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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

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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)

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Here are some sample tweets I did from the meeting.  More at the link I gave you at the start of this email.
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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

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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

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