Saturday, January 16, 2016

MEANINGFUL USE IS DEAD


The acting administrator at the Centers for Medicare & Medicaid Services (CMS), Andrew Slavitt, announced on January 11, 2016, that "The Meaningful Use program as it has existed will now effectively be over, and be replaced with something better".  The announcement occurred at the J.P. Morgan Healthcare Conference in San Francisco.

Meaningful Use is dead. Just like that.

As the Meaningful Use money making opportunities are ending, CMS is "moving to a new regime." “We have to get the hearts and minds of physicians back. I think we’ve lost them,” Mr. Slavitt said. He noted that, when the meaningful use incentive program began, few physicians and practices used electronic health records and concerns were that many would not willingly embrace information technology. Now that “virtually everywhere care is delivered has a computer,” it’s time to make health care technology serve beneficiaries and the physicians who serve them, Mr. Slavitt said.

The cost, however, was too high, Mr. Slavitt said.

Meaningful use was created by an act of Congress, and enshrined for posterity in a subsequent act of Congress, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Soon, CMS will no longer reward health care providers for using technology, but will instead focus on patient outcomes through the merit-based incentive pay systems created by last year’s Medicare Access and CHIP Reauthorization Act (MACRA) legislation. In addition to asking physicians to work with health care IT innovators to create systems that work best according to their practice’s respective needs, CMS is calling on the private sector to create apps and analytic tools that will keep data secure while fostering true and widespread interoperability.

Meaningful Use is dead.

What’s coming next?

Paying physicians for outcomes.

It is the use of evidence-based medicine. It is interoperability and "user-centered" design. It is accountable care organizations, value, patient-centeredness, coordination and such. It is also the making of markets "by leveling the technology playing field for start-ups and new entrants."
The AMA is launching  a "Silicon Valley integrated innovation company" to monetize its members in service to the new CMS regime. The AMA is a founding partner in the Silicon Valley (Calif.) based Health2047, a company focused on supporting health IT and other entrepreneurs in their efforts to provide physicians with digital tools that improve patient outcomes, among other innovations.

Central to the AMA’s plan for the future: Helping physicians restructure practice via technology. The goal of Health2047 is to leverage physicians' expertise to "help forge new paths and bring commercial solutions to market faster," and of course to make boatloads of money for investors, including the AMA.

After collectively sinking billions of dollars in certified EHR technology over the last 5 years, hospitals and doctors will now be expected to foot the bill for new software and computer products to support the lifestyles of a new generation of Silicon Valley entrepreneurs and the insatiable greed of the old generation of Silicon Valley investors. Why?

Because the next app is sure to fix health care in America.

It's always the next one. There is always "something better" you can buy. Planned obsolescence, which is fueling the fortunes of Silicon Valley and destroying life everywhere else, has finally arrived to the $3 trillion health care sector.

Meaningful Use is not just about onerous burdens on physicians. It is also about regulating design and production of medical software to serve the needs and wants of government and large corporations.

So There.

 

Sources:





 

Tuesday, May 1, 2012

EPA administrator forced to resign.

Dear Mr. President,

I'm so very happy to see that your choice for a regional EPA administrator has been forced to resign.
I refer to EPA administrator Al Armednariz who resigned on Monday (the Communist May Day) after his comments comparing his enforcement philosophy to crucifixions surfaced in a since-deleted YouTube video.

Armednariz's apologies are worthless to a Christian like me, who takes offense to his comparison of the EPA's job as what was done to my Lord and Savior, Jesus Christ, on the Cross.


Mr. President, if you are a Christian, as you claim, to be, YOU ARE THE ONE who should resign over the denigration of Jesus Christ, the Only Begotten Son of God, and the Lord and Savior of all humans who choose to accept Him.

I hope you are truly ashamed.

Saturday, April 28, 2012

Politicians and the Taxing Poem


 I’m gonna ask you to read  sumpin’  kinda long…

But well worth your time…

So I’m challenging you to…

·        1st:  read to the end…(including the Taxing Poem)…and

·        2nd: to send it on to someone else…

 This has been attributed to Charlie Reese, a retired reporter…but even if you skeptics out there choose to say he didn’t write it…

The thoughts therein are dear to my heart…
So here goes…

Politicians are the only people in the world who create problems and then campaign against them.

Have you ever wondered, if both the Democrats and the Republicans are against deficits, WHY do we have deficits?

Have you ever wondered, if all the politicians are against inflation and high taxes, WHY do we have inflation and high taxes?

You and I don't propose a federal budget. The President does.

You and I don't have the Constitutional authority to vote on appropriations.

The House of Representatives does.

You and I don't write the tax code, Congress does.

You and I don't set fiscal policy, Congress does.

You and I don't control monetary policy, the Federal Reserve Bank does.

One hundred senators, 435 congressmen, one President, and nine Supreme Court justices equates to 545 human beings out of the 300 million are directly, legally, morally, and individually responsible for the domestic problems that plague this country.

I excluded the members of the Federal Reserve Board because that problem was created by the Congress. In 1913, Congress delegated its Constitutional duty to provide a sound currency to a federally chartered, but private, central bank.

I excluded all the special interests and lobbyists for a sound reason. They have no legal authority. They have no ability to coerce a senator, a congressman, or a President to do one cotton-picking thing. I don't care if they offer a politician $1 million dollars in cash. The politician has the power to accept or reject it. No matter what the lobbyist promises, it is the legislator's responsibility to determine how he votes.

Those 545 human beings spend much of their energy convincing you that what they did is not their fault. They cooperate in this common con regardless of party.

  The Constitution, which is the supreme law of the land, gives sole responsibility to the House of Representatives for originating and approving appropriations and taxes.

It seems inconceivable to me that a nation of 300 million cannot replace 545 people who stand convicted -- by present facts -- of incompetence and irresponsibility.  I can't think of a single domestic problem that is not traceable directly to those 545 people. When you fully grasp the plain truth that 545 people exercise the power of the federal government, then it must follow that what exists is what they want to exist.

If the tax code is unfair, it's because they want it unfair.

If the budget is in the red, it's because they want it in the red.

If the Army & Marines are in Iraq and Afghanistan it's because they want them in Iraq and Afghanistan ...

If they do not receive social security but are on an elite retirement plan not available to the people, it's because they want it that way.

There are no insoluble government problems.

Do not let these 545 people shift the blame to bureaucrats, whom they hire and whose jobs they can abolish; to lobbyists, whose gifts and advice they can reject; to regulators, to whom they give the power to regulate and from whom they can take this power. Above all, do not let them con you into the belief that there exists disembodied mystical forces like "the economy",  "inflation," or "politics" that prevent them from doing what they take an oath to do.

Those 545 people, and they alone, are responsible.

They, and they alone, have the power.

They, and they alone, should be held accountable by the people who are their bosses. Provided the voters have the gumption to manage their own employees...

We should vote all of them out of office and clean up their mess!


QUOTE:
“In the beginning of change, the patriot is a scarce man, and brave, and hated ...and scorned.
When his cause succeeds, the timid join him, for then it costs nothing to be a patriot."
--Mark Twain


What you do with this article now that you have read it... is up to you.

This might be funny if it weren't so true.

Now after the aforementioned points………………….

don’t forget the poem……………………..

                                                                  Tax his land,

Tax his bed,

Tax the table,

At which he's fed.



Tax his tractor,

Tax his mule,

Teach him taxes

Are the rule.



Tax his work,

Tax his pay,

He works for

peanuts anyway!



Tax his cow,

Tax his goat,

Tax his pants,

Tax his coat.



Tax his ties,

Tax his shirt,

Tax his work,

Tax his dirt.



Tax his tobacco,

Tax his drink,

Tax him if he

Tries to think.



Tax his cigars,

Tax his beers,

If he cries

Tax his tears.



Tax his car,

Tax his gas,

Find other ways

To tax his ass.



Tax all he has

Then let him know

That you won't be done

Till he has no dough.



When he screams and hollers;

Then tax him some more,

Tax him till

He's good and sore.



THEN tax his coffin,

Tax his grave,

Tax the sod in

Which he's laid...



Put these words

Upon his tomb,

'Taxes drove me

to my doom...'



When he's gone,

Do not relax,

It’s time to apply

The inheritance tax.

Accounts Receivable Tax

Building Permit Tax

CDL license Tax

Cigarette Tax

Corporate Income Tax

Dog License Tax

Excise Taxes

Federal Income Tax

Federal Unemployment Tax (FUTA)

Fishing License Tax

Food License Tax

Fuel Permit Tax

Gasoline Tax (currently 44.75 cents per gallon)

Gross Receipts Tax

Hunting License Tax

Inheritance Tax

Inventory Tax

IRS Interest Charges IRS Penalties (tax on top of tax)

Liquor Tax

Luxury Taxes

Marriage License Tax

Medicare Tax

Personal Property Tax

Property Tax

Real Estate Tax

Service Charge Tax

Social Security Tax

Road Usage Tax

Recreational Vehicle Tax

Sales Tax

School Tax

State Income Tax

State Unemployment Tax (SUTA)

Telephone Federal Excise Tax

Telephone Federal Universal Service Fee Tax

Telephone Federal, State and Local Surcharge Taxes

Telephone Minimum Usage Surcharge Tax

Telephone Recurring and Nonrecurring Charges Tax

Telephone State and Local Tax

Telephone Usage Charge Tax

Utility Taxes

Vehicle License Registration Tax

Vehicle Sales Tax

Watercraft Registration Tax

Well Permit Tax

Workers Compensation Tax





AT FIRST, I THOUGH THIS WAS FUNNY…

FUNNY HOW YOUR PERSPECTIVE CAN CHANGE, HUH?



Not one of these taxes existed 100 years ago, & our nation was the most prosperous in the world.

We had absolutely no national debt, had the largest middle class in the world, and Mom, if agreed, stayed home to raise the kids.



What in the heck happened?



Can you spell 'politicians?'



I hope this goes around THE USA at least 545 times!!!



YOU can help it get there!!!



GO AHEAD. . . BE AN AMERICAN!!!






How’s that Hope & Change workin’ out for ya…?


*********************************************************


Tuesday, April 10, 2012

The Muslim Brotherhood comes to America

In case you missed it, the Muslim Brotherhood, the radical arm of Islam Sharia Law, came to America, with the approval of the Obama Administration.
The most pro-Muslim president this country has ever experienced is welcoming terrorists into the "democratic" process of global politics via the United Nations and even his own State Department---and NOW the White House---through supposed "negotiations."

The Obama administration had to approve their coming. That means State Department Head Hillary Clinton had to give her okay for this Muslim Brotherhood group to come to charm those in Washington, D.C.

The Muslim Brotherhood is the embodiment of Sharia Law.

Sharia's goal is to destroy Western civilization in favor of a new global Caliphate that will govern Muslims and non-Muslims alike according to its principles.

Sharia is by design a complete and all-encompassing doctrine. It dictates not only the rules governing religious practice but all other aspects of life as well. It is utterly hostile to American freedoms in numerous ways, as it denies liberties that are guaranteed to us by the U.S. Constitution.

Sharia and its instrument of expansion and implementation - jihad of both the violent and stealthy kind - constitute sedition. These radical Muslims are trying to create "parallel" Muslim societies and otherwise to insinuate Sharia into this country via its mosques, prisons, schools, media, government, courts and financial institutions.


Sharia Law is TOTALLY OPPOSITE of the U.S. Constitution!

In spite of their ulterior motives, the White House welcomed this terrorist group with open arms. Just this past week, they conferred with members of the National Security Council at the White House, representing the majority of Egyptian's new parliament. Tommy Victor, National Security Council spokesman said: "We believe that it is in the interest of the United States to engage with all parties that are committed to democratic principles, especially nonviolence."

Apparently, he has not studied the Muslim Brotherhood and their intentions---at all! 
"ALLAH IS OUR OBJECTIVE, MUHAMMAD IS OUR PROPHET, THE QUR'AN IS OUR LAW, JIHAD IS OUR WAY, AND DYING IN THE WAY OF ALLAH IS OUR HIGHEST ASPIRATION!"
That is the
Muslim Brotherhood motto!
You decide?!!

The Muslim Brotherhood's avowed goal in the United States is to "wage a grand jihad in eliminating and destroying Western civilization from within and sabotaging its miserable house." This is achieved through thinly-disguised front organizations with supposed qualifications as "moderates" that can obtain the friendliness of the media and officials.

These fronts cannot continue to infiltrate our government, courtrooms and neighborhoods.

The Muslim Brotherhood delegations may speak of peace and love for their fellowman, but don't be deceived. It is all a part of their deceptive methods to use ANY means to fool the Americans into accepting Sharia. Sharia allows lying---if it is for taking over people for the Muslim faith! The term is called "taqiyya." Radical Sharia Islamists are vehemently participating in this Muslim tradition of lying about their own beliefs to hide their true nature.

Sharia Law has already infiltrated the United States Courts' system. There have already been over 50 cases where foreign laws have intertwined in our system.

Florida's U.S. Rep. Sandy Adams has introduced H.R. 973 which forbids foreign law (including Sharia Law) from our United States court system. This bill will soon be submitted to the House Judiciary Committee for “markup”.

Please contact your own Member of Congress, to ask them to support H.R. 973, which forbids foreign law (including Sharia Law) from our United States court system.

It’s vitally important to the well being of America to suppress the infiltration of radical Sharia in the United States of America!

Saturday, March 3, 2012

Ms. Fluke is an activist nymphomaniac

I detest the socialistic, liberal democratic activisim recently displayed by Ms. Fluke in a Congressional hearing.

She has No morals and is COMFORTABLE displaying publically before Congress and the US public, her nymphanic behavior in asking for the government, or insurance companies, or the public like me, to pay for her contraception, so she and 40% of her fellow law students can have “so much sex” that they won’t go broke paying for their own contraception.

I vehemently disapprove of her agenda to force religious institutions to pay for birth control and abortifacients when this is expressly against their moral precepts.


Thursday, December 8, 2011

Medicare to cut Physician payments 24.7 %

Dear Senators Hutchison and Cornyn,

The time has come for Congress to pass a permanent, sustainable and equitable solution to Medicare’s flawed physician fee schedule, which we all know as the sustainable growth rate (SGR) formula.

As a practicing podiatrist who helps treat hundreds of Medicare patients, I can tell you firsthand that under the current SGR system physicians can’t reliably plan ahead or fully cover their rising practice costs, let alone make needed investments in innovative ways of delivering care (health information technology) that could also save money.

The result is frustrating pressure on physicians to do more for patients with less, and growing difficulty for physicians in bearing the cost of all the things Medicare pays for poorly, if at all. And many medical professionals, including myself, are questioning whether it is feasible to continue seeing Medicare patients.  I simply can't continue treating Medicare patients with a 27.4% cut in my pay check.

Because physicians and other health professionals are often the most important link between beneficiaries and the health care delivery system, Medicare should institute policies that improve the value of the program to beneficiaries and taxpayers.

We need a permanent fix NOW! No more temporary “band-aids” that push the problem further down the road at ever increasing costs.

Short-term patches will never stop the systemic damage that is being done to this federal safety-net health care system – and to our economy! These patches not only threaten care to America's elderly, they threaten the survival of small medical practices and add to the ranks of the unemployed.

MedPAC’s recent proposals for SGR reform, released in September, 2011, are misguided and should be rejected by Congress and the Joint Select Committee on Deficit Reduction in their current form.  MedPAC’s suggestion to reduce reimbursements 5.9 percent for specialty providers in each of the next 3 years followed by a 7 year freeze would add a new series of very significant cuts to specialists at a time when they can least afford it. Such a policy would further threaten access to care for patients and would have significant negative consequences for the Medicare program.
It is critical that all of Congress fixes this problem once and for all.

Tuesday, November 1, 2011

Dear Randy,

I’m concerned that the “Super Committee” is going in the wrong direction.

In August, Congress passed and the President signed the Budget Control Act (BCA) of 2011, which increased the debt ceiling (again!) and set up a legislative process to “streamline” deficit reduction. The so-called “super committee” is tasked to tackle our nation’s dangerously mounting debt.

As I understand it, the “super committee” is eyeing serious tax INCREASES to meet their $1.2 trillion deficit reduction goal.

LET ME BE VERY CLEAR HERE:  Tax increases will not solve our problems and therefore should not be part of the solution.

We MUST have REAL spending cuts, to both discretionary and mandatory programs. No more typical Washington-style gimmicks. Wasteful programs and agencies that don’t need government funding (like NPR and energy subsidies) need to be cut. Government needs to get out of industries where it doesn’t belong (which is most of them) and entitlements need real.

But Randy, we simply can’t afford to cut defense and military any further as it would cripple our country. Remember, $350 billion was already cut from the military in the first round of the debt ceiling increase. Additionally, military spending was also cut during the short-term CRs and remaining budget bills earlier this year. To be clear, our nation’s military is already suffering a readiness and capabilities crisis! Further cuts to an already underfunded military are irresponsible and dangerous.

I expect for Republicans in the House to stand up against the “Super Committee” by rejecting tax increases and demanding real spending cuts.

Tuesday, October 18, 2011

Governor Perry: Call a Special Session

Dear Gov. Rick Perry,

I strongly support abolishing sanctuary policies and subsidized tuition rates for illegal aliens. You need to hold a special session to get this done irrespective of the demands of your presidential bid.

I think you should CALL FOR A DEBATE on anti-sanctuary policy to bring the issue into the national consciousness.

Those watching the legislature and your campaign will see, perhaps for the first time, the connections between the terrorist threat and the growing illegal-immigrant problem. Sanctuary cities undermine the steps that have been taken toward improving our national security. Anyone worthy of the presidency must understand this in order to lead national anti-terrorism efforts.

Congress passed two laws in 1996 that expressly forbid sanctuary city policies but the federal government has refused to enforce them. As a result, a patchwork array of sanctuary cities developed in Texas and other states that allow dangerous criminal illegal aliens to escape discovery. This makes Texans, and the entire country, more vulnerable.

The most compelling argument for ending local sanctuary policies is that they undermine federal anti-terrorism efforts. The members of the next team of Al Qaeda terrorists can easily hide in a sanctuary city because false documents are readily available, and can count on being released back into society if they're caught by local police. I don't think the general public recognizes this threat. Holding a special session would give you a forum for educating the nation.

Also Governor, I recommend a state debate now on in-state tuition policy because it will allow you to face the issue head on. It's clear that the issue is very important to your national audience as well as your constituents. Given the current political climate, I think legislators will vote to repeal. Endorsing a repeal would demonstrate that you are open to change and willing to listen to the people.

Sometimes bold action is necessary to get things back on track. Calling for a special session will allow legislators to address urgent needs at home and enable you to demonstrate to a nation how bold leadership can overcome one of our most intractable problems.

All the best,

Dr. Chris Albritton

Wednesday, September 28, 2011

Repeal Obamacare...!!!

September 28, 2011

Dear Representative Neugebauer:
Dear Senator Cornyn:
Dear Senator Hutchison:


 

I'm a proud member of the Tea Party and the TheTeaParty.net, and I'm writing to urge you to support and advocate for legislative efforts to repeal the Patient Protection and Affordable Care Act, also known as ObamaCare. ObamaCare is an unconstitutional effort to move the United States toward socialized medicine, and it MUST BE REPEALED ... !!!

My Medicare patients with Diabetes are already suffering under Obamacare as the red tape for them to obtain Diabetic Shoes has become incredibly complex and onerous for not only the patient, but for their Podiatrist, and for their Primary Care Physician.

Several of my diabetic patients have had a leg amputated because they were unable to obtain Diabetic Shoes.


NOW FOR A PERSONAL QUESTION...


If I were your personal Podiatrist, and I told you that we (the medical team) could not save your leg, and that it must be amputated, how do you think this would affect your life?

Nearly every week, I must tell a patient that we must amputate a part of their foot, or their leg, and I see the tears in their eyes, and hear the pain in their voice as they say, "OK Doc, I know ya gotta do what ya gotta do."

Much of this is preventable, but under Obamacare, it Is Getting WORSE...!!!

Please do everything possible to effect the complete and total repeal of Obamacare...!...or at least defund it.

Otherwise, it won't be long until either you, or someone you dearly love, will become subject to the ravages of rationed healthcare under Obamacare.

May God bless you as you preserve liberty and freedom in the United States of America...!


Sincerely,

Dr. Chris Albritton
2501 S Willis St

Abilene, TX 79605

Friday, September 23, 2011

Medicare Physician Fee Schedule

Dear Seantors Cornyn and Hutchison, and Congressman Naugebauer,

The time has come for Congress to pass a permanent, sustainable and equitable solution to Medicare’s flawed physician fee schedule, which we all know as the sustainable growth rate (SGR) formula.

As a practicing Podiatrist who helps treat hundreds of Medicare patients, I can tell you firsthand that under the current SGR system physicians can’t reliably plan ahead or fully cover their rising practice costs, let alone make needed investments in innovative ways of delivering care (health information technology) that could also save money.

The result is frustrating pressure on physicians to do more for patients with less, and growing difficulty for physicians in bearing the cost of all the things Medicare pays for poorly, if at all. And many medical professionals are questioning whether it is feasible to continue seeing Medicare patients.

Because physicians and other health professionals are often the most important link between beneficiaries and the health care delivery system, Medicare should institute policies that improve the value of the program to beneficiaries and taxpayers.

We need a permanent fix NOW!

No more temporary “band-aids” that push the problem further down the road at ever increasing costs.

Short-term patches will never stop the systemic damage that is being done to this federal safety-net health care system – and to our economy!  These patches not only threaten care to America's elderly, they threaten the survival of small medical practices and add to the ranks of the unemployed.

MedPAC’s recent proposals for SGR reform, released in September, 2011, are misguided and should be rejected by Congress and the Joint Select Committee on Deficit Reduction in their current form.  MedPAC’s suggestion to reduce reimbursements 5.9 percent for specialty providers in each of the next 3 years followed by a 7 year freeze would add a new series of very significant cuts to specialists at a time when they can least afford it. Such a policy would further threaten access to care for patients and would have significant negative consequences for the Medicare program.

It is critical that you work with your colleagues this year to enact legislation that provides a long-term meaningful solution and that eliminates the current target based payment system.