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6676 GUNPARK DRIVE, STE B, BOULDER, CO 80301 • (303) 527-3215 • BCMEDSOC@AOL.COM • WWW.BCMS.NET • WINTER 2015

HeartBeatBOULDER COUNTY MEDICAL SOCIETY

2015 Board of DirectorsLAIRD CAGAN, MD President

LETO QUARLES, MDPresident-elect

JENNIFER CHRISTENSEN, MDTreasurer

CLIFF GRONSETH, MDImmediate Past President

GENE BOLLES, MD

DAVID BRIGHT, MD

HILLARY BROWNE, MD

JACK CLETCHER, MD

MARK MENICH, MD

JOHN OGLE, MD

SCOTT REPLOGLE, MD

KELLEY WEAR, MD

StaffJUDY LADDExecutive Director and Editor

ANITA ALBRECHTWebsite Content Manager

IN THIS ISSUEFrom the President ................1

Welcome, new members .......2

Physician directories now available .................................3

Add your PAs and NPs to our online directory......................3

Re-designing Medicare .........4

COPIC ....................................5

Upcoming events ...................6

The PDMP makeover story .....7

Fundraiser for the American Red Cross ...............................7

Legislative report ...................8

Get involved ...........................8

BCMS survey ..........................8

BOULDER COUNTY MEDICAL SOCIETY

I recently attended a holiday chamber music concert that featured two female soprano singers. Their singing was clear and

uplifting. For that evening I was raised to a higher level.

This led me to think of how, in the past, I often had a similar sense of excitement and fulfillment in my medical practice. I enjoyed the intellectual challenge and the intimate connection between my patients and myself.

Now, though, there is a gradually diminishing sense of satisfaction for me and many others in our work. This is because, among other issues, practitioners are stifled by the guideline approach to care and the press of administrative requirements that keep us from our patients.

I am not Pollyannaish. I don’t expect that we can fully return to past glories, but I can say that organized medicine in Colorado and in Boulder County will work to improve the medical practice environment.

The Colorado Medical Society (CMS) worked with the state legislature in the past year to require prescription authorization and billing adjudication standardization so that the processes are the same for all insurance companies. CMS and BCMS work tirelessly to protect physicians from onerous and unfair rules, whether from insurance

companies, pharmacy benefit managers, physician employers, or government bureaucracies. BCMS seeks to keep our 730+ physicians united and working together, and speaking with a clear voice. We will sponsor a number of educational and social gatherings for physicians to exchange ideas on timely matters. Come join us to meet new physicians and to renew existing friendships.

Our goal is to restore some of the joy of medicine over the short and long term, and to do so by transforming some of our opponents into collaborators. The result will be improved medical care for all.

We invite your comments, please send to: BCMedSoc@aol.com.

From the President: Laird Cagan, MD

If you don’t hear from us…we don’t have your email!

Boulder County Medical Society is the fastest growing county medical society in Colorado. Thank you for being an important part of our membership!

We no longer mail quarterly newsletters, and instead rely on having your current email address to send you timely communications. Your email, home address, home phone, and cell phone are NEVER given to anyone; they are strictly for BCMS use only.

Let us know your preferred email address, please send to: BCMedSoc@aol.com, call us at 303-527-3215, or text Judy at 303-807-8118.

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KATHERINE ABERLE, MD, ENT-OTOLARYNGOLOGYPeak ENT & Voice Center1030 Johnson Rd, Ste 350Golden, CO 80401720-401-2139

DENNIS AHNEN, MDGASTROENTEROLOGYGastroenterology of the Rockies1755 48th St, Ste 100Boulder, CO 80304303-604-5000

JONATHAN ANDRICK, MDEMERGENCY MEDICINEApex Emergency Group550 S Wadsworth Blvd, Ste 410Lakewood, CO 80226303-202-1280

JACLYN ARENDS, MD PHYSICAL MEDICINE & REHABBCH Inpatient Rehab Services1100 Balsam, 4th FloorBoulder, CO 80304303-440-2250

WILLIAM BERRY, MDGASTROENTEROLOGYGastroenterology of the Rockies1551 Professional Lane, Ste 290Longmont, CO 80501303-604-5000 EVELYN BOLT, MDSLEEP MEDICINEColorado Sleep Institute1000 Alpine, Ste 105Boulder, CO 80304720-279-9098

PRATEEK CHAUDHARY, DORHEUMATOLOGYCO Center For Arthritis & Osteo Medicine1551 Professional Lane, Ste 235Longmont, CO 80501720-494-4700

JULIA CUERVO, MDINTERNISTMilestone Medical Group2030 Mountain View Ave, Ste 310Longmont, CO 80501720-652-8400

DANIEL DRAKE, MDCARDIOLOGYKaiser Permanente280 Exempla CircleLafayette, CO 80026303-338-3545

KANWAL EJAZ, MDINTERNISTInternal Medicine Assoc. Boulder1155 Alpine Avenue, Ste 360Boulder, CO 80304303-442-8840

JENNIFER FIER, MDOB/GYNBoulder Medical Center4745 Arapahoe Ave, Ste 200Boulder, CO 80303303-938-4710

STAR FOWLER, DOINTERNISTMilestone Medical Group2030 Mountain View, Ste 310Longmont, CO 80501720-652-8400

WAEL GARAS, MDHOSPITALISTFoothills Hospital4747 Arapahoe AveBoulder, CO 80303303-415-7610

CAROLE GEDENBERG, MDPEDIATRICSDoctor At Your DoorPo Box 3350Boulder, CO 80307720-418-1705

CHRISTOPHER GERBER, DOFAMILY MEDICINELongmont Clinic1925 W Mountain View AveLongmont, CO 80501720-494-3136

TIM GOVAERTS, MDNEPHROLOGYWestern Nephrology2655 Crescent Dr, Ste DLafayette, CO 80026303-443-4200

MEGAN GROTEFEND, MDFAMILY MEDICINEMilestone Medical Group4943 Hwy 52, Ste 100Frederick, CO 80514303-833-1900

BRADLEY GUSTAVE, MDOPHTHALMOLOGYBoulder Eye Surgeons4745 Arapahoe Ave, Ste 100Boulder, CO 80303303-444-3000

MARK HUNTER, MDENT-OTOLARYNGOLOGYBoulder Medical Center2750 BroadwayBoulder, CO 80304303-440-3073

H. RAI KAKKAR, MDNEUROLOGYBoulder Medical Center2750 BroadwayBoulder, CO 80304303-440-3216

JUSTIN KANOFF, MDOPHTHALMOLOGYEye Care Center of N. Co.1400 Dry Creek DriveLongmont, CO 80503303-772-3300

JEFFREY KESTEN, MDPHYSICAL MEDICINE & REHABColorado Clinic3000 Center Green Dr, Ste 120Boulder, CO 80301303-444-4141

CATHY KOGER, DODERMATOLOGYKallgren Dermatology Clinic3434 47th St, Ste 200Boulder, CO 80301303-444-8100

MICHELINE KUHR, MDFAMILY MEDICINEKaiser Permanente580 Mohawk DrBoulder, CO 80303303-554-5189

DAVID LAWRANCE, MDINTERNISTUniv of CO Wardenburg119 UCBBoulder, CO 80309303-492-5101

DIANA MANCINI, MDHOSPITALISTBoulder Community Health4747 Arapahoe AveBoulder, CO 80303303-415-7610

LAUREN MIDDLETON-HOANG, DONEUROLOGYAssociated Neurologists of BCH4865 Riverbend Rd, Ste 100Boulder, CO 80301303-415-8800

JUDY MOUCHAWAR, MDPREVENTIVE MEDICINEPO Box 761Louisville, CO 80027720-593-2427

MAREK ODEHNAL, MDINTERNISTBoulder Medical Center2750 BroadwayBoulder, CO 80304303-440-3082

ANGELA PADDACK, MDOTOLARYNGOLOGYBoulder Medical Center2750 BroadwayBoulder, CO 80304303-440-3073

SATISH RAO, MDNEUROLOGYAssociated Neurologists of BCH1155 Alpine Ave, Ste 320Boulder, CO 80304303-449-3566

SARA ROBINSON, MDONCOLOGYRocky Mtn Cancer Centers2030 Mountain View Ave, Ste 210Longmont, CO 80501303-684-1900

RITA SCHAFFNER, MDFAMILY MEDICINENorthwest Family Medicine500 Discovery Pkwy, #150Superior, CO 80027303-425-9581

DAVID SHAFER, MDNEUROSURGERYBoulder Neurosurgical Assoc4743 Arapahoe Ave, Ste 202Boulder, CO 80303303-938-5701

JIGNESH SHAH, MDCARDIOLOGYBoulder Heart4743 Arapahoe Ave, Ste 201Boulder, CO 80303303-442-2395

MEMBERSHIP UPDATEWelcome to our new members!

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RACHEL SIMMONS, MDDERMATOLOGYDermatology Specialists of Boulder2880 Folsom St, Ste 200Boulder, CO 80304303-442-6647

ALEJANDRO STELLA, MDEMERGENCY MEDICINEApex Emergency Group550 S Wadsworth Blvd, Ste 410Lakewood, CO 80226303-202-1280

PAUL SUDING, MDGENERAL SURGERYBluestone Advanced Surgical Care300 Exempla Circle, Ste 400Lafayette, CO 80026303-689-6560

NATHAN SUSNOW, MDGASTROENTEROLOGYGastroenterology of the Rockies1755 48th St, Ste 100Boulder, CO 80301303-604-5000

ERIC TRAISTER, MDFAMILY MEDICINELongs Peak Family Practice1309 Sunset StLongmont, CO 80501303-772-5578

MYRA TUCKERMAN, MDHOSPICE AND PALLIATIVE CAREFamily Hospice1790 30th St, Ste 308Boulder, CO 80301303-440-0205

MICHAEL VIDAS, MDENT-OTOLARYNGOLOGYPeak ENT & Voice Center403 Summit Blvd, Ste 204Broomfield, CO 80021

1030 Johnson Rd #350Golden, CO 80401720-401-2139

DEREK WRIGHT, MDFAMILY MEDICINEMilestone Medical Group4943 Hwy 52, Ste 100Frederick, CO 80514303-833-1900

Most of you have received via courier the new 2015-2016 BCMS Physician Directory. This is an exclusive BCMS member benefit; only our physicians are invited to participate. If you live/work outside of our delivery area, please call to request the number of Physician Directories you’d like us to mail to you.

If you are listed in the pictorial section of the Physician Directory, we THANK YOU for your financial support. The BCMS physicians who chose to pay $150 for 24 months of advertisements in printed copies of the directory as well as on the BCMS.net website under the “Physician Locator” make it possible for us to have copies available at no charge to everyone. All for just $6.25 per month per physician!

The following locations will have copies available for free pick-up. PLEASE call first to be sure copies are still in stock.

Boulder:• Boulder Community Health, Broadway

& Balsam, Info Desk: 303-440-2186• Boulder Community Health, Foothills,

Info Desk: 720-854-7010• Boulder Medical Center, 2750

Broadway, Front Desk in Lobby: 303-440-3114

• Boulder Chamber, 2440 Pearl Street: 303-442-1044

• Boulder County Medical Society, 6676 Gunpark Dr, Ste B: 303-527-3215

Longmont:• Longmont United Hospital, Info Desk:

303-485-4185• Longmont Clinic, Patient Registration:

303-776-1234

• Longmont Chamber, 528 Main St: 303-776-5295

Louisville:• Avista Adventist Hospital, Front Desk:

303-673-1193• Louisville Chamber, 901 Main St: 303-

666-5747

Lafayette:• Exempla Good Samaritan Med Center,

200 Exempla Circle, Front Desk: 303-689-5765

• Lafayette Chamber, 1290 S. Public Road: 303-666-9555

New physician directories are out!

List of PAs and NPsFrom time to time a patient will call BCMS and not recall the physician’s name

but does know the NP’s or PA’s name. Or a physician is looking for a particular PA or NP. To assist you, your staff and patients in finding the correct practice contact info we’ve created a list that is posted on our BCMS.net website.

Click here to view the listing of PAs and NPs BCMS has received to date. Click here to add your practice’s PAs or NPs.

New members continued

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The future of Medicare is a topic of national attention. To encourage public engagement and input on the Medicare debate, a novel approach was used by the Center for Healthcare Decisions (CHCD) to assess the attitudes of ordinary people toward Medicare benefit design and prioritization.

Over the past year, 82 three-hour sessions were conducted in California with 810 participants: seniors, younger adults, healthcare professionals, and community and senior services leaders. The task was to review the benefits currently provided with Original Medicare and decide if an alternative design would be better for future generations.

Using an interactive, computer-based simulation, participants create a benefits package where coverage options exceed current Medicare funding. Displayed on a pie chart, there are 12 categories of coverage and 1-3 tiers within each; the higher the tier, the more extensive and expensive the benefit. Each person has 100 markers to spend, representing the current amount that Medicare spends per person. The actuarial value of each category and tier was calculated to be as representative as possible to current costs.

The process uses principles of public deliberation, where priority setting and trade-offs are explicit, and group discussions help illuminate individual and societal values. Since any new Medicare benefit has to be balanced by reducing others, participants debate the pros and cons of the benefits that will best meet the needs of all Medicare users.

The results for most of the 12 coverage categories reveal a Medicare design that is significantly different from current Medicare coverage.

NEW COVERAGE

There are five categories where most participants increase Medicare coverage:

1. Long-term care. To provide extended non-medical care to those with physical or mental impairment, 77% supported at least one year coverage in a nursing home, supportive housing or person’s home.

2. Dental, Vision and Hearing. 85% supported modest coverage of all three as new Medicare benefits.

3. Transportation. For those who are unable to drive or use public transportation, 81% supported coverage to and from medical appointments as a new Medicare benefit.

4. Mental Health. To address the needs of those with

less severe mental health problems, 69% increased coverage from short-term to long-term with a lower co-insurance than current coverage provides.

5. Medicare’s longevity. To assure that Medicare lasts at least another 50 years, 85% were willing to reduce Medicare spending on current and future beneficiaries. To add these benefits, participants had to eliminate

existing benefits or impose new restrictions on current coverage.

NEW RESTRICTIONS

Participants did not eliminate benefits, but they accepted stricter criteria or new limitations:

1. Require enrollment in a provider network. Rather than

the freedom of choice guaranteed now in Original Medicare, 82% supported the use of defined networks. Yet most included the proviso that a referral outside the network would be covered with approval of the primary care provider.

2. Reduce coverage of low-value care. Pertaining to patients with complex chronic conditions, 88% supported value-based coverage: if research showed that the benefit of a treatment was small, unlikely or more expensive than an equivalent treatment, patients would pay at least half the cost.

3. Change coverage of end-of-life care. For care of those with incurable and terminal illnesses, 65% supported coverage of palliative care/hospice but not for treatments unlikely to make a meaningful difference; 31% supported coverage of those treatments. 97% eliminated ICU coverage for dying patients.

4. Apply penalties and rewards to urge patients’ compliance. For controlling early chronic conditions like high blood pressure and obesity, 48% supported using incentives—both penalties and rewards—to encourage compliance with medical advice. Another 36% supported using penalties only.

5. Charge higher-income seniors more for Part B premium. 79% thought that Part B premiums should be increased for higher-income seniors, especially those earning $85K and more. These choices differ significantly from Original

Medicare and several correspond to topics that are foremost in today’s healthcare policy discussions.

Re-designing Medicare

Continued on pg. 6

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For information on advertising opportunities, contact Judy Ladd, BCMS executive director, at (303) 527-3215 or

BCMedSoc@aol.com

USING PROVIDER NETWORKSGeneral acceptance of provider networks may be

because participants are accustomed to this model within employer-based coverage. The actuarial model used also shows that the cost of unrestricted choice was substantial, convincing many to re-think their commitment to this feature.

SETTING BOUNDARIES ON LOW-VALUE CARE

While participants strongly supported reducing low-value care for complex chronic conditions, less than 50% supported it in the categories of catastrophic and routine care. The rationale was that for those who were otherwise healthy but struck by a major catastrophic event, even “long-shot” treatments should be tried. This willingness to cover marginal care was not supported for long-standing chronic conditions where the outcome was less likely to be changed. For routine care, many participants did not readily accept the fact that some preventive services could be low-value. These differing perspectives are important considerations as healthcare leaders consider fair and reasonable ways to use “value” as a coverage criterion.

CONNECTING END-OF-LIFE AND LONG-TERM CARE

Group discussions about the end-of-life category showed greater unanimity of viewpoint than any other category. Participants did not believe that doctors should offer life-sustaining treatment when the likelihood of failure is great and suffering is likely. They also believed there were better ways to use Medicare dollars.

There was not an explicit connection between saving money on end-of-life care and investing those dollars in long-term care services, but at times discussions linked the two issues. Despite controversial aspects of end-of-life treatment, some visionaries have proposed a new arrangement: if patients agree to use palliative care instead of further treatment that will offer little meaningful benefit, in exchange they receive expanded community and home-based services.

Download the full report at www.chcd.org.

This article was originally published in the Denver Medical Bulletin, Vol. 105, No. 1, January 2015. It has been reprinted with permission.

Continued from pg. 4

IMPORTANT DATES: Please mark your calendars• Tuesday, Feb. 17, 6-8 pm: BCMS “Legislation 2015”

Soiree at Boulder Country Club. All Boulder County legislators will be invited to have dinner with us and discuss the medically related bills that are and will be considered during this legislative session.

• Thursday, March 12, 6 pm: BCMS BOD dinner. Mem-bers are welcome to attend with the approval of the BCMS President.

• Friday, March 13, 1pm: CMS BOD Meeting at the CMS office in Denver. Open to all BCMS member physicians.

• Wednesday, March 25, 6-9 pm: BCMS “Other Non-

Clinical Medical Careers” Soiree at the Boulder Cork. BCMS members Todd Mydler, MD, and Scott Re-plogle, MD, will discuss what turns their careers have taken. Social/casual networking time to follow.

• May 1-3, CMS Spring Conference at the Sonnenalp Hotel in Vail. This year’s theme is “Breaking Down Barriers,” drawing parallels between the fall of the Berlin wall in its 25th anniversary year and efforts to dismantle barriers in health care between patients and physicians. Registra-tion is free for CMS member physicians and component society staff.

Make your hotel reservations at the Sonnenalp by phone through the Sonnenalp reservations department at (800) 654-8312, or online through www.cms.org/events/spring-conference. The hotel group rate is $155 per night for a junior suite and $130 per night for a hotel room. When booking over the phone, be sure to mention you are with the Colorado Medical Society to receive the group rate.

• Thursday, May 14, 6 pm: BCMS BOD dinner. Members are welcome to attend with the approval of the BCMS President.

• Sept. 18-20: CMS Annual Meeting at Beaver Run Re-sort in Breckenridge. We have 28 delegate seats to fill. BCMS pays your hotel and travel expenses; amount determined each year by the BCMS BOD.

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The prescription drug monitoring program (PDMP) is a secure database of controlled substance prescriptions dispensed by in-state and nonresident pharmacies reg-istered with the Colorado State Board of Pharmacy. The database was created in 2005 to help curb opioid misuse, abuse and diversion.

Recently it got a makeover that should make it a lot more used and user-friendly. Say hello to House Bill 14-1283.

HIGHLIGHTS OF 2014 PDMP LAW CHANGES: 1. (All Aboard) Mandatory PDMP registration is now

required for all Colorado DEA registered prescribing practitioners (that’s us physicians!) and all Colorado pharmacists.

2. (Leveraging Your Time) Starting in January 2015 PDMP will allow practitioners and pharmacists to assign up to three staff members to help look up PDMP data on their behalf.

3. Big brother is now a pusher (of data). The PDMP is now sending “Push Notices” to affected prescribing prac-titioners and pharmacists. For example, hundreds of prescribers and pharmacies are daily receiving PDMP notifications that a patient they treated obtained poten-tially dangerous amounts of controlled substances from multiple prescribers and pharmacies. “These push-no-tices alert health care practitioners when there may be a problem, and to alert/coordinate care when someone else is prescribing to the same patient.” Other states that implemented push-notices have seen up to a 74 percent drop in doctor-shopping.

Some facts about Prescription Drug Abuse in Colorado: (from the Colorado Consortium for Prescription Drug Abuse annual meeting at Pharmacy School, Anschutz Campus, Denver, in October 2014. Go to: www.corxconsortium.org).

The (CDC) labels prescription drug overdose (Rx Opioid OD) deaths one of the four most serious national health epidemics.

• Yearly overdose deaths from opioid painkillers: 17,000 nationally and 300 in Colorado.

• Rx Opioid OD deaths are now more common than alcohol-related traffic fatalities!

For every 1 overdose death there are also:

• 32 Emergency Room patient overdoses• 130 people addicted to opioids• 825 people who admit to nonmedical use of opioids• Age 25-34 = largest cohort

Colorado is no exception. In 2009-2010, Colorado ranked No. 2 nationally in abuse of prescription pain medication among those 12 and older. Since then, we’ve improved, dropping to No. 16 in 2011-2012 and abuse by teenagers has dropped below the national average in 2013.

Comments or questions for Dr. David Bright? Email brightde@gmail.com.

The PDMP makeover storyBy David Bright, MD

Dear friends,I just completed the New York Marathon which was

my first, and to my surprise and delight, I ran a time that qualifies me for the Boston marathon! I have decided to be a runner for Team Red Cross - an official charity team for the 119th B.A.A. Boston Marathon, on April 20, 2015.

With every mile run and every dollar raised, Team Red Cross runners help to save and transform the lives of people in their greatest time of need.

I've committed to raise a minimum of $5,000 to support the Red Cross mission. I'm reaching out to family and friends to help me reach, and hopefully exceed, my fundraising goal.

The American Red Cross exists to provide compassionate care to those in need through five key

service areas: disaster relief, supporting America’s military families, supplying lifesaving blood, health and safety services, and international services.

In September of 2013, they provided food, shelter, relief supplies and comfort to those affected by the devastating flooding in Longmont.

Your contribution can help save a life. Please visit my website at www.crowdrise.com/americanredcrossrunsboston/fundraiser/marypoole

If you are able to donate, even the smallest amount would be appreciated. Thank you for your support!

Sincerely, Mary Poole MD

Fundraiser for the American Red Cross

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The 2015 legislative session began Jan. 7, 2015. BCMS and Colorado Medical Society will be tracking all the medically related bills that will be considered. To check out the bills we will follow this year, see the CMS Bill Tracker at www.cms.org/advocacy/bill-tracker. Or click here to download the bill summary.

The first two bills being reviewed are House Bill (HB 15-1029) re: Telehealth and Senate Bill (SB 15-057) re: reporting requirements of the Colorado Clean Claims Task Force.

House Bill (HB 15-1029) re: Telehealth. Advances in telehealth and technology are rapidly transforming today’s medical care thereby enabling providers to enhance access to care safely, improve care quality, reduce costs and improve patient and provider satisfaction. By removing the limitation of a population of 150,000 or fewer residents for telehealth starting Jan. 1, 2016, this bill will allow more Coloradans timely access to high quality primary and specialty care, regardless of where they reside in the state. The bill allows the provider to use his or her clinical judgment to determine when it is appropriate to provide care to a patient via telehealth. The provider is not required to document when it is appropriate to provide care to a patient via telehealth, and the provider is not required to document or demonstrate that a barrier exists to an in-person visit to trigger coverage. A carrier cannot deny coverage of

a health care service because the service is provided through telehealth rather than in-person, when health care services are appropriate. Provider coverage and payment for services for care delivered via telehealth is the same as in-person care.

Senate Bill (SB 15-057) re: reporting requirements of the Colorado Clean Claims Task Force. Under current law, the Colorado Medical Clean Claims Task Force is required to report to the executive director of the Department of Health Care Policy and Financing; the Health and Human Services Committee of the Senate; and the Health, Insurance and Environment and Public Health Care and Human Services committees of the House of Representatives. The bill directs that the reports be submitted instead to the Commissioner of Insurance and to the Business, Labor, and Technology Committee of the Senate and the Business, Labor, Economic and Workforce Development Committee of the House of Representatives. The work needed by the health expert on edits is finishing and the remaining issues will be contract in nature with an effective date of 2017.

If you would like to work together with us to ensure the voices of physicians are being heard by our Boulder County legislators (and not just that of the trial lawyers) please contact us at 303-527-3215 or BCMedSoc@aol.com.

2015 Legislative Session has begun

Get involved with BCMSBCMS has a number of new committees that will meet

via conference call or in person as committee members prefer. If you might like to participate, contact us at 303-527-3215 or BCMedSoc@aol.com.. The committees are:

• BCMS CME Committee• BCMS Technology Committee• BCMS New Member Recruitment Committee• BCMS Young Physician Committee• BCMS Hospital Communication Committee• BCMS Soiree Event Planning

Additionally, if you’d like to represent BCMS at the Colorado Medical Society’s Annual Meeting, contact Judy at BCMedSoc@aol.com. This year we will meet Sept. 18-20 at the Beaver Run Resort in Breckenridge. BCMS pays a stipend to each delegate who attends and participates. This is your chance to make a difference in determining policy for the state medical society.

VISIT BCMS ONLINEFind the latest Boulder County Medical

Society news on our website, www.BCMS.net

BCMS “94 Second Opportunity”Please take a few moments to complete a survey on

policy issues which interest you. I asked my Internist wife to complete it without any advance discussion and it took her 94 seconds on a stopwatch.

Examples of policy issues are: Medical Liability, EMR, Commercial Insurance Problems, Choosing Wisely, etc.

We will use your survey responses to contact you when issues of interest to you arise. Click here to go to the survey.

Sincerely,Laird Cagan, MD, BCMS President