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 Current Memphis Medical News

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Healthcare Reform Passes
President Signs Landmark Legislation
The president needed 216. He got 219. By the slimmest of margins … and without a single Republican vote … the House of Representatives passed H.R. 3590, the Patient Protection and Affordable Care Act on March 21.
Cindy Sanders

Associations & Organizations Weigh In

A Word From the Front Office: Healthcare CEOs Have Their Say
Healthcare reform, hospital/physician relationships, and the MED's future were all talking points for healthcare leaders last month. Members of the Mid-South Health Care Executives (MHCE) heard from four local healthcare CEOs during their March meeting. The roundtable discussion was hosted by MHCE's president Mike McCormack. Approximately 50 people attended the dinner, which was held at the Fogelman Executive Center's dining room on the University of Memphis campus.
JANE SCHNEIDER

MEDICAL ECONOMICS: Strategic Planning: An Overview
Transparency: Insurance companies talk it but do not walk it.
Webster’s Dictionary defines transparency as a picture made visible by light from behind. If that is the case, then the insurance companies must be using the lowest voltage manufactured.
BILL APPLING

Recoupment of Federal Healthcare Dollars: Different Approaches
A Comparison of the Medicaid and Medicare Recovery Audits
While the words "fraud and abuse" may have diminished in use, they have been replaced with the latest catch phrases "improper payments" and "recovery audits." Both Medicare and Medicaid are active in their efforts to remain true to their agency’s survival during this financial crisis through the audit processes.
BETTY HATTEN, HORNE LLP

Developing Clinical Nurses
Nursing Institute's First Federal Competitive Grant Boosts Mid South Healthcare Workforce
When Paula Spears, PhD, learned the grant application she authored was selected as the Nursing Institute of the Mid South (NIMS) Inc.’s first federal competitive grant to boost the nursing workforce across the region, she was understandably ecstatic.
LYNNE JETER and MARCEA NEITMAN

 Obesity Focus

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Healthcare Real Estate Outlook
Looking for Silver Linings in Cloudy Skies
Turn on the television; open any paper, and it’s clear the American housing market has been in a freefall for more than a year. For the most part, the commercial sectors have followed suit.
Cindy Sanders

 Reimbursements/ACOs Focus

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A Developing Landscape
Semmes-Murphey Neuro Institute Chair Clarence Watridge Discusses Brain Procedure Improvements, Challenges
Clarence B. Watridge, MD, remembers learning in medical school when brain surgery was so likely to result in death that the hair shaved from the scalp prior to the scalp opening was saved for use by the undertaker—just in case.
LYNNE JETER

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Investors Still Recognize Promise in New Surgical Devices
Despite the challenging economy, medical devices, particularly surgical instruments, are still wending their way to market and investors are still biting.
SHARON H. FITZGERALD

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Fibromyalgia: A Disease Without a Medical Home
"Ideally, It Would Be Neurology," Expert Says
Rae Marie Gleason, executive director of the National Fibromyalgia Association, said the tendency still exists among physicians to view fibromyalgia as "an illness of whining women who really could get better if they just wanted to." Yet, Gleason's job gets easier every day, as an abundance of research ties those patients' complaints to brain activity – or lack thereof.
SHARON H. FITZGERALD

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Stroke Conference Unveils Promising Science
The International Stroke Conference, held in February in San Antonio, offered neurologists a wealth of research abstracts and late-breaking stroke science. Here are some of the findings presented.

 Physician Spotlight

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L. Madison Michael II, M.D.
Once upon a time, before delving into the mysteries of the brain, Madison Michael scaled mountains. A graduate of the University of the South at Sewanee and eager for challenge, Michael headed west after college to take up mountain climbing. He eventually supported himself as a mountaineering guide in Wyoming, where he led climbing groups up the rugged Tetons.
JANE SCHNEIDER

 Special Advertising

Memphis Healthcare Real Estate Update
The landmark health care reform package is expected to drive demand for medical facilities in the years to come. The sheer number of patients that will be added into the insurance system, 32 million individuals by 2019, will increase the need for both on and off campus medical office buildings, outpatient facilities, and ambulatory care facilities. The roles of nurses, nurse practitioners, and physician assistants will expand to help the demand for primary care services. A portion of the bill eliminates the exception for physician owned hospitals under the Stark Law and grandfathers existing hospitals with a Medicare provider number as of December 31, 2010. Until physician groups fully understand how changes in reimbursements will affect their practices, healthcare facility dollars need to be analyzed and spent more wisely.
Laura Carpenter

HOT TOPICS IN HEALTH LAW
Physicians Beware: Supervise Your Nurse Practitioners And Physician Assistants
In a case that some pro-physician lawyers believe is one of the worst cases for Tennessee physicians in over a decade, the Tennessee Court of Appeals recently determined that the Tennessee Board of Medical Examiners rule 0880-2.18(7) governing physician oversight of physician assistants is not merely an administrative requirement, but actually establishes a “standard of care.” This new holding may allow plaintiffs to prove that a physician who supervises or precepts a physician assistant or nurse practitioner was negligent without the necessity of an expert to testify that the physician fell below the standard of medical care.
Angela Youngberg

 Grand Rounds

Grand Rounds April