Obamacare 2012: Prognosis unclear for interventional pain management

Pain Physician

Volumn 15, Issue 5, 2012, Pages

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

^a PAIN MANAGEMENT CENTER OF PADUCAH   (United States)

^b UNIVERSITY OF LOUISVILLE   (United States)

^c MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Accountable care organizations; Centers for Medicare and Medicaid services; Independent payment advisory board; Interventional pain management; Medicaid; Medicare; ObamaCare; Patient Protection and Affordable care Act; Patient centered outcomes research institute

Indexed keywords

COST SHIFTING; FUNDING; HEALTH CARE ACCESS; HEALTH CARE CONCEPTS; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE REGULATION; INTERVENTIONAL PAIN MANAGEMENT; MEDICAID; MEDICAL FEE; MEDICAL SOCIETY; MEDICARE; PATIENT CARE; PROGNOSIS; REIMBURSEMENT; REVIEW; SCOPE OF PRACTICE;

HEALTH CARE COSTS; HUMANS; MEDICAID; MEDICARE; NATIONAL HEALTH INSURANCE, UNITED STATES; PAIN; PAIN MANAGEMENT; PATIENT PROTECTION AND AFFORDABLE CARE ACT; PROGNOSIS; UNITED STATES;

EID: 84866998694     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (75)

1. Public Law No: 111-148: H.R. 3590. Ptient Protection and Affordable Care Act. March 23, 2010.
2. Manchikanti L, Caraway DL, Parr AT, Fellows B, Hirsch JA. Patient Protection and Affordable Care Act of 2010: Reforming health care reform for the new decade. Pain Physician 2011; 14:E35-E67.
3. Manchikanti L, Hirsch JA. Patient Protection and Affordable Care Act of 2010: A Primer for NeuroInterventionalists. J Neurointervent Surg 2012; 4:141-146.
4. Bredesen P. Fresh Medicine: How to Fix Reform and Build a Sustainable Health Care System. First Edition, Atlantic Monthly Press, New York, 2010.
5. Wallace G. 'Obamacare': The word that defined the health care debate". CNN Politics, June 25, 2012.
6. Woodward C, Feller BG. Obama embraces 'Obamacare,' says it's here to stay. Associated Press, September 3, 2012.
7. Statement of Douglas W. Elmendorf, Director. CBO's Analysis of the Major Health Care Legislation Enacted in March 2010, before the subcommittee on Health Committee on Energy and Commerce, U.S. House of Representatives. March 30, 2010. www.cbo.gov/sites/default/files/cbofiles/ftpdocs/121xx/doc12119/03-30-healthcarelegislation.pdf
8. Congressional Budget Office. CBO's 2011 Long-Term Budget Outlook. June 2011. http://cbo.gov/sites/default/files/cbofiles/attachments/06-21-Long-Term_Budget_Outlook.pdf
9. Kavilanz P. Small business: Doctors going broke. CNN Money, January 5, 2012.
10. Lubell J. Lawmakers warned of demise of solo medical practices. American Medical News, July 30, 2012.
11. CBO: ObamaCare-like programs don't save money or reduce costs. CBS News, January 20, 2012. http://cnsnews.com/news/article/cboobamacare-programs-don-t-save-money-or-reduce-costs
12. Ayanian JZ, Van der Wees PJ. Tackling health care costs in Massachusetts. New Engl J Med 2012; 367:790-793.
13. Trapp D. Doctors zero in on benefit gaps allowed under health reform. American Medical News, February 13, 2012.
14. Gonshorowski D. Medicaid expansion will become more costly to states. The Heritage Foundation. No. 3709, August 30, 2012.
15. White C, Ginsburg PB. Slower growth in Medicare spending - is this the new normal? New Engl J Med 2012; 366:1073-1075.
16. Young J. Number of uninsured in U.S. rises as workers lose jobs and health insurance. Huffington Post, February 14, 2012.
17. Eberhart D. Expert: Obamacare to herd disabled seniors to bare-bones Medicaid plans. Newsmax, April 27, 2012.
18. Merlin J. Disability ranks outpace new jobs in Obama recovery. Investor's Business Weekly, July 6, 2012.
19. Commins J. 1 in 3 physicians plan to quit within 10 years. HealthLeaders Media, July 27, 2012.
20. U.S. Social Security Administration. Annual statistical report on the Social Security Disability Insurance Program, 2011. Release July 2012. www.ssa.gov/policy/docs/statcomps/di_asr/2011/di_asr11.pdf
21. Wolfe JS, Glendening DD. What we should do about Social Security Disability. A response to Richard J. Pierce, Jr. Regulation, Spring 2012.
22. Clabough R. CBO: Health care spending to surpass discretionary spending in 2016. The New American, September 7, 2012.
23. Congressional Budget Office. An Update to the Budget and Economic Outlook: Fiscal Years 2012-2022. August 2012. www.cbo.gov/sites/default/files/cbofiles/attachments/01-31-2012_Outlook.pdf
24. The Budget Control Act of 2011 (Debt Ceiling Deal). OMB Watch. www.ombwatch.org/files/budget/debtceilingfaq.pdf
25. Dubay C. Obamacare and new taxes: Destroying jobs and the economy. The Heritage Foundation, No. 3100, January 20, 2011.
26. Martin AB, Lassman D, Washington B, Catlin A; National Health Expenditure Accounts Team. Growth in US health spending remained slow in 2010; health share of gross domestic product was unchanged from 2009. Health Aff (Millwood) 2012; 31:208-219.
27. 2012 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds. www.treasury.gov/resource-center/economic-policy/ss-medicare/Documents/TR_2012_Medicare.pdf
28. Independent Payment Advisory Board www.whitehouse.gov/blog/2011/04/20/facts-about-independent-payment-advisory-board
29. Manchikanti L, Falco FJE, Singh V, Benyamin RM, Hirsch JA. The Independent Payment Advisory Board. Pain Physician 2011; 14:E313-E342.
30. Manchikanti L, Hirsch JA. The Independent Payment Advisory Board: Impact on neurointerventionalists. J Neurointerv Surg 2011; Published Online First: October 11, 2011.
31. DeParle NA. The White House Blog. The Facts about the Independent Payment Advisory Board. April 20, 2011. www.whitehouse.gov/blog/2011/04/20/factsabout-independent-payment-advisoryboard
32. Manchikanti L, Falco FJ, Benyamin RM, Helm S 2nd, Parr AT, Hirsch JA. The impact of comparative effectiveness research on interventional pain management: Evolution from Medicare Modernization Act to Patient Protection and Affordable Care Act and the Patient- Centered Outcomes Research Institute. Pain Physician 2011; 14:E249-E282.
33. Manchikanti L, Helm II S, Hirsch JA. The evolution of the Patient-Centered Outcome Research Institute. J Neurointervent Surg 2012; 4:157-162.
34. Senger A. Obamacare robs Medicare of $716 billion to fund itself. The Heritage Network, The Foundry, August 1, 2012. http://blog.heritage.org/2012/08/01/obamacare-robs-medicare-of-716-billion-to-fund-itself/
35. Kliff S. Romney's right: Obamacare cuts Medicare by $716 billion. Here's how. The Washington Post, August 14, 2012.
36. McDonough JE. Inside National Health Reform. University of California Press. Berkeley, 2011.
37. Gold M, Jacobson G, Damico A, Neuman T, Kasier Family Foundation. Medicare Advantage 2012 spotlight: Plan availability and premiums. Publication Number: 8258. November 21, 2011.
38. Merline J. Think college is expensive now? Wait until Obamacare. Investor's Business Daily, August 23, 2012.
39. Kane TJ, Orszag PR. Higher education spending: The role of Medicaid and the business cycle. The Brookings Institute Policy Brief. Policy Brief #124. September 2003.
40. Block S, Dugas C. Five proposals to solve $1 trillion college loan crisis. USA Today, May 21, 2012.
41. Letter to Kathleen Sebelius, Secretary of Health and Human Services, from American Society of Interventional Pain Physicians. RE: Critical Shortage of Drugs and Increasing Anxiety and Expenses: A Request for Reduction of the Regulatory Burden on Physicians, Including the Use of Single Dose Vials for Infection Control, Implementation of ICD-10, and EMR Regulation. November 18, 2011.
42. Manchikanti L, Malla Y, Wargo BW, Fellows B. Infection control practices (safe injection and medication vial utilization) for interventional techniques: Are they based on relative risk management or evidence? Pain Physician 2011; 14:425-434.
43. Manchikanti L, Falco FJE, Benyamin RM, Caraway DL, Helm II S, Wargo BW, Hansen H, Parr AT, Singh S, Hirsch JA. Assessment of infection control practices for interventional techniques: A best evidence synthesis of safe injection practices and use of single-dose medication vials. Pain Physician 2012; 15:E573-E614.
44. Cogan JF, Hubbard G, Kessler DP. Doctored numbers. Hoover Digest, July 13, 2011.
45. Field MJ, Lohr KN, eds. Clinical Practice Guidelines: Directions for a New Program. Institute of Medicine, Washington, DC, National Academy Press; 1990.
46. Institute of Medicine (IOM). Finding What Works in Health Care: Standards for Systematic Reviews. The National Academies Press, Washington, DC, March 23, 2011.
47. Manchikanti L, Datta S, Derby R, Wolfer LR, Benyamin RM, Hirsch JA. A critical review of the American Pain Society clinical practice guidelines for interventional techniques: Part 1. Diagnostic interventions. Pain Physician 2010; 13:E141-E174.
48. Manchikanti L, Datta S, Gupta S, Munglani R, Bryce DA, Ward SP, Benyamin RM, Sharma ML, Helm II S, Fellows B, Hirsch JA. A critical review of the American Pain Society clinical practice guidelines for interventional techniques: Part 2. Therapeutic interventions. Pain Physician 2010; 13:E215-E264.
49. Manchikanti L, Falco FJE, Boswell MV, Hirsch JA. Facts, fallacies, and politics of comparative effectiveness research: Part 1. Basic considerations. Pain Physician 2010; 13:E23-E54.
50. Manchikanti L, Falco FJE, Boswell MV, Hirsch JA. Facts, fallacies, and politics of comparative effectiveness research: Part 2. Implications for interventional pain management. Pain Physician 2010; 13:E55-E79.
51. Chou R, Atlas SJ, Loeser JD, Rosenquist RW, Stanos SP. Guideline warfare over interventional therapies for low back pain: Can we raise the level of discourse? J Pain 2011; 12:833-839.
52. Manchikanti L, Benyamin RM, Falco FJE, Caraway DL, Datta S, Hirsch JA. Guidelines warfare over interventional techniques: Is there a lack of discourse or straw man? Pain Physician 2012; 15:E1-E26.
53. FamiliesUSA. Hidden Health Tax: American Pay a Premium. 2009. http://familiesusa2.org/assets/pdfs/hidden-healthtax.pdf
54. FamiliesUSA the Voice of Health Care Consumers.
55. Hadley J, Holohan J, Coughlin T, Miller D. Covering the uninsured in 2008: Current costs, sources of payment, and incremental costs. Health Aff (Millwood) 2008; 27:w399-2415.
56. Congressional Budget Office. An Analysis of Health Insurance Premiums Under the Patient Protection and Affordable Care Act. November 30, 2009. www.cbo.gov/sites/default/files/cbofiles/ftpdocs/107xx/doc10781/11-30-premiums.pdf
57. PolitiFact.com. "It's costing every American who is insured $1,100 to pick up the cost of uncompensated care that goes on at the emergency room." www.politifact.com/truth-o-meter/statements/2009/aug/28/barbara-boxer/boxer-claims-it-costs-1100-person-cover-uninsured/
58. Congressional Budget Office. Estimates for the insurance coverage provisions of the Affordable Care Act updated for the recent Supreme Court Decision. July 2012. http://cbo.gov/sites/default/files/cbofiles/attachments/43472-07-24-2012-CoverageEstimates.pdf
59. Saltman RB. The role of regulation in health care. BMJ 2012; 344:e821.
60. McKee M. In defence of the NHS. Why writing to the House of Lords was necessary. BMJ 2011; 343:d6535.
61. Donnelly L, Sawer P. Thousands of misdiagnosis feared in cancer scandal. The Telegraph, February 18, 2012.
62. Godlee F. The NHS is heading down a hole - should we stop digging? BMJ 2012; 344:e805.
63. Kmietowicz Z. Medical profession is divided over whether to demand health bill's withdrawal. BMJ 2012; 344:e720.
64. McLellan A, Middleton J, Godlee F. Lansley's NHS "reforms" are divisive and destructive. BMJ 2012; 344:e709
65. Canadian Health Care. www.canadian-healthcare.org/
66. Lazarus JA. A step forward for health care, thanks to Supreme Court. American Medical News, August 6, 2012. www.amaassn.org/amednews/m/2012/07/30/eca0730.htm
67. Gallegos A, Glendinning D. What's next for physicians after Affordable Care Act ruling. American Medical News, June 29, 2012. www.ama-assn.org/amednews/2012/06/25/gvsf0629.htm
68. Emanuel EJ, Fuchs VR. Shortening medical training by 30%. JAMA 2012; 307:1143-1144.
69. Department of Health and Human Services. Office of the Inspector General. Prevalence and Qualifications of Nonphysicians Who Performed Medicare Physician Services. August 2009 http://oig.hhs.gov/oei/reports/oei-09-06-00430.pdf
70. Institute of Medicine (IOM). The Future of Nursing: Leading Change, Advancing Health. The National Academies Press, Washington, DC. October 5, 2010.
71. Clavelle JT. Implementing Institute of Medicine future of nursing recommendations: A model for transforming nurse practitioner privileges. J Nurs Adm 2012; 42:404-407.
72. Brooten D, Youngblut JM, Hannan J, Guido-Sanz F. The impact of interprofessional collaboration on the effectiveness, significance, and future of advanced practice registered nurses. Nurs Clin North Am 2012; 47:283-294.
73. Roberts A, Sutton JH. Scope of practice for nonsurgeons keeps expanding. Bull Am Coll Surg 2001; 86:15-18.
74. Sibert KS. Unsupervised anesthesia care by a nurse anesthetist is a threat to patient safety. Physician, November 17, 2011. www.kevinmd.com/blog/2011/11/unsupervised-anesthesia-care-nurseanesthetist-threat-patient-safety.html
75. Vaughn D. CMS proposes to pay CRNAs to perform chronic pain. Vaughn & Associates, July 12, 2012.