Episodes
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The American Academy of Orthopaedic Surgeons (AAOS) recently went through a comprehensive multi-year process to re-imagine its core focus and aspirational state to be the trusted leaders in advancing musculoskeletal health. Members of the AAOS Presidential Line provide behind-the-scenes perspective that explores the need for change, and how these changes provide a foundation for greater collaboration, innovation, learning opportunities and benefits for current and future members, patients and the larger musculoskeletal community.
More on AAOS’ proposed governance changes: https://www.aaos.org/about/meet-aaos/proposed-governance-changes/
Moving Forward: AAOS Board of Directors Approves New Strategic Plan, (AAOS Now, April 2024): https://www.aaos.org/aaosnow/2024/march-april/commentary/commentary01/
Look Towards the Future, (AAOS Now, August 2024), https://www.aaos.org/aaosnow/2024/aug/youraaos/youraaos01
Host:
Valerae O. Lewis, MD, FAAOS, AAOS Membership Council Chair
Guests:
Paul Tornetta III, MD, PhD, FAAOS, AAOS President
Annunziato (Ned) Amendola, MD, FAAOS, AAOS First Vice President
Joel Mayerson, MD, FAAOS, FAOA, AAOS Board of Councilors Chair -
This episode covers an array of topics related to increasing consolidation within the healthcare system, from banning non-competes to tightening cybersecurity. OrthoForum CEO Karen Simonton offers her perspective and wealth of knowledge, having worked with orthopaedic groups over the last decade, on how this changing landscape is impacting private practices and their ability to provide care.
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
Guest: Karen Simonton, CEO, OrthoForum -
Episodes manquant?
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Comedian and ophthalmologist Dr. Will Flanary, better known as Dr. Glaucomflecken by his 4 million followers on social media, recently sat down for an exclusive interview during the AAOS 2024 Annual Meeting. He shared his story of going from patient to accidental healthcare advocate and explained how he uses medical satire to entertain and bring attention to key public policy issues.
Guest: Will Flanary, MD, AKA Dr. Glaucomflecken, comedian and ophthalmologist
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
More links to Dr. Glaucomflecken:
YouTube
Website
Twitter
TikTok
Instagram -
Recorded on Monday, February 12 at the AAOS 2024 Annual Meeting, this episode sits down with the current and former chairs of the AAOS Orthopaedic PAC to celebrate its 25th anniversary. They discuss its new logo and tagline, key milestones and advocacy victories over the years, the importance of political engagement for physicians, as well as on-site opportunities at the meeting for AAOS members to learn more.
Guests: Wayne Johnson MD, FAAOS, FACS, Chair, AAOS Orthopaedic PAC; Stuart Weinstein, MD, FAAOS, Past-Chair, AAOS Orthopaedic PAC
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
In this episode, returning guest and health policy researcher Brian Miller, MD, talks about the opportunity physicians have to improve care for patients outside of their regular practice. From engaging in advocacy efforts to lending their unique perspective in policy discussions, doctors can be instrumental in finding creative solutions to today’s challenges like artificial intelligence, vertically integrated systems and stark law reform.
Guest: Brian Miller, MD, MBA, MPH, Nonresident Fellow at the American Enterprise Institute
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
In this episode, we talk about the future of orthopaedics and the policy challenges facing our newest surgeons. Resident leader Kevin Weisz, MD, who recently attended the National Orthopaedic Leadership Conference in Washington, D.C., shares his perspective on issues such as prior authorization, safety in the workplace, as well as reimbursement.
Guest: Kevin Weisz, MD, Member, Health Policy Committee and PAC Executive Council
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
Now more than ever, physicians are experiencing instability and uncertainty in their payment reimbursement. This episode addresses the gap between physician reimbursements and the rising costs of running a medical practice continues to widen in addition to other important legislative issues.
Representative Mariannette Miller-Meeks (IA-02) has been a champion for finding a long-term solution to put physicians back on level playing field with the rising costs of medicine. As a lead sponsor of Strengthening Medicare for Patients and Providers Act (H.R. 2474) she’s helping to avoid a yearly race to get Congress to intervene and protect patients’ access to Medicare.
Guests: Representative Mariannette Miller-Meeks (IA-02)
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
As the shift towards value-based healthcare reform gains momentum, there will be major strategic and organizational changes to how care delivery is redesigned, measured, and reimbursed. This episode delves into the realm of value-based care, exploring fundamental concepts related to alternative payment models in clinical orthopaedics, and how Patient Reported Outcome Measures impact individual patient care, as well as their role in new population health measures with the Centers for Medicare & Medicaid Services.
Guests: Eric Makhni, MD, MBA, FAAOS with the Henry Ford Health
and Prakash Jayakumar, MD, PHD with the University of Texas at Austin, Dell Medical School
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
Episode Summary: The House of Delegates is the legislative and policy-making body within the American Medical Association (AMA). In this episode, orthopaedic surgeon and AMA Board of Trustees Member Dr. Michael Suk explains how the specialty is represented within the House of Medicine and how initiatives to advance the quality of musculoskeletal care are shared by both organizations.
More on the AMA Recovery Plan for America’s Physicians can be found here.
Guest: Michael Suk, MD, JD, MPH, MBA, FAAOS, Chair-elect, American Medical Association
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
Lengthy prior authorization processes delay care for patients and contribute to physician burnout. Using Texas as a case study, this episode explains how solutions like the federal version of the state’s GOLD Card law would streamline approvals for medically necessary care as well as make insurance requirements more electronic and transparent.
More on AAOS’ prior authorization advocacy efforts: aaos.org/advocacy/advocacy-action-center/prior-authorization
Previous podcast episode on prior authorization: aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-19
2023 Orthopaedic Advocacy Week: aaos.org/advocacy/get-involved/orthopaedic-advocacy-week
Guest: Christine Kean, COO, The San Antonio Orthopaedic Group
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
Innovation in orthopaedic care faces stiff headwinds, but the relationships among stakeholders are not zero-sum. Following the in-person AAOS/FDA Townhall during the 2023 AAOS Annual Meeting in Las Vegas, leaders from both organizations sat down for an intimate conversation on the ways we can evolve together to improve patient care. They emphasized the need for collaboration, innovation, and reliable data to improve patient outcomes and shape the future of the field. Listen as we delve into the topic of innovation in orthopaedic medical devices, products and technology.
More from AAOS on devices. Biologics and technology: https://www.aaos.org/quality/biologics/
More on AAOS’ advocacy efforts: https://www.aaos.org/advocacy/federal-advocacy-issues/drugs-devices-and-fda/
Guests: David Jevsevar, MD, MBA, FAAOS, Chair of Research and Quality Council, AAOS; Captain Raquel Peat, PhD, MPH, Director, Office of Orthopedic Devices, FDA
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
The debate over the pros and cons of physician-owned hospitals has spanned over a decade. Now as momentum builds in Congress to repeal restrictions on their growth and expansion, this episode explains how they help meet a growing demand for services, particularly in rural and underserved areas, and are an important piece of increasing competition in the healthcare delivery system.
Previous episode on physician-owned hospitals: https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-7/
Guest: Blake Curd, MD, FAAOS, Past President of Physician Hospitals of America
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
It has been two years since the No Surprises Act was passed into law, yet it continues to face numerous legal challenges and iterations of rulemaking with regards to implementation. This episode dives into the latest developments and discusses what is and is not working with a guest expert focused on independent dispute resolution for healthcare professionals.
More on AAOS Advocacy on this issue: https://www.aaos.org/advocacy/advocacy-action-center/surprise-billing/
Learn more about HaloMD: https://halomd.com/
Guest: Alla LaRoque, President, HaloMD
Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council -
In his last episode as podcast host and chair of the AAOS Advocacy Council, Dr. Douglas Lundy passes the torch to orthopaedic spine surgeon Dr. Adam Bruggeman. Recorded live at the 2023 Annual Meeting, Drs. Lundy and Bruggeman run through some of the most pressing issues threatening musculoskeletal care.
Guest: Adam Bruggeman, MD, FAAOS, Incoming Chair, AAOS Advocacy Council
Host: Douglas Lundy, MD, MBA, FAAOS, Outgoing Chair, AAOS Advocacy Council -
As we approach International Women’s Day 2023, this episode from the vault discusses the power that women bring to orthopaedic advocacy. AAOS leader, political pro, and seasoned advocate Claudette Lajam, MD, FAAOS, explains how their unique empathy towards patients and perspective on issues are invaluable to policy discussions and advancing musculoskeletal care. According to Dr. Lajam, it’s a matter of having women at the table, being aware of opportunities, and contributing in a way that pulls on each individual’s strengths.
Guest: Claudette Lajam, MD, FAAOS, NYU Langone Orthopedic Center
Host: Douglas Lundy, MD, MBA, FAAOS, Chair, AAOS Advocacy Council -
This episode features a conversation with two physician members of Congress: U.S. Representatives Larry Bucshon, MD (IN-08), who spent 15 years in the private sector as a cardiothoracic surgeon, and Greg Murphy, MD (NC-03) who is a practicing urologist. They discuss how the Healthy Future Task Force is tackling policy problems in the 118th Congress and what's on the agenda for the Doctor/Patient Relationship Subcommittee, designed to empower Americans to have a personalized health care plan.
Guests: U.S. Representatives Larry Bucshon, MD (IN-08) and Greg Murphy, MD (NC-03)
Host: Douglas Lundy, MD, MBA, FAAOS, Chair, AAOS Advocacy Council -
A myriad of important health policy decisions impacting orthopaedic surgery are made at the state-level, including health insurance regulation, certificate-of-need and scope of practice issues, to name only a few. In this episode, orthopaedic hand surgeon and Georgia State Senator Kay Kirkpatrick, MD, FAAOS shares her perspective on state advocacy, the importance of being engaged on state issues, and the recently passed legislation to reform prior authorization.
Guest: The Honorable Kay Kirkpatrick, MD, FAAOS, Senator, Georgia State Senate
Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair -
Following the 2022 midterm election, AAOS political experts recap how candidates supported by the Orthopaedic PAC fared, as well as the new physician leaders elected to Congress. They explain the importance of the lame duck session and how Congress has the opportunity to pass two bills before the end of the year that are critically important to the musculoskeletal community.
Resources
Pre-election podcast episode: aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-35/
AAOS Advocacy Action Center: https://www.aaos.org/advocacy/advocacy-action-center
Episode on 2023 payment policy changes: aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-34/
Guests: Catherine Hayes, AAOS Senior Legislative Director; Brittany Starr, AAOS Senior Political Director
Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair -
In this episode recorded just weeks out from the 2022 midterm election, AAOS’ Senior Political Director breaks down the physicians currently in Congress, those at risk for re-election, and new candidates vying for office. They explain the importance of physician representation at the federal level for key decision-making as well as civic engagement for the future of the profession.Joint Policy Card for 117th Congress: https://indd.adobe.com/view/b5a3dd6d-255c-43d0-8fa8-0da782d4b906
More about the AAOS PAC: https://www.aaos.org/advocacy/pac/
Guest: Brittany Starr, AAOS Senior Political Director
Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair -
In this episode, advocacy leaders from the AAOS review proposed payment policy changes for 2023 in the inpatient and outpatient setting including ongoing cuts to reimbursement in the annual Medicare Physician Fee Schedule. They summarize each of the three regulatory rules, highlight changes specific to musculoskeletal care, then discuss the careful balance between stabilizing the system in the short-term while working towards a permanent fix that addresses growing health care costs and incentivizes value-based care.
Guest: Karl Koenig (Texas), MD, FAAOS, Chair, AAOS Health Care Systems Committee
Host: Douglas Lundy, MD, MBA, FAAOS, Chair, AAOS Advocacy Council
Notes:
Issue page in the AAOS Advocacy Action Center: https://www.aaos.org/advocacy/advocacy-action-center/payment-policy-changes/
Episode 23 - Economic Effects of Medicare Pay Cuts (recorded Oct. 2021): https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-23/
Special Episode - Impact of Payment Policy Changes (recorded Sept. 2020): https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-9/ - Montre plus
