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Mandating MOC to practice medicine is an appalling overstep of nonexistent authority

KevinMD.com | Carlos J. Cardenas | May 10, 2017

Maintenance of certification (MOC) for something as significant as the practice of medicine seems like a harmless enough idea. But for physicians across the country who dedicate thousands of hours of study, earn licensure, achieve board certification, and practice medicine, MOC is not only unnecessary but also a resource-consuming mandate that does nothing to improve patient outcomes and quality of care.

According to the American Board of Medical Specialty's (ABMS') own website: "Board certification is a voluntary process, and one that is very different from medical licensure...Board certification demonstrates a physician's exceptional expertise in a particular specialty and/or subspecialty of medical practice." In other words, physicians who pursue board certification self-identify as professionals committed to ongoing learning and subject-matter mastery. The vast majority of Texas physicians willingly pursue and obtain their initial certification for just that reason.

ABMS introduced MOC in the past 20 years, granting a lifetime certification to physicians board certified at the time of its creation. The rationale for the arbitrary "grandfathering" date is murky and ambiguous at best...read more here.

HCA buying Texas hospitals from CHS, Tenet

Nashville Post | Geert De Lombaerde | May 1, 2017

Amid flurry of hospital acquisition and divestiture news Monday afternoon, HCA Holdings executives announced they have agreed to buy six hospitals in Texas from rivals Tenet Healthcare and Community Health Systems.

Nashville-based HCA will pay Tenet $725 million for the 423-bed Houston Northwest Medical Center, the 181-bed Cypress Fairbanks Medical Center Hospital, the 444-bed Park Plaza Hospital. The companies' deal, which is expected to close during the third quarter, also includes physician practices and other assets. 

In a statement, Tenet said the facilities produced 2016 adjusted earnings before interest, taxes, depreciation and amortization of $80 million on net revenues of about $575 million.

"The addition of these hospitals will help us expand our network to serve patients in a growing part of the Greater Houston market," said HCA President and COO Sam Hazen. "We are excited about the...read more here.

          Texas Leadership

                                        Cristin Dickerson, MD          Venodhar Julapalli, MD             


National News...

In one new Oklahoma City surgical center prices are 1/6 to 1/10 the amount charged by hospitals. Everyone pays the same price for the same procedure. Total charges are often less “than the deductibles on the Obamacare plans.” Patients are not asked: “What insurance do you have?” Real life evidence that “legitimate” pricing is the cure for a sick healthcare system. Please share and help to spread...read more here.

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