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Volume 30 • Issue 3
Michigan’s Telehealth Creates
Opportunities for Telepodiatry:
Patient Care in the 21st Century
2 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
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3www.mpma.org
INSIDEMessage From The President—Dr. Ali Safiedine
CMS Offers Guidance with ICD-10
MPMA Congratulates Dr. Daniel Lathrop
Association Reaches Out to Governmental Leaders
A $10,000,000,000 Dollar Bet That Will Change Your Practice
Taking on Telehealth: Saying Goodbye to Michigan Health Care as We Know It
Wearables May Revolutionize Healthcare
Michigan Launches New Medicaid Technology
Michigan Podiatry Action Society
MPMA Doctors Reach Out to People with Diabetes
MPMA 2015-2016 Board of Directors & Division Officers
Classified Advertising
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Podiatric Profiles is the official publication of the Michigan Podiatric Medical Association (MPMA). MPMA assumes no responsibility for the statements, opinions and/or treatments appearing in the articles under the author’s name. This information is not a substitute for legal or medical advice. All Podiatric Profiles content is approved by the Editorial Committee. For editorial or business information and advertising rates call 800/968-6762.
Michigan Podiatric Medical Association1000 W. St. Joseph Hwy., Ste. 200Lansing, Michigan 48915800/968-6762 • Fax 517/485-9408www.mpma.org
MPMA Executive BoardPresident, Dr. Ali Safiedine [email protected]
President Elect, Dr. Crystal Holmes [email protected]
Secretary, Dr. Joyce Patouhas [email protected]
Treasurer, Dr. Bruce Jacob [email protected]
Immediate Past President,
Dr. Scott Hughes [email protected]
The MPMA home office staff is available for contact any time
Derek E. DallingExecutive Director
Matthew SolakDeputy Executive Director
Jason WadagaDirector of Government Affairs
Christian H. KindsvatterSpecial Projects
Geri RootDirector of Events
Michelle D. DishawMembership Director
Denise A. StoneFinancial Manager
Sara AdamsEvents Coordinator
Alicia VazquezGraphic Designer
Alyssa HansenAdministrative Assistant
3www.mpma.org
4 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
Integrating new patient care technologies will give doctors a few challenges, but the opportunities are many.
In recent years, a number of healthcare studies show providers are becoming more reliant on technology and the pace is accelerating.
In this issue of Profiles we explore how podiatrists and other health care providers will advance patient care using new devices and methods.
For Michigan podiatrists, these advances will give doctors a 24/7 data stream of their patients’ behavior using wearable devices. Our profession will also be able to reach out to new rural patients like never before as our state’s telehealth network expands.
The fast rate of change has made some providers uneasy. We can look to our state’s auto industry for some clues on the impact of technology advances. The rise of robotics in the auto industry caused widespread anxiety, but those so-called “job killing machines” turned out to help Michigan become a leader in smart manufacturing. That surprised many critics of robotics by actually creating new high-skilled, high-paying jobs. In recent years, Michigan has the fastest growth rate and the largest increase in manufacturing jobs in the country.
What technology did for our manufacturers, I’m optimistic that technology reported in this issue of Profiles magazine will increase and improve our profession’s care options.
Office visits won’t go away anytime soon, because the podiatrist’s patient care is a complex art and science that requires human interaction. A doctor’s intuition works best during an office visit.
I am looking forward to see how the doctors of the Michigan Podiatric Medical Association will use and advance the emerging technologies that are coming our way.
M E S S A G E F R O M T H E P R E S I D E N T
Dr. Ali SafiedineMPMA President
Don’t Fear Health Care’s Emerging Technology
5www.mpma.org
continued on page 6
By now, you have survived the official launch date of ICD-10 on October 1. Now that we are nearly a month into the new system, hopefully, you have developed new personal and office-based work habits to generate the necessary detailed medical documentation.
CMS has been clear on how to submit claims. Claims with dates of service prior to October 1, 2015 must continue to be submitted, appealed, and processed under ICD-9. For all dates of service on or after October 1, 2015, all claims must be submitted, appealed, and processed under ICD-10. For now, you are maintaining two separate diagnosis coding systems.
The next question most doctors have is: how soon will a Medicare claim be paid? According to CMS, Medicare claims take several days to be processed and must also – by law – wait two weeks before payment is issued.
ICD-10 has not been easy. That is why CMS has provided resources to help providers with their claim and payment questions. Below are the guidelines.
What if I run into a problem with the transition to ICD-10 on or after October 1st 2015?
CMS understands that moving to ICD-10 is bringing significant changes to the provider community. CMS will set up a communication and collaboration center for monitoring the implementation of ICD-10. This center will quickly identify and initiate resolution of issues that arise as a result
of the transition to ICD-10. As part of the center, CMS will have an ICD-10 Ombudsman to help receive and triage physician and provider issues. The Ombudsman will work closely with representatives in CMS’s regional offices to address physicians’ concerns. As we get closer to the October 1, 2015, compliance date, CMS will issue guidance about how to submit issues to the Ombudsman.
What happens if I use the wrong ICD-10 code, will my claim be denied?
While diagnosis coding to the correct level of specificity is the goal for all claims, for 12 months after ICD-10 implementation, Medicare review contractors will not deny physician or other practitioner claims billed under the Part B physician fee schedule through either automated medical review or complex medical record review based solely on the specificity of the ICD-10 diagnosis code as long as the physician/practitioner used a valid code from the right family. However, a valid ICD-10 code will be required on all claims starting on October 1, 2015. It is possible a claim could be chosen for review for reasons other than the specificity of the ICD-10 code and the claim would continue to be reviewed for these reasons. This policy will be adopted by the Medicare Administrative Contractors, the Recovery Audit Contractors, the Zone Program Integrity Contractors, and the Supplemental Medical Review Contractor.
What happens if I use the wrong ICD-10 code for quality reporting? Will Medicare deny an informal review request?
For all quality reporting completed for program year 2015 Medicare clinical quality data review contractors will not subject physicians or other Eligible Professionals (EP) to the Physician Quality Reporting System (PQRS), Value Based Modifier (VBM), or Meaningful Use (MU) penalty during primary source verification or auditing related to the additional specificity of the ICD-10 diagnosis code, as long as the physician/EP used a code from the correct family of codes. Furthermore, an EP will not be subjected to a penalty if CMS experiences difficulty calculating the quality scores for PQRS, VBM, or MU due to the transition to ICD-10 codes.
CMS will not deny any informal review request based on 2015 quality measures if it is found that the EP submitted the requisite number/type of measures and appropriate domains on the specified number/percentage of patients, and the EP’s only error(s) is/are related to the specificity of the ICD-10 diagnosis code (as long as the physician/EP used a code from the correct family of codes).
CMS will continue to monitor the implementation and adjust the timeframe if needed.
What is advanced payment and how can I access this if needed?
When the Part B Medicare Contractors are unable to process
CMS Offers Guidance with ICD-10
6 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
CMS Recommendations for Transition
Step 1: For general ICD-10 information, go to CMS.gov/ICD-10 and RoadTo10.org.
Step 2: For Medicare claim questions, contact your Medicare Administrator Contractor.
Step 3: Contact the ICD-10 Ombudsman for questions. The ICD-10 Ombudsman is an impartial advocate with a team of experts to answer questions.
claims within established time limits because of administrative problems, such as contractor system malfunction or implementation problems, an advance payment may be available. An advance payment is a conditional partial payment, which requires repayment, and may be issued when
the conditions described in CMS regulations at 42 CFR Section 421.214 are met.
To apply for an advance payment, the Medicare physician/supplier is required to submit the request to their appropriate Medicare Administrative Contractor (MAC). Should there be
Medicare systems issues that interfere with claims processing, CMS and the MACs will post information on how to access advance payments. CMS does not have the authority to make advance payments in the case where a physician is unable to submit a valid claim for services rendered. t
continued from page 5
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8 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
MPMA Congratulates Dr. Daniel Lathrop
This past spring, Governor Rick Snyder appointed Grand Traverse County Commissioner and practicing podiatrist Dr. Daniel Lathrop to the Michigan Community Corrections Board.
His appointment to the 13-member Community Corrections Board is for four years from the date he took office. The board serves the Michigan Department of Corrections in an advisory capacity, making recommendations to improve many aspects of community corrections programs throughout the state. Its job is approving many components of community corrections programs including: goals, eligibility criteria, program guidelines, program standards and policies, the application process, procedures for funding, and criteria for evaluation. The Board consists of 13 members, each
representing a certain entity related to correction, with Dr. Lathrop representing the general public.
Dr. Lathrop, who has been practicing podiatry for over 40 years, studied pre-medicine at Michigan State University and received his Doctor of Podiatric Medicine degree from Kent State University College of Podiatric Medicine. He is a Diplomat of the American Board of Reconstructive Ankle and Foot Surgery and a Fellow of the American College of Foot Surgery.
Dr. Lathrop is also known throughout the community for his compassion towards injured active duty veterans, attending to their injuries free of charge. This is a practice he started during the Vietnam War, when he would routinely remove shrapnel from the lower extremities of soldiers and Marines. t
Dr. Daniel Lathrop
• Private Pilot• Black Belt in Judo• Started his podiatric medical practice in 1975• Past MPMA Ethics Chairman and Scientific Chairman• On Staff at Munson Medical Center• Founder of Podiatric Surgery Section of Munson
Medical Center
More About Dr. Daniel Lathrop
9www.mpma.org
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Association Reaches Out to Governmental Leaders
On September 21st Dr. Jodie Sengstock, MPMA Director of Public Relations, had the opportunity to attend a legislative event in Orchard Lake, MI.
She met with Senator Mike Kowall (R-White Lake) and Governor Snyder to talk about the future of health care and the role of the Podiatric Medical Doctor.
Senator Mike Kowall is in his second term, serving as Majority Floor Leader. He has served in the Michigan House of Representatives from 1998 to 2002.
Kowall is the vice chair of the Commerce Committee and serves as a member of the Government Operations, Joint Committee on Administrative Rules, and Regulatory Reform Committees. His committee is working on solutions to repair Michigan roads. t Dr. Jodie Sengstock with Governor Rick Snyder and State Senator Mike Kowall
10 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
A $10,000,000,000 Dollar Bet That Will
The Michigan Podiatric
Medical Association
is researching its
potential role in how
it can participate
in these practice-
changing grants.”
To encourage sweeping changes, the ACA dedicated $10 billion of its $1.8 trillion budget in grants supporting innovation initiatives over the next decade.
The new initiatives will differ from existing efforts in that it will involve more clinicians, including family physicians, podiatrist, nurse practitioners, physician assistants and pharmacists.
The Michigan Podiatric Medical Association is researching its potential role in how it can participate in these practice-changing grants.
How the Money Will Be Allocated
Grants will be awarded in two ways: directly to health providers or to the state.
Health care organizations, clinicians and non-profit clinics can directly apply for ACA grants like the Transforming Clinical Practice Initiative through the department of Health and Human Services. This money will be allocated to health care providers so they can improve their patients overall health care including increasing the use of electronic health records for efficiency
and effectiveness, improve coordination of patient care between primary care providers and specialists, and expand the number of ways patients are able to communicate with their doctors.
States can also apply for grant money through the State Innovation Model Initiative. This program was designed to support states in the development and testing of state-based models for multi-payer payment and health care delivery system transformation, with a particular focus on Medicare, Medicaid and the Children’s Health Insurance Program. Once a state is awarded money, they become in charge of allocating the funds to organizations that fit the Initiative’s criteria.
How the Money is UsedThe State of Michigan received more
than $1.6 million in 2013 to develop its State Health Care Innovation Plan, a system designed to transform service delivery in patient/family-centered health homes, the Medical Neighborhood, the bridge between behavioral-health and long-term care, and integrated healthcare and community resources. A new round of state-based funding will be released
By Derek Dalling
continued on page 21
11www.mpma.org
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12 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
Saying Goodbye to Michigan Health Care as We Know It
Taking on Telehealth:
The days of long reception room waits and the hassle that comes with scheduling doctor consultations may be coming to an end. As telehealth works to break out of its infancy in the state of Michigan, there are big changes coming in how patients interact with their health care providers.
Telehealth technologies have given a literal meaning to the concept of health care “at your fingertips.” Patients will no longer have to worry about finding a doctor if they are traveling away from home or trying to care for a sick child after offices have closed. Through the use of electronic communications, patients are able to get 24 hour, one-on-one access with a health care provider through videoconferencing, the Internet, and mobile applications.
When to Use Telehealth Technologies
The goal of telehealth technologies is to quickly and efficiently deliver information patients are looking for, but there are a few things to consider before logging on and speaking with a doctor. First, how and when should telehealth technologies be used? To begin with, telehealth is not designed for emergencies or chronic diseases that require regular testing and oversight from a podiatrist. Certain sites such
as Amwell, Call the Doc, and Doctor on Demand vary in how they charge patients. Doctor on Demand, for example, charges $40 per medical and pediatric visit and has varying charges for psychologists and lactation consultants. There is also a limit on what sort of drugs can be prescribed. While antihistamines and anti-fungals are allowed, antibiotic, opioids and other controlled substances are generally not prescribed to patients via telehealth.
With nearly a million people in the United States already using telehealth services, it’s also important to watch for red flags. Programs that meet patient privacy standards can prove their sites adhere to federal and state laws. They are also able to ensure health care providers are licensed and can be accredited by the American Telemedicine Association.
Nationally, more than 200 telehealth networks and more than 3,500 service sites exist today that allow hospitals and other providers to use telehealth services in a multitude of settings. In Michigan, 11 telehealth networks already exist to connect patients with health care providers across the state. These services are not limited to basic doctor-patient consultations. Telehealth aims to create a health information system that is easily
accessible and informational for doctors and patients alike.
Michigan’s Role in Telehealth
While state and federal agencies often differ on how they define and regulate telehealth, Michigan has had no problem getting started with implementing this emerging technology into multiple facets of the health care system. In June 2012, Governor Snyder signed House Bills 5408 and 5421, which required health insurance providers to recognize claims for health services delivered by telemedicine methods. Both bills expanded the private coverage of telehealth service by preventing insurers from requiring face-to-face contact between providers and patients for treatment coverage. In regard to Medicaid, Governor Snyder worked to sign House Bill 4714 to expand the reaches of financial assistance to cover the telehealth industry. This Medicaid expansion bill provides health care telehealth coverage to eligible beneficiaries who have incomes between 100 to 133 percent of the federal poverty line. With one of the main components of telehealth focusing on reaching out to patients in rural communities, newly contracted health plans will be allowed to cover and reimburse for telehealth provided services, as
12 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
By Joe Ross
13www.mpma.org
Michigan podiatrists
are now transitioning to a
system that allows the world
of treatment options for
patients to be more efficient,
accurate, and connected
than ever before.
Telehealth is not designed
for emergencies or chronic
diseases that require regular
testing and oversight from a
podiatric doctor.”
long as the service is in real time, uses interactive video or audio, is through a telecommunications system, and the patient is able to interact with the off-site healthcare professional at the time the service is provided.
Across the state, patients with cardiovascular, psychological, and other health issues are all linked through fast and secure Internet connections and video conferencing. In hospitals, physician organizations, and
nursing homes, pilot projects allow patients and doctors alike to consult with specialists, discuss treatment options, and ask questions in a setting that allows for diagnoses and treatment plans to be more accurate and efficient than ever before. The University of Michigan Health System is using telehealth not only to hold consultations between patients and medical staff, but also as a way of securely transmitting medical, imaging, and health data from one
site to another. Success has also been noted in terms of specialists and other staff being able to come together for group consultations that allow teams to present and discuss numerous cases in a single session.
Michigan podiatrists are now transitioning to a system that allows the world of treatment options for patients to be more efficient, accurate, and connected than ever before.
13www.mpma.org
Sources: CrainsDetroit.com, Healthcare-informatics.com, AmericanTeleMed.org, SafeOnlineHealth.org
continued on page 14
14 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
Taking on Telehealth: continued from page 13
Michigan Telehealth Networks
14 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
ww4.mph.org
Author: Joe Ross is a partner at Communications
& Research, Inc. He serves on numerous health care
policy boards and is a specialist at marketing emerging technology
products and services.
15www.mpma.org
HISTOLOGYASSOCIATESA Michigan Pathology LaboratorySpecializing in Podiatric Pathology
Accredited by the College of American Pathologists. Licensed in all states including New York and California.
www.histologyassoc.com1 (800) 444-7522
Shouldn't you use a Michigan lab?Your practice is in Michigan and your patients are from Michigan.
16 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
Wearables May Revolutionize Healthcare
The emerging world of wearable health devices will help Michigan patients and doctors efficiently manage chronic diseases like never before. Wearable devices (such as FitBit, Up by Jawbone, and IHealth) are being incorporated into patient routines across the state and country in an effort to prevent clinical readmissions and allow patients to interact with and learn from their health statistics to help better manage chronic diseases.
In an effort to improve patient care, wearable technologies have been implemented into post-operation recovery procedures at the Mayo Clinic in Rochester, Minnesota. The wearable devices track the number of steps patients take each day and sends a daily patient recovery report to physicians. This way, clinic staff is able to monitor patients’ progress. Caregivers use this information to intervene before readmission becomes necessary.
In diabetes management, mobile applications and wearable technologies help patients take part in monitoring glucose levels in correlation with exercise, blood pressure, and weight. A mobile diabetes management app called Glooki integrates with wearable technologies to enable patients to better control their blood sugar. Doctors are able to intervene if a patient has not uploaded readings in a timely manner or if they are experiencing severe fluctuations in glucose levels. These applications allow doctors to spot correlations between exercise output, food intake, and how that ultimately affects glucose levels. Patients are then able to adjust their insulin dose accordingly.
Podiatrists and technology vendors are widening the realm of possibility for the health functions that can be monitored through wearable technologies. These developments will make patients a better ally in the their own recovery and wellness care. t
16 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
Wearable technologies give Michigan podiatrists the ability to walk
in the shoes of their patients. Being able to see patient behavior
on a 24/7 basis as well as having the ability to identify trends and
issues will make wearables an amazing diagnostic tool.”
— Matt Williams, Chief Technology Officer at Ingenious Robot, Inc.
By Kathy Schaefer
17www.mpma.org
Michigan Launches New Medicaid Technology
Working to meet the demands of an increasingly technology-driven society, the Michigan Department of Health and Human Services (MDHHS) and the CNSI have announced the release of an interactive mobile application that allows patients to access their medical information from virtually anywhere.
“As we work with our residents to promote better self-awareness and responsibility for their health status, these tools allow users to easily access and track important health information right on their smartphones,” said Nick Lyon, director of the MDHHS. “We know the importance of easing residents’ access to provider and healthcare information, and we’re excited to be able to provide that to our Michigan Medicaid beneficiaries.”
The effort to produce and develop a first-of-its-kind Medicaid technology has resulted in a two-part application, myHealthButton (myHB) and myHealthPortal (myHP). The goal of myHB, the patient mobile application part of the technology, is to promote connectivity between patients and providers and provide a platform that allows patients to access their medical information remotely, in real time.
The website portal portion of this technology, myHP, allows patients to access this information on the web. This technology provides Michigan residents with information to promote better self-awareness and create a sense of
responsibility for their personal health status.
Michigan Medicaid patients will have digital images of their MIHealth cards and provider search capabilities, authorized diagnoses and provider listings for Children’s Special Health Care Services on their smartphones.
Both myHB and myHP are now available to current members enrolled with the Michigan Medicaid program, Children’s Special Healthcare Services program and the MiChild program. Applicants must create a user ID and password online by visiting milogin.michigan.gov before logging in. Both platforms are compatible with Apple and Android devices and can be downloaded through the App Store and Google Play. t
17www.mpma.org
Nick Lyon, Director, Michigan Department of
Health and Human Services
By Kathy Schaefer
continued on page 18
18 MICHIGAN PODIATRIC MEDICAL ASSOCIATION4 Michigan Podiatric Medical Association
In this issue, MPMA takes a look at how technological innovations are changing the future of podiatry. These changes, which may be difficult at first, will improve
podiatric care for future generations.
In our rapidly changing world, doctors must learn to adapt to and understand the rapidly changing technology industry. As new technologies emerge, researchers and healthcare providers will work to incorporate these changes into everyday medical care. This way, physicians will be able to use the latest and most innovative technologies and procedures to provide their patients with the best care possible.
One often-forgotten component of the Affordable Care Act is the grant money it made available for medical innovation. The ACA grants were designed to encourage the development and implementation of new healthcare systems and technologies
that improve patients’ healthcare experience by giving them more information and choice in their own health care, as well as provide more one-on-one care with their physicians. These grants are part of the healthcare industry’s ongoing push towards a more preventative and routine care focus, instead of its current focus on sick-care.
Throughout 2015, the MPMA will continue to be at the forefront of healthcare improvement and expansion in Michigan. As the Michigan Department of Community Health continues the Diabetes Pilot Project, the MPMA will continue to strengthen its commitment to improving diabetic care through early podiatric treatment and diagnosis. By the end of this study, the MPMA is confident that diabetic podiatric care will be improved for all Medicaid patients living in Michigan. v
Dr. Ali SafiedineMPMA President
Message from the PresidentTechnology is Changing the Future of Podiatric Care
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Michigan Podiatry Action Society
Michigan Launches New Medicaid Technology continued...
“As we work with
our residents to promote
better self-awareness and
responsibility for their health
status, these tools allow users
to easily access and track
important health information
right on their smartphones.
We know the importance
of easing residents’ access
to provider and healthcare
information, and we’re
excited to be able to provide
that to our Michigan
Medicaid beneficiaries.”
— Nick Lyon, Director of the MDHHS
Author: Kathy Schaefer is a partner at Communications
& Research, Inc. She is a health and science
researcher and grant writer.
19www.mpma.org
What could be What could be Okay, sure – winning the lottery would probably be better. So would not havingto deal with insurance at all! But since you didn't pick the winning numbers inlast week's drawing, you're likely to need to keep running that company. And that means dealing with insurance – for your business, for your employees, foryour future and your health. Not to mention your peace of mind. The good news is, insurance doesn't have to be painful! And we're putting our money where our mouth is by offering you a FREE insurance audit to proveit. It's designed to help you see where your coverages may be out of date (yes, we'd rather be golfing, too) and where your business may be vulnerable. It's alsodesigned to show you where your coverages are strong ... possibly too strong! ... as well as where it could be improved (is it lunch time yet?).
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20 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
Since 2011, the MPMA has been a supporting partner with the American Diabetes Association (ADA). Our organizations share the common goal - to educate the public on the seriousness of diabetes along with its symptoms, complications, and available treatments. The ADA hosts opportunities for the MPMA to reach out to diabetic patients directly. The Step Out Walk To Stop Diabetes, hosted at the Detroit Zoo on September 12, was one of those events.
Dr. Chanda Corbin of Washington Foot and Ankle, Romeo, Mich., and Dr. Jodie Sengstock of Feet First Podiatry, West Bloomfield, Mich., attended this year’s walk to share information on diabetes and foot care, as well as answer questions of those with diabetes and their supporters. Dr. Bruce Jacob was one of 2,100 walkers who participated in the event. He raised money for the ADA from personal sponsors, raising significant contributions for the cause. t
MPMA Doctors Reach Out to People with Diabetes
Dr. Jodie Sengstock and Leah Sengstock Dr. Chanda Corbin and Leah Sengstock
Dr. Bruce Jacob participated in the event
21www.mpma.org
later this year for similar projects. The clinicians in Michigan who
received ACA grants used the funding to develop innovative health care models and improve patient care. For example, In June 2014 The Michigan Surgical and Health Optimization Program (MSHOP) at the University of Michigan earned $6.4 million Health Care Innovation Award, a no longer active grant under the ACA. The surgical care model fostered under the MSHOP is poised to transform surgical care by improving the appropriateness of surgery, reducing surgical complications and empowering patients to improve the quality of their own care. To do this, MSHOP will use the grant to develop a new smartphone based risk-assessment tool designed to help patients determine if surgery is appropriate. Additionally, the grant money will help MSHOP establish a home-based health rehabilitation program to help patients prepare and recover from surgery.
Where the Health Care Industry is Headed?
Funding initiatives like those under the ACA are not going anywhere. With our rapidly changing health care system, innovation is going to be necessary to keep health care costs in check.
There’s a big gap between people who need care and the ability to provide that care that clinics and outpatient centers can’t bridge alone. Health providers will need to start developing new techniques to help bridge this gap and provide access to quality health care for all patients.
Spending by government to foster changes in how we provide care won’t solve all of our health care challenges, but it should help to spark new ideas that could have significant impacts on public and private industry participants. t
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Cherry Health—formerly Cherry Street Health Services—was awarded a $500,000 federal ACA grant to expand pediatric, family and women’s care in Grand Rapids. The funding will go towards the construction of a new health center specializing in primary and preventative care. The grant allowed Cherry Health to grow into the largest federally qualified health center in the state by increasing accessibility and new facilities.
Grand Rapids Michigan Showing Signs of ACA Funding
Author: Derek Dalling is the Executive Director of the
Michigan Podiatric Medical Association. He is also the
President and CEO of Kindsvatter, Dalling &
Associates and is a specialist in public policy
and association management.
22 MICHIGAN PODIATRIC MEDICAL ASSOCIATION
2015-16 Board of Directors & Division Officers
President Ali Safiedine, DPM [email protected] (313) 582-6222 President-Elect Crystal Holmes, DPM [email protected] (734) 647-5400 Secretary Joyce Patouhas, DPM jpatouhas126@gmail (586) 557-6170 Treasurer Bruce Jacob, DPM [email protected] (248) 681-2227 Imm. Past-Pres. Scott Hughes, DPM [email protected] (734) 241-0200
NORTHEASTERN DIVISION President Don Lutz, DPM [email protected] (810) 687-7350 Vice President Mike Holland, DPM [email protected] (989) 667-3668 Secretary Scott Byron, DPM [email protected] (810) 230-9955 Treasurer Tom Abraham, DPM (810) 629-3338 Board Rep. James Hirt, DPM [email protected] (810) 629-3338 Alt. Board Rep Scott E. Byron, DPM [email protected] (810) 230-9955
OAKLAND-MACOMB DIVISION President Mike Gerber, DPM [email protected] (586) 731-7873 Vice President Sec/Treas. Jim Westbury, DPM (248) 549-2500 Board Rep. Marc Weiner, DPM [email protected] (248) 745-5614
SOUTHEASTERN DIVISION President Joseph Silver, DPM [email protected] (586) 573-4880 Imm. Past Pres Crystal Holmes, DPM [email protected] (734) 647-5400 Vice President Ahmed Farah, DPM [email protected] (734) 675-7777 Secretary Joshua Faley, DPM [email protected] Treasurer Zeeshan Husain, DPM [email protected] (248) 651-0162 Sgt of Arms Randy Kaplan, DPM [email protected] (248) 541-4311 SE Board Reps Ronald Adelmann, DPM [email protected] Bryan West, DPM [email protected] MPMA Board Reps Randy Kaplan [email protected] (248) 541-4311 Ahmed Farah, DPM [email protected] (734) 675-7777 Zeeshan Husain, DPM [email protected] (248) 651-0162
SOUTHERN DIVISION President Clark Johnson, DPM [email protected] (269) 968-6000 Sec/Treas. Geoffrey Clapp, DPM [email protected] (269) 344-0874 Board Rep. Bill Wentworth, DPM [email protected] (269) 968-6353
UPPER PENINSULA DIVISION Pres/Treas. Daniel Reminga, DPM [email protected] (906) 482-9950 Vice President Donald Heilala, DPM [email protected] (906) 774-1155 Board Rep. Ken Tabor, DPM [email protected] (906) 225-7709
WESTERN DIVISION President Brian Buchanan, DPM [email protected] (616) 464-2810 Vice President Marisha Stawiski, DPM [email protected] (616) 942-5061 Board Rep. Marisha Stawiski, DPM [email protected] (616) 942-5061
Michigan Podiatric Medical Association
Executive Officers:
MPMA Division Officers:
Classified Advertising
Associate Wanted MICHIGAN – Well-established group practice, encompassing all aspects of foot,
ankle, and leg health care; multiple office locations, hospital affiliation along with
nursing home care. Seeking well-trained energetic associate, PSR-24. Candidate
must possess a strong medical/surgical knowledge base, with compassionate care
towards patients. We offer favorable compensation package with potential for long
term buy in. Practice locations are in rural Northern Michigan communities with
abundant outside activities located on the shores of Lake Huron.
Please respond to:
321 Long Rapids Plaza, c/o Dr. Pilichowski, Alpena, MI 49707-1375
Experienced Medical Billers WantedJob setting in corporate company for medical billers. Benefits, advancement
opportunities, competitive wages, normal weekday business hours. Experienced
podiatric billing a plus! Immediate openings.
Please send resume to: [email protected]
Associate WantedFull-time position available for busy 2-office practice in Mid-Michigan. Must be
surgically trained. I am seeking a long term associate with potential of partnership
for the right individual. Well established, well rounded practice.
Please send CV to: [email protected]
Part-Time Podiatric Physician WantedWell-established practice in Southeast Michigan, encompassing all aspects of foot
and ankle care; hospital affiliation along with nursing home care. Seeking well-
trained part-time podiatric physician. Candidate must possess a strong medical/
surgical knowledge base, with compassionate care towards patients.
Interested candidates should contact Dr. Kassab at: [email protected]
or (248) 214-6167
2015-16 Board of Directors & Division Officers
President Ali Safiedine, DPM [email protected] (313) 582-6222 President-Elect Crystal Holmes, DPM [email protected] (734) 647-5400 Secretary Joyce Patouhas, DPM jpatouhas126@gmail (586) 557-6170 Treasurer Bruce Jacob, DPM [email protected] (248) 681-2227 Imm. Past-Pres. Scott Hughes, DPM [email protected] (734) 241-0200
NORTHEASTERN DIVISION President Don Lutz, DPM [email protected] (810) 687-7350 Vice President Mike Holland, DPM [email protected] (989) 667-3668 Secretary Scott Byron, DPM [email protected] (810) 230-9955 Treasurer Tom Abraham, DPM (810) 629-3338 Board Rep. James Hirt, DPM [email protected] (810) 629-3338 Alt. Board Rep Scott E. Byron, DPM [email protected] (810) 230-9955
OAKLAND-MACOMB DIVISION President Mike Gerber, DPM [email protected] (586) 731-7873 Vice President Sec/Treas. Jim Westbury, DPM (248) 549-2500 Board Rep. Marc Weiner, DPM [email protected] (248) 745-5614
SOUTHEASTERN DIVISION President Joseph Silver, DPM [email protected] (586) 573-4880 Imm. Past Pres Crystal Holmes, DPM [email protected] (734) 647-5400 Vice President Ahmed Farah, DPM [email protected] (734) 675-7777 Secretary Joshua Faley, DPM [email protected] Treasurer Zeeshan Husain, DPM [email protected] (248) 651-0162 Sgt of Arms Randy Kaplan, DPM [email protected] (248) 541-4311 SE Board Reps Ronald Adelmann, DPM [email protected] Bryan West, DPM [email protected] MPMA Board Reps Randy Kaplan [email protected] (248) 541-4311 Ahmed Farah, DPM [email protected] (734) 675-7777 Zeeshan Husain, DPM [email protected] (248) 651-0162
SOUTHERN DIVISION President Clark Johnson, DPM [email protected] (269) 968-6000 Sec/Treas. Geoffrey Clapp, DPM [email protected] (269) 344-0874 Board Rep. Bill Wentworth, DPM [email protected] (269) 968-6353
UPPER PENINSULA DIVISION Pres/Treas. Daniel Reminga, DPM [email protected] (906) 482-9950 Vice President Donald Heilala, DPM [email protected] (906) 774-1155 Board Rep. Ken Tabor, DPM [email protected] (906) 225-7709
WESTERN DIVISION President Brian Buchanan, DPM [email protected] (616) 464-2810 Vice President Marisha Stawiski, DPM [email protected] (616) 942-5061 Board Rep. Marisha Stawiski, DPM [email protected] (616) 942-5061
PRSRT STDU.S. POSTAGE
PAIDLANSING MIPERMIT #515
Michigan Podiatric Medical Association1000 W. St. Joseph Hwy., Ste. 200Lansing, Michigan 48915
