Obama health care for all Americans: Practical implications

Pain Physician

Volumn 12, Issue 2, 2009, Pages 289-304

  Manchikanti, Laxmaiah ^a,b   Hirsch, Joshua A ^c,d  

^a Department of the Pain Management   (United States)

^b University of Louisville School of Medicine   (United States)

^c MASSACHUSETTS GENERAL HOSPITAL   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

Author keywords

American Recovery and Reinvestment Act of 2009; Children's Health Insurance Program; Gross domestic product; Health care reform; Health information technology; National health expenditures; Physician payments; Sustained growth rate formula; Universal health care

Indexed keywords

ECONOMIC ASPECT; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH INSURANCE; INFORMATION DISSEMINATION; LAW; MEDICAID; MEDICARE; OUTPATIENT CARE; REVIEW; UNITED STATES; ARTICLE; CHILD; CHILD HEALTH CARE; ECONOMICS; GOVERNMENT; HISTORY; HUMAN; INSURANCE; LEGAL ASPECT; NATIONAL HEALTH INSURANCE; ORGANIZATION AND MANAGEMENT; STANDARD;

CHILD; CHILD HEALTH SERVICES; FEDERAL GOVERNMENT; HEALTH CARE REFORM; HISTORY, 21ST CENTURY; HUMANS; MEDICARE; NATIONAL HEALTH INSURANCE, UNITED STATES; UNITED STATES; UNIVERSAL COVERAGE;

EID: 67650531524     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (92)

1. Hartman M, Martin A, McDonnell P, Catlin A, National Health Expenditure Accounts Team. National health spending in 2007: Slower drug spending contributes to lowest rate of overall growth since 1998. DataWatch 2009; 28; 246-261.
2. Sisko A, Truffer C, Smith S, Keehan S, Cylus J, Poisal JA, Clemens K, Lizonitz J. Health spending projections through 2018: Recession effects add uncertainty to the outlook. Health Aff (Millwood) 2009 Feb 24. [Epub ahead of print]
3. www.cms.hhs.gov/home/medicare.asp
4. Testimony of Douglas W. Elmendorf, Director of Congressional Budget Office. Expanding Health Insurance Coverage and Controlling Costs for Health Care Before the Committee on the Budget United States Senate, February 10, 2009.
5. Hartzband P, Groopman J. Money and the changing culture of medicine. N Engl J Med 2009; 360:101-103.
6. Block S, Appleby J. Employers fear cost of health insurance for jobless workers. USA Today, 2/20/2009.
7. Manchikanti L. Health care reform in the United States: Radical surgery needed now more than ever. Pain Physician 2008; 11:13-42.
8. Farrell D, Jensen E, Kocher B, Lovgrove N, Melhem F, Mendonca L, Parish B; McKinsey Global Institute. Accounting for the Cost of US Health Care: A New Look at Why Americans Spend More. McKinsey & Company, McKinsey Global Institute, December 2008.
9. Jessee WF. A new president, a new administration. Time now for real change in health care. MGMA Connex 2009; 9:5-6.
10. Pear R. Obama's health plan, ambitious in any economy, is tougher in this one. New York Times, March 2, 2009.
11. Fuchs VR. Health care reform - Why so much talk and so little action? N Engl J Med 2009; 360:208-209.
12. Fuchs VR. Reforming US health care: Key considerations for the new administration. JAMA 2009; 301:963-964.
13. Oberlander J. Great expectations - The Obama administration and health care reform. N Engl J Med 2009; 360:321-323.
14. Cortese D, Korsmo JO. Health care reform: Why we cannot afford to fail. Health Aff (Milwood) 2009; 28:w173-w176.
15. Daschle T. "Incremental or Major Health Care Reform" (Keynote address, National Symposium on Health Care Reform, Mayo Clinic, Rochester, Minnesota, May 21, 2006).
16. Pear R. Senator takes initiative on health care. New York Times, November 11, 2008.
17. Daschle T, Greenberger SS, Lambrew JM. Critical: What We Can Do About the Health-Care Crisis. Thomas Dunne Books, New York, 2008.
18. Cooper J, Castle M. Health reform: A bipartisan view. Health Aff(Milwood) 2009; 28:w169-w172.
19. Bodaken BG. Where does the insurance industry stand on health reform today? Health Aff (Milwood) 2008; 27:667-674.
20. Commins J. White House healthcare summit: Obama calls on all sectors to cut costs. HealthLeaders Media, March 5, 2009.
21. Obama B. Affordable health care for all Americans. The Obama-Biden plan. JAMA 2008; 16:1927-1928.
22. Iglehart JK. Budgeting for change - Obama's down payment on health care reform. New Engl J Med 2009; Mar 4. [Epub ahead of print]
23. United States Department of Health and Human Services. A new era of responsibility. February 4, 2009. www.georgiavoices.org/storage/voices/ documents/fy2010_hhs_details.pdf
24. Antos J, Wilensky G, Kuttner H. The Obama plan: More regulation, unsustainable spending. Health Aff (Milwood) 2008; 6:w462-w471.
25. Press Release: HCD Research. Physicians: Negative Views of Obama's Health Plans. March 3, 2009.
26. McCaughey B. Ruin your health with the Obama stimulus plan. Bloomberg, February 9, 2009.
27. Oldham J. Achieving large system change in health care. JAMA 2009; 301:965-966.
28. Oldham J. Sic Evenit Ratio Ut Componitur - The Small Book About Large System Change. Kingsham Press, Chichester, 2004.
29. Rowlands J, Yates S. Breaking through the gender gap. Nexus. Summer 2005: 13.
30. Bigos SJ, Boyer OR, Braen GR, Brown K, Deyo R. Acute Low Back Problems in Adults. Clinical Practice Guideline Number AHCPR Publication No. 95-0642. Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services, Rockville, December 1994.
31. Gonzalez EG, Materson RS. The guidelines, the controversy, the book. In: Gonzalez ER, Materson RS (eds). The Nonsurgical Management of Acute Low Back Pain. Demos Vermande, New York, 1997, pp 1-4.
32. Agency for Healthcare Research and Quality (AHRQ), www.ahrq.gov.
33. Medicare Coverage Center, www.cms.hhs.gov/center/coverage.asp
34. McCrory DC, Turner DA, Patwardhan MB, Richardson WL. Spinal fusion for degenerative disc disease affecting the lumbar spine (draft evidence report/technology review prepared for the Medicare Coverage Advisory Committee meeting), November, 1, 2006. www.cms.hhs.gov/ determinationprocess/downloads/id41ta.pdf.
35. Phurrough S, Salive M, O'Connor D, Schafer J. Decision Memo for Thermal Intradiscal Procedures. (CAG-00387N) 2008 [cited September 30, 2008]. www.cms.hhs.gov/mcd/viewdecisionmemo.asp?from2= viewdecisionmemo.asp&id=215&
36. Phurrough S, Jacques L, Tillman K, Burton B, Turner LT, and Paserchia L. Medical Literature for Local Medicare Contractors to Determine Medically accepted Indications for Drugs and Biologicals used in Anticancer Treatment (CAG #00352S) 2007.. [cited October 15, 2007]. http://www.cms.hhs.gov/mcd/ncpc_view_document.asp?from=search&id=9
37. Harkness EF, Macfarlane GJ, Silman AJ, McBeth J. Is musculoskeletal pain more common now than 40 years ago?: Two population-based cross-sectional studies. Rheumatology (Oxford) 2005; 44:890-895.
38. Freburger JK, Holmes GM, Agans RP, Jackman AM, Darter JD, Wallace AS, Castel LD, Kalsbeek WD, Carey TS. The rising prevalence of chronic low back pain. Arch Intern Med 2009; 169:251-258.
39. Paez KA, Zhao L, Hwang W. Rising out-of-pocket spending for chronic conditions: A ten-year trend. Health Aff (Millwood) 2009; 28:15-25.
40. Cassil A. Rising rates of chronic health conditions: What can be done? Issue Brief Cent Stud Health Syst Change 2008; 125:1-4.
41. Deyo RA, Mirza SK, Turner JA, Martin BI. Overtreating chronic back pain: Time Time to back off? J Am Board Fam Med 2009; 22:62-68.
42. Aronovitz LG. HCFA faces challenges to control improper payments: Testimony before Subcommittee on Labor, Health and Human Services, and Education, Committee on Appropriations, U.S. Senate, March 9, 2000.
43. Hast RH. Three largest Medicare over-pyament settlements were improper: Testimony before Permanent Subcomittee on Investigations, Committee on Governmental Affairs, U.S. Senate March 28, 2000.
44. Manchikanti L, Singh V, Pampati V, Smith HS, Hirsch JA. Analysis of growth of interventional techniques in managing chronic pain in the Medicare population: A 10-year evaluation from 1997 to 2006. Pain Physician 2009; 12:9-34.
45. Manchikanti L, Hirsch JA. Issues in health care: Interventional pain management at the crossroads. Health Policy Update. Pain Physician 2007; 10:261-284.
46. Manchikanti L, Giordano J. Physician payment 2008 for interventionalists: Current state of health care policy. Pain Physician 2007; 10:607-626.
47. Lad SP, Patil CG, Lad EM, Hayden MG, Boakye M. National trends in vertebral augmentation procedures for the treatment of vertebral compression fractures. Surg Neurol 2008 May 29. [Epub ahead of print]
48. Friedly J, Chan L, Deyo R. Increases in lumbosacral injections in the Medicare population: 1994 to 2001. Spine 2007; 32:1754-1760.
49. Recovery Audit Contractor (RAC), www.cms.hhs.gov/RAC/
50. National Health Expenditure Data, from Centers for Medicare & Medicaid Services (CMS), www.cms.hhs.gov/NationalHealthExpendData/ 01_Overview.asp#TopOfPage
51. Manchikanti L, McMahon EB. Physician refer thyself: Is Stark II, Phase III the final voyage? Health Policy Update. Pain Physician 2007; 10:725-741.
52. Conover CJ. Health care regulation: A $169 billion hidden treatment. CATO Institute, Policy Analysis No. 527, October 4, 2004. Washington, DC.
53. Emanuel EJ, Fuchs VR. A comprehensive cure: Universal health care vouchers. The Brookings Institution; July 2007. Hamilton Project, discussion paper 2007-11. www.brookings.edu/papers/2007/ 07useconomics_emanuel.aspx.
54. Fuchs VR. Health reform: Getting the essentials right. Health Aff (Milwood) 2009; 28:w180-w183.
55. Stefanacci RG. The Obama effect on Medicare. Medicare Pat Manag 2009; 4:13-16.
56. Aaron HJ. The pitfalls of overreaching in health reform. Health Aff (Milwood) 2009; 28:w184-w187.
57. Kaiser Family Foundation, based on Mathematica Policy Research, Inc. "Tracking Medicare Health and Prescription Drug Plans Monthly Report" December 1999-2007. CMS Medicare Advantage, Cost, PACE, Demo, and Prescription Drug Plan Contract Report, Monthly Summary Report, July 2008.
58. Public Law No: 111-3. H.R. 2. Children's Health Insurance Program Reauthorization Act of 2009 signed by President Barack Obama on 2/4/2009.
59. Public Law No: 111-5. H.R. 1. American Recovery and Reinvestment Act of 2009 signed by President Barack Obama on 2/17/2009.
60. Steinbrook R. Health care and the American recovery and reinvestment act. N Engl J Med 2009; 360:1057-1060.
61. Manos D. Obama calls healthcare IT "low hanging fruit" on health reform. Health care IT News. March 6, 2009.
62. Royle P, Waugh N. Literature searching for clinical and cost effectiveness studies used in health technology assessment reports carried out for the National Institute for Clinical Excellence appraisal system. Health Technology Assessment 2003, 7(34): www.ncchta.org/execsumm/summ734.htm
63. Commins J. AMA to White House: Don't dictate care. Health Leaders Media HR, March 9, 2009.
64. American College of Occupational and Environmental Medicine. Low Back Disorders Chapter. In: Occupational Medicine Practice Guidelines: Evaluation and Management of Common Health Problems and Functional Recovery of Workers, Second Edition. American College of Occupational and Environmental Medicine, Elk Grove Village, 2007.
65. American College of Occupational and Environmental Medicine. Chronic Pain Chapter (revised 2008). In: Occupational Medicine Practice Guidelines: Evaluation and Management of Common Health Problems and Functional Recovery of Workers, Second Edition. American College of Occupational and Environmental Medicine, Elk Grove Village, Epublished August 14, 2008.
66. Dennison PL. Official Disability Guidelines, 13th ed. Work Loss Data Institute, 2008.
67. HAYES, Inc. Independent Health Technology Assessment Company. www.hayesinc.com
68. Manchikanti L, Singh V, Derby R, Helm S, Trescot AM, Staats PS, Prager JP, Hirsch JA. Review of occupational medicine practice guidelines for interventional pain management and potential implications. Pain Physician 2008; 11:271-289.
69. Manchikanti L, Singh V, Helm S, Trescot AM, Hirsch JA. A critical appraisal of 2007 American College of Occupational and Environmental Medicine (ACOEM) practice guidelins for interventional pain management: An independent review utilizing AGREE, AMA, IOM, and other criteria. Pain Physician 2008; 11:291-310.
70. Manchikanti L, Singh V, Derby R, Schultz DM, Benyamin RM, Prager JP, Hirsch JA. Reassessment of evidence synthesis of occupational medicine practice guidelines for interventional pain management. Pain Physician 2008; 11:393-482.
71. Boswell MV, Trescot AM, Datta S, Schultz DM, Hansen HC, Abdi S, Sehgal N, Shah RV, Singh V, Benyamin RM, Patel VB, Buenaventura RM, Colson JD, Cordner HJ, Epter RS, Jasper JF, Dunbar EE, Atluri SL, Bowman RC, Deer TR, Swicegood JR, Staats PS, Smith HS, Burton AW, Kloth DS, Giordano J, Manchikanti L. Interventional techniques: Evidence-based practice guidelines in the management of chronic spinal pain. Pain Physician 2007; 10:7-111.
72. Trescot AM, Helm S, Hansen H, Benyamin R, Adlaka R, Patel S, Manchikanti L. Opioids in the management of chronic non-cancer pain: An update of American Society of Interventional Pain Physicians' (ASIPP) guidelines. Pain Physician 2008; 11:S5-S62.
73. Atluri S, Datta S, Falco FJ, Lee M. Systematic review of diagnostic utility and therapeutic effectiveness of thoracic facet joint interventions. Pain Physician 2008; 11:611-629.
74. Singh V, Manchikanti L, Shah RV, Dunbar EE, Glaser SE. Systematic review of thoracic discography as a diagnostic test for chronic spinal pain. Pain Physician 2008; 11:631-642.
75. Conn A, Buenaventura RM, Datta S, Abdi S, Diwan S. Systematic review of caudal epidural injections in the management of chronic low back pain. Pain Physician 2009; 12:109-135.
76. Parr AT, Diwan S, Abdi S. Lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain: A systematic review. Pain Physician 2009; 12:163-188.
77. Benyamin RM, Singh V, Parr AT, Conn A, Diwan S, Abdi S. Systematic review of the effectiveness of cervical epidurals in the management of chronic neck pain. Pain Physician 2009; 12:137-157.
78. Buenaventura RM, Datta S, Abdi S, Smith HS. Systematic review of therapeutic lumbar transforaminal epidural steroid injections. Pain Physician 2009; 12:233-251.
79. Helm S, Hayek SM, Benyamin RM, Manchikanti L. Systematic review of the effectiveness of thermal annular procedures in treating discogenic low back pain. Pain Physician 2009; 12:207-232.
80. Smith HS, Chopra P, Patel VB, Frey ME, Rastogi R. Systematic review on the role of sedation in diagnostic spinal interventional techniques. Pain Physician 2009; 12:195-206.
81. Manchikanti L, Boswell MV, Giordano J. Evidence-based interventional pain management: Principles, problems, potential and applications. Pain Physician 2007; 10:329-356.
82. Manchikanti L. Evidence-based medicine, systematic reviews, and guidelines in interventional pain management: Part 1: Introduction and general considerations. Pain Physician 2008; 11:161-186.
83. Manchikanti L, Hirsch JA, Smith HS. Evidence-based medicine, systematic reviews, and guidelines in interventional pain management: Part 2: Randomized controlled trials. Pain Physician 2008; 11:717-773.
84. Manchikanti L, Benyamin RM, Helm S, Hirsch JA. Evidence-based medicine, systematic reviews, and guidelines in interventional pain management: Part 3: Systematic reviews and meta-analysis of randomized trials. Pain Physician 2009; 12:35-72.
85. Manchikanti L, Singh V, Smith HS, Hirsch JA. Evidence-based medicine, systematic reviews, and guidelines in interventional pain management: Part 4: Observational studies. Pain Physician 2009; 12:73-108.
86. Blumenthal D. The federal role in promoting health information technology. The Commonwealth Fund, January 2009.
87. Sunshine RA. Letter to Honorable Charles B. Rangel, Chairman, Committee on Ways and Means, U.S. House of Representatives. Washington, DC: Congressional Budget Office, January 21, 2009. www.cbo.gov/
88. Nichols L. In Obama reform push, Medicare leads the way. Health Aff Blog, February 27, 2009.
89. Wilensky GR. Reforming Medicare's physician payment system. NEJM 2009; 360:653-655.
90. Medicare Payment Advisory Commission. Report to the Congress: Assessing alternatives to the sustainable growth rate system. March 2007. www.medpac.gov/documents/Mar07_SGR_mandated_report.pdf
91. Berenson R. Options to improve quality and efficiency among Medicare physicians: Testimony before U.S. House Ways and Means Subcommittee on Health, May 10, 2007. www.urban.org/publications/901105.html
92. US Department of Health and Human Services. Office of Inspector General (OIG). Medicare Payments for Facet Joint Injection Services (OEI-05- 07-00200). September 2008. www.oig.hhs.gov/oei/reports/oei-05-07- 00200.pdf