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Volume 16 Edition 1
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CMA Physicians: New HHS Mandate Terms Unacceptable; First Amendment Must Apply to All The Christian Medical Association (CMA), the nation's largest faith-based association of physicians, recently called the administration's policy announcement regarding its contraceptives and sterilization mandate "unacceptable," noting that the ruling still flouts the First Amendment. CMA CEO Dr. David Stevens said, "This latest version of the contraceptives and sterilization mandate remains unacceptable. Since when does the government get to pick and choose which groups will get to enjoy First Amendment protections? Our founders intended the First Amendment to protect every American's freedom to act according to one's conscience. They didn't specify that only groups deemed religious will be afforded this protection; freedom of conscience applies equally to all Americans." Dr. Gene Rudd, CMA Exec. VP, noted, "The administration fails to understand that many employers and individual Americans, regardless of a religious label or not, maintain Continued on page 4
As President and Nation Focus on Human Trafficking, CMA Physicians Call for Intervention by Medical Professionals
Following President Obama's proclamation marking January as National Slavery and Human Trafficking Prevention Month, the 16,000-member Christian Medical Association is calling for increased training and awareness among medical professionals to recognize, report and treat victims of modern-day slavery. As CMA CEO Dr. David Stevens explains, "Studies show that victims of human trafficking often see health care professionals
during their captivity, yet typically these cases go unreported. Part of the reason for this tragedy is that health care professionals simply lack formal training on how to recognize and report human trafficking victims." Dr. Jeffrey Barrows, an Ob-Gyn physician who helped develop the CMA training program and the founder of Gracehaven a developing treatment center for child sex trafficking victims in Ohio, added, "Physicians, nurses and other health care professionals can literally save the lives of patients they encounter simply by recognizing common indicators of human trafficking cases and by reporting suspected cases to the appropriate authorities." Dr. Donald Thompson, a Family Practice and Preventive Medicine physician who leads CMA human trafficking victim treatment programs overseas, added, "That's why we have been developing a comprehensive online training program to educate and equip health care professionals with strate-
gies, data and protocols to help patients victimized by force, fraud or coercion in sex and labor trafficking." Besides developing its own educational program to train professionals and conducting medical missions to treat trafficking victims, CMA also has worked at the national level with the White House, the U.S. Dept. of State, the Dept. of Homeland Security, and the Dept. of Health and Human Services to help develop strategies for engaging medical professionals in fighting human trafficking. More information on CMA anti-slavery resources is found under the Issues/Human Trafficking site at www.cmda.org. Interviews with the above physicians available upon request. www.cmda.org
Income Down Among a Significant Minority of Primary Care Physicians Personal incomes dropped among a significant minority of primary care physicians, according to Physicians Practice 2012 Physician Compensation Survey. Almost 21% of survey respondents reported that their incomes dropped by more than 10% compared with 2011. Information was gathered about personal income, practice overhead, practice outlook, and other financial issues from physicians in a variety of specialties—including primary care and pediatrics. Summaries of responses from primary care physicians, which can be seen at Consultant Live, also found that: • Almost 40% of primary care physicians and most pediatricians make less than $150,000 a year. • The majority (60%) pay between $15,000 and $30,000 annually for malpractice insurance. • These physicians have taken steps to boost their revenues, including taking on work outside their practice. • Almost a third of those surveyed describe their practice's viability as "shaky," and report that they are working harder just to maintain their income. Another third say they practice is not growing significantly. • Almost 21% of primary care physicians reported that their income was down by more than 10 percent in 2012, compared to 2011. Another 16% reported income drops of less than 10%. • Fewer physicians than ever report being owners or partners of their own practices, as hospitals and health systems continue to seek market share through direct employment and practice ownership and smaller group practices consolidate. Conversely, income for physicians in other specialties (eg, OB/Gyn, radiology) increased modestly in 2012. Forty percent of primary care physicians and a majority of pediatricians make earn less than $150,000 per year, while only 29 percent of OBGYNs and 10 percent of radiologists earn less than $150,000 annually. Continued on page 4
CHRISTIAN RECRUITER tion! * Competitive Salary (based on experience) * Sign-on bonus BC/BE UROLOGY OPPORTUNITY * Full benefits; relocation and NORTH GEORGIA malpractice. For more information Great opportunity to join faith-based email tracy.farriba@ahss.org or call hospital-owned Urology practice 800.264.8642. in Calhoun, Georgia. Conveniently located 45 minutes south of ChatNEBRASKA tanooga, Tennessee and one hours “DO RIGHT, LOVE MERCY, WALK north of Atlanta, Georgia, Calhoun HUMBLY” - MICAH 6:8 offers many big city amenities, yet Do you share this intent? 35+ year enables you to enjoy the abundant old practice devoted to these guidconvenience of a relaxed southern ing principles. Low malpractice and lifestyle. Waiting patient populacost of living, on-site surgery center,
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Physician Pay Drops Sharply in 2012 UBM Medica US announces that physician pay for existing patient visits tumbled dramatically last year, dropping by as much as a third as payers continued to reduce costs by cutting pay for services, and began experimenting with "value-based" pay models, according to the results of the Fee Schedule Survey by Physicians Practice, America's Leading Business Journal for Physicians. Pay rates to doctors have declined or remained flat in virtually every year since Physicians Practice began its annual survey in 2001. But last year's cuts were particularly steep, especially on services to existing patients, said Bob Keaveney , Physicians Practice's editorial director. For example, average reimbursement for the lowest-complexity diagnostic code for an existing patient (code 99211), dropped by a third, from $30 in 2011 to $20 last year. A midlevel code 99213 dropped 27 percent to $49. Physicians Practice surveys practices annually on what they are paid on average for common medical codes from all of their payers. The Physicians Practice Fee Schedule
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Survey, which in 2012 included more than 1,300 respondents from every part of the country, is the only broad-scale analysis of physicians' reimbursement rates. Pay for most new-patient visits increased modestly last year. The biggest increase was for the least-complex new-patient code, 99201, which rose 12 percent to $57.20. Smaller bumps were seen for the other newpatient codes, except the highest-complexity 99205, which declined slightly. "Even the modest pay bumps are probably temporary," Keaveney said. "I think 2013 is going to be another difficult year for physicians, as payers continue to try to control health costs by holding down reimbursement." The survey also found that the switch from a strictly fee-for-service pay model to one designed to pay for "value" has begun. One in five respondents said that some of their income last year came from non-feefor-service contracts, and about one in four respondents anticipate more of the same this year. About UBM Medica US Addressing today's healthcare information needs, UBM Medica US, delivers strategic, integrated communications solutions and comprehensive reach—online, in print, and via custom programs. Improving the effectiveness of healthcare through information and education, UBM Medica US provides unbiased clinical, practical, and business information for physicians, providers, payers, and patients around the world. Through journals, magazines, websites, online communities, drug databases, digital events, and other valuable resources, UBM Medica US also delivers comprehensive communication solutions for the pharmaceutical and related industries. Websites include CancerNetwork.com, ConsultantLive.com, DiagnosticImaging.com, MusculoskeletalNetwork.com, OBGYN.net, PhysiciansPractice.com, PsychiatricTimes.com and SearchMedica.com. UBM Medica US is part of UBM Connect – which provides marketing services across a number of communities, the largest of which are healthcare, medical device design and advanced manufacturing. UBM Connect also includes UBM Studios, the global leader in interactive digital environments. UBM Connect is a UBM plc company. For more information, visit http://www. UBMMedicaUS.com. Media contact: Jason J. Golden, Content Marketing Manager, 203523-7040, jason.golden@ubm.com. PR Newswire (http://s.tt/1zdpt)
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Washington Physicians Fight To Improve Patient Access To Care, Protect Patient Safety, And Improve Quality Washington State Medical Association (WSMA) Weighs in on Legislation in Olympia As expected, there are many issues being discussed in the 2013 state legislative session that affect physicians and patients in our state. The Washington State Medical Association (WSMA) is working to make sure the voices of physicians are heard to improve patient access to care, protect patient safety, and improve quality, without putting added burdens on physicians. "With all of the recent change in the health care system, there has never been a more challenging time to practice medicine," said Nick Rajacich , MD, president of the WSMA. "Physicians must be at the table as these big decisions are being made and implemented because they will have a lasting impact not only on physicians practicing medicine, but on patient access to quality, safe health care. Washington's physicians will continue to fight for our patients." Here are some issues on which the WSMA is advocating: Health Benefit Exchange Our state is currently developing a health benefit exchange—Washington Healthplanfinder—allowing all Washington residents to choose the health plan that is right for them and their families. Individuals whose incomes fall between 133 percent and 400 percent of the federal poverty level will qualify for a federal subsidy to help purchase products on the Exchange. It's estimated that 532,000 Washingtonians would be eligible for federal subsidies to purchase plans through our state's Exchange and that 280,000 people in our state are likely to take advantage of the program by the end of 2014. By 2017, that number could grow to over 470,000. All of these newly-insured patients will need physicians to care for them. WSMA is working to ensure there is access to care through adequate provider networks before these insurance products are offered to the public. Medicaid Expansion It is expected that there will be 260,000 new Medicaid enrollees by 2019, an increase of more than 25 percent. The WSMA is working closely with the state legislature and the Health Care Authority to ensure there are adequate provider networks in place as these new patients will need physicians to care for them, and that physicians' reimbursement is not further reduced. Emergency Room Visits and PMP Funding Last year the WSMA, the state hospital association and emergency physicians worked together to successfully implement the "Seven Best Practices" to reduce unnecessary emergency room use by Medicaid patients, saving the state $31 million. Part of that success is attributed to widespread participation in the Prescription Drug Monitoring Program (PMP) which will run out of funds in July. In the past there have been efforts to fund the program via physician licensure fees. The WSMA will oppose those efforts and instead will propose the Medicaid Fraud Account as a dedicated funding source. We will continue to work with our coalition and the state to
broaden our success and make sure physicians are involved in any new policy developments. Contracting Fairness WSMA will introduce legislation to require an affirmative response from the physician to any material changes in provider contracts. In addition, the WSMA supports legislation that prohibits tying physician licensure with participation in any third-party insurance programs, including state health care programs. Degree and Training Transparency The WSMA believes that all healthcare professionals should clearly and accurately identify themselves to patients. Many healthcare professionals can earn advanced degrees
that carry the title "doctor," including doctor of physical therapy, doctor of nursing, doctor of psychology, doctor of audiology, doctor of naturopathy, doctor of chiropractic, doctor of optometry and more. The WSMA will support legislation for full disclosure to patients of a doctor's professional degree and training. Budget and Delivery System Reform The WSMA is a proactive participant in advocating for other changes, including: • Further adoption of the advanced medical home concept • Defending against cuts to physician payment by state health care programs • Ensuring expiration of the physician B&O tax.
"Having a strong voice in Olympia representing physicians and physician assistants across Washington state is needed now more than ever," added Dr. Rajacich. For more information on the Washington State Medical Association or any issues of interest to Washington physicians or patients, please contact Susan Callahan at slc@wsma. org or (206) 956-3651. Washington State Medical Association www.wsma.org PR Newswire.com
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strong conscience objections to participating in any, way, shape or form in a plan that promotes pills that the FDA says can cause the demise of a living human embryo -- a developing baby in her earliest stage." Dr. Stevens added, "It would appear that the administration is trying to diffuse the pressure from federal courts around the country by throwing a sop to religious groups. If administration officials think that this action will somehow cause us to back down and accept the terms of surrender, well, that's just
Income Down
not going to happen. We all plan to stand united in the fight to ensure that everyone's First Amendment freedoms of religion and conscience are protected." "As Thomas Jefferson said, '[O]ur rules can have authority over such natural rights only as we have submitted to them. The rights of conscience we never submitted, we could not submit. We are answerable for them to our God.'" (1)
www.cmda.org
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is part of UBM Connect – which provides marketing services across a number of communities, the largest of which are healthcare, medical device design and advanced manufacturing. UBM Connect also includes UBM Studios, the global leader in interactive digital environments. UBM Connect is a UBM plc company. For more information, visit http://www. UBMMedicaUS.com. Media contact: Jason J. Golden Content Marketing Manager 203-523-7040 jason.golden@ubm.com SOURCE UBM Medica US
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About UBM Medica US Addressing today' s healthcare information needs, UBM Medica US, delivers strategic, integrated communications solutions and comprehensive reach—online, in print, and via custom programs. Improving the effectiveness of healthcare through information and education, UBM Medica US provides unbiased clinical, practical, and business information for physicians, providers, payers, and patients around the world. Through journals, magazines, websites, online communities, drug databases, digital events, and other valuable resources, UBM Medica US also delivers comprehensive communication solutions for the pharmaceutical and related industries. Websites include CancerNetwork. com, ConsultantLive.com, DiagnosticImaging. com, MusculoskeletalNetwork.com, OBGYN. net, PhysiciansPractice.com, PsychiatricTimes. com and SearchMedica.com. UBM Medica US
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COPYRIGHT Christian Recruiter is a publication of Professional Publishing, Inc. Printed in USA. Copyright © 2013, Professional Publishing, Inc. Volume 16/Issue 1
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