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

Thrive, Not Just Survive XXI JANUARY 9, 2015 NEW ORLEANS AGENDA & SPEAKER BIOS

1:00pm 1:05pm Welcome & Introductions 1:05pm 1:35pm Cash and out-of-network: good for medicine as free agency is for sports. Andrew Schlafly, J.D., General Counsel, AAPS

Andy Schlafly has been the General Counsel of AAPS for nearly two decades, leading the legal effort to preserve private medicine. He has argued numerous cases in trial and appellate courts. In 2014 Andy helped win an historic precedent against sham peer review in an important case before the U.S. Court of Appeals for the Second Circuit, establishing the full right of a victimized physician to obtain discovery in litigation against hospital administrators and he helped extend a unique federal injunction against administrators at another hospital to prevent them from reporting a sham peer review to the National Practitioner Data Bank. Andy won two jury trials for an AAPS member against Aetna in 2014. He also guided AAPS to file an amicus brief that helped achieve a grant of cert by the U.S. Supreme Court to review ObamaCare a second time, in King v. Burwell. His college degree was in engineering, and his law degree is from Harvard, where he was an editor of the Harvard Law Review.

1:35pm 2:05pm Opting Out of Medicare. Lawrence R. Huntoon, M.D., Ph.D., F.A.A.N.

Dr. Huntoon is editor-in-chief of the Journal of American Physicians and Surgeons. He is also a past president of the AAPS, serves on the AAPS board of directors and is chairman of the AAPS Committee to Combat Sham Peer Review. He is an unrepentant lampoonist, whose subjects have included Medicare bureaucrats, otherwise known as the Blue Bunglers, managed care moguls, and others who are intent on demeaning, devaluing, attacking, and oppressing those who practice medicine. In addition to his collection of managed care cartoons, known as Huntoon Lampoons, his creations have included the WEDONT CARE HMO Card, and his collection of correspondence with HCFA and Medicare bureaucrats, known as Little Frank, which now stands over ten feet tall and weighs well over 200 pounds. Trained as a medical research scientist with a Ph.D. in neurophysiology, Dr. Huntoon is a practicing solo neurologist who is opted out of Medicare and runs a third party-free practice in the Buffalo area.

2:05pm 2:35pm Self-Insured Employers Creating Opportunities for Independent Physicians. Jay Kempton KemptonGroup.com & MarketMedicine.org

In 1992, Joseph "Jay" Kempton started his journey with The Kempton Group, which was founded in 1969 by his father, Wayne Kempton. Mr. Kempton became the President and CEO in 2003 and has diligently worked with Oklahoma employers to ensure their employee benefits fit the needs of our community. In 2011, Mr. Kempton became aware of the free market medical movement in Oklahoma and what it could mean for healthcare in his community. Based on a true belief in transparency, and a genuine desire to change how employers and participants view and purchase healthcare, Mr. Kempton started the Kempton Premier Provider program. By partnering with free market minded providers in Oklahoma, Texas, and surrounding states, Mr. Kempton has helped his self-funded clients save millions of dollars in just a few years. Because of this program, now Mr. Kempton is asked to speak to other TPAs, providers, and employers all over the country about how to partner with free market providers to improve employee benefits and lower employer claims. Mr. Kempton is one of the founding members of the Free Market Medical Association, a board member of the Society of Professional Benefit Administrators, and a member of the Health Care Administrators Association. Mr. Kempton has a Bachelor of Science degree in Business Administration from Oklahoma State University and is Life, Health, AD&D, and Property and Casualty Insurance licensed in multiple states.

2:35pm 3:00pm Q & A for Panel One 3:00pm 3:15pm BREAK 3:15pm 6:00pm Case Studies: Cash-Based Primary Care, Specialty Care

3:15pm 3:35pm Josh Umbehr, M.D. Atlas MD, Family Practice, Wichita, KS, www.Atlas.md

Dr. Umbehr majored in human nutritional sciences at Kansas State University, where he did research on the effects of vitamin A on lung cancer. He received his M.D. from the University of Kansas School of Medicine and completed his family medicine residency at Wesley Medical Center. After becoming a board-certified family physician, he opened AtlasMD, a practice he had been dreaming of for nearly a decade. In this practice, he is able to shrug off the burdens and restrictions of government and insurance regulation to focus solely on patients and their needs. His oldest child, Katelyn, has Down syndrome, and supporting the Down Syndrome Society of Wichita is a key focus of AtlasMD.

3:35pm 3:55pm Brenda Arnett, M.D. Internal Medicine, Winchester, VA www.ArnettMD.com

A native of Elkins WV, Dr. Brenda Arnett comes from a long line of physicians. Her interest in medicine developed during her several years of cancer research. This interest soon led her to complete her MD degree from West Virginia University and an Internal Medicine Residency at Georgetown University Hospital in Washington, DC. But as a doctor entrusted with the care of patients, just having an interest isn't enough. It takes sincere passion. A passion that has carried her across the globe to China, Africa and Central America to further her medical knowledge and to prepare her to really care for what patients are passionate abouttheir health. As a board certified, Georgetown trained internist, Dr. Arnett treats most adult medical problems including diabetes, high blood pressure, high cholesterol, osteoporosis, depression, asthma, anxiety, as well as women's health issues. Most importantly, Dr. Arnett spends as much time as she needs with each patient in order to provide the highest quality medical care.

3:55pm 4:15pm Lee Gross, M.D. Epiphany Health, Family Medicine, North Port, FL President, Docs4PatientCare Foundation EpiphanyHealth.net & D4PCfoundation.org

Originally from Cleveland, Ohio, Dr. Gross received his undergraduate degree from The Ohio State University. Following 3 years of clinical research for the Cleveland Clinic's cardiology program under the direct supervision of Dr. Eric Topol, he attended Case Western Reserve University's School of Medicine. He completed his family medicine training as chief resident at University Hospitals of Cleveland. He has been in private practice in Florida since 2002. Realizing the critical needs of the uninsured in their community, Dr. Gross and his colleagues created an affordable solution outside the boundaries of the traditional third-party payer system. Their pioneering program, Epiphany Health, provides

access to affordable healthcare for those who have been neglected by the system for decades. Dr. Gross serves on the board of trustees of an HCA hospital, as the president of his county medical society, as a delegate to the Florida Medical Association, and is the president of the Docs 4 Patient Care Foundation.

4:15pm 4:35pm Elaina George, M.D. Otolaryngology, Atlanta, GA www.DrElainaGeorge.com

Dr. George is a Board Certified Otolaryngologist. She graduated from Princeton with a degree in Biology, received her Masters degree in Medical Microbiology from Long Island University, and received her medical degree from Mount Sinai School of Medicine. Dr George completed her residency at Manhattan, Eye Ear & Throat Hospital. Her training included general surgery at Lenox Hill Hospital, pediatric ENT at The NY-Presbyterian Hospital, and head and neck oncology at Memorial Sloan-Kettering Cancer Center. As a solo practitioner in private practice who is also a small business owner, she has a unique perspective on the problems of health care delivery, the true costs of healthcare and viable solutions. Dr. Georges interest in the politics of healthcare and the reform effort have led her to become both a powerful voice for the practicing physician and an advocate for the patient. She is a contributor to a wide variety of websites including Breitbart's BigGovernment.com and Amy Ridenours National Center Blog. Dr George has been a recurring guest on Your World with Neil Cavuto, and Newsmax, and she has appeared on Frances & Friends to discuss the consequences of Obamacare with a world wide audience of over 500 million people. Dr. George hosts her own show, Medicine On Call on Americas web Radio and Liberty Express Radio, a weekly talk show that explores health issues and the politics of medicine.

4:35pm 4:55pm Gerard Gianoli, M.D. Otolaryngology, Covington, LA www.EarAndBalance.net

Dr. Gianoli graduated from Tulane University with a degree in Engineering and subsequently matriculated from Tulane University's Medical School in 1986. He did an internship in General Surgery and an internship in Pediatrics. Following a residency in Otolaryngology- Head and Neck Surgery, he completed a fellowship in Otology, Neurotology and Skull Base Surgery at the Michigan Ear Institute. He was a full-time Associate Professor at Tulane Medical School until July 2000 when he joined Ear and Balance Institute. He still maintains a Clinical Associate Professor appointment at Tulane in both the Department of Otolaryngology-Head and Neck Surgery and the Department of Pediatrics. He has published and lectured extensively in the field of Neurotology and serves on multiple Editorial Review Boards for the fields of Neurotology and Otolaryngology.

4:55pm 5:10pm BREAK 5:10pm 6:00pm Q & A for Panel Two

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Part II:

POLITICS and YOUR PRACTICE 2015 RECEPTION, DINNER, & BRIEFING

6:00pm 6:30pm Reception 6:30pm 6:40pm AAPS Initiatives to Protect Private Medicine. Jane Orient, M.D., Executive Director, AAPS

Jane M. Orient obtained her undergraduate degrees in chemistry and mathematics from the University of Arizona in Tucson, and her M.D. from Columbia University College of Physicians and Surgeons in 1974. She completed an internal medicine residency at Parkland Memorial Hospital and University of Arizona Affiliated Hospitals and then became an Instructor at the University of Arizona College of Medicine. She has been in solo private practice since 1981 and has served as Executive Director of the Association of American Physicians and Surgeons (AAPS) since 1989. She is the author of YOUR Doctor Is Not In: Healthy Skepticism about National Healthcare, Sutton's Law (a novel about where the money is in medicine today), and the second through fourth editions of Sapira's Art and Science of Bedside Diagnosis. She is the editor of AAPS News and is the managing editor of the Journal of American Physicians and Surgeons.

6:40pm 6:55pm Legislation Impacting Independent Physicians and Their Patients and the 114th Congress. Charles Sauer

Charles Sauer, founder of the Market Institute, is the AAPS boots-on-the-ground around Capitol Hill. Hes an economist and policy specialist. On The Hill he is known for developing free market solutions and effective legislative coalitions. He has worked for a Governor, a Senator, represented an academic think tank and is the co-founder and Executive Director of the Free Market Medical Association. Charlie has been published in many mainstream media outlets in addition to writing congressional testimony and speeches for politicians, business owners, and academics. Last but certainly not least, you can catch Charlie every other Monday on the OneAmerica TV network talking with Graham Ledger on The Daily Ledger.

6:55pm 7:15pm The Physicians Declaration of Independence in 2015. Richard Amerling, M.D., AAPS President, Associate Clinical Professor of Medicine, Icahn School of Medicine at Mount Sinai, Attending Nephrologist, Mount Sinai Beth Israel Hospital, New York

Dr. Amerling earned his medical degree at Catholic University of Louvain in Brussels, Belgium. He completed his internship and residency at New York Hospital, Queens in Flushing, N.Y. He pursued a Nephrology Fellowship at New York Hospital, Queens, and at the Hospital of the University of Pennsylvania in Philadelphia. Dr. Amerling is board certified by the American Board of Internal Medicine for Internal Medicine and Nephrology. He is a member of the American Society of Nephrology, and is President of the Association of American Physicians and Surgeons. Dr. Amerling is an invited presenter at numerous medical conferences, both nationally and internationally. As author or co-author, Dr. Amerlings work has been published as chapters in textbooks and also in peer-reviewed medical journals, including the Journal of the American Society of Nephrology.

7:15pm 7:45pm DINNER SERVED 7:45pm 8:20pm KEYNOTE: Reflections on the Practice of Medicine over 50 years and How to Deal with Politicians. Donald J. Palmisano, M.D., J.D. IntrepidResources.com

Dr. Palmisano is a graduate of Tulane Medical School (1963) and Loyola Law School (1982). He completed his surgery residency at Tulane and is a board-certified surgeon and a Fellow of the American College of Surgeons. Dr. Palmisano is a former president of the Louisiana State Medical Society (1984-85) and the American Medical Association (AMA) (2003-04). He teaches Leadership in Medicine as a clinical professor at Tulane Medical School. A sought-after speaker on leadership and health system reform at national meetings, Dr. Palmisano frequently contributes Op-Eds and media commentary on national TV and radio. He serves on two editorial boards, The Journal of the Louisiana State Medical Society and the Journal of Patient Safety. Past boards include the American Medical Association, the Joint Commission, and The National Patient Safety Foundation. Currently he serves on the board of The Doctors Company, a medical liability company, and the advisory board of the Tulane Medical School Simulation Center. He has delivered over 1000 speeches and media interviews and testified in Congress many times. He was a key participant in the development and passage of Louisianas medical malpractice legislation in 1975. His message about the need for less government and third-party involvement in medicine, as well as the need to fix the broken liability system, has not changed since he first testified to Congress on behalf of the Orleans Parish Medical

Society in 1976. Dr. Palmisano is a recipient of many awards, including induction into the Louisiana State Medical Societys Hall of Fame in 2000, Loyola University New Orleans Presidents Medal in 2005 and on October 4, 2013, he was awarded Tulane Medical Alumni Associations highest award, Outstanding Medical Alumnus 2013. While in the USAF, He received the Commendation Medal for his "...outstanding professional skill, knowledge, and leadership...in accomplishing immediate evacuation and medical treatment of the crew members and rescue personnel injured in a major aircraft accident." (B-52 crash) He tweets at @DJPNEWS, blogs at www.DJPNEWS.com, and has www.onleadership.us for his acclaimed books, On Leadership (2008 & 2011 2nd edition) and his new book The Little Red Book of Leadership Lessons (2012). His risk management and patient safety Website is

www.IntrepidResources.com. Dr. Palmisano is married to Robin Spencer Palmisano, a health care attorney; has 3 grown children, 7 grandchildren, and one great-grandchild. Dr. Palmisanos hobby is photography and he grows bromeliads and any other plant that can survive minimal care in his greenhouse. He resides in Metairie, Louisiana, a suburb of New Orleans where he was born.

8:20pm 8:50pm Wrap-Up and More Updates on AAPS Legal Actions Protecting Independent Physicians Andrew Schlafly, J.D., General Counsel, AAPS (see bio on first page)

8:50pm: ADJOURN

THANK YOU FOR PARTICIPATING.

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October 1-3, 2015: St. Louis, MO