When a process/guidelines has very little valid medical rational

I’m going to use an analogy to make my case.  I remember from plane & solid geometry that it takes 3 points of support to a horizontal solid plane to make it stable.   For those of you who never had to take a plane & solid geometry course, think how easy/hard it would be […]

Alcohol death rate in US is rising, government reports say

Alcohol death rate in US is rising, government reports say https://www.foxnews.com/health/alcohol-death-rates-us-rising-government A CDC report found the rate of related deaths rose by 26% in the first year of the pandemic Deaths that can be directly attributed to alcohol rose nearly 30% in the U.S. during the first year of the COVID-19 pandemic. Two new reports […]

The CDC Replaces Flawed 2016 Opioid Prescribing Guideline with a Flawed 2022 Opioid Prescribing Guideline

I think that I posted when they announced that they were going to renew the 2016 guidelines, that over my 5+ decades of watching bureaucrats… when an existing rule/law/regulation gets re-opened to improve it… it seldom makes things better….  more often than not… things get worse.  With this version of the opiate dosing guide, there […]

CVS Health is standing up to protect their own profits – using a “smoke screen” and accusing others of profiteering

CVS Health is standing up for Louisianans https://www.cvshealth.com/news-and-insights/articles/cvs-health-is-standing-up-for-louisianans “By inserting themselves in the state’s process of selecting a firm to manage prescription drug coverage for the Office of Group Benefits, special interest groups representing Louisiana’s independent pharmacists attempted to line their own pockets at the expense of the state’s taxpayers, employees and retirees. “Following a […]

The “BAD AND THE UGLY – there is NO GOOD” of the PDMP’s and Narxcare and the INACCURATE CONCLUSIONS from those databases

This is a video about ONE HOUR LONG… normally, I don’t sit thru such a long video.  This is a VERY INTERESTING presentation put on by Dr. Jennifer Alva – an attorney with a very broad legal background. She talks about how the various state PDMP who has apparently turned their data collecting responsibility over […]

CDC Just Changed Its Opioid Prescribing Guidelines. Here’s What to Know

CDC Just Changed Its Opioid Prescribing Guidelines. Here’s What to Know https://www.medpagetoday.com/neurology/opioids/101559 Guidance covers acute, subacute, and chronic pain and replaces 2016 guidelines Hard thresholds for pain medication doses and duration are no longer promoted through the CDC’s new Clinical Practice Guideline for Prescribing Opioids for Pain. The new guidance — which covers acute, subacute, […]

With inflation running 8% – CMS going to CUT physician reimbursement by 4.48%

CMS releases final payment rules for 2023: 15 takeaways https://www.beckershospitalreview.com/finance/cms-releases-final-payment-rules-for-2023-15-things-to-know.html CMS has published its annual payment updates for physicians, the Medicare shared savings program and outpatient and home health services for 2023.  Here are 15 takeaways from the final rules, published Oct. 31 and Nov. 1:  Physician Fee Schedule rule 1. The conversion factor used […]

The Opioid Crisis Is Still a National Threat

Once again Congress is GIVEN A PASS over their contributions to the opiate crisis in the early 2000’s.  In 1999-2000 Congress passed the DECADE OF PAIN LAW… and The Joint Commission (JC) got involved and declared that pain was THE FIFTH VITAL SIGN – on par with the importance of  a pt’s Body Temperature, Pulse […]

If you sit on the sidelines… sitting on your hands… if nothing changes… if you are not part of the solution… you may be part of the problem

Just have to follow the $$$ trail

Posted by Steve Ariens on Sunday, October 30, 2022