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DJP Update 6-22-2012 Tune in tomorrow Saturday Fox and Friends 9:15 am Eastern (8:15 am Central)

DJP Update 6-22-2012 Tune in tomorrow Saturday Fox and Friends 9:15 am Eastern (8:15 am Central)

I will discuss pending U.S. Supreme Court Decision on PPACA (ACA) and the effect on Medicare plus a better way to improve the health financing system.

Here is the tweet about it:
—–
www.twitter.com/DJPNEWS

Donald Palmisano ‏@DJPNEWS
Tune in tomorrow, Sat., @foxandfriends 9:15 am Eastern (8:15 am Central). I will discuss pending #SCOTUS decision #PPACA #ACA #Medicare

—–

Great seeing everyone who attended AMA Annual Meeting in Chicago.  One of our grandsons, Pablo, was there and we had a wonderful time!

Stay well.
Donald

P.S. check out some recent tweets at:  www.Twitter.com/DJPNEWS

Some past selected DJP Updates can be found at: www.DJPupdate.com

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 6-19-2012 Defined Contribution for Medicare decision at AMA House of Delegates = Accepted

DJP Update 6-19-2012 Defined Contribution for Medicare decision at AMA House of Delegates = Accepted

For background, see DJP Updates 6-12-2012 through 6-16-2012 at:

www.DJPupdate.com

AMA House of Delegates accepted Late Louisiana Resolution 1001 on this issue and it became Resolution 126.  After extensive testimony by members of House of Delegates and co-sponsorship by more than a dozen state and specialty societies, the Reference Committee A worked through the night and came up with a substitute resolution 126.

The substitute states:

RECOMMENDATION A:

RESOLVED, That our American Medical Association refine its policy regarding Medicare financing options, including a defined contribution program that would allow beneficiaries to purchase tradiitional Medicare or a private health insurance plan through a market place of competing health plans approved by the U.S. Department of Health and Human Services or its designee.  Our AMA should consider mechanisms to adjust contributions in order to ensure that health insurance coverage remains affordable for all beneficiaries (Directive to Take Action); and be it further

RESOLVED, That our AMA report back to the House of Delegates at the 2012 Interim Meeting (Directive to Take Action.).

RECOMMENDATION B:

Mr. Speaker, your Reference Committee recommends that the title of Resolution 126 be changed to read as follows:

MEDICARE FINANCING OPTIONS
———-

It was pulled from consent calendar by a delegate and thus went for full debate.  The Reference Committee substitute resolution passed overwhelmingly.

Thanks to all who testified, including LSMS members who testified at Ref Committee (Dr. Jeff White, Dr. Keith DeSonier, and Dr. Stormy Johnson), and to those societies who co-sponsored. And thanks to those who spoke in favor at HoD.  Thanks to the Reference Committee A for all of their hard work.  And thanks to AMA House of Delegates for continuing to support long-standing AMA policy.

Stay well.

Donald
Donald J. Palmisano, MD, JD

DJP@donaldpalmisano.com
504-455-5895
www.onleadership.us

Below are the comments of the LSMS Medical Society in press release:

LOUISIANA STATE MEDICAL SOCIETY (LSMS)

La. Physicians Champion Effort to Have American Medical Association (AMA)
Study Expansion of Medicare Coverage Options
AMA to Study Affordable Market-Based System

CHICAGO – Louisiana State Medical Society (LSMS) members attending the American Medical
Association (AMA) Annual Meeting this week in Chicago were successful in convincing the nation’s
largest physician organization to commit to studying critical policy issues associated with introducing
choice into the Medicare program.

“Medicare beneficiaries should be given the choice to remain in the current Medicare system or to
move to a new defined contribution system,” said AMA Past President Daniel H. Johnson, Jr., MD. Dr.
Johnson pointed out that in the future, beneficiaries could purchase coverage of their choice through a
marketplace of competing health plans, which would be subject to appropriate regulation.

The AMA House of Delegates, the principal policy-making body of the organization, directed that a full
report of a defined contribution system for Medicare be prepared. Existing policies of the AMA
recommend a system of expanded Medicare coverage options. Known as “defined contribution,” this
system allows Medicare beneficiaries to use a government contribution to purchase traditional fee-for-
service Medicare coverage or another health insurance plan approved by Medicare. Particular focus will
be on how beneficiaries with low incomes and high medical costs would be protected under a defined
contribution program.

Over time, AMA policy supports a gradual shift of the current Medicare program to a self-funded,
private-sector approach to financing health care for the elderly, with equitable means testing provisions.
“Our fundamental goal in transforming Medicare should be to assure the health of the elderly and
disabled while preserving access to high quality medical services,” said Keith DeSonier, MD, chair for the
LSMS’ AMA Delegation.

Dr. Johnson is from Metairie and is a past president of the LSMS. Dr. DeSonier is from Lake Charles and
serves at the chair for the LSMS’ Council on Legislation in addition to leading the LSMS’ AMA Delegation.

About Louisiana State Medical Society
Established in 1878, the Louisiana State Medical Society (LSMS) serves as the premier advocate for
patients and physicians. The LSMS is the largest voluntary physician organization in the state and
represents all specialties. Please visit the LSMS online at www.LSMS.org for more information.

###

Contact:
Sadie D. Wilks, Director of Communication
(225) 763-8500 or (800) 375-9508
sadie@lsms.org • www.lsms.org
Twitter: @LaMedSoc

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DJP Update 6-16-2012 Breaking news: Louisiana Late Resolution 1001 re Medicare Premium Support accepted by AMA Committee Rules & Order for debate in HoD

DJP Update 6-16-2012 Breaking news: Louisiana Late Resolution 1001 re Medicare Premium Support accepted by AMA Committee Rules & Order for debate in HoD

Donald J. Palmisano, MD, JD
5000 West Esplanade Ave, #432
Metairie, LA 70006
DJP@donaldpalmisano.com
504-455-5895
www.onleadership.us
www.twitter.com/DJPNEWS

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DJP Update 6-16-2012 Activity at AMA Annual Meeting

DJP Update 6-16-2012 Activity at AMA Annual Meeting

Be sure to follow tweets from many delegates in AMA House of Delegates.  You can follow by searching for Twitter tag #AMAmtg in one of the Twitter programs.
You can see the ones I posted at:  www.twitter.com/DJPNEWS

One of the topics that will be discussed and debated at AMA House of Delegates during this AMA Annual Meeting in Chicago is the drug shortage.  There was an excellent discussion of this topic in the OSMAP meeting yesterday consisting of the presidents of state medical associations.

Here is some additional information that came from Congress yesterday on the topic of the drug shortages and the FDA

U.S.House of Representatives Committee on Oversight and Government Reform regarding FDA and drug shortages

http://tinyurl.com/79go82c

———–
Louisiana Late Resolution 1001 regarding Medicare and premium support/defined contribution now has multiple co-sponsors and the late resolution was heard this morning by the committee that evaluates whether to accept a late resolution.  The decision of the committee will be brought to the House of Delegates on Sunday.  The House of Delegates can vote to agree or overturn the committee’s decision.  The only reason that is supposed to be considered by the committee is whether there is a valid reason for the resolution being sent late.  The fact that the Council on Medical Service pulled the Council Report 2 after the virtual reference committee was held for some weeks should cause the late resolution to be accepted for debate.

Also, some background information that may be of interest.  Here is current AMA policy from 2007 so the topic is not a new concept:

AMA policy Passed at AMA Annual 2007

 Note this wording in H-330.896 regarding  concept of defined contribution / premium support

2. Offering beneficiaries a choice of plans for which the federal government would contribute a standard amount toward the purchase of traditional fee-for-service Medicare or another health insurance plan approved by Medicare.

H-330.896 Strategies to Strengthen the Medicare Program

Our AMA supports the following reforms to strengthen the Medicare program, to be implemented together or separately, and phased-in as appropriate:  1. Restructuring beneficiary cost-sharing so that patients have a single premium and deductible for all Medicare services, with means-tested subsidies and out-of-pocket spending limits that protect against catastrophic expenses. The cost-sharing structure should be developed to provide incentives for appropriate utilization while discouraging unnecessary or inappropriate patterns of care. The use of preventive services such as those recommended by the US Preventive Health Task Force should also be encouraged. Simultaneously, policymakers will need to consider modifications to Medicare supplemental insurance (i.e., Medigap) benefit design standards to ensure that policies complement, rather than duplicate or undermine, Medicare’s new cost-sharing structure.  2. Offering beneficiaries a choice of plans for which the federal government would contribute a standard amount toward the purchase of traditional fee-for-service Medicare or another health insurance plan approved by Medicare. All plans would be subject to the same fixed contribution amounts and regulatory requirements. Policies would need to be developed, and sufficient resources allocated, to ensure appropriate government standard-setting and regulatory oversight of plans.  3. Restructuring age-eligibility requirements and incentives to match the Social Security schedule of benefits. (CMS Rep. 10, A-07)

————-
Here are some sample tweets I did from the meeting.  More at the link I gave you at the start of this email.
——–
The first tweet below is a reminder in view of the article at the link in the tweet.

11h   Donald Palmisano ‏@DJPNEWS
AMA policy now opposes #IPAB Super Legislature, one of many flaws of #PPACA http://tinyurl.com/6vmh9ts #constitutionality #Dems #GOP #tcot #AMAmtg

13h   Donald Palmisano ‏@DJPNEWS
#PPACA #SCOTUS RT @starrick1: Ruth Bader Ginsburg predicts ‘sharp disagreement’ among justices – http://POLITICO.com http://politi.co/Lt3Wjh

13h   Donald Palmisano ‏@DJPNEWS
P.S. excellent comments #OSMAP #AMAmtg re FTC, med boards, and scope of practice was by Kai Sternstein JD, Dir Advocacy Resource Center

13h   Donald Palmisano ‏@DJPNEWS
Correct facts #AMAmtg http://ow.ly/bAh89 http://tinyurl.com/328kxgg RT @medpagetoday: #AMA Delegates Face Hot-Button Issues http://bit.ly/KzYeRX

Donald Palmisano ‏@DJPNEWS
OSMAP #AMAmtg “Open Mike” discussion in progress. OSMAP demonstrates democracy in action with open debate on impt topics.

Donald Palmisano ‏@DJPNEWS
#OSMAP meeting in progress now at #AMAmtg – talks incl Litigation Center, AMA Chair, Physicians Foundation, state meds, membership Qs, etc

——–
LAGNIAPPE:  Grandson Pablo Palmisano will arrive today at AMA meeting!

Stay well!
Donald

P.S. check out some recent tweets at:  www.Twitter.com/DJPNEWS

Some past selected DJP Updates can be found at: www.DJPupdate.com

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 6-13-2012 LSMS Delegation requests support for Late Resolution re Premium Support for Medicare; Politico article of today

DJP Update 6-13-2012 LSMS Delegation requests support for Late Resolution re Premium Support for Medicare; Politico article of today

As you know by now, it has been confirmed that American Medical Association’s Council on Medical Service will not present to the House of Delegates CMS Report 2 A-12 regarding transitioning Medicare to a premium support program despite being in electronic handbook and on Virtual Reference Committee A on AMA Website for comments.  CMS 2 has officially been pulled as per last item under Sunday Tote on the AMA Website—Green sheet as listed indicating referral changes and withdrawals.

The Louisiana State Medical Society therefore has sent in to AMA today a late resolution addressing premium support for Medicare.  AMA has confirmed receipt of it.  LSMS Delegation requests support and co-sponsorship from other delegations to the AMA.  The committee that evaluates late resolutions will decide if the LSMS resolution will be allowed for debate.  That decision will be presented to House of Delegates and if denied debate, the House of Delegates can overturn that decision by vote.

You will note the resolves listed below are the same ones in the previously circulated CMS Report 2 A-12 and the Whereas section gives the justification for the late resolution.

If you wish to co-sponsor, please contact Mr. Jeff Williams, Exec Director Louisiana State Medical Society (LSMS).  Chair of Louisiana Delegation is Dr. Keith DeSonier.  LSMS asked me to send out a DJP Update about this issue.

Email:  jeff@lsms.org
Phone:  225-763-8500

Here is the late resolution:

Late Resolution – Transitioning Medicare to a Premium Support Program

Submitted by:  The Louisiana Delegation

Whereas, many members of American Medical Association were able to provide testimony in response to CMS Report 2 A-12 online in AMA Virtual Reference Committee A, and

Whereas, the members of the Louisiana delegation were expecting the same opportunity to provide testimony in Reference Committee A, and

Whereas, a debate on transitioning Medicare to a premium support program is critical as Medicare is currently in serious financial straits, and true change needs to occur, therefore be it

RESOLVED that our American Medical Association support transitioning Medicare to a premium support program that would:

A.     Provide beneficiaries with a premium support amount to be used for the purchase of traditional Medicare or a private health insurance plan approved by the United States Department of Health and Human Services or its designee.
B.     Base the amount of the premium support on the value of the government’s contribution under traditional Medicare at the time of implementation.
C.     Allow for variation in premium support amounts based on factors including, but not limited to, local market conditions, beneficiary health status, and beneficiary income.
D.     Enable beneficiaries to purchase coverage of their choice through a marketplace of competing health plans, which would be subject to appropriate regulation. (New HOD Policy) and be it further

RESOLVED that our AMA reaffirm Policies H-330.896, “Strategies to Strengthen the Medicare Program,” H-385.961, “Medicare Private Contracting,” D-390.986, “Medicare Balance Billing,” and H-165.852, “Health Savings Accounts.” (Reaffirm HOD Policy), and be it further

RESOLVED that our AMA rescind Policy H-330.898, “Long-Term Funding of Medicare” and Policy D-330.917, “Medicare Reform Financing.” (Rescind HOD Policy)

———-

There also has been comment about this issue again today in Politico by reporter Kyle Cheney.  The quote from me came from DJP Update of yesterday.  The other words are the reporter’s.

AMA GUNSHY ON PREMIUM SUPPORT RESOLUTION — The American Medical Association yesterday called off what likely would have been a pretty hot debate over a resolution endorsing a version of Medicare premium support after receiving pushback from its members. The AMA resolution would have backed premium support to exist along with traditional Medicare, but the group’s Council on Medical Service — which handles policy recommendations — agreed to hold off on the resolution. AMA officials defended the move to withdraw as an effort to further flesh out the recommendations. “The Executive Committee of the Council on Medical Service unanimously agreed to withdraw [its premium support recommendations and report],” said Tom Sullivan, chairman of the AMA Council on Medical Service, in a statement to POLITICO. “The council believes there is a need to put in additional work on a revised report that addresses a number of complicated policy issues.”

–PALMISANO: REVERSAL IS UNAMERICAN – Former AMA President Donald Palmisano ripped the group’s decision to cancel the premium support debate, arguing that it would cause membership to “drop and drop.” “Full debate has been a hallmark of AMA House of Delegates. And defined contribution and individual ownership of health policies have been long-standing AMA policy in health system reform,” he wrote Tuesday in a blog post. “Are we to have the world think AMA does not focus on what is best for the patient-physician relationship but instead genuflects to politicians? Time to get off bended knee. Time to cut the chains that bind physicians with price-fixing and coercion. We are Americans, not serfs.” His blog: http://bit.ly/L3bNav

—————-
Stay well and travel to Chicago with care.

Donald

P.S. check out some recent tweets at:  www.Twitter.com/DJPNEWS

Some past selected DJP Updates can be found at: www.DJPupdate.com

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 6-12-2012 “AMA pulls premium support debate” – This is shocking!

DJP Update 6-12-2012 “AMA pulls premium support debate” – This is shocking!  AMA, tell me reporter is incorrect.

This is the type of activity that causes AMA membership to drop and drop.  And it continues to drop.  The pulling of the “premium support” report that I highlighted in last night’s DJP Update 6-11-2012 posted at www.DJPupdate.com and said would be an important item of debate at this AMA Annual Meeting, “Report 2 of Council On Medical Service – Transitioning Medicare to a Premium Support Program” is shocking.  What justification is there for that?  Full debate has been a hallmark of AMA House of Delegates.  And defined contribution and individual ownership of health policies have been long-standing AMA policy in health system reform.  Former presidents Dr. Johnson, Dr. Plested, and myself have written Op-Eds about this, including the option for Medicare.  Are we to have the world think AMA does not focus on what is best for the patient-physician relationship but instead genuflects to politicians.  Time to get off bended knee.  Time to cut the chains that bind physicians with price-fixing and coercion.  We are Americans, not serfs.

A sad day.

Political Pro article today

AMA pulls premium support debate
By Kyle Cheney
6/12/12 12:15 PM EDT
The American Medical Association has called off what was likely to become a controversial debate next week on a resolution that would have thrown the group’s support behind a version of Medicare premium support, an AMA official said Tuesday.
A resolution for next week’s annual conference in Chicago had been put forth by the AMA’s Council on Medical Service. Although the resolution did not specifically cite the premium support plan authored by House Budget Committee Chairman Paul Ryan, it did outline a similar concept. The AMA version would have had premium support co-exist with traditional Medicare.
At least one counterproposal had been drafted.
In an 11-page report issued earlier this month and obtained by POLITICO, the council described an “urgent need for change” in Medicare, given the spending trajectory. “Premium support is a form of ‘defined contribution,’ which offers a more predictable and sustainable way for the federal government to continue providing assistance to Medicare beneficiaries,” it said.
Robert Hertzka, an AMA delegate from California and one of the 12 doctors on the council, said in a recent interview, while the measure was still on the agenda, “If you give doctors a choice between a government fee schedule and private plans, we have always chosen fighting it out in the marketplace,” he said.
The vote carried significant political risk. While it might have mended fences with Republicans miffed over the AMA’s potent support for the Affordable Care Act, it would antagonize Democrats. And the AMA has a lot at stake, both with the perennial fights over the Medicare SGR physician pay formula as well as the larger national debate about entitlements and health spending.
Canceling the vote prevents a collision with critics who question whether premium support proposals have been detailed enough to ensure protection for low-income and vulnerable Americans. The Iowa and Minnesota delegations to the AMA had introduced a resolution that questions premium support plans because they “lack many specific details and are not well understood.”

————–
Stay well.
Donald

P.S. check out some recent tweets at:  www.Twitter.com/DJPNEWS

Some past selected DJP Updates can be found at: www.DJPupdate.com

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 6-11-2012 AMA moving to another location in Chicago; AMA Annual Meeting; Congress seeking correspondence written by organizations during PPACA debate

DJP Update 6-11-2012 AMA moving to another location in Chicago; AMA Annual Meeting; Congress seeking correspondence written by organizations during PPACA debate

—–
http://articles.chicagotribune.com/2011-12-10/business/ct-biz-1210-ama-20111210_1_ibm-building-van-der-ludwig-mies

1) AMA moving to former IBM building
Historic Mies van der Rohe building will be named for medical association upon 2013 move

December 10, 2011 | By Ameet Sachdev, Chicago Tribune reporter
The former IBM Building designed by famed architect Ludwig Mies van der Rohe will get a new tenant and a new name.

The American Medical Association said Friday that it will move its Chicago headquarters to the iconic modernistic tower at 330 N. Wabash Ave. in September 2013. At that time, the 52-story tower will be renamed AMA Plaza.

—-
More info about the building and a photo of building at:  http://en.wikipedia.org/wiki/330_North_Wabash
—–

2) AMA Annual Meeting in Chicago at Hyatt Regency Chicago  at 151 East Wacker Drive starts Saturday June 16 and ends Wednesday June 20.  OSMAP (Med society presidents) meeting is on Friday June 15.  All at Hyatt
Details re meeting at:  http://www.ama-assn.org/ama/pub/meeting/index.shtml

TWITTER tag if you wish to follow updates from delegates and reporters:  #AMAmtg

An important item for vote at the meeting is:

REPORT 2 OF THE COUNCIL ON MEDICAL SERVICE (A-12)
Transitioning Medicare to a Premium Support Program
(Reference Committee A)

Here are the recommendations in the Council On Medical Service Report:

1. That our American Medical Association support transitioning Medicare to a premium
support program that would:
a. Provide beneficiaries with a premium support amount to be used for the purchase of
traditional Medicare or a private health insurance plan approved by the United States
Department of Health and Human Services or its designee.
b. Base the amount of the premium support on the value of the government’s contribution
under traditional Medicare at the time of implementation.
c. Allow for variation in premium support amounts based on factors including, but not
limited to, local market conditions, beneficiary health status, and beneficiary income.
d. Enable beneficiaries to purchase coverage of their choice through a marketplace of
competing health plans, which would be subject to appropriate regulation. (New HOD
Policy)
2. That our AMA reaffirm Policies H-330.896, “Strategies to Strengthen the Medicare
Program,” H-385.961, “Medicare Private Contracting,” D-390.986, “Medicare Balance
Billing,” and H-165.852, “Health Savings Accounts.” (Reaffirm HOD Policy)
3. That our AMA rescind Policy H-330.898, “Long-Term Funding of Medicare” and Policy
D-330.917, “Medicare Reform Financing.” (Rescind HOD Policy)
—————-

3) Meanwhile, doctors should let AMA know what they think of the ideas in the letter below sent to Congress.  Request a copy and read through this letter in response to request from Congress.  It is too lengthy to reproduce here.

May 25, 2012

The Honorable Dave Camp
Chairman
Committee on Ways and Means
1102 Longworth House Office Building
Washington, DC 20515-6115
The Honorable Wally Herger
Chairman
Committee on Ways and Means
Subcommittee on Health
1102 Longworth House Office Building
Washington, DC 20515-6115

Dear Chairman Camp and Chairman Herger:
The American Medical Association (AMA) is pleased to respond to the Committee on Ways and Means letter of April 27, 2011, requesting our comments on alternative payment models to the current Medicare physician payment system and flawed sustainable growth rate (SGR) that will improve health outcomes and efficiency in the Medicare program. We appreciate the Committee’s continued focus on developing a permanent, sustainable solution and welcome the opportunity to provide you with our ideas. …

———
4) Of interest, a June 8, 2012 article in InsideHealthReform.com , a subscription newsletter, has as its feature article a claim that it has email correspondence between AMA and Congressional staffers regarding IPAB of PPACA and SGR, etc.  Wonder how they get such information? House members requesting from government agencies? Probably so.  Should be an interesting AMA Meeting.

Internal Emails: AMA, While Disliking IPAB Framework, Did Not Reject ‘Advisory Board’ Concept

Quote from Website: Internal emails between American Medical Association lobbyists and White House aides during the health reform debate indicate that while AMA disagreed with the Senate’s framework for the Independent Payment Advisory Board it did not “totally reject the concept of an advisory board.”

What to make of this?  One needs to see all of the correspondence to evaluate rather than relying on reporter’s summary of what is in correspondence.

—————-

Same publication has this article:

More Internal White House Emails
House Panel Unveils More Memos On White House, PhRMA Dealings During Health Reform Debate

———————

It is my wish that the U.S. Supreme Court puts PPACA into the trash and Congress then passes a true reform bill that allows purchase of insurance across state lines, medical liability reform, individual ownership of policies, voluntary purchasing cooperatives that allow Health Savings Accounts, etc.

Stay well.
Donald

P.S. check out some recent tweets at:  www.Twitter.com/DJPNEWS

Some past selected DJP Updates can be found at: www.DJPupdate.com

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 6-6-2012 A Tribute to the the Rangers of Pointe du Hoc and all of the heroes of D-Day June 6, 1944

DJP Update 6-6-2012 A Tribute to the the Rangers of Pointe du Hoc and all of the heroes of D-Day June 6, 1944

A must watch video!  President Ronald Reagan’s speech at Pointe du Hoc on the 40th Anniversary, June 6, 1984.

http://www.youtube.com/watch?v=rBeyZAmmJNg
or
http://t.co/ohvfEfrA

Tip of the hat to Dr. Art Fougner ( @sonodoc99 ) who alerted me to this video via Twitter and email.

I retweeted it.  Note it was put on Twitter by @baysidebetty and retweeted by @sonodoc99 and then by me.  The power of Twitter for communication!

www.twitter.com/DJPNEWS
Donald Palmisano ‏@DJPNEWS
A beautiful tribute! #MakeItViral for all to see RT @sonodoc99: @DJPNEWS @baysidebetty Boys of Pointe Du Hoc http://www.youtube.com/watch?v=rBeyZAmmJNg #D-Day

Those who read my book, ON LEADERSHIP, know of the story of Ranger Bud Lomell whose mission was to destroy the German 155 mm Cannons that could destroy any ship at Normandy.  Bud Lomell succeeded even though some history sources say the cannons were not found.  Even the movie, The Longest Day, got it wrong.  HOMEWORK!

What a great privilege to meet Bud Lomell and have multiple conversations with him while researching  for my book.

Stay well and give thanks for the brave individuals who saved the world from evil people.

On this day of remembrance of heroes, remember also to never be intimidated by those who try to smear you or hurt you because they are afraid of the truth.  Be courageous, be a leader.

Donald

P.S. check out some recent tweets at:  www.Twitter.com/DJPNEWS

Some past selected DJP Updates can be found at: www.DJPupdate.com

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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