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June 3, 2021

Bill Introduced in Congress to Limit Medicare Advantage Prior Authorization

Bill Introduced in Congress to Limit Medicare Advantage Prior Authorization On May 21, 2021, House Bill 3173 (117th Congress), which seeks to cut red tape on prior authorizations in Medicare was introduced. The bill would require Medicare Advantage plans to report approval and denial rates. The bill was introduced by Representative Larry Buchon, MD, and would require Medicare Advantage insurers to be more clear about their prior authorization policies, according to a group of House members. H.R.3173 would establish an electronic prior authorization process and would require the Department of Health and Human Services to create a process for real-time decisions for items and services routinely approved. It would require Medicare Advantage plans to report on their use of prior […]
June 3, 2021

CMS Inspector General Find Millions in Overpayment to Anthem Health Care

CMS Inspector General Find Millions in Overpayment to Anthem Health Care On May 24, 2021, CMS’ Inspector General announced a finding that health insurer Anthem failed to comply with some federal coding requirements, resulting in overpayments to Anthem of $3.47 million.  Under the Medicare Advantage program, CMS makes monthly payments to organizations according to a system of risk adjustment determined by the health status of each enrollee. CMS relies on Medicare Advantage insurers to collect diagnosis codes from providers and submit them to CMS. Some of the diagnoses are at a higher risk of being miscoded.  For the audit, CMS sampled 203 unique enrollee-years from Anthem and focused on seven groups of high-risk diagnosis codes to determine whether the codes […]
June 3, 2021

U.S. Department of Health and Human Services Announces Several New Appointments

U.S. Department of Health and Human Services Announces Several New Appointments On May 25, 2021, the U.S. Department of Health and Human Services announced 15 new appointments: 1. Steve Cha, MD, was named counselor to the secretary, Agency for Healthcare Research and Quality/Food and Drug Administration/National Institutes of Health. 2. Melanie Fontes Rainer was named counselor to the secretary, Affordable Care Act/marketplaces/Office for Civil Rights/Center for Medicare & Medicaid Innovation. 3. Steven Lopez was named counselor to the secretary, Equity/Office of the Assistant Secretary for Health/Health Resources and Services Administration/Indian Health Service. 4. Ben Scott was chosen as advance representative in the Office of the Secretary. 5. Josie Villanueva Prescott was chosen as counselor to the secretary, Administration for Children […]
  • ISASS provides the missing link in spine surgery. The society has developed a unique platform for spinal surgeons, innovative scientists, and industry, all having the goal of improving today’s treatment options and patient outcomes. Innovation is needed, but the great ideas meet many obstructions before clinical implementation. Let’s learn from each other at ISASS. The best way to predict the future is to invent it. Move on and become an ISASS member.
  • Steven Wolf, MD
    Thank you! It was a great meeting! This meeting was the way NASS used to be in the 1990s.
    Steven Wolf, MD
    Mount Sinai
  • Mark Kurd, MD
    ISASS is the rising star for spine surgeons.
    Mark Kurd, MD
    Rothman Institute
  • Brian Grossman, MD
    Great course [ISASS January 2014 Course and Cadaver Lab]. Picked up some very practical pearls that I’ll be able to implement in my practice right away.
    Brian Grossman, MD
    Southern California Orthopedic Institute
  • Leonard Schultz, MD, Founder, Chairman and CEO
    Attending ISASS as part of the cadaver lab was a great experience, not to mention our brief time with you and some of the participants. We would like to continue to be part of the effort.
    Leonard Schultz, MD, Founder, Chairman and CEO
    Nascent Surgical
  • Óscar L. Alves, MD, Head of Neurosurgery, Senior Neurosurgeon
    My impressions were strongly positive. Very high scientific level and lots of opportunities to learn. I appreciated also the international outreach of the society compared with other spine societies. It looks there is a chance for non US surgeons to come forward and share their spine work.
    Óscar L. Alves, MD, Head of Neurosurgery, Senior Neurosurgeon
    Hospital Lusiadas Porto, Centro hospitalar de Gaia
  • Sean Parker, VP Market Development
    Fan of ISASS - progressive thinking group, great opportunity for the Sentio MMG technology. Look forward to being in attendance!
    Sean Parker, VP Market Development
    Sentio, LLC
  • Hansen A. Yuan, MD, Spine Surgeon, Professor of Orthopaedic and Neurological Surgery
    The surgeon’s choice!
    Hansen A. Yuan, MD, Spine Surgeon, Professor of Orthopaedic and Neurological Surgery
    State University of New York
  • Tony Castellvi, MD, Spine Surgeon
    This meeting is surgeon-focused, well organized and very informative.
    Tony Castellvi, MD, Spine Surgeon
    Florida Orthopedic Institute
  • Matthew Scott Young, MD, Spine Surgeon
    For spine surgeons ISASS is the GO TO meeting to discover what works, what doesn’t, and what is emerging. A must for spine surgeons.
    Matthew Scott Young, MD, Spine Surgeon
    Gold Coast Spine, Australia
  • Frank M. Phillips, MD, Professo
    ISASS has evolved into one of the premiere spine surgery meetings. The quality of research, presentations and symposia is outstanding. Great to attend a spine surgery focused meeting with an international presence.
    Frank M. Phillips, MD, Professo
    Rush Presbyterian Medical Center
  • Matt Miksic, Sr Reseach Analyst
    The agenda of clinical research presentations at this year’s ISASS annual meeting was as strong as we’ve ever seen.
    Matt Miksic, Sr Reseach Analyst
    Piper Jaffray
  • Scott Blumenthal, MD, Spine Surgeon
    The scientific sessions were robust and comprehensive. If you want to stay informed on emerging technologies in spine surgery, this meeting is a must.
    Scott Blumenthal, MD, Spine Surgeon
    Texas Back Institute
  • Raymond Cloutier, VP of Engineering & Development Spine
    I believe ISASS efforts are being recognized and these efforts will ultimately help promote better spine care for patients.
    Raymond Cloutier, VP of Engineering & Development Spine
    Exactech, Inc.
  • Neel Anand, MD, Spine Surgeon
    The ISASS meeting serves as a platform for assessing and defining the latest technologies around the world. Critically reviewed by a panel of peers, it truly is the society for the advancement of spinal surgery.
    Neel Anand, MD, Spine Surgeon
    Cedars Sinai Medical Center
  • Robert Assell, VP of Research and Development
    I would say the society is well on its way to being the principal voice of the surgical community.
    Robert Assell, VP of Research and Development
    Zyga Technology, Inc.
  • Michael Gordon, MD, Spine Surgeon
    ISASS13: A wow moment for spine surgeons.
    Michael Gordon, MD, Spine Surgeon
    HOI Orthopedics
  • Charlie Branch, Professor and Chair, Neurosurgery
    The ISASS Annual Meeting was a fantastic educational and networking experience. The focus on spine surgery and outcomes in an intimate collaborative setting is a great value.
    Charlie Branch, Professor and Chair, Neurosurgery
    Wake Forest Baptist Health System
  • Morgan Lorio, MD, Spine Surgeon, Neuro Spine Solutions
    Most patients go to their ‘spine doc’ for pain alleviation... not neuro deficit, not deformity, not instability. If we fail to steward and oversee the entire field of spine then we will become dinosaurs like some other specialties have become. The issue of untrained practitioners treating without training will grow... this underlines the importance of ISASS for spine surgeons by surgeons.
    Morgan Lorio, MD, Spine Surgeon, Neuro Spine Solutions
    Neuro Spine Solutions
  • Av Edidin, PhD, Chief Scientific Officer / Associate Professor
    I was really pleased with the ISASS annual meeting. It was focussed, with good topics and wide geographic representation; very interesting. The society has great momentum.
    Av Edidin, PhD, Chief Scientific Officer / Associate Professor
    Relievant Inc. / Drexel University
  • Michal Hisey, MD, Spine Surgeon
    ISASS is definitely the exception... Your efforts are definitely appreciated. When other docs ask who is a positive voice for surgeons and their patients I always point out ISASS as the best.
    Michal Hisey, MD, Spine Surgeon
    Texas Back Institute

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