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MAG 2015 Legislative Update – Top Docs Radio

May 13, 2015 by angishields

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Medical Association of Georgia

MAG LOGO

MAG 2015 Legislative Update

This week we continued our ongoing series with Medical Association of Georgia to get the MAG 2015 legislative update.  MAG CEO, Donald Palmisano, Jr. and Director of Government Relations, Marcus Downs came by with Georgia Representative, Rick Jasperse.  We talked about several of the health-related issues Rick and his colleagues have been and continue to work on in the Georgia legislature to promote and protect the health outcomes, safety, and access to care for the citizens of our state.

Rep. Rick Jasperse represents Georgia’s 11th district, which includes all of Pickens and parts of Gordon and Bartow counties. He serves on a number of committees in the House of Representatives – and he is the vice chair of the House Health and Human Services Committee. Rep. Jasperse graduated from UGA with a degree in food science. He retired in 2009 after 29 years as a county agriculture agent.

H.B. 416 by Rep. Carl Rogers (R-Gainesville) will require licensed health care practitioners to wear an ID on their “lab coats or similar distinguishing clothing or uniforms” that states their name and license or educational degree. The only exceptions include optometrists, dentists and chiropractors – except those who practice in hospitals and nursing homes. This has been one of MAG’s legislative priorities for the last two years as voted on by MAG’s Board of Directors. A number of other groups also supported the bill, including speech language pathologists, audiologists, respiratory therapists, marriage and family therapists, ophthalmic technicians, registered dieticians, and APRNs.

The FY 2016 budget (H.B. 76) includes some $23 million in additional funds to increase the reimbursement rate for select Medicaid primary care and OB-GYN codes. This included $17.1 million for primary care physicians (i.e., 90 percent of the 2014 Medicare fee schedule for the applicable codes) and $5.9 million for OB/GYN physicians (90 percent of the 2014 Medicare fee schedule for the applicable codes).

The FY 2016 budget also includes $199,000 to maintain the Prescription Drug Monitoring Program in the state.

H.B. 504 by Rep. Sharon Cooper (R-Marietta) extends the flu vaccine protocol that is in place between physicians and pharmacists and nurses for adults to pneumococcal, shingles, and meningitis. MAG’s Board Directors voted to support this kind of measure given strict limits and notification requirements. MAG worked with Rep. Cooper to ensure that appropriate sanctions are in place for any violations.

S.B. 158 by Sen. Dean Burke, M.D. (R-Bainbridge) would have addressed rental networks, all-products clauses, and other key issues. MAG’s Board of Directors voted to support this measure. The bill evolved into S.R. 561, which is a “study bill” – which means that a group of legislators will develop a report for the General Assembly’s consideration in 2016.

Special Guests:

Donald Palmisano, CEO, Executive Director of Medical Association of Georgia  twitter_logo_small  linkedin_small1  facebook_logo_small3

Medical Association of Georgia

  • JD Law, Loyola School of Law
  • Board of Directors, Physician Advocacy Institute
  • Medical Payment Subcommitte Member, State Board of Workers’ Compensation
  • Treasurer, Board of Directors, Physicians’ Institute for Excellence in Medicine
  • Former Director, Government Relations/General Counsel/Director, GAMPAC

Marcus Downs, Director of Government Relations, MAG  linkedin_small1  

Medical Association of Georgia

  • Recipient, 2012, Outstanding Advocate Award, National Association of School Psychologists
  • National Institutes of Health Research Fellow, 2000
  • Former Director, Government Relations/External Coalitions/Research, Georgia Association of Educators

Representative Rick Jasperse, Georgia 11th District  facebook_logo_small3  twitter_logo_small-e1403698475314  youtube logo  flickr (2)

JasperseRick755

  • BS, Food Science, University of Georgia School of Agriculture
  • Member, House Committees: Agriculture & Consumer Affairs, Appropriations, Human Relations & Aging, Public Safety and Homeland Security
  • Vice Chair, Health & Human Services Committee
  • Served on numerous boards:  Mountain Conservation Trust Board, Chattahoochee Technical Collegeand Appalachian Cattlemen’s Association’s Board

Tagged With: CW Hall, Donald Palmisano, Georgia House of Representatives, HB 416, HB 504, HB 76, Health and Fitness, Healthcare, Healthcare associations, HIV, MAG, Marcus Downs, medicaid, Medical Association of Georgia, medicare, Name Tag Bill, patient safety, prescription drug abuse, prescription drug addiction, Representative Rick Jasperse, SB 158, scope of practice, SGR, SR 561, Sustainable Growth Rate, Syphillis, Think About It Campaign

Cholesterol Isn’t The Bad Guy In Heart Disease – Top Docs Radio

May 11, 2015 by angishields

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Cholesterol Isn't The Bad Guy In Heart Disease - Top Docs Radio
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Cholesterol Isn’t The Bad Guy In Heart Disease

I recently read an article by a former heart surgeon that talked about the fact that cholesterol isn’t the bad guy in heart disease.  Instead, he argued that inflammation of the lining of the blood vessels caused by sugars and even the “healthy” oils we eat such as corn, canola (Omega-6 oils) is the real cause of what is still the #1 cause of death in America today.

I sat down with Dr. Ellie Campbell of Campbell Family Medicine in Cumming, GA to talk about the article and she was eager to discuss it.  She completely agrees with the premise of the article and shared how the ratio of Omega-3 oils  to Omega-6 oils has grown from ~1:1 or 1:2 to as much as 25:1 Omega-6 to Omega-3.

She also talked about the fact that higher levels of cholesterol in the blood don’t necessarily equate to plaque and heart disease/stroke.  It’s when cholesterol molecules are oxidized and corrupted by inflammatory substances we eat that they become “sticky” and attach to the irritated walls of the blood vessels.

Dr. Campbell shared numerous suggestions for basic changes we can make that will not only serve to reduce our risk for heart disease but in some cases can actually reverse damage already done.

I also brought back Leana Kart, a chiropractor whose practice, Northwest Chiropractic and a member of the Georgia Chiropractic Association to talk about the fact that May is National Posture Awareness Month.  She shared several tips on how to avoid “tech neck”, damage to the spine and neck caused by long periods of chin-down angles to look at a device in our lap.  She also talked about why good posture contributes to keeping us healthy.

Special Guests:

Special Guests:

Dr. Ellie Campbell, DO, Family Practice & Integrative Medicine at Campbell Family Medicine

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Campbell Family Medicine

  • Doctor of Osteopathic Medicine, Kirksville College of Osteopathic Medicine
  • Family Medicine Residency, Medical College of Georgia
  • Board Certified Family Medicine

Dr. Leana Kart, DC, of NW Chiropractic  linkedin_small1

kart

  • Doctor of Chiropractic, Life University
  • Owner of NW Chiropractic for over 26 years
  • Board Member, Georgia Chiropractic Association

 

Tagged With: CW Hall, Dr. Ellie Campbell, Dr. Leana Kart, Ellie Campbell, family medicine integrative medicine, georgia chiropractic association, Health and Fitness, Health Care Radio, health radio, Healthcare, healthcare radio, heart disease, inflammation, integrative medicine, lipids, national posture awareness month, Northwest Chiropractic, omega 3, omega 6, posture, preventive medicine, primary care, Stroke, tech neck, Top Docs Radio, Vascular Disease

Exercise is Medicine

May 7, 2015 by angishields

Health Connect South
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Exercise is Medicine
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Exercise is Medicine

Exercise is Medicine

This week we focused on the value of physical activity to our overall state of wellness.  We were joined in studio by Dr. Felipe Lobelo of Emory University, Mike Tinney, of Fitness Interactive Experience, and JP Matzegheit, of Wahoo Fitness.  We talked about the physiologic importance of physical activity along with innovative technologies that facilitate inspiring people to get moving.

Physical inactivity now ranks as the 2nd leading cause of mortality in the world. However, too few health systems and health care providers include physical activity (PA) as part of the prevention and management of obesity and chronic diseases. For 5 years, the Exercise is Medicine (EIM) initiative of the American College of Sports Medicine has helped build local networks to support the systematic inclusion of PA in health care in the US and more than 40 countries in 5 continents via the “EIM Solution”, an evidence-based approach to assessing patients, prescribing appropriate PA and developing community-based PA resources linked to health services and public awareness. The

Large-scale implementation of the EIM Solution across different populations, settings and health care systems is a complex process. The EIM-GRCC serves as a coordinating center for EIM implementation projects by offering state-of –art consultation research and evaluation support, training, policy, cross-national networking and management dimensions of EIM programming to support the initiative.

Fitness Interactive Experience (FIX) has developed a tech platform that incorporates a video game-inspired approach to motivating people to walk and engage in brief periods of other physical activities.  FIX provides their application to businesses seeking to improve the health of their employees for use over 6-8 weeks as a fitness challenge.  The application uses the popular zombie theme to get the user to walk more each day.

The application interfaces with wearable fitness devices such as FitBit to track physical activity such as walking/running.  In order for their character to survive in the game they’ll have to walk while wearing their fitness device to “walk/run” their character to safe zones.  The early data from their initial challenges has shown promising statistics regarding the level of participation and engagement by employees using the application.

Wahoo Fitness produces a range of wearable fitness devices designed to give feedback on a variety of physical activities and bio data.  The sensors enable athletes to become more efficient runners, swimmers, and riders through the use of accelerometers in the sensors.  Additionally, users can train smarter by monitoring heart rate instead of subjective rating of perceived exertion (RPE).

Users are able to compare current training session against previous sessions to evaluate number of reps, cadence, and other training data.

Special Guests:

Dr. Felipe Lobelo, MD, PhD, Emory University, Global Health Department, Exercise is Medicine

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Exercise is Medicine

  • Associate Professor, Rollins School of Public Health, Emory University
  • Previous Lead Epidemiologist, CDC
  • Doctor of Medicine, Universidad del Rosario
  • PhD Exercise Science, University of South Carolina, Columbia

Mike Tinney, CEO/Founder, Fitness Interactive Experience/ A Step Ahead Challenge

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Fitness Interactive Experience

  • Previous CEO, White Wolf
  • Former President, CCP America
  • Nearly 20 years of experience in the video gaming industry from developer to leadership roles

JP Matzigkeit, CEO/Founder of Wahoo Fitness  facebook_logo_small3  twitter_logo_small  linkedin_small1  youtube logo  google-plus-logo-red-265px  Pinterest-logo

JP Matzegheit

  • MBA, University of North Carolina, Kenan Flagler Business School
  • Previous Advisory Board Chair, Founder and President, Chastain Park Conservancy
  • Former AVP Compensation, Cox Enterprises
  • Avid cyclist

Tagged With: CW Hall, Diana Keough, Dr. Felipe Lobelo, Exercise, Exercise is Medicine, Fitness, gamification, Health Care Radio, Health Connect South, health radio, Healthcare, healthcare radio, healthcare research, heart rate monitor, Mike Tinney, obesity, physical activity, Population Health Management, ShareWIK Media Group, wearable fitness device

Dr. Rolf Meinhold MDVIP – Top Docs Radio

May 1, 2015 by angishields

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Dr. Rolf Meinhold MDVIP - Top Docs Radio
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Rolf

 

Dr. Rolf Meinhold MDVIP

On this week’s show I was joined in studio by Dr. Rolf Meinhold MDVIP.  We were introduced to him by Justin Knott of Intrepy, LLC, a marketing firm with numerous local physician practices they serve.  He’s a family practice physician who’s been practicing in the Atlanta area for around thirty years.  He recently joined MDVIP to provide primary care services in their personalized healthcare program.  Through their service MDVIP and its doctors are able to include access to the physician 24/7, coupled with online resources that give patients access to their health information.  MDVIP offers a membership-based plan that provides such extended access to one’s physician with same-day or next-day appointments and 30 min appointment slots, Dr. Meinhold’s patients get significant time and access to their doctor.

Meinhold Family Practice is a MDVIP-affiliated practice utilizing the MDVIP Wellness Program to prevent little things from becoming big things…enabling patients to enjoy life and stay healthy. 
Patients that truly value their health will appreciate having an enhanced doctor-patient relationship. Our practice through MDVIP has dramatically decreased our practice size to closely work with you. Within our smaller practice, you will receive the comprehensive care and personalized service you deserve to keep you healthy.

Dr. Meinhold’s Approach to Your Wellness: Improving the quality of people’s lives one patient at a time, speaks to two essential elements: Quality and Personalization. Improving quality is all about wellness. The better someone is and feels the more possibilities of enjoying the richness that life has to offer. Being person-oriented means giving respect and reverence to the unique relationship that exists between a doctor and a patient. Only by optimizing trust and care can wellness be achieved.

Because of Dr. Meinhold’s specialized training, he is able to manage middle to late childhood, adolescent and adult patients. He has an ongoing interest in the primary prevention of diabetes and heart disease through nutrition and weight management. In addition,  he is a strong proponent of exploring the scientific basis for the mind-body connection in medicine.

Special Guest:

Dr. Rolf Meinhold, MD, Meinhold Family Medicine/MDVIP  facebook_logo_small3  twitter_logo_small-e1403698475314

DrRolfWMeinholdMD_3596_162

  • Doctorate of Medicine, Vanderbilt University School of Medicine
  • Internship, Riverside Regional Medical Center
  • Board Certified, American Board of Family Medicine
  • Fluent in English and German

Justin Knott, Co-Founder, Intrepy, LLC  twitter_logo_small-e1403698475314  linkedin_small1

Intrepy, LLC

  •  Previous VP Business Development, TAGin
  • Former Director, Investments, I4 Capital Partners
  • Previous Team Leader, B.A.S.E. Camp Children’s Cancer Foundation
  • BS, Finance, Investments, & Securities, University of Central Florida

Tagged With: CW Hall, direct pay medicine, Dr. Rolf Meinhold, family medicine, Health and Fitness, health insurance, Healthcare, house calls, MDVIP, medicare, personalized health plan, primary care, Rolf Meinhold, Top Docs Radio, urgent care, wellness exam

ADHD

May 1, 2015 by angishields

Health Connect South
Health Connect South
ADHD
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hcs 15

ADHD

This week I was pleased to sit down with ADHD expert, Elaine Taylor-Klaus of ImpactADHD.com.  As a parent of three children who each have experienced some measure of ADHD in their lives, and as a patient who subsequently discovered that she, too, was an ADHD patient.

CDC.gov lists these statistics about ADHD:

  • Approximately 11% of children 4-17 years of age (6.4 million) have been diagnosed with ADHD as of 2011.
  • The percentage of children with an ADHD diagnosis continues to increase, from 7.8% in 2003 to 9.5% in 2007 and to 11.0% in 2011.
  • Rates of ADHD diagnosis increased an average of 3% per year from 1997 to 2006 [Read article] and an average of approximately 5% per year from 2003 to 2011.
  • Boys (13.2%) were more likely than girls (5.6%) to have ever been diagnosed with ADHD.
  • The average age of ADHD diagnosis was 7 years of age, but children reported by their parents as having more severe ADHD were diagnosed earlier.

With just over 1 in 10 children experiencing ADHD or one of its sub-types, it’s a significant disruptor of quality of life for many, many people.  We talked about how frustrating it can be for parents of hyper-active ADHD children and how she, herself, learned first-hand how challenging it can be to keep calm and avoid yelling to reign in their high energy kid(s).

Given her experiences in her own home, Elaine and a business partner, Diane Dempster, decided to start ImpactADHD.com.  The website serves as a resource for parents struggling to find answers for questions on how to better handle the stresses that comes with ADHD children.

The site provides recommendations for identifying suitable physicians and other professionals who can help with diagnosis and treatment.  Additionally, the organization provides a coaching approach to help parents learn other ways to communicate and how to deal with stress, among others.

ImpactADHD.com describes what they do this way, “ImpactADHD.com helps parents help their kids with ADHD and ADD, anywhere, anytime. ImpactADHD uses a combination of training, coaching and support resources, online and on the phone, to provide the “how to” that parents really need, whether they are new to the world of complex kids, or worn-out from years of management. By helping parents put strategies into action, and teaching them to make those strategies work best for their families, we guide parents to radically improve family life and empower their kids for independence and success.”

Special Guest:

Elaine Taylor-Klaus, CEO/Certified Coach, ImpactADHD  facebook_logo_small3  twitter_logo_small  Pinterest LOGO  google-plus-logo-red-265px  feed-logo  linkedin_small1

ImpactADHD

  • Certified Professional Co-Active Coach, The Coaches Training Institute
  • Professional Certified Coach, International Coach Federation
  • BA, College of Social Studies & Sociology, Wesleyan College
  • Parent of 3 children who have experienced ADHD, along with herself, who was diagnosed as an adult
  • Member, National Board of Directors, Children and Adults with Attention-Deficit/Hyperactivity Disorder.  CHADD.org

sharewik logo Crop

Tagged With: CW Hall, David Klaus, Depression, Diana Keough, Elaine Taylor-Klaus, Health Care Radio, health radio, Health Talk radio, Healthcare, healthcare radio, hyperactive child, ImpactADHD, learning disabilities, mental health, neurology, ShareWIK Media Group, stress, Top Docs, Top Docs Radio

Chronic Lyme Disease – Top Docs Radio

April 24, 2015 by angishields

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Chronic Lyme Disease - Top Docs Radio
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Chronic Lyme Disease

Chronic Lyme Disease

This week, on Dr. Andrew Pugliese’s monthly special edition of Top Docs Radio we talked about chronic lyme disease.  Also known as post-treatment lyme disease syndrome, this chronic, debilitating condition is frequently overlooked outside of the Northeast, where it’s known to be prevalent.

As we learned from David Baird, a patient experiencing chronic lyme disease, and Karen Huppert, the mother of a college-age student who dealt with the illness, its severe symptoms, and treatment for several years as well.  They both shared their poignant stories and described how they moved from specialist to specialist trying to find a diagnosis.  And they shared how they were told that, “Lyme disease doesn’t exist in Georgia,” leading to a significant delay in the diagnosis that allowed them to seek appropriate care.

David brought his wife, a local veterinarian, also talked about how comparatively easy it is to diagnose a canine, for whom there are straight-forward tests that identifies the infection, and treatment is also effective and readily available.  She talked about how frequently she treats pets for Lyme disease here in her local Atlanta office.

We strongly encourage patients to seek second opinions and to seek to learn all they can about their symptoms and diseases to facilitate timely treatment, which can affect outcomes.

I was also pleased to host Dr. Leanna Kart, DC, a chiropractor whose practice is located on Howell Mill Road in west Atlanta.  May is National Posture Awareness Month.  We talked about how technology has affected neck/back health through creating a tendency to sit with the head in a chin-down orientation for long periods of time.  This causes an increased strain on the connective tissues and muscles in the neck, which can lead to headaches, neck and back pain, and neurologic symptoms.

Special Guests:

Andrew Pugliese, MD, Infectious Disease Consultants twitter_logo_small  linkedin_small1  facebook_logo_small3  Blogger 2  

Infectious Disease Consultants

  • Doctorate in Medicine, St. George University School of Medicine
  • Fellowship, Infectious Disease, Winthrop University Hospital
  • Triple Board Certified in Internal Medicine and Infectious Disease
  • Pioneer in non-surgical treatment of acute and chronic sinusitis
  • President of Sinus Solutions

David Baird, Chronic Lyme Disease Patient

Karen Huppert, Parent of a young Chronic Lyme Disease patient

Dr. Leanna Kart, DC, of NW Chiropractic  linkedin_small1

kart

  • Doctor of Chiropractic, Life University
  • Owner of NW Chiropractic for over 26 years
  • Board Member, Georgia Chiropractic Association

 

Tagged With: CW Hall, David Baird, Health Care Radio, health radio, Healthcare, healthcare radio, hyperbaric physicians of georgia, hyperbarxs, infection, Infectious Disease Consultants, Karen Huppert, lyme disease, post treatment lyme disease syndrome, tick bite

Pediatric Health Technologies

April 24, 2015 by angishields

Health Connect South
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Pediatric Health Technologies
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Pediatric Health Technologies

This week we had experts on the show talking about developments in Pediatric Health Technologies.  We were joined in studio by Leanne West, Principal Research Scientist at Georgia Tech Research Institute, and Paul Spearman, Chief Research Officer with Children’s Healthcare of Atlanta.  They came by to talk about the innovative collaboration between academic research institutions, Emory and Georgia Institute of Technology, that help accelerate the rate that important technologies can be made available to the pediatric patient population in need.  Carly Kiseleczynk, CEO/Founder of BrainChild Technologies also came by to talk about the intriguing technology that allows parents to have more interactive interaction with young infants through their pacifier-controlled device that interfaces and can control applications and toys through non-nutritional sucking patterns.

We discussed the goals of these important Atlanta research institutions of helping pediatric health providers to treat the unique needs of very young patients.  They have what they call a “Quick Wins” program where they engage with promising technology companies to help them bring their solutions to market within a very-fast 18 months.

Carly talked about how they were able to advance their work on developing an interactive technology that allows infants to learn how to control toys and tablet-based applications with their sucking patterns.  The infants are able to turn on a mobile or night light, or make remote-controlled toys move.  And they’re able to advance language skills through interacting with special tablet-based applications that can provide data on certain developmental milestones.

Both of these initiatives can benefit from financial support to allow them to hasten the pace of their research and make these helpful technologies available to pediatric patients in need sooner.

Special Guests:

Leanne West, Principal Research Scientist with Georgia Tech Research Institute  linkedin_small1

leanne

  • Education, Vanderbilt University
  • Former High School Physics Teacher
  • 17 years as Research Scientist Georgia Tech Research Institute
  • Recipient, 2014 Woman of the Year, Georgia Women In Technology

 

Paul Spearman, Chief Research Officer with Childrens Healthcare of Atlanta  linkedin_small1

Childrens Healthcare of Atlanta

  •  Doctor of Medicine, University of Texas Southwestern Medical School
  • Residency, Internal Medicine and Pediatrics, The Ohio State University
  • Residency, Infectious Disease, Washington University in St. Louis
  • Professor, Emory University School of Medicine

Carly Kiselyczynk, CEO/Founder, of BrainChild Technologies  linkedin_small1

BrainChild Technologies

  • PhD, Medical Sciences, Neurosciences, Karolinska Institutet
  • Published research author
  • Postdoctoral Fellow, Yale Depression Research Group
  • Recipient 2012 Ruth L. Kirchstein National Research Service Award

 

 

Tagged With: CW Hall, Diana Keough, Emory, Emory University School of Medicine, Georgia Tech Research Institute, health radio, health technology, Healthcare, healthcare innovation, healthcare radio, healthcare research, Leanne West, Paul Spearman, pediatric medicine, pediatric research, pediatrics, Quick Win, ShareWIK Media Group, the grasper

Senate Bill 158 – Top Docs Radio

April 20, 2015 by angishields

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Senate Bill 158 - Top Docs Radio
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Medical Association of Georgia

 

Senate Bill 158

On this week’s show we continued our monthly series with the Medical Association of Georgia.  MAG’s CEO/Executive Director, Donald J. Palmisano, Jr. stopped by for a discussion on the state of Senate Bill 158, changes in the insurance contracting arena, and other topics on the MAG agenda.  Donald also shared how he and a colleague were able to raise over $40,000 to support the Think About It campaign to raise awareness and fight prescription drug abuse/addiction in Georgia, participating in a 100 mile race and completing it in under 24 hours.  In the days since Donald joined us on the show, Senate Bill 158 was passed.

MAG continues to take steps to enhance the relationship between health insurer Blue Cross Blue Shield of Georgia, Inc. (BCBSGa) and physicians in the state.

At the end of 2014, Georgia Insurance Commissioner Ralph Hudgens rescinded physician contract amendments that BCBSGa had put into place in Georgia following “numerous complaints from physicians (and their practices).”

First MAG/BCBSGa “Physician Advisory Group” meeting took place on February 12. It is forum for physicians to express their concerns, it will give Blue Cross the opportunity to disseminate information about new payer initiatives, it will be a venue for improving communications, and it will serve as a mechanism for physicians to weigh in on Blue Cross’ clinical policies, operations and contracting practices.

The advisory group consists of four MAG member physicians as well as MAG Health Policy and Third Party Payer Advocacy Department Director Susan Moore and BCBSGa Senior Clinical Officer Mark Kishel, M.D., and BCBSGa Director of Network Management/Georgia Provider Solutions Hayden Mathieson. They will meet a minimum of three times a year.

Rental Networks

 

MAG supports legislation that would limit rental networks in Georgia. A rental network involves a health insurer that rents or sells its network of physicians to another health insurer. These second-level insurers then include the physicians in their health insurance plans – and pay the physicians an even deeper discount – even though they don’t have a contract with the physicians.

 

It’s not uncommon for physicians to offer their services to a health insurer at a discounted rate because the higher patient volume offsets the costs. However, the aforementioned insurers rent or sell their networks without the physician’s knowledge – so the physicians often aren’t aware that they are in a given network or that they are contractually obligated to deliver patient care at a greater discount.

 

Rental networks result in mass confusion and higher administrative costs (e.g., the additional staff time that is required to verify a patient’s health insurance coverage and/or confirm the proper payment). Rental networks can also reduce the accessibility of care because physicians are forced to accept the lower (i.e., “re-priced” or “re-rented”) payment or refuse to see the patient for any follow-up or future care.

 

Rental networks are an inappropriate, profit-driven tactic that undermines the practice environment in Georgia that will exacerbate the physician shortage in the state. Sixteen states have now adopted laws that regulate or limit or prohibit rental networks.

 

Insurers are prohibited from using rental networks in federal employee health benefits plan contracts.

 

 

All-Products Clauses

 

Insurance companies use ‘all-products or all-or-nothing’ clauses as a cost-control tactic to force physicians to participate in every health insurance product that they offer or be blocked from caring for patients in the insurer’s plan altogether.

 

By forcing physicians and their practices to agree to all-products clauses, health insurers are undermining the economic viability of the medical profession in Georgia – keeping in mind that a report that was prepared by IMS Health for the American Medical Association determined that physicians in Georgia “created a total of $29.7 billion in direct and indirect economic output (i.e., sales revenues) in 2012… [and] each physician supported $1,559,494 in [economic] output.” It is also worth noting that the report found that “…physicians supported 205,869 jobs (including their own)…[and] $1,089.6 million in local and state tax revenues in 2012.”

 

Because physicians are constantly wrestling with these manipulative contract provisions, they have less time to spend with their patients.

 

All-products clauses violate several individual rights, including the right to contract and an owner’s right to operate a business in a free and autonomous way.

 

Physicians and medical practices in Georgia should be free to accept the health insurance products of their choice versus the ones that’s imposed on them by profit-driven insurance companies.

 

Eleven states have enacted prohibitions on all-products clauses, including Alaska, Arkansas, Florida, Indiana, Kansas, Kentucky, Maryland, Massachusetts, Minnesota, Ohio, and Virginia – as well as Washington, D.C.

 

Special Guest

Donald Palmisano, CEO, Executive Director of Medical Association of Georgia  twitter_logo_small  linkedin_small1  facebook_logo_small3

Medical Association of Georgia

  • JD Law, Loyola School of Law
  • Board of Directors, Physician Advocacy Institute
  • Medical Payment Subcommitte Member, State Board of Workers’ Compensation
  • Treasurer, Board of Directors, Physicians’ Institute for Excellence in Medicine
  • Former Director, Government Relations/General Counsel/Director, GAMPAC

Tagged With: CW Hall, Donald J. Palmisano, EMR, Health Care Radio, health radio, Healthcare, Healthcare associations, healthcare radio, Meaningful Use, Medical Association of Georgia, network adequacy, physician reimbursement, physicians, prescription drug abuse, rental networks, senate bill 158, Sustainable Growth Rate, Think About It, Think About It Campaign, Top Docs Radio

Eating Disorders

April 15, 2015 by angishields

Health Connect South
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Eating Disorders
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eating disorders information network

Eating Disorders

This week we focused on eating disorders.  I sat down with experts from Eating Disorders Information Network, a non-profit organization aimed at outreach to increase awareness/prevention among students in grade school to high school, and helping people identify resources for treatment.  According to the National Anorexia Nervosa Association, eating disorders are a serious problem, with as many as 24 million Americans suffering with some form of disorder from anorexia, to bulemia, to binge/purge, and more.

The problem affects both men and women, children and adults, across all demographics.  And according to Dr. Dina Zeckhausen, founder of EDIN, eating disorders are more deadly than other mental illness.  When you consider dysfunctional eating habits such as overly-restrictive dieting, comfort eating, and others, as many as 80-90% of us are impacted at some time by potentially-problematic attitudes about food.

EDIN is working to engage young people beginning in grade school through high school to promote self-acceptance and to share information about the dangers of risky behaviors such as “clubs” that foster unhealthy choices such as eating crackers and water only for lunch with a group of peers.  Their website describes their mission in this way, “The Eating Disorders Information Network (EDIN) is a nonprofit organization dedicated to the prevention of eating disorders through education, outreach, and action.  EDIN is committed to addressing the problem of eating disorders on a societal level.  We are devoted to: 

  • Preventing eating disorders
  • Increasing public awareness of the personal, familial, and cultural/media influences which contribute to eating disorders
  • Helping those already suffering to find the therapeutic services they need

The organization strives to serve as a comprehensive resource and educational guide for those wanting to learn more about eating disorders, those seeking help, and those gathering and distributing information about available treatment options both in the Atlanta area and nationwide.”

Special Guests:

Dina Zeckhausen, PhD, Founder of Eating Disorders Information Network  twitter_logo_small  linkedin_small1  youtube-logo1  google-plus-logo-red-265px  Pinterest LOGO

Eating Disorders Information Network

  • PhD, Clinical-Community Psychology, University of South Carolina
  • Active private practice psychologist
  • Well-known public speaker on the topic of eating disorders
  • Published author and playwrite

Hallie Udelson, Eating Disorders Information Network

hallie

  • BA, Psychology, Emory University
  • 2016 Candidate, Master of Public Health, Emory University
  • Developing curriculum for school outreach initiatives for EDIN

Sara Pannell, Incoming Director, Eating Disorders Information Network

Trillium Springs Counseling

  • Licensed Family and Marriage Counselor, Trillium Springs Counseling
  • MS, Family & Marriage Counseling, Fuller Theological Seminary
  • Previous Bi-lingual Clinician I, San Fernando Valley Community Mental Health Center

Tagged With: CW Hall, Depression, Diana Keough, dieting, Dina Zeckhausen, eating disorders, eating disorders information network, Hallie Udelson, Health Care Radio, Health Connect South, Health Connect South Radio, health radio, Healthcare, healthcare radio, national anorexia nervosa association, overweight, peer pressure, russ lipari, Sarah Pannell, ShareWIK Media Group, sharewik.org, Weight Loss

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