info on SCOTUS accepting PPACA for review

DJP Update 11-14-2011 p.m. edition with more info on SCOTUS accepting PPACA for review

Because of the importance of this issue, I am doing a 2nd DJP Update today with additional information on the issues under review and the record time allotted to the oral arguments.

FROM THE UNITED STATES SUPREME COURT ORDER OF TODAY November 14, 2011

11-393 ) NAT. FED’N INDEP. BUSINESS V. SEBELIUS, SEC. OF H&HS, ET AL. )

11-400 ) FLORIDA, ET AL. V. DEPT. OF H&HS, ET AL.

The petition for a writ of certiorari in No. 11-393 is granted. The petition for a writ of certiorari in No. 11-400 is granted limited to the issue of severability presented by Question 3 of the petition. The cases are consolidated and a total of 90 minutes is allotted for oral argument.

11-398 DEPT. OF H&HS, ET AL. V. FLORIDA, ET AL.

The petition for a writ of certiorari is granted. In addition to Question 1 presented by the petition, the parties are directed to brief and argue the following question:

“Whether the suit brought by respondents to challenge the minimum coverage provision of the Patient Protection and Affordable Care Act is barred by the Anti-Injunction Act, 26 U.S.C. §7421(a).”

A total of two hours is allotted for oral argument on Question 1. One hour is allotted for oral argument on the additional question.

11-400 FLORIDA, ET AL. V. DEPT. OF H&HS, ET AL.
The petition for a writ of certiorari is granted limited to Question 1 presented by the petition.

One commentator summarizes the time:  “Thus two hours of arguments are allowed on the individual mandate, 90 minutes on severability, and one hour each on the Medicaid expansion and Anti-Injunction Act issues.”

Finally, here is an article below that summarizes and gives some opinions regarding possible outcome.

EXCERPT:

Two hours of argument on the constitutionality of the individual mandate;
One and half hours on severability of the individual mandate from the rest of the law;
One hour on jurisdiction given the Anti-Injunction Act; and
One hour on constitutionality of the expansion of Medicaid for the poor and disabled.

Full article follows:

http://www.propertycasualty360.com/2011/11/14/supreme-court-to-review-ppaca

Supreme Court to Review PPACA
By Arthur D. Postal, PropertyCasualty360.com

November 14, 2011

WASHINGTON—The Supreme Court today agreed to decide whether requiring Americans to buy health insurance is constitutional.

Oral arguments will be held in March, and a decision is expected by June, just as the critical electioneering for the next President, the entire House and one-third of the Senate begins.

However, in a sweeping decision, the court also agreed to decide a procedural question that could allow it to postpone dealing with the core issue for several years.

It did so by agreeing to review whether the insurance-mandate penalties included in the Patient Protection and Affordable Care Act are a type of tax that can only be challenged after it is collected, rather than before.

If the court determines that it is premature to deal with the core issue, the court would not have the legal power to consider such a challenge until people are required to pay that tax starting in January 2014, legal scholars say.

Lower courts ruled for the Obama administration on this issue, especially the Fourth U.S. Circuit Court of Appeals, which ruled 2-1 that it did not have jurisdiction to decide the constitutionality of the law because the Anti-Injunction Act requires the person to pay the tax first, seek a refund, and in later proceedings raise the constitutional issue. This court sidestepped dealing with the mandate issue, saying it was premature.

Opponents of the legislation and who believe the mandate to buy insurance is unconstitutional have voiced concern that the High Court could sidestep the critical mandate this year by supporting the 4th Circuit on the procedural issue.

Challengers, including 26 states and most conservatives, view the insurance requirement as an unprecedented intrusion on individual liberty. They contend that Congress cannot use its interstate commerce powers to regulate citizens who choose not to participate in the health insurance market.

The core constitutional issue revolves around the Commerce Clause of the constitution.

The court also agreed to hear the challenge of 26 states of the health law’s expansion of Medicaid, the combined federal/state program that subsidizes health care for low-income Americans.

George T. Patton, Jr. a partner at Bose McKinney & Evans LLP in Indianapolis and Washington and an expert in appellate law said, “In my view, it is no surprise that the U.S. Supreme Court granted review given that a federal appellate court (the Eleventh Circuit) struck down an act of Congress as unconstitutional, other federal appellate courts (the D.C. Circuit and Sixth Circuit) upheld the law as constitutional, and yet another federal appellate court (the Fourth Circuit) found that there were jurisdictional problems with deciding the constitutionality now.”
He said the five and half hours of oral argument granted by the U.S. Supreme Court will allow for a full airing of the legal issues. “This amount of oral argument is much more than the regular hour per case usually set,” Patton said.

Then again, Patton noted, the Court granted three petitions. “It will be interesting to see what order the Court sets the cases for oral argument,” he said.

He cited comments by Lyle Denniston, a reporter and non-lawyer who has been covering the Supreme Court for 52 years, that, “The allotment of five-and-a-half hours for oral argument appeared to be a modern record; the most recent lengthy hearing came in a major constitutional dispute over campaign finance law in 2003, but that was only for four hours.”

Patton cited the amount of time the Court has allotted to the various issues, perhaps implying the order and logic tree of the oral arguments:

Two hours of argument on the constitutionality of the individual mandate;
One and half hours on severability of the individual mandate from the rest of the law;
One hour on jurisdiction given the Anti-Injunction Act; and
One hour on constitutionality of the expansion of Medicaid for the poor and disabled.
In another note of caution, Beth Mantz Steindecker of Washington Analysis, who advises institutional investors and hedge funds, said last week in an investment note dealing with the Decision of the Court of Appeals for D.C. Circuit upholding the mandate that the Supreme Court is likely to uphold the constitutionality of the individual mandate by the end of June 2012 .

However, she said, “Irrespective of what the Supreme Court ultimately does, we believe that the bigger game-changer for this law is the outcome of next November’s elections.

Specifically, she said, a GOP-controlled Congress may work with President Obama on deficit-reducing modifications and design changes, such as an alternative to the individual mandate.

“If there is a Republican sweep, however, they are expected to pursue a ‘repeal and replace’ strategy while keeping some of the more “popular” provisions, Mantz-Steindecker said.

“No matter what, it seems that the health reform law is likely to look different than originally designed by the potential date of implementation,” she concluded.

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Stay well.
Donald

Donald J. Palmisano, MD, JD
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, LA 70006
USA
504-455-5895 office
504-455-9392 fax

DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us

DJP Updates:  www.DJPupdates.com
Twitter:  www.twitter.com/DJPNEWS
YouTube:  http://www.youtube.com/IntrepidResources

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an  email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 11-14-2011 U.S. Supreme Ct will review PPACA health care law

DJP Update 11-14-2011 U.S. Supreme Ct will review PPACA health care law

GREAT NEWS!  This issue needs to be resolved.  You already know my prediction from earlier DJP Updates.

http://online.wsj.com/article/SB10001424052970204190504577037932371519676.html
Supreme Court Agrees to Rule on Health Law

The Wall Street Journal
NOVEMBER 14, 2011, 10:38 A.M. Eastern
EXCERPT OF ARTICLE

By BRENT KENDALL
WASHINGTON—The long-awaited Supreme Court showdown over the Obama administration’s health-care overhaul formally began Monday as the justices agreed to consider a high-profile challenge to the law.

The court, in a short written order, agreed to hear a challenge brought by a group of Republican governors and attorneys general from 26 states, the National Federation of Independent Business and two individual plaintiffs.

The case raises several issues, but chief among them is this: Did Congress exceed its constitutional powers when it required most individuals to carry health insurance or pay a penalty?
The court is expected to hear oral arguments in March, with a decision expected by the end of June. That timeline means the court will rule on President Barack Obama’s signature legislative achievement during the thick of the 2012 presidential campaign.

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Stay well,
Donald

Donald J. Palmisano, MD, JD
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, LA 70006
USA
504-455-5895 office
504-455-9392 fax

DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us

DJP Updates:  www.DJPupdates.com
Twitter:  www.twitter.com/DJPNEWS
YouTube:  http://www.youtube.com/IntrepidResources

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an  email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.

Read More