MDA-97 MDAdvisor Winter 10:Layout 1 1/4/10 10:57 AM Page 1 T T E G G A D S I R H C K S I VO R L - U k M T l E a 2 A v • r I S N e SU d E A 4 n • a r F G VO o A V LUM LL N E n 2 I 2 e • r 0 T t ISS e 0 t UE 9 C 2 v VOLUME 3 • I SSUE 1 • WINTER 2010 o • . E l SP o r RI T N G G a 2009 O h y y R C e P s n r : e E S a J I e m T N o w S O e I s I w T N R ® y l r r A H b o Z f C I m e e N S S c e s i I U s o R A J h M H C C M t I D h ig R e R w h T S m E e 9 E A 0 A I R 0 y O 2 h N E W N H O T H W E M f N O I R C I F o D A E E R M E A C N N I I H y Z E T E L R C A O n E N E C H L L N N N E a C O 0 I O J X S E R A E p L V L O 1 C I I T . N C J I B R E E m P D 0 V S R R A O E D o G P W M 2 D E E - T C R , O E H M S e M H D R H O O F r c E e O R b P L E b T B R e n N C A W I C y I H N M T a J a O L M O E A n R S E a G Q r H U H m G A I y C D T S l E I O b S D , S - E u E ’ B m A E W e J I S O TH R N s E s N G s N L J N A C IT OB E o ’S AL N G C W I REA A N R r n T M I I NG IN ® T G I A B , S A U N I Z D C Z u V R E A L E L W P e A A E N L IN C g I V . D O L L E UM U M E a 2 N S • E I t I E SS C UE N 1 O E A • t n C L W L B I E M NT C , ER X e a H 2 E P 00 N X L 9 IL M v . , n J ro E u D P R . d N A S a t W e D n J E L Ja A 9 A 0 0 L 2 E I D H T G N . I C M N U J O N N y A D b S E IV T R IA T I d d N r I a E w A R o e A H C r L r e A th T a A e o N H W E r R e P n s S io ’ s Y s D E i n S m I R m E o N J E C o W E F N E L p H IT P U s S P I E RI D NC N s ET E i ON M Z U A NI VE I n R C SI TY o 19 i 18 t a c i l b u p Y s E i S h T R E J : E I W T E S I n N R a H N m I C CAN’T WAIT e t S R a R B O A N E y R a Y E TO GET R 4 V T O X G E N THE LATEST E H T ISSUE OF MDADVISOR? S N O I T L P L I O e l Y S THEN GET L a E L n i G A d T D r N U a J E C GOVERNOR CHRIS CHRISTIE ONLINE. S M d E l E V a I r H T e G THE RIGHT PRESCRDDIPOOTIEEOSSNGGOOVVEERRNNOORR www. MDA dvantageonline.com/ MDA dvisor G G W r N I o A t CHRIS CHRISTIE HAVE L CHRIS CHRISTIE HAVE D FOR CHANGE? a MDAdvisor: A Journal for the New Jersey Medical R n Y e E A Community is available online FREE of charge. S S G R E E R Simply register today and get instant access to J TTHHEE ROROAADD MMAAPP W insightful articles on timely issues important to the E N FFOORR SSUUCCCCEESSSS?? New Jersey medical community. MDA-97 MDAdvisor Winter 10:Layout 1 1/4/10 10:57 AM Page 3 There has probably never been a By the time this issue is MDAdvisor is now available time when the future for physicians published, we will already practicing in New Jersey has been be in 2010, and beginning online FREE of charge. O more uncertain, particularly in consid - E our third year of publica tion eration of the highly complicated C of MDAdvisor . Already in Enjoy in-depth articles on timely issues, such as pending national health reform as well & three years we have seen a medical technology and regulatory updates, as New Jersey’s recent change in great deal of change in N physician –patient communications, gov ernor. It will be fascinating to watch how newly healthcare – both at the state and federal levels. A R practice management, medical research review, inaugurated Governor Christie’s political philoso - The most significant change at the moment is M O T R medical professional I phy will play out – particularly in light of our huge the recent inauguration of Governor Chris I A liability and much, much more. D state budget deficit. In this issue of MDAdvisor , Christie. What is still not known as I write this is E Senator Bateman provides a thoughtful analysis of H whether or not 2010 will also bring national E If you wish to continue receiving MDAdvisor by what we might expect in the next four years under C healthcare reform. H E mail, we offer a paid subscription option at T a Christie administration. Governor Christie will Certainly, there will be challenges for presumably be filling cabinet-level positions H physicians in the upcoming year no matter what T www.MDAdvantageonline.com/MDAdvisor. M critically important to physicians in the very near happens or does not happen in the political O future, such as Commissioner of Health and M world. Issues such as reimbursement cuts, per - R O F Senior Services and Commissioner of Banking sonal income and tax implications and the abil ity R R and Insurance. The individuals selected for these F to attract and maintain a high-level medical E VOLUME 2 • I SSUE 3 • SUMMER 2009 R T key positions will provide important signals as to practice staff will continue to weigh on the K R E O T W E H D T h : P what types of policy changes we can expect. T minds of physicians. N , E o O t I a T b C u E d N T A N L e O v e C t S E The Editorial Board of MDAdvisor continues New Jerseyans saw a need for change. As we H T E E K A M to keep abreast of this sea of uncertainties and to L begin to see the impacts of this change, we as H T L A E H F keep our readers informed about issues relevant to the practice leaders in healthcare need to look for the O S E I “When you’re committed to helping achieve excellence T I N U T R O of medicine in New Jersey. For example, herein we have opportunities to weigh in, provide our insight and expertise P e P t n O a t E s H o T C . G in all areas of healthcare, you must begin by A N I a Z i I c addressed a physician’s legal obligation to inform a patient and have our voices heard. Even in these uncertain times, I i E VOLUME 1 • I SSUE r S t a : P E S R G O N T n A C e H s O C y u D R h g R O recognizing it. ” about an “adverse” turn in the course of a patient’s treatment look toward the future with optimism and faith that the road n F i O l e F G r F E N I R y R e MEDICAL TOURISM A A n C P d HIGH COST OF CARE FUELING THE TRAVEL BUG I E o D R R E P n M in part two of Scott Heller’s article, “Disclosure after an ahead will bring peace and prosperity.