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Association of American Physicians and Surgeons, A voice for private physicians since 1943.

AAPSSPRINGREGIONALMEETINGMAY20,2016DALLAS,TEXASAGENDA&SPEAKERBIOS

PartI:(SalonE)

Thrive,NotJustSurviveXXIII,BuildingaHealthy
IndependentPracticeWorkshop

12:55pm1:00pm

1:00pm1:30pm

Welcome&Introductions

Cash and Out-of-Network: Good for Medicine as Free


Agency is for Sports

AndrewSchlafly,J.D.,GeneralCounsel,AAPS
AndySchlaflyhasbeentheGeneralCounselofAAPSfor
nearlytwodecades,leadingthelegalefforttopreserve
privatemedicine.Hehasarguedmanycasesintrialand
appellatecourts,andhisrecentvictoriesinclude
compellingahospitaltoproducewitnessesatitsinternal
shampeerreview,forthebenefitofanAAPSmember.
AndyhasthreelawsuitspendingtodefeatMOC.Hehas
alsohelpeddefeatbadlegislationatthestatelevel,
includingabillthatwouldbanoutofnetworkcharges
andanotherbillinsomestatesthatwouldimposeMOC
throughthebackdooroftheInterstateMedical
LicensureCompact.AndyhaswonjurytrialsforanAAPS
memberagainstAetna,andledseveraleffortsto
overturnObamaCareandblockitsunconstitutional
implementation.Hiscollegedegreeisinengineering,
andhislawdegreeisfromHarvard,wherehewasan
editoroftheHarvardLawReview.

1:30pm2:00pm
OptingOutofMedicare
LawrenceR.Huntoon,M.D.,Ph.D.,F.A.A.N.
Dr.HuntooniseditorinchiefoftheJournalofAmerican
PhysiciansandSurgeons.Heisalsoapastpresidentof
theAAPS,servesontheAAPSboardofdirectors,andis
chairmanoftheAAPSCommitteetoCombatShamPeer
Review.Heisanunrepentantlampoonist,whose
subjectshaveincludedMedicarebureaucrats,otherwise
knownastheBlueBunglers,managedcaremoguls,and
otherswhoareintentondemeaning,devaluing,
attacking,andoppressingthosewhopracticemedicine.
Inadditiontohiscollectionofmanagedcarecartoons,
knownasHuntoonLampoons,hiscreationshave
includedtheWEDONTCAREHMOCard,andhis
collectionofcorrespondencewithHCFAandMedicare
bureaucrats,knownasLittleFrank,whichnowstands
overtenfeettallandweighswellover200pounds.
TrainedasamedicalresearchscientistwithaPh.D.in

neurophysiology,Dr.Huntoonisapracticingsolo
neurologistwhoisoptedoutofMedicareandrunsa
thirdpartyfreepracticeintheBuffalo,NYarea.

2:00pm2:20pm
AdamI.Harris,M.D.
SanAntonioOrthopedicSpecialists,SanAntonio,TX
http://www.saorthospecialists.com
Dr.AdamHarrisgraduatedcumlaudefromYale
UniversitywithdistinctioninMolecularBiophysicsand
Biochemistrybeforeattendingmedicalschoolatthe
UniversityofCalifornia,SanDiego.Dr.Harristhen
completedhisorthopdictrainingatRushPresbyterian
St.LukesMedicalCenterinChicago.Afterhis
residency,hecompletedafellowshipinAdult
Reconstruction(JointReplacement)underDr.Jorge
Galante,andaresearchfellowshipaddressingissuesin
thebiochemistryofarticular(joint)cartilage.Forfour
andahalfyears,healsotaughtorthopdicsurgical
residentswhofollowedintheprogramatRush.When
Dr.Harrisbecameafather,heoptedtodoffhis
primarilyacademichat,toconcentrateondirect
patientcare,andfoundhiswaytoSanAntonio.Dr.
Harrisintroducedseverallessinvasiveandtissue
sparingtechniquesforhipandkneereplacementtoSan
AntonioandSouthTexas.Originallypartofalarge
group,inJuly2002,heestablishedhisownprivate
practiceinordertomaintainthefocusonindividual
patientcare.In2008,Dr.HarrisoptedoutofMedicare
andhisleadershipinthefreemarketmedical
movementhasbeenfeaturedonNBCsTodayShow
andothermediaoutlets.

2:20pm2:50pm
Q&AforPanelOne

2:50pm3:05pm
BREAK

3:05pm5:30pmCaseStudies:ThirdPartyFreePractice

3:05pm3:25pm JoshUmbehr,M.D.
AtlasMD,FamilyPractice,Wichita,KS,
www.Atlas.md
Dr.Umbehrmajoredinhumannutritionalsciencesat
KansasStateUniversity,wherehedidresearchonthe
effectsofvitaminAonlungcancer.Hereceivedhis
M.D.fromtheUniversityofKansasSchoolofMedicine
andcompletedhisfamilymedicineresidencyatWesley
MedicalCenter.Afterbecomingaboardcertifiedfamily

physician,heopenedAtlasMD,apracticehehadbeen
dreamingoffornearlyadecade.Inthispractice,heis
abletoshrugofftheburdensandrestrictionsof
governmentandinsuranceregulationtofocussolelyon
patientsandtheirneeds.Hisoldestchild,Katelyn,has
Downsyndrome,andsupportingtheDownSyndrome
SocietyofWichitaisakeyfocusofAtlasMD.

3:25pm3:45pm RobertSewell,M.D.

MASTERCENTERforMinimallyInvasiveSurgery,
Southlake,TX,http://mastercenternorthtexas.com
Dr.SewellisagraduateoftheUniversityofTexas
MedicalBranchinGalveston,theclassof1974.He
completedtheGeneralSurgeryResidencyprogramat
theUniversityofTexasHealthScienceCenterinSan
AntonioandbeganhispracticeintheDallasFort
Worthregionin1979.Heiscurrentlyinsolopracticein
Southlake,Texas,andisanationallyrecognizedexpert
inthefieldoflaparoscopicsurgery,havinglecturedon
variousminimallyinvasiveproceduresacrossthe
countryandaroundtheworld.HeisaPastPresidentof
theAmericanSocietyofGeneralSurgeonsandaformer
GovernoroftheAmericanCollegeofSurgeons.Dr.
Sewellisanoutspokenadvocatefortheindependent
professionofmedicine.Overthelastseveralyearshes
authoredaseriesofnovelsbasedontherealitiesofour
crumblinghealthcaresystem.Thefivenovels
comprisingASurgeonsHeartareepicstoriesofa
courageoussurgeon'sloveaffairwithhisprofession,
andhisbattleagainstthetwinforcesofpoliticalpower
andcorporategreedwhichthreatenhisabilityto
providelifesavingcareforchildrenindesperateneed.
Learnmoreathttp://www.asurgeonsheart.com/.

3:45pm4:05pm
KristinStoryHeld,M.D.
StoneOakOphthalmology,SanAntonio,TX
http://www.stoneoakeyes.com
Dr.Heldisaboardcertifiedophthalmologistand
ophthalmicsurgeon.SheisaPhiBetaKappaGraduate
fromtheUniv.ofTXatAustinandreceivedhermedical
degreefromtheUniv.ofTXMedicalSchoolatSan
AntoniowhereshewaselectedtoAOA.Followingher
internshipininternalmedicineandresidencyin
ophthalmology,Dr.HeldjoinedthefacultyattheUniv.
ofTXHealthScienceCenteratSanAntoniowhereshe
taughtresidentsandmedicalstudentsandservedas
DirectoroftheCountyOphthalmologyClinic.She
maintainsanacademicaffiliationasaClinicalProfessor
intheDepartmentofOphthalmology.Forthepast20
yearsshehasbeeninprivatepracticeinSanAntonio.
OnOctober1,2015herpracticebecamecompletely
thirdpartyfree.Sheisactivelydevelopinganalternate
universewithagroupofSanAntoniophysicians,
wherephysicianscanpracticethroughadirectpatient
caremodelcalledBridgeTwoHealth.com.Dr.Heldis
theCoFounderofAmericanDoctors4Truth.organd
servesontheNationalPhysiciansCouncilfor
HealthcarePolicyandAAPSBoard.Shehasreadand
reportedontheAffordableCareAct,MACRA,andthe

proposedMACRArules.Dr.Heldhasbeenagueston
YourWorldw/NeilCavuto,FoxandFriends,and
numerousradio&internetshowsacrossthecountry
discussingObamacareandhealthcarefromthe
trenchesofreallifemedicalpractice.Sheismarried
andhasfourdaughters;theoldestisadermatology
resident,thesecondisa3rdyearmedicalstudent.Her
fatherisaformerchairmanofneurosurgery,hermom
aretiredR.N.Pleasefollow@kksheldonTwitterand
followherblogatKrisHeldMD.wordpress.com.

4:05pm4:25pm JulietteMadrigalDersch,M.D.
InternalMedicine&Pediatrics,MarbleFalls,TX
Dr.JulietteMadrigalDerschisagraduateofTexasA&M
MedicalSchool,andwasChiefResidentatOUSchoolof
Medicine.Shestartedherowntraditionalmedical
practicein1992inMarbleFalls,Texas.Shemakes
housecallsandgivesdiscountstoteachersand
preachersandseespatientswhohavecancerforfree.
Dr.MadrigalistheBurnetCountyHealthAuthorityand
MedicalDirectoroftheHorseshoeBayandMarbleFalls
FireDepartments.SheisaPastPresidentofAAPSand
isworkingtointroducemedicalstudentstothe
benefitsofthirdpartyfreepracticeasaboardmember
oftheBenjaminRushInstitute.Dr.Madrigalhasan
activespeakingscheduleincludingappearanceson
CavutoandNBCNews.Herpracticewasfeaturedby
theWallStreetJournalinanAugust2013multipage
storyonphysiciansoptingoutofMedicare.

4:25pm5:30pmQ&AforPanelTwo

5:30pm6:00pm
Solutions Connecting Patients and Physicians Outside
of ObamaCare. RalphWeber,AEP,CFP,CLU,ChFC,

GBA,REBC,Founder,MediBid.com
RalphF.Weber,PresidentandCEOofMediBid,isa
writer,entrepreneur,RegisteredEmployeeBenefits
Consultant,GroupBenefitsAssociate,AccreditedEstate
Planner,CertifiedFinancialPlanner,CharteredLife
Underwriter,CharteredFinancialConsultant,memberof
NAHUsnationaltransparencycommittee,andmember
ofMensaInternational.Hecurrentlyresidesinthe
Houstonarea.Weberhasbeeninthebenefitsbusiness
sincethemid1990s,servingclientsintheUS,Canada,
andaroundtheglobe.Afterexperiencingtoomany
familymembersbeingvictimizedbytheCanadian
socializedhealthcaresystem,hemovedtotheU.S.with
hisfamily.HepromotesQualityinTransparencyofcare,
intheU.S.HealthMarket.Weber'sgoalistocreatea
freemarkethealthcaresystemtohelppatientsimprove
qualityandsavemoney.Mostmarketplacesthrivewith
transparencyandcompetition,andhisbeliefisthata
lackoftransparencyandcompetitioninmedicalcarehas
resultedinhigherprices.WithFreeMarketHealthcare
productdesignandplandesignforcostcontainment,
Ralphofferssolutionstoahealthcarecrisisoffinding
waystopayforthemedicaltreatmentwedemand.

PartII:

POLITICSandYOURPRACTICE2016
RECEPTION,DINNER,&BRIEFING

6:00pm6:30pmReception(SalonF)

6:30pm6:40pm(SalonE)
InitiativestoProtectPrivateMedicine.
JaneOrient,M.D.,ExecutiveDirector,AAPS

6:55pm7:10pm
SavingAmericanMedicine
MelindaWoofter,M.D.,AAPSPresident
MelindaJ.Woofter,M.D.,FAAD,FASMS,isa
dermatologistandMohssurgeonmaintainingasolo
practiceinGranville,Ohio.Forthepastseveralyears,
shehasservedasanAAPSboardmemberanda
delegatetotheOhioStateMedicalAssociation,where
shewasinstrumentalinthesuccessfulpassageof
resolutionsdefendingandprotectingindependent
physiciansandtheirpatients.Dr.Woofterwasinstalled
asthe20152016PresidentofAAPSattheAAPS72nd
AnnualMeetinglastfallinSt.Louis.In2014,shewas
askedtoserveontheResolutionsCommitteeforthe
OSMA.ShereceivedherMDatSouthernIllinois
UniversitySchoolofMedicine.Shecompletedher
residencyininternalmedicineatSIU,followedby
appointmenttochiefresidentandjuniorfaculty.
Followingherinternalmedicinetraining,shecompleted
herresidencyindermatologyattheUniversityof
Wisconsin.

JaneM.Orientobtainedherundergraduatedegreesin
chemistryandmathematicsfromtheUniversityof
ArizonainTucson,andherM.D.fromColumbia
UniversityCollegeofPhysiciansandSurgeonsin1974.
Shecompletedaninternalmedicineresidencyat
ParklandMemorialHospitalandUniversityofArizona
AffiliatedHospitalsandthenbecameanInstructorat
theUniversityofArizonaCollegeofMedicine.Shehas
beeninsoloprivatepracticesince1981andhasserved
asExecutiveDirectoroftheAssociationofAmerican
PhysiciansandSurgeons(AAPS)since1989.Sheisthe
authorofYOURDoctorIsNotIn:HealthySkepticism
aboutNationalHealthcare,Sutton'sLaw(anovelabout
wherethemoneyisinmedicinetoday),andthesecond
throughfourtheditionsofSapira'sArtandScienceof
BedsideDiagnosis.SheistheeditorofAAPSNewsand
isthemanagingeditoroftheJournalofAmerican
PhysiciansandSurgeons.

6:40pm6:55pm
LegislationImpactingIndependentPhysiciansand
TheirPatientsinthe114thCongress.CharlesSauer
CharlesSaueristheAAPSbootsonthegroundaround
CapitolHill.Heisanentrepreneur,economistand
policyspecialist.HehasspenttimeonCapitolHill
workingfortheChairmanoftheFinanceCommittee;he
hasworkedforaGovernorontax,immigration,and
laborissues;andwasDeputyLegislativeDirectorforan
academicthinktankfocusingontax,finance,and
healthcare.OnTheHillheisknownfordevelopingfree
marketsolutionsandeffectivelegislativecoalitions.
CharlesrunstheMarketInstitute,isafounderofthe
SavingsandRetirementFoundation,CoDirectorofthe
InventorsProject,andhostoftheProsperityCaucus.
CharleswritesforForbesandtheWeeklyStandard.

7:10pm 7:40pm DINNERSERVED

PayingtheCrooks(onMedicarefraud).Healsoserves
asvicechairmanoftheTexasAdvisoryCommitteeof
theU.S.CivilRightsCommission.Heisaregular
columnistforForbes.comandRare.US.comandhas
beenpublishedinnumerousjournalsandnewspapers,
includingTheWallStreetJournal,TheNewYorkTimes,
InvestorsBusinessDaily,Barrons,USATodayandthe
WashingtonTimes.Hewasanawardwinningpolitical
analystfortheUSARadioNetwork,andforseveral
yearshadadailyoneminutecommentaryonSiriusXM
Radio.In2008andagainin2014theBBCinvitedhimto
starinaprogramonwelfarereforminGreatBritain,
andspecificallyWales.Dr.MatthewsreceivedhisPh.D.
inHumanitiesfromtheUniversityofTexasatDallas.

7:40pm8:10pm
InnovationsinPayingforMedicalCareYouHaven't
HeardAbout.MerrillMatthews,Ph.D.
MerrillMatthews,Ph.D.,isaresidentscholarwiththe
InstituteforPolicyInnovation.Heisapublicpolicy
analystspecializinginhealthcareissuesandisthe
authorofnumerousstudiesinhealthpolicyandother
publicpolicyissues.HeispastpresidentoftheHealth
EconomicsRoundtablefortheNationalAssociationfor
BusinessEconomics,thelargesttradeassociationof
businesseconomists.FornineyearsDr.Matthewswas
executivedirectoroftheWashington,DCbasedCouncil
forAffordableHealthInsurance,ahealthinsurance
tradeassociation.NationalJournalrecognizedthe
Councilasoneofthemosteffectivehealthpolicy
organizationsinWashington.Dr.Matthewsservedfor
10yearsasthemedicalethicistfortheUniversityof
TexasSouthwesternMedicalCentersInstitutional
ReviewBoardforHumanExperimentation,andhas
contributedchapterstoseveralbooks,including
PhysicianAssistedSuicide:ExpandingtheDebate,The
21stCenturyHealthCareLeaderand,in2009,Stop

8:10pm 8:30pm
Wrap-Up and More Updates on AAPS Legal Actions
Protecting Independent Physicians

AndrewSchlafly,J.D.,GeneralCounsel,AAPS
(seebioonfirstpage)

SATURDAY,May21EVENTS:
7:30am:AAPSBoardofDirectorsContinentalBreakfast(IrvingBallroom)
8:00am:AAPSBoardofDirectorsSpringMeeting(IrvingBallroom)
9:00amtoNoon:TexasChapterMeeting(SalonsB&C)

THANKYOUFORPARTICIPATING!

BESURETOTURNINYOUREVALUATIONSHEETTOOBTAINYOURCMECERTIFICATE.

PlanNOWtoAttendtheAAPS73rdAnnualMeeting:
September2224,2016:OklahomaCityTheEpicenterofPriceTransparency