January 14, 2020

ISASS20: Puerto Rico update

The southern part of Puerto Rico has been hit by a series of earthquakes this past week. We are thinking of the people of Puerto Rico as they deal with this incident, and we are closely monitoring the situation to see how it might impact our meeting next month in San Juan. San Juan is in the northern part of the island and has not been impacted by the earthquake. The airport, Convention Center and other attractions in northern Puerto Rico are open for business and ready to welcome our group. “This past week, we welcome nearly 56,000 cruise passengers into our San Juan Port, and we’re excited to welcome six more cruise ships this weekend,” said Brad Dean, CEO […]
December 24, 2019

Congress Continues to Develop Surprise Billing Legislation

On Dec. 11, the House Ways and Means Committee issued an outline of that panel’s bipartisan proposal for addressing surprise medical bills. Some details are vague, and it could be after the holidays before we see legislative language. Nonetheless, the committee’s approach offers significant differences from the recently issued agreement reached between the House Energy & Commerce Committee and the Senate Health, Labor, Education, and Pension (HELP) Committee. Like other proposals, the Ways & Means plan would limit patients’ out-of-pocket costs to the amounts they would have owed if they had the opportunity to choose in-network physicians and facilities to provide their care. An independent dispute resolution (IDR) system is also included.  However, unlike other proposals, Ways & Means does not restrict […]
December 24, 2019

CMS Issues Proposed Rule on Medicaid Oversight

On Nov. 12, 2019, CMS released a proposed rule aimed at strengthening oversight and fiscal integrity in the Medicaid program. The proposal was published in the Federal Register on Nov. 18. The proposed rule seeks greater transparency and accountability in Medicaid fee-for-service provider payments; disproportionate share hospital payments; Medicaid program financing; supplemental payments; and health care-related taxes and provider-related donations. Comments on the proposed rule are due on Jan. 17, 2020. The last several years have seen a rapid increase in Medicaid spending from $456 billion in 2013 to an estimated $576 billion in 2016. Much of this growth came from the federal share that grew from $263 billion to an estimated $363 billion during the same period. Supplemental payments, […]
December 23, 2019

ISASS Policy Guideline– Surgical Treatment of Lumbar Disc Herniation with Radiculopathy

ISASS Policy Guideline – Surgical Treatment of Lumbar Disc Herniation with Radiculopathy Morgan Lorio, MD, FACS,1 Choll Kim, MD, PhD,2  Ali Araghi, DO,3 Jason Inzana, PhD,4 James J. Yue, MD5 1 Advanced Orthopedics – Altamonte Springs, Florida, 2 Spine Institute of San Diego – San Diego, California, 3 The CORE Institute – Sun City West,  Arizona, 4 Telos Partners, LLC – Denver, Colorado, 5 CT Orthopaedics; Frank H. Netter School of Medicine – Hamden, Connecticut   Abstract Lumbar disc herniation is a frequent cause of low back pain and radiculopathy, disability, and diminution in quality of life. While nonsurgical care remains the mainstay of initial treatment, symptoms that persist for prolonged periods of time are well-treated with discectomy surgery.  A […]