September 14, 2009

 

 
President Obama's Address About Healthcare Reform
  

By John Early, MD
President, Texas Orthopaedic Association

Many of you may have seen President Obama's Address to Congress regarding healthcare reform.  We have posted AAOS's comments regarding the Presidential Address to Congress.  If you were not able to see view President Obama's message, you may find it here. (http://www.youtube.com/watch?v=3MVtE7C-YVc)

Message from Joseph D. Zuckerman, MD, AAOS President

 

Last night, President Barack Obama spoke to a joint session of Congress on the issue of health care reform one day after they returned from August recess. The President addressed many concerns that have been expressed by the American public and by health care professionals. Throughout his speech, the President expressed a desire to gain bipartisan support from the Democratically-controlled House and Senate.

In his speech, the President focused on three major points: 1) preserving existing coverage for those already insured; 2) limiting funding to savings within the existing health care system; and 3) identifying and eliminating waste in the system which could include implementing some version of medical liability reform. A significant portion of the President's speech focused on changes to the insurance industry including non-denial for pre-existing conditions, ending caps on annual and lifetime benefits and an end to cancellation of coverage. The President also explained that his plan would require individuals to carry health insurance and businesses to provide it. Businesses and individuals that cannot afford insurance will receive tax credits. The plan also includes health insurance exchanges and restrictions of caps on private coverage. The AAOS clearly agrees with the need for reform in the health care delivery system, and we look forward to examining new specific proposals for health care reform.

Regarding medical liability reform, the President directed Health and Human Services Secretary Kathleen Sebelius to create demonstration projects that would test alternative models of medical liability reform. The AAOS applauds the President's recognition that there is a problem with the current legal system and initiative to improve the current model. However, there are models that we already know work. We are going to actively pursue Congress on several levels to urge swift action on these measures to ensure that we remove the waste in the health care system related to a broken tort system and defensive medicine, paving the way to implement the other health care reform proposals being debated.

President Obama noted, "Our overall efforts have been supported by an unprecedented coalition of doctors and nurses; hospitals, seniors' groups and even drug companies – many of whom opposed reform in the past." While several other physician organizations have endorsed the House bill, the AAOS has not endorsed any plan currently on the table. The AAOS believes there is a serious need for health care reform, but reform must be done responsibly and with patients at the forefront. To this end, the AAOS Office of Government Relations, the physician leadership, and many fellows across the country are actively engaging Congress to press for patient-focused health care reform that ensures affordable, quality specialty care. Now that the substance of health care reform legislation is becoming clearer we will continue our efforts, along with the surgical community and the Alliance of Specialty Medicine, to carefully analyze the proposals and publicly support those positions consistent with our well-documented position on health care reform.

We welcome the attitude of openness from the President and look forward to continuing to work with the White House and Congress on this important issue.

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Featured Legislator: Chet Edwards (17th District)
 
  

By David Teuscher
TOA Legislative Committee Chair

Your Texas Orthopaedic leadership delegation participated in Capitol Hill visits during the NOLC 2009 (National Orthopaedic Leadership Conference) hosted by the American Association of Orthopaedic Surgeons on April 30, 2009. During this historic year when healthcare reform is being debated, it was critical for your TOA leaders to carry

your message to Congress. Most of the Texas Congressmen met with our orthopaedic delegation in person, sometimes for extended periods of time. We want to thank each legislator and their staff for spending time with us in an effort to make sure we get reforms right for our patients and our practices.

 

Doctors need to go to Washington and call their Representative and Senators and make their presence felt and their concerns known. Representative Edwards, a Democrat representing the 17th District sits on the powerful Appropriations committee. He also sits on the Budget Committee. Both committees will be very important in any funding considerations for healthcare reform. Representative Edward's district includes Waco, College Station and Cleburne. He is a tenth-term democrat and has physician-owned facilities in his district.

 

Click here to obtain his contact information.

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This Week In Texas: Mignon McGarry Memos

By Mignon McGarry
TOA Legislative Advocate
TOA Online Version: All Memos

 

September 9, 2009, Wednesday

Rep. Diana Maldonado (D-Round Rock) will face Republican Larry Gonzales in the race for House District 52.

Kinky Friedman has announced that he will run for Governor in 2010 as a Democrat. Friedman made the race in 2006 as an Independent. He is the fifth Democrat in the race, joining Felix Alvarado, Hank Gilbert, Tom Schieffer, and Mark Thompson.

Two candidates have officially announced their intent to run for lieutenant governor. Current Lt. Governor David Dewhurst sent a letter to his supporters announcing his intent to run for reelection. Mark Katz, owner of Austin deli Katz's, announced his intention to run for lieutenant governor as a Democrat.

Gov. Rick Perry appointed Scott Fisher, a Bedford pastor, to chair the Texas Youth Commission. He also appointed five new members: Grayson County District Attorney Joseph Brown; Larry Carroll, who runs the Permian Basin Community Centers for Mental Health and Mental Retardation in Midland; Manson Johnson, a Houston pastor; Cameron County Judge Rolando Olvera; and Dr. David Teuscher, an orthopedic surgeon at the Beaumont Bone and Joint Institute.

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Thank You To Our Sponsor: Angiotech

 

Visit their website!

 

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Walter R. Lowe, M.D. Named The New Chairman Of The Department Of Orthopaedic Surgery
 
  

TOA member, Walter R. Lowe, M.D. has been named the new Chairman of the Department of Orthopaedic Surgery at the University of Texas Medical School at Houston and the Chief of Orthopaedics at Memorial Hermann-TMC. He is a team physician for the Houston Texans and Houston Rockets. Dr. Lowe had been serving as Director of the Baylor Sports Medicine Fellowship and Chief of the Sports Medicine Section.

Lowe, graduated from the UT Medical School in 1983 and he studied

under legendary baseball doctor Frank Jobe, M.D., who in 1974 pioneered a procedure to repair injured pitching arms called the "Tommy John surgery." Lowe specializes in the care of injured knees, shoulders and elbows. According to Dr. Lowe, "My No. 1 priority is to make sure the orthopedic surgery residents get the best training possible. I want to grow the department and recruit top faculty members. Memorial Hermann and the UT Medical School have the commitment to do just that."

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TDI/TWC Accepting Comments On Informal Working Draft Of eBill Rules
 

Informal Working Draft of Rules concerning Chapter 133, Subchapter A (relating to General Rules for Medical Billing and Processing); Chapter 133, Subchapter B (relating to Healthcare Provider Billing Procedures); Chapter 133, Subchapter C (relating to Medical Bill Processing/Audit by Insurance Carriers); Chapter 133, Subchapter G (relating to Electronic Medical Billing, Reimbursement, and Documentation); and Chapter 134, Subchapter B (relating to Miscellaneous Reimbursement).

Amendments to
28 TAC §§133.2, 133.10, 133.210, 133.500, 133.501, 134.120
Addition of
28 TAC §133.502

Informal Comments due by September 15, 2009

The Texas Department of Insurance, Division of Workers' Compensation (TDI-DWC) has prepared a working draft of rules concerning paper medical billing, medical documentation, and electronic medical billing requirements. These draft changes are suggested in order to more fully implement the provisions of House Bill 7, 79th Legislature, Regular Session (2005), which added Labor Code §408.0251 requiring the TDI-DWC to adopt rules related to electronic billing requirements and which modified §413.011 requiring the TWC-DWC to adopt rules aligned with the Centers for Medicare and Medicaid Services' coding and billing policies (with modifications to documentation requirements as needed for workers' compensation purposes).

Staff at TDI-DWC invites your input on the attached informal working draft rules. This informal working draft is not a formal rule proposal. Accordingly, your response will not be treated as a formal public comment for the purposes of the Administrative Procedures Act. You will have the opportunity to make formal comments after the rules are formally posted and officially published in the Texas Register. Staff anticipates proposed publication of the rules in November or December 2009.

To expedite the comment process, we encourage you to submit any comments to the informal working draft electronically via email to the address below. We request that informal comments be submitted by 5:00 p.m. on September 15, 2009.

Email: InformalRuleComments@tdi.state.tx.us

Thank you for your interest and assistance in this process.

A Microsoft Word copy of the informal draft rules are provided for your convenience; however, the PDF copy is the official copy for the purpose of commenting on these informal working draft rules.

Informal working draft in Word Format / PDF Format

For more information contact: InformalRuleComments@tdi.state.tx.us

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