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AAOS Advocacy Podcast

AAOS Advocacy Podcast

Conversations on health policy issues affecting musculoskeletal care.

All Episodes

#32 Preventing Violence in the Healthcare Workplace

Workplace violence in the healthcare setting occurs four times more often than in the average workplace and recently claimed the life of an orthopaedic surgeon in Tulsa, Oklahoma. This episode features a conversation with two AAOS leaders working to make a difference: one who chairs AAOS’ Patient Safety Committee and the other who is a sworn police officer. They share a dialogue around the surge in assault and violence, legislation moving through Congress to address the behavior, and practical tools to mitigate risks both at the individual physician and clinic level. More on AAOS advocacy to protect healthcare professionals: https://www.aaos.org/advocacy/advocacy-action-center/safety-from-workplace-violence More on the 2022 Orthopaedic Advocacy Week: www.aaos.org/orthopaedicadvocacyweek  Guests: Julie Samora (Ohio), MD, FAAOS, Chair, AAOS Patient Safety Committee; Alfonso Mejia (Illinois), MD, FAAOS, Secretary, BOC Host: Douglas Lundy (Georgia), MD, MBA, FAAOS, Chair, AAOS Advocacy Council
July 19, 2022
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#31 Orthopaedic Registry Value and Advocacy in the U.S.

AAOS Advocacy extends beyond the halls of Capitol Hill to ensure that quality initiatives continue to improve patient outcomes and reduce administrative burden. In this episode, AAOS Advocacy Council Chair and podcast host Douglas Lundy, MD, MBA, FAAOS sits down with James Huddleston III, MD, FAAOS Professor of Orthopaedic Surgery at Stanford Hospital to discuss the role that advocacy has in advancing the quality of musculoskeletal care through the AAOS family of registries. More on the AAOS Registry Program: https://www.aaos.org/registries Guest: James Huddleston III, MD, FAAOS, Professor of Orthopaedic Surgery, Stanford Hospital Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair
June 21, 2022
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#30 Running for Congress as an Orthopaedic Surgeon

In this episode, AAOS Advocacy Council Chair and podcast host Douglas Lundy, MD, MBA, FAAOS sits down with Al Olszewski, MD, FAAOS (R-MT) to discuss his 2022 campaign for Congress. They discuss Dr. Al’s path to politics, why it’s important for orthopaedic surgeons to be involved politically, and how politicians can work together in the best interest of patients. Dr. Al's primary is on June 7. Additional links and resources:  AAOS Now Article about Dr. Olszewski’s Campaign: https://www.aaos.org/aaosnow/2022/mar/advocacy/advocacy01/ AAOS Press Release Endorsement of Dr. Olszewski: https://www.aaos.org/aaos-home/newsroom/press-releases/orthopaedic-pac-endorses-aaos-member-al-olszewski-md-faaos-for-congress/ AAOS OrthoPAC: https://www.aaos.org/advocacy/pac/ Guest: Al Olszewski, MD, FAAOS, Candidate for U.S. Congress Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair
May 17, 2022
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#29 Consolidation Part III: Impact of Consolidation on Musculoskeletal Care

In this episode, Dr. Lundy interviews three AAOS members who have different perspectives on the role of consolidation in the advancement of musculoskeletal care. Listeners will hear from them on the pros and cons of consolidation and learn more about how consolidation will influence future trends in the practice of orthopaedic surgery.  Additional links and resources: Podcast episode on "Repeal of Antitrust Exemption for Health Insurers": https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-15/ FAQ on consolidation: https://www.aaos.org/globalassets/advocacy/issues/faqs-on-hospital-consolidation.pdf AAOS Advocacy Action Center: https://www.aaos.org/advocacy/advocacy-action-center/ Guests: James W. Barber, M.D., Southeastern Orthopaedics; Frederic E. Liss, M.D., Rothman Orthopaedic Institute; Ronald A. Navarro, M.D., Kaiser Permanente  Host: Douglas Lundy, M.D., MBA, FAAOS, AAOS Advocacy Council Chair
April 19, 2022
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#28 Consolidation Part II: Federal and Industry Response

This second episode in our series on consolidation in healthcare centers around the Federal Trade Commission's (FTC) role of enforcing the nation's antitrust laws and ensuring competition within the industry. Special guest Mark D. Seidman, Assistant Director for the Mergers IV Division at the FTC, explains how the agency investigates mergers and their impact on the future of healthcare delivery.  Guest: Mark D. Seidman, Assistant Director for the Mergers IV Division at the Federal Trade Commission Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair 
March 15, 2022
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#27 Consolidation in Healthcare: Trends, Impact & Outlook

The consolidation of hospitals, practices, and the healthcare market in general is a hot button issue which remains ever-present for orthopaedic surgeons. AAOS Advocacy Council Chair and podcast host Douglas Lundy, MD, MBA, FAAOS explores the trend and its impact on musculoskeletal care from various angles in this three-part series. In Part 1 with health policy analyst Brian Miller, MD, MBA, MPH, they identify the pros and cons of consolidation and how the federal government is handling potential downsides.  Additional links and resources:  Health Affairs article on the topic from Drs. Brian Miller, MD, MBA, MPH, and James Ficke, MD, FAAOS: https://www.healthaffairs.org/do/10.1377/forefront.20210408.980640/full/ Podcast episode on “Lifting Restrictions on Physician-Owned Hospitals”: https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-7/ AAOS Advocacy Action Center: https://www.aaos.org/advocacy/advocacy-action-center/ Guest: Brian Miller, MD, MBA, MPH, Hospitalist and Assistant Professor, Johns Hopkins University School of Medicine Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair 
February 15, 2022
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#26 Physician Advocacy for Patients with Insurers

Insurer influence on the practice of orthopaedic surgery continues to increase. The implementation of the No Surprises Act on Jan. 1, along with the ongoing administrative burden and delayed patient care caused by prior authorization requirements, will bring additional challenges to both physicians and patients in the year ahead. In this episode, Tony DaRe from the national employee benefits consulting firm BSI Corporate Benefits discusses the ways in which orthopaedic surgeons can advocate for and with their patients to overcome insurer challenges and improve the system. Learn more about BSI Corporate Benefits: https://bsicorporate.com/about-us/ Guest: Tony DaRe, CEO and Agency Principal at BSI Corporate Benefits Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair
January 18, 2022
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#25 Reimbursement Changes and Implementation of Surprise Billing Law

Orthopaedic surgery is set to face reductions in Medicare reimbursement and changes to the process for resolving surprise medical bills beginning Jan. 1, 2022. AAOS Advocacy Council Chair Douglas W. Lundy, MD, MBA, FAAOS, sits down with senior staff from the AAOS Office of Government Relations to explain these healthcare policy changes, what the AAOS has been doing to preserve the value of surgical services, including recent updates from Capitol Hill, and how these issues will continue to play out in 2022. October podcast episode on Economic Effects of Medicare Pay Cuts: https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-23/ November podcast episode on Preventing Surprise Medical Bills: https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-24/ Guests: Shreyasi Deb, PhD, MBA, AAOS Senior Director of Health Policy; Catherine Hayes, MPP, AAOS Senior Director of Government Relations Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair
December 21, 2021
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#24 Preventing Surprise Medical Bills

The issue of patients receiving unanticipated medical bills is back in the national spotlight. It rose to prominence in 2019, consumed the attention of policymakers in 2020, and is the focus of newly released regulations designed to implement the “No Surprises Act,” which passed in late 2020. This episode, with interviews from an AAOS member expert and a senior health legislative assistant to U.S. Rep. Tom Suozzi (D-NY), explains the new process for resolving payment disputes and discusses concerns as to whether or not the regulations will ultimately fulfill their promise. Learn more about the issue: https://www.aaos.org/advocacy/advocacy-action-center/surprise-billing Guests: Adam Bruggeman, MD, FAAOS, Member, AAOS Health Care Systems Committee; Steven Peterson, Senior Legislative Assistant, U.S. Rep. Tom Suozzi (D-NY) Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair
November 16, 2021
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#23 Economic Effects of Medicare Pay Cuts

Orthopaedic surgery is set to face an up to 10% reduction in Medicare reimbursement beginning in 2022. This discussion with a healthcare economist dives into the effects that these cuts will have on physician practices and patient care amidst our nation’s growing healthcare expenditures. Participants discuss the government’s reasoning behind the cuts; unintended consequences on access issues and practice consolidation, as well as how the surgical community can advocate against the devaluing of musculoskeletal care. Learn more about the payment policy changes: https://www.aaos.org/advocacy/advocacy-action-center/payment-policy-changes/ Guest: Patricia Ketsche, Ph.D., MBA,  Associate Professor Emerita, Institute of Health Administration, Georgia State University Host: Douglas Lundy, MD, MBA, FAAOS, Chair, AAOS Advocacy Council
October 19, 2021
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Special Episode: Resident Involvement in Advocacy

At the AAOS 2021 Annual Meeting, new host and Advocacy Council Chair Douglas Lundy, MD, MBA, FAAOS, recorded a live, on-site interview with Austin Beason, MD, who is Chair of the Resident Assembly and host of the AAOS Career Podcast. They discussed the value of increasing resident involvement in political advocacy as the future leaders of musculoskeletal health, whether it is by participating in grassroots via the Advocacy Action Center, joining the PAC, or becoming engaged with state orthopaedic societies.  Learn more about how residents can get involved: https://www.aaos.org/advocacy/get-involved/residents-advocacy/ Learn more about the Orthopaedic PAC: https://www.aaos.org/advocacy/pac/ Guest: Austin Beason, MD, Chair Resident Assembly  Host: Douglas Lundy, MD, MBA, FAAOS, Chair Advocacy Council 
September 21, 2021
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#21 Physician Mental Health: Conversations with Congress, Part 3

This final episode of the three-part series for AAOS’ Orthopaedic Advocacy Week discusses reducing and preventing physician mental health issues. Following the moving story of Dr. Lorna Breen, an emergency physician who died by suicide while working on the front lines of the pandemic, the conversation features powerful perspectives on breaking down the stigma and increasing access to treatment—starting with passage of the legislation named in her honor, the Dr. Lorna Breen Health Care Provider Protection Act. (Rep. Susan Wild interview recorded on 7/14 and Corey Feist interview recorded on 7/27) Dr. Lorna Breen Heroes’ Foundation AAOS advocacy on physician mental health Hosts: Kristen Coultas, AAOS Advocacy Communications Director and Jennifer Weiss, MD, FAAOS, Chair, AAOS Communications Committee
August 3, 2021
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#20 Telemedicine after COVID: Conversations with Congress, Part 2

This part two episode of a three-part series for AAOS’ Orthopaedic Advocacy Week focuses on ensuring that flexibilities for valuable telemedicine services remain post-pandemic. Adam S. Levin, MD, FAAOS, who helped rapidly introduce a robust telemedicine program for the Johns Hopkins Orthopaedic Department during a five-day period, interviews U.S. Representative Buddy Carter (R-Ga.) on his recently introduced Telehealth Modernization Act. Learn more at AAOS.org Host: Adam S. Levin, MD, FAAOS, Johns Hopkins Hospital
June 29, 2021
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#19 Prior Authorization Reform: Conversations with Congress, Part 1

This part one episode of a three-part series on the issues AAOS is raising during Orthopaedic Advocacy Week focuses on prior authorization reform. In interviews with the original co-sponsors of the “Improving Seniors’ Timely Access to Care Act,” we discuss how the bipartisan, bicameral legislation will help protect patients from unnecessary delays in care by streamlining and standardizing prior authorization in the Medicare Advantage program. Learn more at AAOS. Host: Kristen Coultas, AAOS Advocacy Communications Director
May 25, 2021
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#18 Save the Date for Orthopaedic Advocacy Week

AAOS President Daniel K. Guy, MD, FAAOS, extends a special invitation for members to participate in Orthopaedic Advocacy Week May 24-28, 2021. He explains how the new, completely virtual event is different from previous advocacy opportunities, what issues orthopaedic surgeons will raise with lawmakers, and why individual participation is “paramount” for amplifying year-long advocacy efforts on healthcare policy issues impacting musculoskeletal care. Learn more and sign up for the event. Hosts: Kristen Coultas, AAOS Advocacy Communications Director and Cavan Jones, AAOS Government Relations Director
April 27, 2021
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#17 Policy in Practice: Threats to Orthopaedics in 2021

Prior authorization paperwork, insurance battles over setting of care, and EHR documentation challenges are just a few of the many ways that government policies can stand in the way of patient care. In this episode with new AAOS Advocacy Council Chair Douglas W. Lundy, MD, MBA, FAAOS, we discuss the threats we’re fighting in 2021 and how these rules and regulations impact orthopaedic surgery from Capitol Hill to the operating room. Learn more at AAOS. Host: Kristen Coultas, AAOS Advocacy Communications Director
March 30, 2021
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#16 Partisanship and Public Health in the New Administration

At only two months into the new administration, partisan politics remain center stage in the healthcare policy debate. President Biden’s healthcare nominees are stuck in limbo, key congressional committees are slow to take shape, and Republicans and Democrats remain sharply divided over Coronavirus relief efforts. National Journal Health Care Correspondent Erin Durkin explains how these competing priorities around pandemic response, insurance coverage, telehealth, disparities and value-based care may impact what the 117th Congress can realistically accomplish. (Recorded on 2/11/21) Host: Kristen Coultas, AAOS Advocacy Communications Director
February 23, 2021
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#15 Repeal of Antitrust Exemption for Health Insurers

For decades, health insurers have been exempt from antitrust laws and allowed to act as a monopoly setting rates and maximizing profits—until now. Enactment of new legislation removes the McCarran-Ferguson Act which has protected insurers since 1945 and now requires them to follow the same free-market rules as the rest of the health care industry. In this episode, we talk with an antitrust expert about why it took so long to repeal this unfair policy and how the new law will introduce more choice and opportunity into the marketplace. Hosts: Kristen Coultas, AAOS Advocacy Communications Director and Catherine Hayes, AAOS Senior Director of Government Relations
January 26, 2021
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#14 Shaping Health Policy During the Coronavirus Pandemic

Recounting the ways AAOS shaped health policy in the year 2020 cannot be done without mentioning COVID-19. What began as a year dedicated to encouraging physician burden relief and resolving surprise medical billing, quickly turned into a rapid transformation of telehealth and fight for relief to preserve access to musculoskeletal services. NYC-based joint replacement surgeon Claudette Lajam, MD, FAAOS, explains what it was like in the epicenter of the pandemic, and how rapidly changing regulations impacted patient care throughout the year and will continue to affect the orthopaedic profession for years to come. Hosts: Kristen Coultas, AAOS Advocacy Communications Director and Graham Newson, AAOS Vice President of Government Relations
December 29, 2020
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Special Episode: Bundled Payments and Value-based Care

Bundled payment programs are designed to promote value-based care and remain largely voluntary. With the deadline to renew or modify contracts rapidly approaching and Medicare’s acceleration towards mandatory models, a four-person panel with varying perspectives discusses whether linking payments to clinical episodes can reduce Medicare expenditures while maintaining or improving quality of care. Learn more about various alternative payment models created to achieve value-based care using AAOS' Value-Based Care Continuum guide. Host: Kristen Coultas, AAOS Advocacy Communications Director 
December 7, 2020
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#12 Regulatory Landscape of Biologics

Biologics are increasingly being marketed and used to improve outcomes for orthopaedic patients, but the requirements for evidence of safety and effectiveness vary greatly. Leaders from the AAOS Committee on Devices, Biologics & Technology discuss the regulatory landscape, the AAOS Biologics Initiative, and the Academy’s investment in this evolving area of medicine, They also explain how the new AAOS Biologics Dashboard is designed to help members navigate the approval status of biologic-based interventions. Learn more about the AAOS Biologics Initiative and access the dashboard. Host: Kristen Coultas, AAOS Advocacy Communications Director 
November 24, 2020
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#11 Why the Election Matters for MSK Care

With the U.S. general election just one week away, much is at stake for the physician community. Orthopaedic PAC Executive Committee Treasurer Douglas W. Lundy, MD, FAAOS, and former candidate for the U.S. House of Representatives and Oregon State House Representative Knute Buehler, MD, FAAOS, discuss the upcoming election and orthopaedic surgeons’ need to both vote on Nov. 3 and become involved in other forms of civic engagement year-round. OrthoPAC State-by-State Voter Resources Host: Kristen Coultas, AAOS Advocacy Communications Director
October 27, 2020
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#10 Elimination of IPO and Shift to Outpatient Setting

AAOS physician leaders discuss Medicare’s proposal to eliminate the inpatient-only list (IPO) beginning with 266 musculoskeletal procedures. They recount the unresolved challenges with only recently removing several procedures from the list, and the critical opportunity for orthopaedic surgeons to lead the decision-making process with patients and safely shift care to the outpatient setting. Host: Kristen Coultas, AAOS Advocacy Communications Director
September 29, 2020
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Special Episode: Impact of Payment Policy Changes

In this episode, produced in partnership with the American Association of Hip and Knee Surgeons (AAHKS), advocacy leaders from both organizations discuss the payment policy changes that have been proposed by the Centers for Medicare & Medicaid Services. The agency is reducing all orthopaedic surgical services by approximately 5% and reducing the work relative value units for hip and knee arthroplasty by an additional 5.4%, further compounding the mounting tension on musculoskeletal care. Host: Chad A. Krueger, MD, AAHKS Health Policy Fellow
September 2, 2020
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#8 In-District Event and Grassroots Advocacy

Orthopaedic surgeons across the U.S. are engaging with members of Congress this August as part of AAOS’ In-District Advocacy Event. AAOS First Vice President Daniel K. Guy, MD, FAAOS, talks about the policy issues they’re raising with legislators and why grassroots advocacy is a powerful tool for strengthening the voice of the musculoskeletal community. Learn more at aaos.org/indistrictevent and by following #OrthoAdvocacyinAction on social media. Hosts: Kristen Coultas, AAOS Advocacy Communications Director and Madeline Kroll, AAOS Director of Government Relations
August 25, 2020
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#7 Lifting Restrictions on Physician-Owned Hospitals

Physician-owned hospitals provide some of the highest quality care, at the lowest cost. Yet since the Affordable Care Act passed in 2010, they have been prohibited from expanding or establishing new facilities to meet the growing demand for services. Congressman Michael Burgess, MD (TX-26), explains why restrictions on this competitive force in America’s healthcare system should be permanently lifted—not just during the COVID-19 pandemic—for patients who deserve the right to receive care at the hospital of their choice. (Recorded on 7/21/2020) Hosts: Kristen Coultas, AAOS Advocacy Communications Director and Catherine Hayes, AAOS Senior Director of Government Relations
July 28, 2020
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#6 Reducing Disparities in Health Care

Structural inequities and barriers to health care existed prior to COVID-19. But the pandemic has put a spotlight on the problem, which has also recently become the focus of advocacy efforts nationwide. In this episode, Movement is Life Chair Mary O’Connor, MD, FAAOS, explains how public policy and individual surgeons together can strengthen community-based programs to ultimately help narrow the health equity gap. Hosts: Kristen Coultas, AAOS Advocacy Communications Director and Shreyasi Deb, PhD, MBA, AAOS Senior Director of Health Policy
June 30, 2020
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#5 Power of the Orthopaedic PAC

As the only national political action committee dedicated solely to representing orthopaedic surgeons before Congress, the nonpartisan Orthopaedic PAC is a powerful tool for advancing AAOS priorities. Chairman John T. Gill, MD, FAAOS, explains how it continues to break records as a $4 million-dollar PAC, produce award-winning campaigns and support candidates for federal office including three AAOS fellows running in 2020. Hosts: Kristen Coultas, AAOS Advocacy Communications Director and Meredith Allison, AAOS Director of Corporate Political Outreach
May 26, 2020
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Special Episode: CMS Regulatory Response to COVID-19

In this second add-on episode dedicated to COVID-19, Dr. Marion Couch from the Centers for Medicare & Medicaid Services (CMS) shares details on the agency’s response to the pandemic. She covers the sweeping regulatory changes made to support America's health care system, the gradual resumption of non-emergent surgeries and procedures, as well as COVID-19's potential long-term effects on various value-based programs in what she is calling the greatest transformation of medicine that we’ve seen in the last century. Hosts: Kristen Coultas, AAOS Advocacy Communications Director and Shreyasi Deb, PhD, MBA, AAOS Senior Director of Health Policy
May 23, 2020
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#3 Intro to the Office of Government Relations

Based in Washington, D.C., the AAOS Office of Government Relations promotes and advocates the viewpoint of the orthopaedic community before federal and state legislative, regulatory, and executive agencies. Guided by the Council on Advocacy, it identifies, analyzes, and directs all health policy initiatives to advance the organization's Unified Advocacy Agenda. Hosts: Kristen Coultas, Advocacy Communications Director, AAOS and Graham Newson, Vice President of Government Relations, AAOS
April 28, 2020
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Special Episode: Congressional Response to COVID-19

In this add-on episode, Congressman Brad Wenstrup, D.P.M. (OH-02), provides insight on the congressional response to COVID-19. We cover the three stimulus bills that have passed so far and look towards what’s coming in the fourth package and the future of health care post-pandemic. (Recorded on 4/17/20) Hosts: Kristen Coultas, Advocacy Communications Director, AAOS and Catherine Hayes, Senior Director of Government Relations, AAOS
April 21, 2020
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#1 Advocacy as a Strategic Plan Enabler

AAOS President Kristy L. Weber, MD, FAAOS, sits down after a busy day on Capitol Hill to talk about Advocacy as a strategic plan enabler. She talks about how these efforts to shape health care policy also help to achieve AAOS' three goals and that Advocacy will be a priority of the association for years to come. Host: Kristen Coultas, Advocacy Communications Director, AAOS
March 27, 2020
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Introducing The Bone Beat

Brought to you by the American Association of Orthopaedic Surgeons, "The Bone Beat" covers health policy issues affecting musculoskeletal health. Through conversation with the experts, each episode features insights on the changing landscape of orthopaedic surgery and supporting advocacy efforts to advance quality and access to care.
February 27, 2020
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About AAOS Advocacy Podcast

The AAOS Advocacy Podcast covers the latest health policy issues affecting musculoskeletal health. Each episode features expert insights on the changing landscape of orthopaedics and advocacy efforts to advance quality and access to care. Part of “The Bone Beat” orthopaedic podcast channel.

Host

Douglas W. Lundy, MD, MBA, FAAOS

Douglas W. Lundy, MD, MBA, FAAOS

Douglas W. Lundy, MD, MBA, FAAOS, is a trauma surgeon at Resurgens Orthopaedics in Atlanta and is the chair of the AAOS Advocacy Council.

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