Show Notes for April 24, 2015

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news: We’ll Be Looking At –

  • Fix to Medicare Physician Rate Cut
  • And Finally, a Story about Exercise and Genetics

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #505 recorded April 24, 2015.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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And Now for some news ….

Fix to Medicare Physician Rate Cut

The following was received from a ChiroCode Email Alert related to the recent US Congressional action on a rate cut to Physicians receiving Medicare reimbursement. ChiroCode referenced the Wisconsin Chiropractic Association for the actual content.

In late March, the House of Representatives passed Medicare reform legislation (392-37) designed to avoid an impending 21 percent cut to Medicare reimbursements. Legislators from both parties sought to permanently address the flawed Sustainable Growth Rate (SGR) that has threatened to devastate payments to providers on an annual basis for more than a decade. In the past, Congress stopped the SGR-induced rate cuts with temporary “doc fix” legislation.

This year, in an effort to break the cycle of using makeshift patches, legislative leadership from both parties crafted a rare piece of compromise legislation that permanently solves the SGR problem.

That legislation passed the House on March 26. In spite of an April 1 deadline and potential reimbursement rate reductions for providers, Senate leadership said it would wait to take up the issue when Congress returned from its customary Spring Break this week. In the meantime, the Centers for Medicare and Medicaid Services (CMS), announced plans to hold all Medicare claims and halt processing for two weeks.

With doctors facing a 21 percent reduction in their reimbursements, and just hours before the two-week CMS claims processing pause ended, the Senate voted 92-8 to approve Medicare reform legislation late Tuesday night April 15th, 2015.

Key Features of this bill include:

  • Repeals the Standard Growth Rate (SGR) and the current Medicare payment formula
  • Increases payments to doctors by 0.5 percent every year through 2019
  • Implements a system of bonuses and penalties based on performance
  • Directs the Department of Health and Human Services to work with the American Chiropractic Association to develop a program for improving documentation in chiropractic Medicare claims

Surf to our Show Notes for related Links – http://www.chirocode.com/Fee_schedule_crisis

http://www.modernhealthcare.com/article/20150325/NEWS/150329948/sgr-replacement-would-push-docs-toward-value-based-pay

Full Text of Bill – https://www.congress.gov/114/bills/hr2/BILLS-114hr2rds.pdf

ACA Press Release – http://www.acatoday.org/press_css.cfm?CID=5660

http://healthaffairs.org/blog/2015/04/14/may-the-era-of-medicares-doc-fix-1997-2015-rest-in-peace-now-what/

Exercise and Genetics

Regular endurance exercise training induces beneficial functional and health effects in human skeletal muscle.

The putative contribution to the training response of the epigenome as a mediator between genes and environment has not been clarified.

Authors of a recent study published in the journal Epigenetics, investigated the contribution of DNA methylation and associated transcriptomic changes in a well-controlled human intervention study.

Training effects were mirrored by significant alterations in DNA methylation and gene expression in regions with a homogeneous muscle energetics and remodeling ontology.

Moreover, a signature of DNA methylation and gene expression separated the samples based on training and gender. Differential DNA methylation was predominantly observed in enhancers, gene bodies and intergenic regions and less in CpG islands or promoters.

The authors concluded that highly consistent and associated modifications in methylation and expression, concordant with observed health-enhancing phenotypic adaptations, are induced by a physiological stimulus.

Surf to our Show Notes for the full article – http://www.tandfonline.com/doi/full/10.4161/15592294.2014.982445#tabModule

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And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

 

 

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Finally, I leave you with the following quote:

Some days are just bad days, that’s all. You have to experience sadness to know happiness, and I remind myself that not every day is going to be a good day, that’s just the way it is! – Dita Von Teese

For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.

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