February 2017 MMN

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FOCUS TOPICS MACRA • PAIN MANAGEMENT • INTERVENTIONAL RADIOLOGY • CARDIOLOGY

February 2017 December 2009 >> $5 ON ROUNDS This Doctor’s Literature Has Surprise Ending What began as a career in literature for Daniel Powell didn’t follow the script, but the surprise ending turned out well for him and the West Cancer Daniel Powell Center. As often happens, the early clues were there, it just took a while for him to see them. Read his story on page 3.

Balancing The Checkbook With Compassion The business of caring – balancing the checkbook with empathy is truly one of the most challenging parts of being a medical manager. Susan Childs Expert Susan Childs takes a close look at delivering compassion while collecting money. Consider her thoughts on page 5.

MACRA Drops Payment Program That Resulted in Cuts to Doctors Hopes to Replace Fee for Services with Coordinated Care BY BECKY GILLETTE

Much remains unknown about how the Donald Trump There are three Administration will impact healthcare. things both parties One of Trump’s first actions was to issue an executive agree with. One, we must order aiming to roll back the Affordable Care Act. But bend the cost curve. there is general agreement that steps must be taken to reTwo, fee for service duce costs for Medicare while improving care, said Doral Jacobsen, MBA, FACMPE, chief executive officer, Prosreimbursement is the per Beyond, Inc. in Asheville, North Carolina. enemy. Three, coordinated “There are three things both parties agree with,” Jacare is much better than cobsen said. “One, we must bend the cost curve. Two, fee uncoordinated care. for service reimbursement is the enemy. Three, coordinated care is much better than uncoordinated care. These three things are the case regardless of political affiliation.” Jacobsen said the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) eliminated the flawed sustainable growth rate (SGR) formula that had previously been used to calculate Medicare payments to physicians and had resulted in repeated proposals of severe payment cuts. She said that, generally speaking, MACRA provides a more predictable Medicare payment schedule and aims the Part B payment system away from a volume-based system toward a system that rewards value.

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HealthcareLeader

Brett Snodgrass Targets Pain, Serves as Leader, Advocate

Physicians Plan An Invasion

BY JUDY OTTO

Doctors plan to invade ‘The Hill,’ an addiction center gains national attention, and a new CEO is named. Catch up on Memphis-area healthcare news by reading the items in Grand Rounds. Examine the briefs on pages 9 and 10.

ONLINE: MEMPHIS MEDICAL NEWS.COM

Doral Jacobsen, MBA, FACMPE, chief executive officer, Prosper Beyond, Inc.

During her 12-plus years working with chronic pain patients, Brett Snodgrass has stepped into multiple leadership roles: working with the Tennessee state legislature in developing chronic pain guidelines for healthcare providers, acting as an advocate for nurse practitioners by representing Tennessee in the American Association of Nurse Practitioners,

and serving as director of clinical operations for LifeLinc Pain Centers. She is a pioneer – believed to be the nation’s first nurse practitioner to become a fellow of the Academy of Integrative Pain Management as an advanced credentialed pain practitioner. “Nurse practitioners really have to stay in the forefront,” Snodgrass said. “If you’re not

your life

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