PMR and winds of change

[lobelsteve]

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The times are changing. PMR is changing. I just heard Michigan bcbs is making spine patients see PMR before allowing elective spine fusion.

Ask what your Academy can do for you. I've been anti- establishment since being a battered resident. Well I'm happy to say the Academy is rallying the troops and is changing to benefit all PMR specialists. Advocacy, MOC, CME that reports directly to the ABPMR. And most importantly, culture. The camaraderie of Passor and the identity of Physiatry will meld us into a uniform voice in the changing American system of healthcare. We'll need mentors, leaders, and volunteers to step up and guide our patients and politicians through the coming change.

 

[fozzy40]

This is great! Was this by word of mouth or did you see it on a website?

 

[bronx43]

The times are changing. PMR is changing. I just heard Michigan bcbs is making spine patients see PMR before allowing elective spine fusion.

Ask what your Academy can do for you. I've been anti- establishment since being a battered resident. Well I'm happy to say the Academy is rallying the troops and is changing to benefit all PMR specialists. Advocacy, MOC, CME that reports directly to the ABPMR. And most importantly, culture. The camaraderie of Passor and the identity of Physiatry will meld us into a uniform voice in the changing American system of healthcare. We'll need mentors, leaders, and volunteers to step up and guide our patients and politicians through the coming change.

Do you see this as a trend that more and more elective orthopedic surgeries will be required to see PM&R first? If so, wouldn't it only add value if this PM&R "consult" is highly reimbursed? (or if you're hurting for volume)

 

[lobelsteve]

Do you see this as a trend that more and more elective orthopedic surgeries will be required to see PM&R first? If so, wouldn't it only add value if this PM&R "consult" is highly reimbursed? (or if you're hurting for volume)

It could be a nuisance or a blessing for me. Who cares? It will benefit the patient either way. Determine appropriateness of care.

 

[SSdoc33]

the "consult" will be reimbursed at the same rate as any other consult.

i dont see this trend continuing outside of the spine.

i think it is a good idea but if the insurances dont want to pay for surgery, then they may also be stingy with non-operative care that doesnt only consist of opioids....

 

[RUOkie]

the "consult" will be reimbursed at the same rate as any other consult.

i dont see this trend continuing outside of the spine.

i think it is a good idea but if the insurances dont want to pay for surgery, then they may also be stingy with non-operative care that doesnt only consist of opioids....

This has been going on with CTS for years. Most insurances require EMG before surgery. That was not the case 10 yrs ago

 

[drusso]

The times are changing. PMR is changing. I just heard Michigan bcbs is making spine patients see PMR before allowing elective spine fusion.

Ask what your Academy can do for you. I've been anti- establishment since being a battered resident. Well I'm happy to say the Academy is rallying the troops and is changing to benefit all PMR specialists. Advocacy, MOC, CME that reports directly to the ABPMR. And most importantly, culture. The camaraderie of Passor and the identity of Physiatry will meld us into a uniform voice in the changing American system of healthcare. We'll need mentors, leaders, and volunteers to step up and guide our patients and politicians through the coming change.

Waitress!! I'll have what he's having...

 

[axm397]

Waitress!! I'll have what he's having...

As PAZ would say, he has drank the cool-aid

And I fed it to him 😎

 

[lobelsteve]

As PAZ would say, he has drank the cool-aid

And I fed it to him 😎

With Casedores blanco. And a giant apple purse pastry.
I want to know what Gohari did with it. She was at the hotel. Was her SO in the room while we ate? Kids today....

 

[Gauss]

meh...
nothing new for my area, Kaiser set up this model years ago

 

[deleted185747]

Sounds like the VA!

 

[ogp]

There was a great article on the front page of USA Today about TBI and the lack of access to rehabilitaion services. This all comes in light of Rep. Giffords GSW to the head in January. Right now is a great time to use our voice, pen, computer or whatever else we can to continue to bring more public awareness to PM&R. Of course the hope would be that after enough public interest could be developed that more laws could be implemented that would increase access to rehabilitaion services. That being said maybe all this attention will fizzle out and the current economic struggles will continue to inhibit our ability to offer patients care as evidenced by the TBI rehab cuts proposed in Texas. Either way it was a nice article to read, you should check it out.

 

[axm397]

http://www.aapmr.org/about/newsroom/releases/Documents/giffords_press_release_final.pdf

 

[BusterDouglasDO]

Sounds like the VA!

I was just thinking the same thing... My favorite Reason For Request is "needs ortho eval"