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So far Paul Natinsky has created 139 blog entries.

Doctors Can Change Opioid Prescribing Habits In Small Doses

When they started practicing medicine, most surgeons say, there was little or no information about just how many pain pills patients needed after specific procedures.

As a result, patients often were sent home with the equivalent of handfuls of powerful and addictive medications. Then the opioid crisis hit, along with studies showing one possible side effect of surgery is long-term dependence on pain pills. These findings prompted some medical centers and groups of physicians to establish surgery-specific guidelines.

But questions remained: Would anyone pay attention to the guidelines and would smaller amounts be sufficient to control patients’ pain?

Yes, appears to be the answer to both — in […]

Doctors Can Change Opioid Prescribing Habits In Small Doses2019-08-20T00:31:19+00:00

Nearly Two-Thirds Of Doctors ‘Not Interested’ In Opioid Treatment Training

While most doctors in Michigan believe the state’s new rules for prescribing opioids will help to address the overuse epidemic, only 20 percent have been trained in Medication-Assisted Treatment and nearly two-thirds said they aren’t interested in getting trained.

Those were the results of a recent survey of some 600 primary care providers by the Center for Health and Research Transformation (CHRT) at the University of Michigan to gauge sentiment of the state’s 2017 efforts to deter over prescribing, including mandatory use of the Michigan Automated Prescription System (MAPS).

“CHRT’s physician survey shows that Michigan’s new requirements for MAPS reporting are generally supported by primary care physicians in Michigan. However, physician interest […]

Nearly Two-Thirds Of Doctors ‘Not Interested’ In Opioid Treatment Training2019-08-20T00:02:49+00:00

What To Do With Incarcerated Physicians?

One of the most interesting aspects of writing a healthcare column is that the topics can be wide-ranging because the issues surrounding physical and behavioral health and the community of care providers are so vast and far reaching. That being said, I believe I am introducing a topic today that is rarely discussed: What are we to do with incarcerated physicians who happen to be qualified clinicians? For physicians who have not committed capital crimes or crimes related to physical, sexual and emotional abuse, should we be considering the establishment of guidelines and programs for acceptable use of their medical skills behind bars?

Over the course of my career […]

What To Do With Incarcerated Physicians?2019-08-19T23:59:46+00:00


Allen Park Retirees Get 2nd Chance At Lawsuit Over Healthcare Benefit Changes

The Allen Park Retirees Association will get a second chance at pursuing its lawsuit against the city alleging retirees’ healthcare was improperly changed.
The Michigan Court of Appeals held it “makes little sense” to consider if the trial court erred when it dismissed APRA’s suit since a recent Michigan Supreme Court decision altered its argument, according to an opinion published Aug. 13 from Judges David H. Sawyer and Mark J. Cavanagh. Judge Deborah A. Servitto concurred in the result only.

“We prefer to have the trial court analyze the issue in the first instance,” the court’s opinion noted. “Accordingly, the better […]

LANSING LINES2019-08-19T23:57:40+00:00

COMPLIANCE CORNER: State Enforcement Of HIPAA Violations

The Health Information Technology for Economic and Clinical Health Act (the HITECH Act) enacted as part of the American Recovery and Reinvestment Act of 2009 contains several provisions intended to strengthen Privacy and Security Rules in the Health Insurance and Portability Accountability Act of 1996 (HIPAA). One of these provisions gives state attorneys general (SAG) the authority to bring civil actions on behalf of state residents for violations of the HIPAA Privacy and Security Rules.

The Health and Human Services Office of Civil Rights, which has oversight of HIPAA violations at the federal level, is also involved in actions brought by SAGs. The Office of Civil Rights […]

COMPLIANCE CORNER: State Enforcement Of HIPAA Violations2019-07-19T13:50:18+00:00

American Medical Students Less Likely To Choose To Become Primary Care Doctors

Despite hospital systems and health officials calling out the need for more primary care doctors, graduates of U.S. medical schools are becoming less likely to choose to specialize in one of those fields.

A record-high number of primary care positions was offered in the 2019 National Resident Matching Program — known to doctors as “the Match.” It determines where a medical student will study in their chosen specialty after graduation. But this year, the percentage of primary care positions filled by fourth-year medical students was the lowest on record.

“I think part of it has to do with income,” said Mona Signer, the CEO of the Match. “Primary care specialties […]

American Medical Students Less Likely To Choose To Become Primary Care Doctors2019-07-19T13:49:10+00:00

CMHs: State’s Move Means ‘Overnight’ Privatization Of Mental Health

The state wants to end an agreement with the local public entity responsible for administering mental health services in West Michigan and instead go directly through a private health provider, sparking concern of the “privatization overnight” of mental health care.

The Michigan Department of Health and Human Services announced June 28 it plans to end its contract with Lakeshore Regional Entity, the pre-paid inpatient plan (PIHP) covering the region containing Allegan, Ottawa, Kent, Muskegon, Oceana, Mason and Lake counties.

In mental health service delivery, the state contracts with regional, locally controlled public entities known as PIHPs to administer behavioral health care services. The PIHPs in turn contract with the local community mental […]

CMHs: State’s Move Means ‘Overnight’ Privatization Of Mental Health2019-07-19T13:47:27+00:00

ON POINT WITH POs: New Learning Collaborative

Collaboration is a favorite topic of mine, but one offshoot of collaboration I haven’t touched on much is learning collaboratives. A learning collaborative takes collaboration into a more formal, but still relaxed, learning environment, bringing together practice teams to share ideas and find solutions to existing challenges.

Some may recall the Mackinac Learning Collaborative (MLC), which was launched in Detroit in 2009-2010 with the goal of transforming primary care physicians’ offices into patient-centric practices. While our Patient Care Organization championed and led the effort, its success was due to the commitment of primary care practices and family residency training programs throughout SE Michigan who not only participated but did […]

ON POINT WITH POs: New Learning Collaborative2019-07-19T13:45:37+00:00

Pelosi Aims For Feds To Negotiate Drug Prices

A draft plan spearheaded by House Speaker Nancy Pelosi would allow the federal government for the first time to negotiate prices for 250 drugs for Medicare and apply those prices to all payers, including employers and insurers.

As House Democrats hash out a proposal empowering the federal government’s top health official to negotiate lower drug prices, House Speaker Nancy Pelosi is taking it a step further and pushing a plan that could benefit even those Americans with private health insurance.

A draft plan spearheaded, but not yet released, by Pelosi and other House Democratic leaders would ensure that prices negotiated on the most expensive drugs would apply not only to […]

Pelosi Aims For Feds To Negotiate Drug Prices2019-07-19T13:33:37+00:00


Budget Office Projecting $45M Shortfall In DHHS’ IT Spending
The Michigan Department of Health and Human Services (DHHS) could be as much as $45 million in the hole by the end of the fiscal year if “major adjustments” are not made to address the agency’s IT budget shortfall, according to the State Budget Office.

On May 31, the SBO informed the legislative appropriations chairs that DHHS is the only agency at risk of spending more than it’s allotted to spend this fiscal year, which ends Sept. 30.

While no appropriations have been overspent, according to Budget Director Chris Kolb in the letter, the shortfall could result in overspending by the end of […]

LANSING LINES2019-07-19T13:27:50+00:00