January 2011 - American College of Osteopathic Surgeons
Transcription
January 2011 - American College of Osteopathic Surgeons
January 2011 ACOS NEWS American College of Osteopathic Surgeons® Vol. 49, No. 3 WASHINGTON WATCH: MAKE YOUR VOICE HEARD ON CAPITOL HILL! Attend 2011 JSAC in Washington and become a surgeon advocate s the 112th Congress convenes with a host of new members in place, the ACOS and 20 other surgical organizations are working together to educate members of Congress about issues that are important to surgeons and their patients. Representing more than 250,000 surgeons nationwide, the coalition is undertaking advocacy efforts to amplify surgery’s voice on Capitol Hill. The Joint Surgical Advocacy Conference (JSAC) in Washington, D.C., has been the most successful of these efforts. Join your colleagues as a surgeon advocate at the 2011 JSAC, March 27–29, at the JW Marriott Hotel near the U.S. Capitol and the White House. The 2011 JSAC will provide: A I In-depth beginner, advanced, and resident-specific advocacy training to prepare you for meetings on Capitol Hill with your members of Congress; I Presentations by speakers representing Congress and the administration, updates by surgical society staff on current legislation that directly affects you and your patients, and tips for lobbying House and Senate offices; and I Opportunities for you to meet on Capitol Hill with members of Congress and their health policy staff to share your personal experiences to illustrate how the decisions they make affect the surgeons and surgical patients who live in their states and districts. This activity provides a face for the issues that legislators hear about yearround from the ACOS and other surgical organization advocates. Attend the 2011 JSAC and gain the skills and tools necessary to effect change during the conference in Washington and at home. Congress needs our direction to determine what must be accomplished to keep the American healthcare system running. The American College of Surgeons Leadership Conference, sponsored by the Young Fellows Association for Young Surgeons and Chapter Leaders, will be held on March 27 in conjunction with the 2011 JSAC. This full-day program will focus on leadership topics. Go online to http://www.facs.org/grassroots/index.html for details about these events and to https://www.compusystems.com/servlet/ar?evt_uid=475 to register. You can make room reservations at the JW Marriott Hotel by going online to https://resweb.passkey. com/Resweb.do?mode=welcome_ei_new&eventID=3103131. Federal legislative, regulatory update Health reform targeted for repeal After months of waiting to respond to the healthcare overhaul law—Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act (P.L. 111-152)—House Republicans, emboldened by a new majority, prepared for a vote on a two-page bill (H.R. 2) to repeal the law. The first battle occurred in the House Rules Committee, with Democrats raising concerns about the cost of a repeal, the loss of insurance for those to be covered by the law, and the lack of an open process, a complaint common to every minority in the House. The House passed the rules governing its floor debate on Jan. 10, to be followed by a vote on the measure currently projected for Jan. 12. Lawmakers also passed a resolution (H. Res. 9) instructing relevant House committees to prepare a replacement version of the current healthcare law. The procedural rules allow no amendments to the repeal bill but will allow an amendment by Rep. Jim Matheson (D-Utah) that would add instructions to provide a permanent adjustment in Medicare physician payments. This proposal is one that Republicans have been rumored to address later this year. While the measure to repeal the health reform laws faces a Senate agenda controlled by Democrats and an unsympathetic White House, the vote is the first step in what projects to be a long legislative battle over various See WASHINGTON WATCH, page 2 3 4 4 5 5 5 6 7 Legislative, regulatory issues In Memoriam Member News OGME Corner New Resident Members New Life Members College financial statements Trust Fund donors January 2011 ACOS NEWS Vol. 49, No. 3 The ACOS is committed to assuring excellence in osteopathic surgical care through education, advocacy, leadership development, and the fostering of professional and personal relationships. Board of Governors Officers President: James H. McQuiston, D.O., FACOS President-elect: Eric A. Goldsmith, D.O., FACOS Past President: K. Michael Hughes Jr., D.O., FACOS Secretary-Treasurer: Adam B. Smith, D.O., FACOS Governors Scott A. Blickensderfer, D.O., FACOS Joseph P. Cardinale, D.O., FACOS Jon R. Henwood, D.O., FACOS Richard D. Kimmel, D.O., FACOS Sherman N. Leis, D.O., FACOS Joseph F. Looby, D.O. Ryan P. Marshall, D.O. Ray L. Morrison, D.O., FACOS Christopher P. Moyer, D.O., FACOS Rodney T. Routsong, D.O., FACOS Valerie L. Sheridan, D.O., FACOS Dawn R. Tartaglione, D.O., FACOS Staff Executive Director: Guy D. Beaumont Jr., FACOS Director of CME Program Development: Eileen M. Bailey Director of Continuing Education and Meetings: Kendra E. Smith Director of Membership Recruitment and Retention: Sonjya Johnson Director of Postdoctoral Training Standards and Evaluation: Donald B. Kaveny Assistant Director of Postdoctoral Training Standards and Evaluation: Susan L. Rall Director of Finance and Administration: Judith T. Mangum Office Administrator/Website Administrator: Allison L. Hamrick Editorial Coordination Sharon L. Cool, New Leaf Publications, LLC ACOS is an affiliate of the American Osteopathic Association. ACOS News is published monthly by: American College of Osteopathic Surgeons 123 North Henry St. Alexandria, VA 22314-2903 703-684-0416; 800-888-1312 e-mail: info@facos.org Website: www.facos.org ©2011 by American College of Osteopathic Surgeons Views and opinions expressed in ACOS News are not necessarily endorsed by the ACOS. 2 ACOS NEWS | January 2011 Federal legislative and regulatory update From WASHINGTON WATCH, page 1 elements of the law. House Republicans bolstered the repeal measure with a report by House Budget Committee Republicans on the economic consequences of the law, indicating that the law would cost $2.6 trillion when fully implemented and would add $701 billion to the deficit in its first 10 years and result in job loss. The administration on Jan. 5 countered Republican antipathy toward the healthcare reform laws with a letter to new Speaker of the House John Boehner (R-Ohio) extolling the virtues of the legislation. Democrats promoted a report from the nonpartisan Congressional Budget Office that estimated that repealing the health reform laws would increase the deficit by approximately $230 billion over 10 years. Despite the pledges and acute rhetoric from both sides, it is widely expected that Republican efforts to repeal the law as a whole will fail in the Senate, and if not certainly will meet a veto from President Obama. This is only the opening salvo in what is expected to be at least a two-year effort to repeal the health reform laws, in whole or in part, as part of the run-up to the 2012 presidential election. CMS issues new 2011 physician payment rates The December ACOS News reported on the passage of the Medicare and Medicaid Extenders Act of 2010, which averted the scheduled 25 percent reduction in Medicare payments to physicians due to the sustainable growth rate (SGR) formula, and extended certain other Medicare physician payment policies through 2011. As a result of the new law, the Centers for Medicare & Medicaid Services (CMS) has recalculated the conversion factor for 2011 and made a number of other adjustments to the physician fee schedule, including changes to the relative value units (RVUs) for some services. The new conversion factor for 2011 is $33.9764. This is approximately 8 percent lower than the conversion factor that took effect on June 1, 2010. However, this does not mean that payment rates are being cut. Rather, the 8 percent reduction is a budget neutrality adjustment necessitated by the reweighting of the Medicare Economic Index (MEI), which increased the practice expense and malpractice components of the relative value scale. This resulted in a net increase in RVUs that had to be offset by a decrease in the conversion factor to maintain budget neutrality. The 2011 impact of the MEI reweighting on Medicare revenue for surgical specialties is estimated by CMS as follows: 0.0 percent for cardiac surgery; +3 percent for general surgery; +1 percent for neurosurgery; +1 percent for orthopedic surgery; +1 percent for plastic surgery; +1 percent for urology; and 0.0 percent for vascular surgery. FTC stays enforcement of rule against physicians As reported in December ACOS News, the Red Flag Program Clarification Act of 2010 (S. 3987) amends the Fair Credit Reporting Act regarding the applicability of the identity theft (Red Flags Rule) guidelines to creditors. It limits the type of “creditor” that must comply with the Red Flags Rule. While the legislation does not specifically exclude physicians, it more clearly defines the term “creditor” so that physicians generally would not be classified as creditors for purposes of the Red Flags Rule. However, there may be some practices that would still qualify as creditors under the new definition. And the law gives the Federal Trade Commission (FTC) broad discretion to apply the rule to other types of creditors. Partly because of this uncertainty, the FTC issued a Dec. 21 letter agreeing to stay enforcement of the Red Flags Rule against all physicians for at least 90 days after a final decision is issued in a challenge by the American Bar Association (ABA) to the application of the law to attorneys. A final decision is not expected in the ABA case until the first quarter of 2011 or later. The American Medical Association (AMA) and American Osteopathic Association have filed a similar case on behalf of their members. Other societies have intervened to seek relief for all physicians. The ACOS will provide further guidance on this issue if the ABA or AMA case develops in a way that suggests that the FTC stipulation not to enforce the rule against physicians will be lifted. I Author Adam Renfro Chrisney, senior legislative director for the law firm of POWERS PYLES SUTTER & VERVILLE PC (PPSV) in Washington, D.C., is part of the PPSV team retained by ACOS as government affairs consultants. Other Legislative and Regulatory Issues Affecting Surgeons Changes to PQRI program for 2011 The CMS announced that it is changing the name of the Physician Quality Reporting Initiative (PQRI) to the Physician Quality Reporting System (PQRS). The 2011 PQRS comprises 200 quality measures, including both individual measures and measures that are part of a 2011 measures group. While 2010 PQRI quality measures may be continued in the 2011 PQRS program, measures specifications may have been updated for the new program year. Surgeons who currently are reporting in the 2010 PQRI are encouraged to review the 2011 PQRS measure specifications manual online at http://www.cms. gov/PQRI/15_MeasuresCodes.asp#TopOfPage for updates and changes. e-prescribing penalties Physicians should be aware that their e-prescribing (e-Rx) activity in 2011 will determine whether they face a payment penalty in 2012 and 2013 under Medicare. According to the CMS, physicians may face payment adjustments in 2012 and 2013 for not being successful e-prescribers. The adjustment applies whether or not an eligible professional is planning to participate in the e-Rx incentive program. The 2012 penalty will be determined by e-Rx activity during the Jan. 1, 2011, to June 30, 2011, reporting period; and the 2013 penalty will be determined by e-Rx activity for the entire 2011 calendar year. The physician fee schedule amount for covered professional services furnished by an eligible professional (or group practice) who is not a successful e-prescriber will be reduced by 1 percent in 2012 and 1.5 percent in 2013. However, earning an EHR incentive (must have 25 unique e-Rx events between Jan. 1 and Dec. 31, 2011) for 2011 will not exempt an eligible professional or group practice from the payment adjustment in 2012 (must have 10 unique e-Rx events between Jan. 1 and June 30, 2011). If a physician meets the 25 unique e-Rx-events threshold for the entire year, he or she will be exempt from the penalty in 2013. The payment adjustment does not apply if less than 10 percent of an eligible professional’s (or group practice’s) allowed charges for the Jan. 1 to June 30, 2011, reporting period is composed of codes included in the 2011 e-Rx measure. The CMS may, on a case-by-case basis, exempt an eligible professional from the application of the e-Rx payment adjustment if compliance with the requirement for being a successful e-prescriber would result in a significant hardship. This exemption is subject to annual renewal. For the 2012 e-Rx payment adjustment, the following circumstances would constitute a hardship: An eligible professional who practices in a rural area with limited high-speed Internet access; or an eligible professional who practices in an area with limited pharmacies available for e-Rx. EHR incentive programs Under the Health Information Technology for Economic and Clinical Health Act—part of the American Recovery and Reinvestment Act of 2009 (ARRA)—Medicare and Medicaid incentive payments are available to eligible professionals who adopt certified electronic health record (EHR) technology and successfully demonstrate “meaningful use” of the technology to improve the quality, safety, and effectiveness of patient-centered care. The CMS and the Office of the National Coordinator for Health Information Technology (ONC) have announced that registration for the Medicare EHR incentive program opened on Jan. 3, 2011; and that registration for the Medicaid EHR incentive program opened on Jan. 3, 2011, in Alaska, Iowa, Kentucky, Louisiana, Oklahoma, Michigan, Mississippi, North Carolina, South Carolina, Tennessee, and Texas. Registration for the Medicaid EHR incentive program will open in California, Missouri, and North Dakota in February 2011, and in other states in the spring and summer of 2011. Eligible professionals must register to participate in the Medicare and Medicaid incentive programs. Information about program requirements, including payment, eligibility, “meaningful use,” and certified EHR technology, is available online at https://www.cms.gov/EHRIncentivePrograms/. Physicians who meet the eligibility requirements for the Medicare and Medicaid EHR incentive programs cannot participate in both programs and must select the program they wish to participate in when they register. However, after receiving payment, they may change their program selection one time before 2015. Under the EHR incentive programs, eligible professionals can receive up to $44,000 over a five-year period through Medicare, and up to $63,750 over six years through Medicaid. Physicians who choose to participate in the Medicaid incentive program must initiate registration at the CMS registration site and complete eligibility verification with their state Medicaid agency. Resources are available to assist physicians: I Online tutorial—http://browserspring.com/ widgets/cms/test.html—to help them determine if they are eligible to participate in the EHR incentive programs. I Online document—http://capwiz.com/aoaaoia/utr/1/OCERODRYBJ/MQJMODRYD T/6316138581—with information about the incentives available in the Physician Quality Reporting System, e-Prescribing, and Electronic Health Records Incentive Programs; how physicians can increase Medicare payments through participation in available programs; and how the incentive programs interact with each other. CCHIT certification of EHR products On Oct. 1, the Certification Commission for Health Information Technology (CCHIT) announced that it has tested and certified 33 EHR products as capable of meeting the 2011–2012 criteria for Stage 1 meaningful use. The certifications include 19 complete EHRs that meet all Stage 1 meaningful-use criteria for 2011–2012, and 14 EHR modules that meet some of the criteria. The list of certified EHR products is available online at http://www.cchit.org/media/news/2010/10/ commission-announces-first-onc-atcb-2011 2012-certifications. Under ARRA, healthcare providers who demonstrate meaningful use of certified EHRs will qualify for Medicare and Medicaid incentive payments. The CMS and ONC issued final rules on July 13 setting forth the definition of meaningful use and the initial standards, implementation specifications, and certification criteria for meaningful use. The CCHIT was among the first organizations that the ONC recognized as authorized testing and certification bodies. See LEGISLATIVE/REGULATORY ISSUES, page 8 January 2011 | ACOS NEWS 3 In Memoriam Donn Charles Colyer, D.O., FACOS, FACOOG—Sept. 9, 2010 Dr. Colyer, of Pittsburg, Kan., was a 1979 graduate of the Kansas City University of Medicine and Biosciences College of Osteopathic Medicine in Kansas City, Mo., and he completed an internship and a residency at the Tripler Army Medical Center in Honolulu, Hawaii. He served a three-year tour of duty with the U.S. Army and received the Meritorious Service Award for outstanding patient care. AOA and ABMS certified in obstetrics and gynecology, he practiced in the Pittsburg area for more than two decades. He was the first osteopathic physician granted surgical privileges at Mt. Carmel Regional Medical Center in Pittsburg and was the first in the area to use epidural anesthesia. He also introduced 3D ultrasound and his patented Fetal Weight Estimate. An ACOS member since 1992, he was a Fellow of the College. Anthony M. Congello, D.O.—Oct. 22, 2010 Dr. Congello, of Lancaster, Pa., was a 1944 graduate of the Philadelphia College of Osteopathic Medicine (PCOM) in Philadelphia, Pa., and he completed an internship and a surgical fellowship at the Lancaster Osteopathic Hospital. A general practitioner in Lancaster for 50 years, he was honored by the Lancaster Osteopathic Health Foundation with a physician scholarship in his name that will be presented to future physicians who attend PCOM. He had been a member of the ACOS since 1962. Sarkis Derderian, D.O., FACOS—March 8, 2009 Dr. Derderian, of Grand Blanc, Mich., was a 1945 graduate of the Kirksville College of Osteopathic Medicine in Kirksville, Mo. He completed an internship at the Art Centre Hospital in Detroit, Mich., and a residency at Flint Osteopathic Hospital in Flint, Mich. He was AOA board certified in general surgery. A member of the surgical department at Flint Osteopathic Hospital from 1947 to 1983, he was instrumental in establishing the hospital’s surgical training program. An ACOS member since 1953, he was a Fellow of the College. Gary P. Jelinek, D.O.—May 29, 2010 Dr. Jelinek, of West Bloomfield, Mich., was a 1972 graduate of Kirksville College of Osteopathic Medicine in Kirksville, Mo. He completed an internship at Mount Clemens Regional Medical Center in Mount Clemens, Mich., a residency at Garden City Osteopathic Hospital in Garden City, Mich., and a surgical oncology fellowship at Roswell Park Memorial Institute in Buffalo, N.Y. An AOA board certified general surgeon, he served on the surgical staff at the Mount Clemens Regional Medical Center and several other hospitals in Michigan. He had been a member of the ACOS since 1981. Laszlo Posevitz, D.O., FACOS—Nov. 28, 2010 A native of Hungary, Dr. Posevitz came to Dayton, Ohio, in 1957. He graduated in 1968 from Midwestern University Chicago College of Osteopathic Medicine in Downers Grove, Ill., and completed an internship and a residency at Grandview Medical Center in Dayton. He completed training in thoracic-cardiovascular surgery in Budapest, Hungary, and at The Jewish Hospital in Cincinnati, Ohio, and in vascular surgery in Montpellier, France. AOA board certified in thoracic and general vascular surgery, he served as a clinical professor of surgery at the Boonshoft School of Medicine at Wright State University in Dayton and at Ohio University College of Osteopathic Medicine in Athens. During his years at Grandview Medical Center, he served as chief of staff and chaired the thoracic-cardiovascular and general surgery departments. He established the first vascular laboratory in Ohio at Grandview and was instrumental in establishing Grandview’s vascular surgery fellowship program; Grandview honored him by naming its vascular surgery fellowship after him. He also received the hospital’s Distinguished Service Award for his many contributions to Grandview and Southview Medical Centers and the osteopathic profession, and the Legacy Award for his contributions to graduate medical education. An ACOS member since 1979, he was a Fellow of the College. I Member News Peter B. Ajluni, D.O., FACOS, FAOAO, a past president of the AOA and a past ACOS governor, was one of two AOA leaders to receive the 2010 Riland Medal of Public Service from the New York College of Osteopathic Medicine of New York Institute of Technology. Dr. Ajluni was selected for the award for his commitment to health and wellness and his support of osteopathic medicine in global health. Aaron M. Fritz, D.O., FACOS, FAOAO, an orthopedic surgeon in Marion, Ohio, has earned the designation of Fellow of the American Osteopathic Academy of Orthopedics (AOAO) for his outstanding contributions to the osteopathic profession. He has served as an examiner for the American Osteopathic Board of Surgery, a member of the Marion General Hospital Board of Directors and Executive Committee, and team physician for the Ohio High School Athletic Association football, basketball, and wrestling state playoffs. Harlen C. Hunter, D.O., FACOS, of Bloomfield Hills, Mich., was inducted into the Athletic Hall of Fame at Lindenwood University in St. Charles, Mo., for his service and financial support of the university. He volunteered as team physician and orthopedic surgeon for Lindenwood 4 ACOS NEWS | January 2011 athletes from 1988 to 1999, and his generous contributions led to significant renovations of the school’s stadium, which is named in his honor. James E. Laughlin, D.O., FACOS, FAOAO, an orthopedic surgeon in Grand Prairie, Texas, authored a paper that was published in 2010 in the Journal of Evaluation in Clinical Practice, one of the few journals posted online by the World Health Organization. He also presented the paper at the EPS Global International Trauma Forum in China; he was one of only two Americans invited to the forum. The late Morton J. Morris, D.O., JD, FACOS, FAOAO, who served as the executive director of the AOAO for 17 years, was honored posthumously in August 2010 with the Florida Board of Osteopathic Medicine’s Board Chairman’s Award for his outstanding contributions to the osteopathic profession. Carl Mogil, D.O., FACOS, FAOAO, an orthopedic surgeon in Stratford, N.J., was one of two AOAO members honored in 2010 with the association’s first Morton J. Morris, D.O., JD, Osteopathic Orthopedic Education Award for exemplifying Dr. Morris’ love for the academy and for furthering the education of its members. I O GM E C or ne r Medical residents subject to FICA tax On Jan. 11, the U.S. Supreme Court unanimously upheld an IRS requirement that medical residents pay Social Security taxes. The ruling, which appears to settle a long fight between the IRS and teaching hospitals including the Mayo Clinic, upholds the IRS regulation that medical residents who work more than 40 hours per week do not qualify for the student exception under Section 3121(b)(10) of the Internal Revenue Code. Full-time students generally are exempt from Social Security taxes, but law clerks and tradesman apprentices are not. Summary Manual for Directors of Medical Education, OGME Program Directors, and OGME Program Coordinators In December 2010, the AOA Division of Postdoctoral Training published a revision to its Summary Manual for Directors of Medical Education, OGME Program Directors, and OGME Program Coordinators. Developed to assist OGME staff in the osteopathic postdoctoral training programs, the manual provides a basic overview of the interactions between program/training institutions and the AOA, including various mandatory reports and registrations. The manual is available online at http://www.osteopathic. org/inside-aoa/Education/postdoctoraltraining/Documents/summary-manualdirectors-of-medical-education.pdf. Social networking for surgery residents OsteoBook—a new social networking site that has been launched to foster dialogue among osteopathic residents, interns, and medical students—provides a forum for discussion as well as information about residency programs, institutions, and rotations. If you are interested in participating in this site, go online to www.osteobook.net and sign up. General Surgery In-service Examination The General Surgery In-service Examination was administered online on Jan. 8 to almost 500 general surgery residents at more than 40 training sites. This is the second year the exam was administered online. Results of the 300-item, diagnosisoriented, criterion-referenced achievement test will be distributed to program directors for discussion with their residents no later than March 31. New Resident Members The ACOS welcomes the following surgeons in training who have become resident members of the College since August 2010: Anthony Abraham, D.O. Joy D. Acklin, D.O. Barrett G. Anderson, D.O. Peter Andrade, D.O. Kelly A. Arblaster, D.O. Saeid E. Aryan, D.O. Justin D. Atherton, D.O. Vadim Avulov, D.O. Victor M. Awuor, D.O. Leah M. Bair, D.O. Jordan N. Baker, D.O. Stephanie L. Bakey, D.O. Nazia Bandukwaia, D.O. Dabanjan Bandyopadhyay, D.O. Scott A. Barnes, D.O. Apram A. Basra, D.O. Ukana O. Bassey, D.O. Jackie Battista, D.O. Zachary M. Bauman, D.O. Lindsay B. Berbiglia, D.O. Frederick I. Berg, D.O. Blake W. Berman, D.O. Matthew J. Bond, D.O. Jerel J. Brandt, D.O. Renata Brodsky, D.O. Daniel A. Bryden, D.O. Larry P. Buglino III, D.O. Cynthia A. Buono, D.O. Michael J. Butcher, D.O. Julie Ann Caffrey, D.O. Edward H. Caldwell, D.O. Thomas J. Cartolano, D.O. Michael A. Casey, D.O. Joseph D. Chabot, D.O. David Chen, D.O. Gregory T. Clabeaux, D.O. Christopher E. Clark, D.O. Jill L. Collins, D.O. Jeremy H. Conklin, D.O. Dawood Dalaly, D.O. Matthew D'Alessandro, D.O. Aaron P. Danison, D.O. Dene W. Daugherty, D.O. Nicole F. DeSimone, D.O. Suzanne M. Detrick, D.O. Salvatore Docimo, D.O. Vikrant Donthamsetti, D.O. Nicholas J. Draeger, D.O. Karissa M. DunkleyShurts, D.O. Igor G. Elyash, D.O. Christopher R. Falcon, D.O. Candida Ferguson, D.O. Devin C. Flaherty, D.O., PhD Marika Y. Gassner, D.O. Daniel P. Gay, D.O. Leonardo A. Geraci, D.O. Paul J. Ghattas, D.O. Daniel R. Gilbert, D.O. Lawrence W. Gooss IV, D.O. Lisa M. Gray, D.O. Narinder P. Grewal, D.O. Marat V. Grigorov, D.O. Jacqueline M. Guerriero, D.O. John M. Gunselman, D.O. DeGail J. Hadley, D.O. Michael I. Hanzly, D.O. Melhem Harp, D.O. Wesley A. Hendricks, D.O. Scott A. Hewitt, D.O. Matthew E. Hiesterman, D.O. Laura J. Holsey, D.O. Shawn L. Horwitz, D.O. Brian K. Hudson, D.O. Andrea R. Hufford, D.O. Craig B. Hunter, D.O. Stephanie J. Ingham, D.O. Daniel J. Inglish, D.O. Sajid Ismail, D.O. Kevin N. Jensen, D.O. Brandon L. Jenson, D.O. Jacob D. Johnson, D.O. Marta S. Johnson, D.O. Brandt D. Jones, D.O. Sallee Eckler Jones, D.O. Jeremy T. Jubach, D.O. Leiloni H. Kaluhiokalani, D.O. Justin M. Karush, D.O. Christopher J. Keeler, D.O. Sadia Khan, D.O. Joseph Kidd, D.O. Elise M. Kuykendal, D.O. Mark Kuzich, D.O. Dustin Lash, D.O. Seth D. Levine, D.O. Diana L. Livingston, D.O. Tanner A. Long, D.O. Nisreen M. Madhoun, D.O. Sohail H. Mamdani, D.O. Stephanie D. Markle, D.O. Jose A. Martin, D.O. Shane D. Martin, D.O. Miguel A. Matos, D.O. Cory B. Maughan, D.O. Noah R. May, D.O. Andrew D. McAllister, D.O. Michael J. McAllister, D.O. Katherine E. McKenzie, D.O. Daniel F. Miller, D.O. Jordan D. Miller, D.O. Matthew Miller, D.O. Stephanie A. Morbeck, D.O. Andrew B. Morris, D.O. Ryan P. Murphy, D.O. Jay B. Nastav, D.O. Ryan J. Nelson, D.O. Anh-thy Nguyen, D.O. Brian J. Obrochta, D.O. Lauren N. Oliver, D.O. Violet N. Onkoba, D.O. Megan C. O'Toole, D.O. Lynn J. Paik, D.O. Sarath K. Palakodeti, D.O. Ksenia Pavlova, D.O. Austin D. Payor, D.O. Nhan V. Pham, D.O. Daniel P. Pischl, D.O. Louella Pritchette, D.O. Michelle L. Ramirez, D.O. Benjamin H. Rebein, D.O. Mark Rivkin, D.O. Daniel J. Rizzo, D.O. Aaron M. Roberts, D.O. Christopher Chadwick Roberts, D.O. Jay W. Roberts, D.O. Nathan S. Roberts, D.O. Jed C. Robinson, D.O. Gabriel Rose, D.O. Todd C. Ruiter, D.O. Isami Sakai, D.O. Scott A. Salmon, D.O. Christina Sanders, D.O. Lee Sandquist, D.O. Jennifer Scagliola, D.O. Aislinn M. Scarbinsky, D.O. Amanda M. Schell, D.O. James R. Shurlow, D.O. Eric E. Simpson, D.O. Andrew C. Skattum, D.O. Jennifer A. Snow, D.O. Young Song, D.O. Sebastian Tas, D.O. Kristina M. Thornburg, D.O. Chiu Yuen To, D.O. Samer K. Totonchi, D.O. Elena E. Vega, D.O. Austin J. Wagner, D.O. Jasmine Weaver, D.O. Richard H. Wikiera, D.O. Matthew A. Williams, D.O. Abralena De Jesus Wilson, D.O. Kristoffer R. Wong, D.O. Jason D. Wright, D.O. Ehssan Zare, D.O. Amanda M. Zucker, D.O. New Life Members Congratulations to the following members who achieved ACOS life member status (effective July 1, 2010) and were recognized at the 2010 Ceremonial Conclave. This designation is granted only to members who are 60 years of age or more and have been a College member in good standing for 20 continuous years. John Howard Bergseng, D.O., FACOS Timothy R. Borman, D.O., FACOS John A. Galante, D.O., FACOS Steven D. Ham, D.O. Richard A. Hoefer Jr., D.O., FACOS Ronald E. Jackson, D.O., FACOS Walter F. Keller, D.O. Gary D. Kresge, D.O. Jon Irvin Levin, D.O. Robert I. Lewis, D.O., FACOS Lou Elizabeth MacManus, D.O., FACOS Timothy M. McKenna, D.O., FACOS Bradford E. Murphy, D.O. Thomas A. Noonan, D.O. Ronald J. Pedalino, D.O. Bruce H. Rank, D.O., FACOS Jeffrey D. Russell, D.O. James R. Siefer, D.O., FACOS Michael K. Smith, D.O., FACOS Pat Toselli, D.O., FACOS Gary W. Welch, D.O., FACOS Michael H. Whitworth, D.O., FACOS Edward L. Wiener, D.O., FACOS Arthur C. Wittich, D.O., FACOS January 2011 | ACOS NEWS 5 Summary of auditor’s financial statements for 2009–2010 The following are the financial statements for the ACOS for the 2009–2010 fiscal year as presented in the College auditor’s report to the Board of Governors. STATEMENT OF FINANCIAL POSITION as of June 30, 2010 ASSETS Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . $401,263 Investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,076,022 Accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92,129 Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,860 Prepaid expense: Annual Clinical Assembly . . . . . . . . . .65,519 Other . . . . . . . . . . . . . . . . . . . . . . . . . 44,623 Total prepaid expense . . . . . . . . . . . . . . . . . . . . . . . . . .110,142 Property and equipment, net . . . . . . . . . . . . . . . . . . . . 320,723 STATEMENT OF ACTIVITIES for the year ended June 30, 2010 UNRESTRICTED REVENUE AND SUPPORT Dues and application fees . . . . . . . . . . . . . . . . . . . . . . .$820,216 Annual Clinical Assembly (Chicago) . . . . . . . . . . . . . . .536,073 Other educational programs. . . . . . . . . . . . . . . . . . . . . .209,200 Grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .147,193 ACA exhibitor fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45,470 Interest and dividends . . . . . . . . . . . . . . . . . . . . . . . . . . .32,993 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,039 Other revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114,498 Total Revenue and Support . . . . . . . . . . . . . . . . . . . . . .$1,908,682 TOTAL ASSETS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,004,139 LIABILITIES AND NET ASSETS LIABILITIES Accounts payable and accrued expenses . . . . . . . . . . . . $124,144 Deferred revenue: Membership dues . . . . . . . . . . . . . . 525,471 Annual Clinical Assembly . . . . . . . . . 48,290 Other . . . . . . . . . . . . . . . . . . . . . . . . . 84,354 Total deferred revenue . . . . . . . . . . . . . . . . . . .. . . . . . .658,115 Total Liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $782,259 EXPENSES Program services: Educational programs . . . . . . . . . . . . . . . . . . . . . . . 458,055 Leadership and policy . . . . . . . . . . . . . . . . . . . . . . . 311,073 Educational standards . . . . . . . . . . . . . . . . . . . . . . . 262,935 Communications. . . . . . . . . . . . . . . . . . . . . . . . . . . . 83,774 Member recognition . . . . . . . . . . . . . . . . . . . . . . . . . 58,325 Member programs . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,601 Total Program Services . . . . . . . . . . . . . . . . . . . . . . . . . 1,184,763 Supporting services: General and administrative . . . . . . . . . . . . . . . . . . . 469,672 Member recruitment/retention . . . . . . . . . . . . . . . . 136,487 Total Supporting Services. . . . . . . . . . . . . . . . . . . . . . . . . 606,159 NET ASSETS Unrestricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,221,880 Total Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,790,922 TOTAL NET ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . . $1,221,880 CHANGE IN NET ASSETS FROM OPERATIONS . . .$117,760 TOTAL LIABILITIES AND NET ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,004,139 Net unrealized gain (loss) on investments . . . . . . . . . . . . 88,257 CHANGE IN NET ASSETS . . . . . . . . . . . . . . . . . . . . . . . .206,017 Net Assets, beginning of year . . . . . . . . . . . . . . . . . . .1,015,863 NET ASSETS, END OF YEAR . . . . . . . . . . . . . . . . . . .$1,221,880 Financial summary of ACOS Trust Fund UNAUDITED STATEMENT OF REVENUES AND EXPENSES as of June 30, 2010, as prepared by staff Fund balance as of June 30, 2009 . . . . . . . . . . . . . . . . . .$519,226 REVENUES Member contributions . . . . . . . . . . . . . . . . . . . .$87,209 Interest and capital gains . . . . . . . . . . . . . . . . . . .14,217 Unrealized gains (losses) on stock . . . . . . . . . . . .(1,832) Unrealized gains (losses) on mutual fund . . . . . . .32,193 Total Revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$131,787 EXPENSES Awards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$21,910 SOSA scholarship grant . . . . . . . . . . . . . . . . . . . . .1,500 Administrative expenses . . . . . . . . . . . . . . . . . . . .18,635 Update training standards/curriculum . . . . . . . . . .7,287 ACA keynote speaker . . . . . . . . . . . . . . . . . . . . . . . .899 Focus groups and member survey . . . . . . . . . . . .29,300 CME consultant . . . . . . . . . . . . . . . . . . . . . . . . . .52,500 ACA poster boards . . . . . . . . . . . . . . . . . . . . . . . . .2,187 6 ACOS NEWS | January 2011 Total Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$134,218 Loss (expense in excess of revenue) . . . . . . . . . . . . . . . .(2,431) Fund balance on June 30, 2010 . . . . . . . . . . . . . . . . . . . . $516,795 General Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$471,364 Designated funds: Sherman Fund . . . . . . . . . . . . . . . . . . . . .35,014 Humanitarian Award Fund . . . . . . . . . . . .5,659 SOSA Fund . . . . . . . . . . . . . . . . . . . . . . . .4,757 45,431 Total Funds of Trust . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$516,795 AC O S Tr us t Fund D onor s The ACOS Trust Fund sponsors awards for outstanding scientific exhibits and posters at the Annual Clinical Assembly; resident literary awards to recognize outstanding manuscripts by residents; achievement awards to recognize outstanding residents; humanitarian awards to recognize members’ voluntary service; and the Orel F. Martin Medal to recognize distinguished service to the osteopathic profession. A Trust Fund grant was provided to the College to employ a Director of CME Program Development to assist CME program committees and program chairs in the planning, development, implementation, evaluation, and assessment of their continuing education programs in accordance with AOA Category 1-A CME requirements. The fund supported the revision, update, and reformatting of the AOA/ACOS surgical training standards, as required by the AOA every three years; and the materials utilized in training program site inspections, including creation of a “crosswalk” to assist programs in documenting compliance with the standards. The Trust Fund also supports studies of the opinions, attitudes, and needs of osteopathic surgeons by outside consultants to assess current ACOS member programs and services and to develop new ACOS programs and services. The ACOS is grateful to the members who donated a total of $46,384 to the Trust Fund from July 1, 2010, through Jan. 5, 2011. See Trust Fund giving options below. President’s Roundtable: $1,000 or more Gordon C. Knight, D.O., FACOS Allan D. Lamb, D.O., FACOS Milena Diana Lambie, D.O. John R. Lanesky, D.O., FACOS Tiffany M. Lasky, D.O., FACOS James D. Lawrence, D.O. Jay A. Lawrence, D.O., FACOS Diane L. Light, D.O. Jung J. Lim, D.O. Nancy Jean Lobby, D.O., FACOS Edward A. Loniewski, D.O., FACOS, FAOAO Jay M. Lonsway, D.O., FACOS Lou Elizabeth MacManus, D.O., FACOS Carolyn C. Majors, D.O. Francesco T. Mangano, D.O., FACOS Mitchell F. Matez, D.O. Gregory Z. Mavian, D.O., FACOS William J. Meis, D.O., FACOS Matthew P. Mené, D.O., FACOS Albert F. Milford III, D.O., FACOS Gregory C. Nacopoulos, D.O., FACOS Huy T. Nguyen, D.O., FACOS Khanghy Duy Nguyen, D.O. Michael A. Nizzi, D.O., FACOS Vincent U. Ohaju Jr., D.O., FACOS Jan A. Olenginski, D.O. Albert H. Olivencia-Yurvati, D.O., FACOS Henry Parcinski Jr., D.O., FACOS Robert M. Patacsil, D.O., FACOS Douglas G. Paulk, D.O., FACOS Ronald J. Pedalino, D.O. Claudia B. Perez, D.O. Laszlo Posevitz, D.O., FACOS Hamid R. Pourshojae, D.O. Ivan Darrell Pugh Jr., D.O. Ruth A. Rassel, D.O. Lee A. Rea, D.O., FACOS Darryl R. Reaume, D.O., FACOS Howard L. Reeves, D.O., FACOS Edgar J. Rennoe, D.O., FACOS David R. Rittenhouse, D.O., FACOS Laurence H. Belkoff, D.O., FACOS Wayne A. Hey, D.O., FACOS Les M. Landau, D.O., FACOS Sherman N. Leis, D.O., FACOS Robert J. Marx, D.O., FACOS Jim Greg Melton, D.O. Barry Sachs, D.O., FACOS Leadership Circle: $500–$999 Allan M. Arkush, D.O., FACOS Diane C. Bigham, D.O. Joseph P. Cardinale, D.O., FACOS William A. Cline, D.O., FACOS Robert J. Cotter Jr., D.O., FACOS Brian P. DeFade, D.O. Sarkis Derderian, D.O., FACOS Luciano A. DiMarco, D.O., FACOS Neil W. Fisher, D.O., FACOS John A. Galante, D.O., FACOS Deborah G. Harris, D.O. Richard D. Hart Jr., D.O., FACOS William R. Henwood, D.O., FACOS Richard D. Kimmel, D.O., FACOS Eric A. Kivisto, D.O. Robert I. Lewis, D.O., FACOS Christopher F. Lucchese, D.O., FACOS Thomas J. Maatman, D.O., FACOS Robert H. Mashioff, D.O., FACOS Alan L. Meshekow, D.O., FACOS Ian E. Parker, D.O. Ryan Jeffrey Roe, D.O. Stanley J. Rosol, D.O., FACOS Anthony Schwartz, D.O., FACOS Valerie L. Sheridan, D.O., FACOS Adam B. Smith, D.O., FACOS Qualls E. J. Stevens, D.O. Richard H. Still III, D.O., FACOS Elizabeth M. Tucker, D.O., FACOS Wayne R. Waterman, D.O. Benefactors: $250–$499 Michael I. Abraham, D.O., FACOS Roger Gustavo Amigo, D.O., FACOS Mandip S. Atwal, D.O., FACOS Robert Love Baker II, D.O., FACOS Susan Marie Baro, D.O., FACOS Joseph C. Benedetto, D.O., FACOS Lee M. Blatstein, D.O., FACOS Brian R. Drabik, D.O., FACOS John A. Fetzer, D.O., FACOS Jerry G. Gaston, D.O., FACOS B. Douglas Harris, D.O. Raymond Vincent Harron, D.O. Francis A. Kralick, D.O., FACOS Michael A. Kulungowski, D.O., FACOS Mark S. Maxwell, D.O., FACOS Christopher P. Moyer, D.O., FACOS William H. Phillips, D.O., FACOS Joseph A. Racanelli, D.O. Ofer Rodriguez, D.O. F. Kenneth Shockley, D.O., FACOS Michael K. Smith, D.O., FACOS David Andrew Southwick, D.O. Patrons: $100–$249 William S. Agent Jr., D.O., FACOS Isidro A. Amigo, D.O., FACOS William G. Anderson, D.O., FACOS Robert L. Archer, D.O., FACOS Nazareth V. Asorian, D.O., FACOS Christopher M. Bariana, D.O. Robert I. Barsky, D.O., FACOS Jim D. Bates, D.O., FACOS John C. Baumann, D.O., FACOS Jaret A. Beane, D.O. Dawn M. Bodell, D.O., FACOS John P. Bollins, D.O. Otto B. Brdlik, D.O., FACOS Robert A. Brock, D.O., FACOS Mark W. Byrge, D.O. Michael A. Campanelli, D.O., FACOS Daniel Keith Cantwell, D.O. Marie J. Carter, D.O. Ralph S. Carungi, D.O., FACOS Thomas A. Castillenti, D.O. John D. Clayton, D.O., FACOS Andrew C. Clemmons, D.O. Charles R. Conklin, D.O., FACOS John H. Cooper, D.O., FACOS Wan-Tzy Cooper, D.O. Dennis E. Cramer, D.O. Norman D. Crecelius, D.O., FACOS Sang Won Dacri-Kim, D.O. David John Dargis, D.O., FACOS William Davidson, D.O. David Daniel Davila, D.O., FACOS Willard P. DeBraber, D.O. Arthur J. DeMarsico, D.O., FACOS Charles L. Dietzek, D.O., FACOS Darius A. Divina, D.O. Ronald J. Dorbish Jr., D.O. John H. Drabing, D.O., FACOS, FAOAO Laurie Ann Duckett-Simmons, D.O. Leonard L. Dunworth, D.O., FACOS Ted S. Eisenberg, D.O., FACOS Craig M. Eyman, D.O., FACOS Anthony G. Fabaz, D.O., FACOS Michael L. Farrell, D.O. Jarad Scott Fingerman, D.O., FACOS Lisa Jo Finkelstein, D.O., FACOS Robert Louis Fiorelli, D.O. Mary E. Freyvogel, D.O. Speros A. Gabriel, D.O., FACOS William K. Garretson, D.O., FACOS Julius W. Gee, D.O. Elvita Genelus-Dominique, D.O. Phillip C. Ginsberg, D.O., JD, FACOS Tammy Lynn Gleeson, D.O. Brian Gluck, D.O., FACOS, FASMBS Andrea J. Goethals, D.O. Mark L. Goldberger, D.O. John C. Green, D.O., FACOS Bryan T. Grischow, D.O., FACOS Salvador Guerrero, D.O. Dong Hoang Ha, D.O. Brian Scott Hanna, D.O., FACOS Khoren Hekimian, D.O., FACOS Rafael C. Hernandez, D.O. Albert S. Heyman, D.O., FACOS Andrew J. Hutchinson, D.O. C. Michael Johnson, D.O., FACOS J. Harris Joseph, D.O., FACOS Robert F. Joyce, D.O. Ronnie L. Keith, D.O., FACOS Ahmed M. Khan, D.O. Bruce I. Kilstein, D.O., FACOS Forrest D. Robart, D.O. Rodney T. Routsong, D.O., FACOS James C. Schiefen, D.O., FACOS Roger H. Schoenfeld, D.O., FACOS G. Philip Scott, D.O., FACOS Jason M. Seibly, D.O. Moses K. Shieh, D.O., FACOS Alexander Shiferson, D.O. William R.C. Shillinglaw, D.O., FACOS Kenneth F. Shockley, D.O., FACOS Harry W. Simmons, D.O., FACOS Marc L. Simon, D.O. Frank L. Simoncini, D.O., FACOS Aaron Christopher Smith, D.O. Aaron Mitchell Smith, D.O. Neal R. Sokol, D.O., FACOS Aleksandr Sokolovsky, D.O. Thomas E. Steffens, D.O., FACOS Robert G. Stroud, D.O., FACOS David P. Sufian, D.O., FACOS David O. Sussman, D.O., FACOS Harold A. Tabaie, D.O., FACOS Douglas Adam Taranow, D.O., FACOS Jeffrey P. Tenner, D.O., FACOS Mark B. Vance, D.O. Giacomo Vinces, D.O. Ronald W. Wadle, D.O., FACOS Jeremy L. Weiss, D.O. Scott N. Welle, D.O. Betty Jo White, D.O., FACOS James R. White, D.O., FACOS Gregory Lynn Wilson, D.O., FACOS Frank A. Wojciechowski, D.O. Richard J. Worel, D.O., FACOS Allen J. Zagoren, D.O., FACOS Vincent J. Zizza III, D.O., FACOS Paul F. Zubel, D.O. Honor Roll: Up to $99 Robert E. Henson, D.O., FACOS Martin J. Loscalzo, D.O. Trust Fund Giving Options You can make contributions to the ACOS Trust Fund In memory of... a deceased ACOS member; or In honor of... an ACOS member, a member of your family, or a significant friend. Please send your contributions to the ACOS Trust Fund, 123 North Henry Street, Alexandria, VA 22314-2903. The following individuals were remembered with donations from July 1, 2010, through Jan. 5, 2011. In memory of ... I Helen Catherine Brdlik—from Otto B. Brdlik, D.O., FACOS I Sarkis Derderian, D.O., FACOS—from Helen Derderian I Ellis Siefer, D.O., FACOS—from Anthony Schwartz, D.O., FACOS I Louis J. Spagnuolo, D.O., FACOS—from Anthony Schwartz, D.O., FACOS Have you moved? Keep us updated! If you have made any recent changes in your practice or home address, phone numbers, or e-mail address, please notify the College at info@facos.org. Thanks for your help in keeping our records up-to-date! January 2011 | ACOS NEWS 7 ACOS NEWS American College of Osteopathic Surgeons 123 North Henry Street Alexandria, VA 22314-2903 Nonprofit Org. U.S. Postage PAID Hagerstown, MD Permit No. 28 ADDRESS SERVICE REQUESTED PRINTED ON RECYCLED PAPER Other Legislative and Regulatory Issues Affecting Surgeons From LEGISLATIVE/REGULATORY ISSUES, page 3 CMS proposed rule on Medicaid RAC program The ACOS and 80 other national and state medical organizations submitted comments to the CMS on Jan. 10 about the agency’s proposed rule concerning the Medicaid Recovery Audit Contractors (RAC) Program. The organizations expressed concern that the proposed rule does not provide sufficient guidance to states in establishing and implementing their Medicaid RAC programs, and they urged the CMS to review the improvements already instituted in the Medicare RAC program and require that similar safeguards be put in place for the Medicaid RAC program. They reminded the CMS of the challenges facing physicians as a result of health system reform, in addition to implementation of health information technology and the transition to ICD-10-CM and ICD-10-PCS codes, and requested that CMS set forth streamlined, straightforward requirements for the Medicaid RAC program to ensure the delivery of efficient and high-quality care. The organizations’ comments are available online at http://www.ama-assn.org/ama1/pub/upload/ mm/399/rac-letter-10jan2011.pdf. Physician compliance with HIPAA 5010 A new version of the Health Insurance Portability and Accountability Act (HIPAA) standards will go into effect in 2012. Physicians and others in the healthcare industry are required to upgrade and begin using HIPAA version 5010 starting on Jan. 1, 2012. Version 4010 has been in use for HIPAA transactions since 2003. To avoid claims-processing and cash-flow interruptions, physicians are urged to talk to their vendors about upgrades to version 5010 and to begin testing with their largest payers and clearinghouses to work out transmission problems in advance. For more information about compliance with HIPAA version 5010, go online to http://www.amaassn.org/go/5010. Future Programs Feb. 10–12, 2011 2011 General Surgery In-depth Review Seminar Orlando World Center Marriott Resort Orlando, Fla. March 27–29, 2011 Joint Surgical Advocacy Conference (JSAC) JW Marriott Hotel, Washington, D.C. (To register for the JSAC, go online to http://facs.org/ahp/jsac2011.html.) Sept. 15–18, 2011 2011 Annual Clinical Assembly of Osteopathic Surgeons Hilton Atlanta, Atlanta, Ga. Call 800-888-1312 or visit the ACOS website at www.facos.org for more information about these and other upcoming educational programs. Success in post-health-reform world A new educational resource—ACOs, CO-OPs and Other Options: A How-to Manual for Physicians Navigating a Post-health Reform World—is available online at www.amaassn.org/go/ACO to help physicians succeed, regardless of how they choose to navigate the new post-health-reform world. This manual provides an overview of accountable care organizations (ACOs) and addresses such issues as governance, partnerships with hospitals or health insurers, and managing antitrust risks. It also discusses opportunities for consumer operated and oriented plans (CO-OPs) and provides guidance on earning EHR incentive payments. I Classifieds Classified advertising is available to ACOS members at the rate of $50 per column inch; the cost to nonmembers is $75 per column inch. Classified advertising or professional notices should be sent to: Editor, ACOS News, 123 N. Henry St., Alexandria, VA 22314-2903. Fax: 703-684-3280. Advertisements are accepted by ACOS News when they conform to the College’s ethical standards. ACOS News does not verify the accuracy of claims made in advertisements, and acceptance does not imply endorsement by the College. The ACOS assumes no liability for errors or missing ads beyond a refund for any amounts paid.