text:
Job Opportunities
Top story: Vaccine bill passes through state Assembly and Senate; heads to Gov. Brown for signature
A widely supported vaccination bill cleared its second house in the California legislature on Thursday, and passed through the Senate again today. Senate Bill 277, which passed through the Assembly Health Committee on June 9, was approved on the Assembly floor with a 46-30 vote. Today the bill was approved on the Senate floor with a 24-14 vote. The bill's next stop is the desk of Governor Jerry Brown.
Also in this issue:
- CMA works to address problems posed by CURES 2.0 launch
on June 30
- Supreme Court upholds ACA subsidies
- Governor calls for special Medi-Cal session after budget agreement struck with legislators
- California State Auditor releases report outlining flaws with Medi-Cal program
- OIG issues fraud alert regarding physician compensation arrangements
- Physicians receiving notice from CHPI encouraged to verify data accuracy by July 31
- Save Lives California launches $2 million campaign to raise the state's tobacco tax,
improve public health
- Three months until ICD-10 implementation: If you're not preparing, you should be
- Court rules against constitutional attack on MICRA
- CMS rule reduces Meaningful Use burdens; CMA advocates for more change
- Anthem Blue Cross begins medical chart reviews in July
- Highlights from AMA's 2015 House of Delegates
- Registration now open for IMQ 2015 Medical Staff Conference
Featured member benefit:
Auto and Homeowners Insurance: CMA members receive 10 percent off auto insurance from
Mercury Insurance.
1. Vaccine bill passes through state Assembly and Senate; heads to Gov. Brown for signature
A widely supported vaccination bill cleared its second house in the California legislature on Thursday, and passed through the Senate again today. Senate Bill 277, which passed through the Assembly Health Committee on June 9, was approved on the Assembly floor with a 46-30 vote. Today the bill was approved on the Senate floor with a 24-14 vote. The bill's next stop is the desk of Governor Jerry Brown.
"Overwhelmingly, doctors will tell us that vaccines are one of the greatest health achievements in all of mankind," Assemblywoman Lorena Gonzalez (D-San Diego) said. "Scientists and researchers will tell us that vaccines are incredibly safe and effective. It's time that we take this very balanced and thoughtful step to increase vaccine rates in our schools, our communities and our state."
SB 277 would eliminate the personal belief exemption from school vaccination requirements, barring parents from skipping their children's school-required immunizations unless they have a medical exemption from a physician.
Under the law, vaccinations would be required of children first entering public school, or when they enter seventh grade after July 1, 2016. However, children who home-school or participate in independent study would not have to receive immunizations.
About 20 Assemblymembers spoke during the bill's hearing to express their position on the measure. Assemblywoman Catharine Baker (R-San Ramon) was one of them.
"We should fight for the liberty not just of those who want not to vaccinate their kids," Assemblywoman Baker said, "but of those who can't — those who are most vulnerable in our communities, whether it's the newborn infants, the immunosuppressed, the elderly, who are all throughout our communities. Every one of us represents them. And this bill to me is the right balance for that population as well as parent choice."
The measure was proposed following a recent rash of outbreaks of vaccine-preventable diseases in the state. Since December 2014, California has had at least 136 confirmed cases of measles across more than a dozen counties. Nearly 20 percent of those cases have required hospitalization.
"I am a fierce, fierce supporter of parent choice in this decision, but I also believe with choice comes personal responsibility," Assemblywoman Baker said. "If you have an effect on other people in your community, you need to take responsibility for that, even if you really rather not and if the consequences are not what you would chose."
Vaccinations are widely regarded by mainstream scientists and experts as being both safe and effective.
SB 277 is supported by many health and education organizations, including the California Medical Association; American Academy of Pediatrics, California; California State PTA; Vaccinate California; and several local governments and school districts.
Two-thirds of Californians also believe children should not be allowed to attend public schools unless they are vaccinated, according to a recent Public Policy Institute of California poll.
For more on SB 277 and vaccinations, go to www.cmanet.org/sb277.
Have something to say about this story? Post Comment
2. CMA works to address problems posed by CURES 2.0 launch on June 30
The Department of Justice (DOJ) recently announced that an update to the Controlled Substance Utilization Review and Evaluation System (CURES 2.0) database would go live June 30, but with browser requirements that could potentially cut off access for thousands of prescribers and dispensers.
According to the DOJ, CURES 2.0 would require users to have Internet Explorer version 11, Firefox or Chrome Internet browsers installed on their systems in order to access the database. While it is possible for some users to simply update or switch to one of the supported Internet browsers, CMA identified that the use of some electronic health record (EHR) systems are incompatible with CURES 2.0 supported Internet browsers.
In response to concerns raised by the California Medical Association (CMA), DOJ has committed to a short-term solution, keeping the current version of CURES accessible for users who cannot access the new version because of browser compatibility issues. Without intervention, there would have been immediate and greatly reduced access to this valuable public health tool upon implementation of the new version.
Based on communications with DOJ, CMA has produced a summary of what CURES users should know about the launch of the new system, including updates on access and registration changes. Click here to read the summary. Additional updates before the June 30 launch will be incorporated as needed.
As both a long-term solution and the full scope of those impacted have yet to be determined, please contact CMA if the CURES 2.0 browser restrictions pose a problem for you. Contact CMA's Legal Information Line at (800) 786-4262 or firstname.lastname@example.com.
CMA will remain involved in dialogue with DOJ and other user groups to identify a long-term solution, and continue to assist physicians in maintaining access to this important public health tool.
Have something to say about this story? Post Comment
3. Supreme Court upholds ACA subsidies
In a major victory for the Obama administration, the U.S. Supreme Court upheld a key provision of the Affordable Care Act (ACA), reaffirming that 6.4 million people in 34 states can continue to receive subsidies to purchase health care insurance.
The question in the case, King v. Burwell, was what to make of a phrase in the law that seems to say the subsidies are available only to people buying insurance on "an exchange established by the state."
Chief Justice John Roberts and Justice Anthony Kennedy joined the court's four Democratic appointees in the majority, affirming that Congress' intent was to allow tax credits in all 50 states, not just the 16 that have authorized their own online insurance exchanges.
Plaintiffs in the case said that that the language in the law forbids the federal government from providing subsidies to states that did not set up an exchange. Lawyers for the Obama administration said the balance of the law showed that Congress did not intend to limit subsidies.
"Had Congress meant to limit tax credits to state exchanges, it likely would have done so in the definition of an 'applicable taxpayer' or in some other prominent manner," Chief Justice Roberts wrote. "It would not have used such a winding path of connect-the-dots provisions about the amount of the credit."
"Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them. If at all possible, we must interpret the Act in a way that is consistent with the former, and avoids the latter," Chief Justice Roberts also wrote.
The case arrived at the Supreme Court after a 4th U.S. Circuit Court of Appeals panel in Virginia in July 2014 unanimously ruled in favor of the administration, saying subsidies should be allowed in all 50 states. This case marks the law's third trip to the high court. In 2012, Chief Justice Roberts joined the four more liberal justices to uphold the constitutionality of the ACA, with four conservative justices dissenting. Earlier, Chief Justice Roberts and the four conservative justices carved out an exception to providing contraceptive coverage for employers who object on religious grounds.
The case does not directly affect California, as it is among the 16 states that established its own insurance exchange. However, the Court's affirmation of the ACA serves to bolster California efforts to fully implement federal health care reform. The landmark decision also affirms CMA's policy and actions generally to stand behind the ACA while recognizing the law is not perfect and working towards fixing problems.
Have something to say about this story? Post Comment
4. Governor calls for special Medi-Cal session after budget agreement struck with legislators
Governor Jerry Brown has called for a special session of the Legislature to address "Health Care Financing" after he struck a deal with Democratic lawmakers last week. California legislators passed a $115.4 billion budget, part of a deal with Governor Brown to hold back on spending despite the state's improving financial picture.
Left out of the budget agreement were higher rates for Medi-Cal providers. In a typical year, the conclusion of budget negotiations would mean the end of the California Medical Association's (CMA) hopes of improving access for the over 12 million Californians who rely on the Medi-Cal program, at least for the next 12 months.
The special session of the Legislature, however, provides a new opportunity for CMA and other stakeholders to push through a permanent and significant funding increase dedicated to providers of health care services, and to ensure the health care infrastructure exists to care for the Medi-Cal population. The Governor's special session announcement was made on the same day that the State Auditor released a report finding Medi-Cal managed care provider networks are severely lacking integrity and resulting in barriers to accessing care.
The State Auditor found that not only were managed care plans providing the state with inaccurate data on availability and participation of in-network physicians, but the state was not verifying whether the data from the plans was accurate, and thus could not reliably determine whether the Medi-Cal networks meet California's stringent network adequacy standards. A summary of the audit's findings can be found here. More information from CMA on this issue can be found here.
The budget includes:
- $40 million to expand Medi-Cal to cover all low-income undocumented children, effective May 1, 2016 ($132 million when fully implemented).
- $265 million to fund 7,000 additional preschool slots and 6,800 child care slots, plus a rate increase for all child care providers.
- $97 million over the January budget for the California State University to expand enrollment and focus on increased success.
- $226 million on a one-time basis to restore the 7 percent reduction in service hours for In-Home Supportive Services.
The announcement of the special session allows the Governor and legislative leaders to bypass the traditional legislative and budgetary calendar. CMA will continue to work with its legislative allies and coalitions to push this issue over the finish line.
Have something to say about this story? Post Comment
5. California State Auditor releases report outlining flaws with Medi-Cal program
The California State Auditor's office released a report on Tuesday expressing a need for better monitoring of the health plans participating in California's Medicaid program, Medi-Cal, in order to improve beneficiaries' access to care.
Among the key findings of the audit was that the California Department of Health Care Services (DHCS), which administers Medi-Cal, "has not consistently monitored health plans to ensure that they meet beneficiaries' medical needs—it did not perform any annual medical audits before 2012 and performed medical audits on less than half of the health plans in fiscal year 2013-14," according to a summary.
The audit also found that DHCS "did not verify health plan data," resulting in an inability to ensure that beneficiary health plans had sufficient networks of physician providers, and that the tool DHCS uses to evaluate the accuracy of doctor directories is "inadequate."
"Furthermore, we noted that thousands of calls from Medi-Cal beneficiaries seeking assistance through Health Care Services' Medi-Cal Managed Care Office of the Ombudsman have gone unanswered," California's independent State Auditor Elaine Howle wrote in the report. "Specifically, each month between February 2014 and January 2015 an average of 12,500 calls went unanswered."
The state legislature ordered the State Auditor to conduct the review last August amid concerns of inaccuracies with provider directories.
Currently, about 12.2 million Californians — or about one-third of the state's residents — receive health care coverage through Medi-Cal. That number has spiked since Medi-Cal eligibility was expanded under the Affordable Care Act last year.
For the full report, click here.
Have something to say about this story? Post Comment
6. OIG issues fraud alert regarding physician compensation arrangements
The Office of Inspector General (OIG) in the Department of Health and Human Services released a Fraud Alert in early June to caution physicians who may be engaged in fraudulent compensation arrangements. The anti-kickback statute prohibits arrangements that result in "improper remuneration" for physicians, such as accepting payment in exchange for referrals.
The OIG Alert follows a recent settlement between the OIG and 12 physicians involved in "questionable" medical directorships and office staff arrangements with a chain of diagnostic centers in Texas. Physician compensation allegedly took into account the volume or value of referrals made to federal health care programs, rather than the fair market value of the rendered services. In select cases, the affiliated health care entity relieved physicians of paying the salaries of their office staff in exchange for referrals. Additionally, some of the 12 physicians are purported to have received payment for services they did not provide.
Because the OIG found that these physicians are an integral part of the fraudulent scheme, they share liability under the Civil Monetary Penalties Law. The OIG stresses that both the physician and the institutions they are contracted with are held accountable for anti-kickback violations, even if only one purpose of the arrangement is to compensate physicians for referrals to federal health care programs. Any act of fraud involving federal health care programs may result in criminal, civil and administrative sanctions.
Click here to read the OIG Fraud Alert. You may also learn more about physician relations in the OIG's "Compliance Program Guidance for Individual and Small Group Physician Practices" and "A Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud Abuse."
For more information on the federal anti-kickback statute, see CMA On-Call document #1151, "Prohibitions Against Kickbacks and Fee-Splitting." This document, as well as the rest of the California Medical Association's online health law library, is available free to members in CMA's online resource library. Nonmembers can purchase documents for $2 per page.
Have something to say about this story? Post Comment
7. Physicians receiving notice from CHPI encouraged to verify data accuracy by July 31
On May 29, 2015, approximately 18,000 physicians in California were notified of a new quality rating program through the California Healthcare Performance Initiative System (CHPI). CHPI is managed by staff from the Pacific Business Group on Health (PBGH), but has its own board of directors.
The letter states that 19 quality measures were constructed using claims data from Medicare fee-for-service, Anthem Blue Cross, Blue Shield of California and United Healthcare. This claims data includes both commercial and self-funded health plan data from HMO, PPO, POS and Medicare Advantage products.
Along with the letter, CHPI provided affected physicians with their individual quality measurement scores based on patient care provided January 1, 2010, through December 31, 2012. Physicians were assigned a star rating of one to four stars, based on where they fall as a percentile within a "peer group," for each measure as well as a rate, which is the composite score. The peer groups utilized for comparison purposes were:
- Primary care physicians (PCP)
- Pediatricians
- Non-PCP and non-pediatricians, regardless of specialty
Physicians who wish to verify the accuracy of the data used to calculate their scores can do so through the CHPI online portal. In order to access the review and correction portal, physicians will need their medical license number and the physician identifier (Physician ID) from the upper left corner of their mailed report. According to the letter, CHPI will treat the data as complete and accurate even if the physician has not logged into the online portal during the review and correction period. In response to California Medical Association (CMA) requests, however, CHPI will no longer deem non-review during this period as a physician's acknowledgement that the data is accurate and complete.
Physicians who review their data and identify errors have until July 31, 2015, to report any discrepancies via the CHPI online portal. At the close of the physician review and correction period, discrepancies will be evaluated and applied, with the results recalculated prior to the ratings being released to the public. After July 31, the review and correction period will close, and physicians will be unable to review or report discrepancies.
CHPI has advised CMA that in addition to publishing the ratings publicly, it will also release an aggregated data file to the aforementioned participating plans following the recalculation this fall. CMA inquired as to how the data would be utilized by the plans, but as of the time of publication, it was not known.
More information on the CHPI ratings methodology can be found on the CHPI website. Additionally, physicians who did not receive a letter but would like to confirm whether they are included in CHPI's rating results can use the CHPI physician lookup at https://lookup.medinsight.milliman.com and enter their medical license number. A tutorial and FAQ on the review and corrections portal is also available.
If you have questions or concerns about the CHPI rating results, you may email the PBGH staff overseeing the program at firstname.lastname@example.com or leave a voicemail at (415) 615-6353 and they will respond within 48 hours. Physicians who do not hear back within 48 hours or who identify a high volume of discrepancies in the data used to calculate their scores are encouraged to contact CMA at (916) 551-2061 or firstname.lastname@example.com.
Have something to say about this story? Post Comment
8. Save Lives California launches $2 million campaign to raise the state's tobacco tax, improve public health
Last week, a coalition of physicians, dentists, health care workers and health organizations announced the launch of a $2 million campaign to raise California's tobacco tax and reduce the impacts smoking has on the state's health care system.
In May, the Save Lives California coalition filed two ballot initiatives with the California Attorney General's Office that would increase the state's tobacco tax by $2 per pack on cigarettes. One includes electronic cigarettes in the tax, while the other focuses solely on combustible cigarettes.
Money generated from the measures would be directed to California's health insurance program for low-income families, Medi-Cal, and to "smoking prevention, cures, and strengthening a health care system strained by tobacco-related disease," according to a coalition press release.
Two measures currently in the state legislature — Senate Bill 591 and Assembly Bill 1396 — would also accomplish this. However, with the announcement of the $2 million investment, organizers said they are prepared to put the decision in the hands of voters if the legislature does not act.
"Save Lives California's launch with $2 million shows the determination California's doctors, dentists, health care workers and health advocates have to prevent tobacco-related disease and save lives," Laphonza Butler, president of the Service Employees International Union (SEIU) California and SEIU United Long-Term care Workers, said in a statement.
"If Republican-controlled legislatures and Governors in Nevada, Kansas and Louisiana can find the political will to pass tobacco taxes this year," she added, "we know the California legislature can and must follow suit."
Gov. Jerry Brown's recent announcement to hold a special legislative session to address the issues surrounding the Medi-Cal program also provides an opportunity to "relieve the deadly toll tobacco-related disease takes on Californians and the steep costs smoking places on California taxpayers," Butler stated.
California ranks 34th in the country for its tobacco tax, which hasn't been raised since 1998. The current tax is 87 cents a pack. The ballot initiatives would raise it to $2.87 a pack.
Organizations participating in the Save Lives California Coalition include the California Medical Association; American Lung Association, California; American Heart Association; Blue Shield of California; and several other health and labor organizations.
For more information, visit www.savelivescalifornia.com.
Have something to say about this story? Post Comment
9. Three months until ICD-10 implementation: If you're not preparing, you should be
With the implementation of ICD-10 only 90 days away, the window for physician practices to prepare for the transition is rapidly closing. Physicians must be prepared. While the California Medical Association (CMA) has been pressing Congress to further delay the October 2015 ICD-10 implementation, three House and Senate Congressional Committee Chairmen with health care jurisdiction have announced they will not support any further delay of ICD-10. Therefore, CMA and all of organized medicine have turned their attention to the Centers for Medicare and Medicaid Services (CMS) to mitigate the problems associated with implementation.
CMA is urging CMS to establish a two-year transition period to avoid payment disruptions and claims processing errors. During this grace period, physicians would continue to code diagnoses using ICD-10, but it would allow physicians a learning period, whereby contractors could identify common errors, provide feedback and resolve problems without resorting to claim denials that could bankrupt physician practices and extend patient waiting times.
CMA is asking CMS to adopt the following protections:
- Conduct more comprehensive testing prior to implementation to identify issues that could reject valid claims.
- Establish a two-year grace period in which claims will not be denied for errors and physicians will not be penalized for mistakes or subject to recovery audit contractor audits.
- Extend hardship exemptions to those practices unable to make the transition.
- Provide advance payments in cases where a physician's claims are denied and cash flow would be greatly reduced.
While CMA works with CMS to mitigate the disruptions associated with ICD-10 implementation, we urge physicians to prepare immediately.
If you haven't begun preparing, CMS says there is still time; however, practices now need to move with a greater sense of urgency to ensure they will be ready for the transition on October 1, 2015.
To help physicians prepare for the transition, CMA has created an ICD-10 transition webpage, as well as an ICD-10 transition guide, which is available at www.cmanet.org/icd10.
Additionally, in partnership with your local county medical society and the California Medical Group Management Association (MGMA), CMA is offering statewide, two-day ICD-10 code set seminars this summer.
The two-day boot camps include 16 hours of intensive general ICD-10 code set training, along with hands-on coding exercises. Each attendee receives the ICD-10-CM Code Set Draft Book and the AAPC Code Set Course Manual. The onsite training course is approved for 16 continuing education units (CEU) through AAPC. Following the onsite training, attendees will be given an ICD-10 proficiency assessment to ensure understanding of ICD-10 concepts and guidelines, and will have access to AAPC's online ICD-10-CM Assessment Training Course through December 31, 2015.
The AAPC ICD-10 course is being offered at a tremendous savings. CMA has negotiated a reduced price of $399 for CMA members and $499 for California MGMA members. The program is also available to non-members for $599. AAPC typically charges $799 for this course.
The remaining seminars are scheduled for the following dates in these counties.
- Santa Clara, June 30–July 1, 2015
- San Bernardino, July 7–8, 2015
- Los Angeles, July 8–9, 2015
- Sonoma/Marin/Mendocino/Lake, July 13–14, 2015
- Los Angeles (Torrance), July 14–15, 2015
- Sierra Sacramento, July 15–16, 2015
- Yuba/Sutter/Colusa/Placer/Nevada, August 4–5, 2015
- San Joaquin, August 10–11, 2015
- Stanislaus/Merced, August 12–13, 2015
- Orange County, August 19–20, 2015
- North Valley, August 24–25, 2015
- Humboldt/Del Norte, August 26–27, 2015
- San Diego, August 27–28, 2015
To register, please visit www.cmanet.org/AAPC-ICD10 and select the course nearest you or call (800) 786-4262. Space is limited and is on a first come, first served basis.
For additional information, contact Juli Reavis at (916) 551-2046 or firstname.lastname@example.com.
Have something to say about this story? Post Comment
10. Court rules against constitutional attack on MICRA
On June 9, the California Court of Appeal based in San Francisco issued its precedential opinion in Chan v. Curran, fully upholding various provisions of California's landmark Medical Injury Compensation Reform Act (MICRA) against constitutional attacks by California's trial attorneys.
The California Medical Association (CMA), together with a broad coalition of health care providers, including the American Medical Association, the California Hospital Association and the California Dental Association, had filed an amicus brief last year supporting the constitutionality of the non-economic damages cap of MICRA.
This appeal was the latest in a protracted line of cases challenging MICRA's constitutionality since the Legislature enacted the statute in 1975. The California Supreme Court on numerous occasions has previously upheld the constitutionality of MICRA's cost saving provisions, including MICRA's $250,000 cap on non-economic damages. Numerous intermediate courts of appeal have also upheld MICRA.
Despite Supreme Court and court of appeal precedents, the plaintiff appealed, arguing that the MICRA cap on non-economic damages violated her constitutional rights to equal protection, due process and trial by jury. In this published opinion, the Court of Appeal characterized all of Chan's arguments as "ultimately grounded on the assertion she is entitled to seek non-economic damages sufficient to cover attorney fees." This was a novel twist that the trial lawyers came up with – to argue that the MICRA cap essentially deprived injured plaintiffs of their day in court because few attorneys would take on contingency cases subject to the $250,000 cap on noneconomic damages. To this, the court responded in its opinion, "[n]o California court has ever endorsed such a proposition, and, as we discuss, it is contrary to many well-established legal principles."
The court went on to reject each and every one of Chan's constitutional arguments. It observed that California courts have consistently rejected constitutional attacks on MICRA because they are contrary to well-established legal principles for determining the constitutionality of economic and social welfare legislation under the extremely deferential rational basis test. The court discussed previous California Supreme Court cases upholding section 3333.2 and other MICRA provisions against similar constitutional challenges. The court also rejected Chan's argument that MICRA's constitutionality should be reexamined due to "changed circumstances" in today's medical malpractice insurance climate; the court held that she failed to demonstrate that the circumstances leading to MICRA's enactment no longer exist. The court acknowledged that MICRA may inhibit medical malpractice plaintiffs from finding counsel willing to accept cases on a contingency basis, but concluded that that result did not offend due process. Finally, the court held that the Supreme Court and other Courts of Appeal had previously considered and properly rejected Chan's argument that MICRA infringed on the right to a jury trial.
In conclusion, the Court of Appeal determined that "the legitimate debate over the wisdom of MICRA's noneconomic damages cap remains a matter for the Legislature and state electorate." Last November, California voters overwhelmingly rejected Proposition 46, by a two to one margin, which would have raised the MICRA cap on non-economic damages.
Read the brief here.
Contact: CMA legal information line, (800) 786-4262 or firstname.lastname@example.com.
Have something to say about this story? Post Comment
11. CMS rule reduces Meaningful Use burdens; CMA advocates for more change
On June 15, the California Medical Association (CMA) submitted comments to the Centers for Medicare and Medicaid Services (CMS) on proposed rules modifying Stage 1 and Stage 2 Meaningful Use criteria of the federal electronic health records (EHR) incentive programs.
Under the federal EHR incentive programs, qualifying Medicare and Medi-Cal providers are eligible to receive incentive payments for adopting and demonstrating "Meaningful Use" of certified health information technology. The proposed rule aligns Stage 1 and Stage 2 Meaningful Use objectives and measures for 2015 through 2017 with proposed Stage 3 requirements by removing redundant, duplicative and topped-out measures and by reducing the reporting burden. It also proposes additional modifications to the EHR reporting period and timeline that will help physician practices.
"CMA, located in the hub of tech industry, encourages the widespread adoption of EHRs and the use of innovative technologies that facilitate and improve the provision of quality health care," CMA President Luther F. Cobb, M.D., wrote in the letter to CMS. "California physicians, however, have found participating in the EHR incentive programs and achieving Meaningful Use to be difficult and frustrating due to EHR systems that are unable to keep up with the constantly changing requirements, complex criteria, high costs for EHR implementation and upgrades, inconsistencies in how EHRs report data, and lack of interoperability."
In its letter, CMA supported the detailed comments submitted by the American Medical Association (AMA) and offered further comments that are of particular interest to California physicians. CMA commended CMS on the proposed modification to allow for a 90-day reporting period for all incentive program participants in 2015, while urging CMS to extend the proposal beyond 2015 and allow for a reporting period that is less than a full calendar year for all participants in 2016 and 2017.
Additionally, CMA supported CMS's proposal to streamline the program requirements to provide a more flexible framework to reduce the burden on physicians. CMA also recommended changes to Meaningful Use measures requiring physicians to provide online access to health information for more than 50 percent of unique patients seen by the provider. CMA had been advocating to CMS to reduce the patient portal requirements that are beyond a physician's control. The new regulation only requires one patient to access the online portal during the reporting period for a physician to receive credit.
CMA's letter also stressed that physicians who face adjustments for not achieving Meaningful Use may be forced out of the Medicare program, and urged CMS to adopt less burdensome requirements and facilitate participation in the EHR incentive programs by adopting realistic modifications to Meaningful Use. The letter urged CMS to eliminate the "all-or-nothing" approach to meeting Meaningful Use, which penalizes physicians who are able to meet a majority of Meaningful Use requirements with the same payment adjustment penalties as those who do not participate in the EHR incentive program at all. CMA's letter recommended a Meaningful Use program where incentives and penalties are proportional to the measures successfully completed.
For more information on AMA's comments regarding the Modifications to Meaningful Use Stage 1 and Stage 2 in 2015 through 2017, click here.
Read CMA's letter here.
For more information and resources, including CMA On-Call documents #4302 "Meaningful Use of Electronic Health Records" and #4305 "EHR Meaningful Use Stage 2," as well as additional information on the EHR Federal Incentive Program and Meaningful Use, visit CMA's HIT website at www.cmanet.org/hit. These documents, as well as the rest of CMA's online health law library, are available free to members in CMA's online resource library. Nonmembers can purchase documents for $2 per page.
Contact: Lishaun Francis, (916) 551-2554 or email@example.com.
Have something to say about this story? Post Comment
12. Anthem Blue Cross begins medical chart reviews in July
In July, Anthem Blue Cross will begin chart reviews on enrollees who purchased Affordable Care Act (ACA)-compliant plans in either the individual and small group insurance markets (both on and off the exchange, known as "Covered California").
The records requests are a result of the commercial risk adjustment program created by ACA Section 1343. The primary goal of the risk adjustment program is to spread the financial risk borne by payors more evenly in order to stabilize premiums and provide issuers the ability to offer a variety of plans to meet the needs of a diverse population.
Because the information reported by physicians and other providers is at the heart of payment adjustments, health plans must engage providers by requesting copies of medical records that accurately reflect diagnoses and/or underlying health conditions to comply with risk adjustment program requirements [77 Fed. Reg. 17220, 17241 (March 23, 2012)].
During the risk adjustment audit, Anthem will review diagnosis code data obtained from the medical records of ACA-compliant individual and small group patients. This is not a typical audit on the physician practice; rather, Anthem is looking to identify conditions/illnesses that demonstrate patients who are at risk for being sicker or patients who are predicted to be healthier. This information will be utilized to determine a risk score, which is a measure of how costly an individual is anticipated to be, and will be reported to the Centers for Medicare and Medicaid Services. If at the end of the annual risk adjustment assessment, Plan A has a lower risk average score than Plan B, then Plan A has to issue a payment to Plan B. In a nutshell, the program is intended to prevent payors from cherry picking only healthy enrollees.
Anthem reports it will also utilize the data to better manage patient health conditions.
Anthem has contracted with Inovalon, Inc., a secure clinical documentation service, to conduct the medical chart reviews. Inovalon will utilize several methods of collecting medical record information from physician practices, including:
- Scanned or faxed medical records that providers' offices send to Inovalon
- Onsite medical record reviews by clinical personnel
- Automated medical record retrieval from the provider's electronic health record (EHR) system (only upon authorization from the practice)
In cases where fewer than six medical records are being requested for review, Inovalon will contact each provider's office and request the information via fax or mailing of medical chart information.
In cases where Inovalon is requesting more than six medical records to review, the company will contact the provider's office and arrange a time convenient to visit the office to collect the appropriate information or to discuss accessibility of the information from the provider's EHR system.
Questions about the letter or the enclosures can be directed to Inovolan at (877) 448-8125. Anthem has also published an FAQ about the commercial risk adjustment records request. Questions about the initiative can be directed to Inovolan at (800) 390-3180 or firstname.lastname@example.com.
For more information on commercial risk adjustment, visit the California Medical Association website at www.cmanet.org.
Have something to say about this story? Post Comment
13. Highlights from AMA's 2015 House of Delegates
The American Medical Association's (AMA) House of Delegates tackled a diverse set of resolutions this year that are of interest to California physicians, including medical-only exemptions from school vaccination requirements, electronic health record (EHR) meaningful use, ICD-10 implementation, Medicaid rates and opioid abuse.
Given the high level of interest in California's Senate Bill 277 (Pan), which would eliminate the personal belief exemption for school vaccination requirements in California, AMA adopted a policy calling for immunization for all, and only allowing exemptions where medical reasons contraindicate vaccination.
Several other vaccine-related resolutions were also passed, including supporting parents who want to help educate and encourage their peers to vaccinate [based on a California Medical Association (CMA) resolution adopted during the House of Delegates]; disseminating materials about the effectiveness of vaccines to states; encouraging states to eliminate philosophical and religious exemptions from state immunization requirements; and recommending that states have an "established decision mechanism that involves public health physicians to determine which vaccines will be mandatory for admission to schools."
AMA also adopted several Medicare-related resolutions on controversial issues. The AMA House overwhelmingly supported a two-year grace period from penalties and recovery audit contractor audits during the ICD-10 implementation, and to make advance payments available if claims are delayed. Resolution 211 calls upon AMA to work with the Centers for Medicare and Medicaid Services (CMS) to give physicians partial credit for accomplishing objectives in the EHR Meaningful Use program, to engage with EHR vendors to reduce the negative effects on physicians, and for AMA to develop a model EHR vendor contract that protects physicians in the event of downtime due to vendor error and other technical problems.
The AMA HOD also adopted substitute Resolution 103 on the Medicare three-day stay rule. It asks AMA to continue to urge Congress to eliminate the three-day hospital inpatient requirement for Medicare coverage of post-hospital skilled nursing facility services, and to continue to advocate as long as the three-day stay remains in effect, that patient time spent in hospital observation care or in the emergency room count toward the three-day stay requirement.
AMA also renewed its commitment to expand funding sources for graduate medical education, to increase the number of residency slots and to study the reasons medical students fail to match to residency slots (and to assist those medical students).
There were several resolutions calling for sweeping reforms of the American Board of Medical Specialties (ABMS) Maintenance of Certification (MOC) process. The resolutions direct AMA to request that ABMS to develop fiduciary standards for its members boards and to provide full transparency related to the costs of preparing, administering, scoring and reporting MOC exams. It also seeks to ensure MOC "doesn't lead to unintentional economic hardships."
There were numerous resolutions on the rising costs of generic medications. Substitute Resolution 106 asks AMA to work with federal agencies to address the high and escalating costs of generic prescription drugs and to support legislation to ensure fair pricing of generic medications and price transparency. AMA also supported additional steps to address opioid abuse through a series of resolutions calling for increased reliance on prescribing data through modernized prescription drug monitoring programs and sharing data across state lines; more education; better coverage of addiction treatment; and an increased focus on physician-led, comprehensive, multidisciplinary pain management services.
The California delegation presented a number of important resolutions as well. The following are summaries of some of the California resolutions that the AMA House of Delegates adopted as policy.
Interest on Medicare Overpayments and Underpayments (Res. 404): That AMA support amending federal Medicare law to require that interest on both overpayments and underpayments to providers attaches upon notice of the error to the appropriate party in either instance.
Reimbursement for End-of-Life Counseling (Res. 402): That AMA advocate for public and private health care insurers to be required to cover counseling for end-of-life care planning as an accepted and integral part of good medical care.
Survivorship Care Plans (Res. 503): That AMA supports the voluntary use of survivorship care plans for cancer survivors when appropriate and also support reimbursement for physicians who prepare them.
Study the Impact of the Affordable Care Act (ACA) Medicaid Expansion (Res. 116): Asks that AMA use all available data to study the issues surrounding the ACA expansion of Medicaid to tens of millions of low-income adults to evaluate access, quality of care, adequacy of provider reimbursement and the impact of the ACA on the health care system as a whole.
Electronic Cigarettes (Res. 101): Asks that AMA support a ban on the advertising of electronic cigarettes; hold a position that e-cigarettes should be regulated at the federal, state and local level, consistent with other tobacco products; support education of the public on the known and potential health impacts of electronic cigarettes; and support the taxation of electronic cigarettes to fund research into these products.
The following additional California resolutions were reaffirmed by the AMA as existing policy.
- Res. 109: Medicare Coverage of Physician Administration of Medications Procured by Patients
- Res. 205: Doctor Hospital Ownership
- Res. 410: Mental Health Crisis Interventions
- Res. 411: Homeless Veterans
- Res. 509: Long Acting Reversible Contraception and Teen Pregnancy
In other California news from AMA, Jim Hinsdale, M.D., former CMA President, was re-elected to the AMA Council on Medical Services and Carol Berkowitz, M.D., was re-elected to the Council on Medical Education. Unfortunately, Jim Hay, M.D., former CMA President, was unsuccessful in his bid to be elected Vice-Speaker of the AMA HOD.
For an expanded summary of resolutions that were passed by the AMA House of Delegates, click here.
Contact: Elizabeth McNeil, email@example.com.
Have something to say about this story? Post Comment
14. Registration now open for IMQ 2015 Medical Staff Conference
The California Medical Association's Institute for Medical Quality (IMQ) has opened registration for its annual Medical Staff Conference, to be held October 29 at Embassy Suites Hotel near LAX.
At the conference, attendees will discover solutions and best practices that physicians need to successfully lead their medical staffs. The conference will answer questions about tackling difficult decisions that face medical staffs, such as granting privileges for aging physicians and those reentering practice after an absence.
Through examples and discussion, the faculty will demonstrate how, by maintaining a focus on quality and safe patient care, they can best position the medical staff to collaborate with administrators and the governing body on strategic initiatives; to effectively implement and use electronic health records; and to modernize quality improvement and peer review systems.
This event will also provide an update on Joint Commission standards and discuss those standards for which facilities are most often found noncompliant. The program will also include an update from the Center for Medicare and Medicaid Service's Region IX chief medical officer, Ashby Wolfe, M.D., MPP, MPH, on the department's initiatives related to patient safety, quality reporting and electronic health record usage. Click here for information and to register.
The conference has been approved for AMA PRA Category 1 creditTM and BRN CE credit. NAMSS credit has been applied for and approval is pending.
Have something to say about this story? Post Comment
15. Featured member benefit
Auto and Homeowners Insurance: CMA members receive 10 percent off auto insurance from Mercury Insurance. For more details, call Mercury Insurance Group at (888) 637-2431 or visit www.mercuryinsurance.com/cma.


text:
Browse these popular wedding categories:
Sort by: Show per page
- 7 items
Sort by: Show per page
- 7 items
Related Products
All Wrapped Up Bow Decorations
Add the finishing touches to that special gift with these decorative bows. Beautifully patterned and finished with gold glitter the ...
Foil Polka Dot Favor Tags
Add instant pizzazz to favors or glasses at your wedding with these foil polka dot favor tags. Each tag is ...

subset: commoncrawl


text:
So Cute: DIY Ideas for Shorts This Summer
Go Inside Katharine McPhee's Celebrity Divorce
10 Easy Garden Hacks for Under $20
Eat Smart: Save Dollars While Dining Out
Love Advice: How To Tell If a Guy Likes You
15 Natural Cleaning Products You Can Make at Home
7 Ways You Put Your Identity at Risk on Vacation
6 Edgy Pieces to Instantly Update Your Style
Unique Engagement Rings
3 Tips to Help Graduates Land Employment
What Your Work Hairstyles Says About You
9 Workouts to Get Your Sexy Back!
Extend the Life of Household Items
10 Celebs Who Made It Through Tough Times
Cash for Clutter: 15 Household Items You Can Sell
Items That Are Safe to Splurge On
The Very Cutest Hollywood Couple Habits
Learn From The Stars: How Long Should Your Engagement Be?
10 Ways to Become More Likeable in Business
Save Big With These Smart Shoe Hacks
5 Emotional Stages of Being in a New Relationship
10 Steps to Asking for the Raise You Desire
What to Do When You're Not His Priority
How to Help Your Kids Understand Divorce
50 Ways to Make a Fast $50
5 Black Supermodels on the Rise in Fashion
Use This Clever Mental Trick to Lose Weight
5 Mistakes People Make When Working From Home
Perfecting The Glam Pixie Cut
Chaunte Wayans Brings Her Awesome Humor to MTV


text:
Press Release Distribution
wisconsin Press Releases+ XML/RSS
By Grounds Maintenance Services
Leaf removal from lawns and planting beds critical before cold and snow arrive
By Fainting Goat-Madison's Website design company
Allow us to provide you with our professional services to help you move on, move up, move out and reach your real estate goals. Studies show that homes sold using a Realtor sell for a higher price.
By Pappas DeLaney
Background in HR, project management and sales and marketing strengthens firm's focus on matching leadership candidates to companies' cultures
By Lake Geneva Area Convention & Visitors Bureau
Lake Geneva, WI Helps Visitors Get in Holiday Spirit with Events & Outdoor Activities
By Swimming Pool Services
Nominations sought to brighten spirits of military families during holidays
By Consortium Media Services
Moving and storage company goes extra mile for marathon, helps with logistical needs to benefit charities
By Fainting Goat-Madison's Website design company
Optimism all around This chart shows that a very small percentage of Americans expect home prices to fall in the next 12 months. By a good margin, continued increases are expected.
By Knapp Chiropractic and Wellness Center
Proven non-surgical treatment relieves chronic pain in neck, lower back areas
By Swimming Pool Services
Bright pink wreaths are latest symbol in fight against breast cancer
By Arcadia Publishing
Local authors team up to share the stories of the area using vintage images
By Fainting Goat-Madison's Website design company
Home sales and median prices both grew at a healthy pace in August, continuing the hot real estate market in Wisconsin, according to the most recent housing report from the Wisconsin REALTORS® Association (WRA).
By Grounds Maintenance Services
Residents could face race against time to dispose of leaves, once final splash of color finishes and winter advances
By Lake Geneva Area Convention & Visitors Bureau
Annual Holiday Open House, Nov. 16 & 17 Those seeking to break the habit of rushing through their holiday gift list at the mall will find holiday shopping in Lake Geneva is a more leisurely experience.
By Ad Quest Promotions
Mandi Kohlmetz hired as new Account Executive for Ad Quest Promotions
By Arcadia Publishing
Local author shares the stories of the area through vintage images
By Wanezek & Jaekels, S.C.
Local attorneys in Green Bay, Wisconsin specialize in helping others realize their dream of owning their own business.
By Fainting Goat-Madison's Website design company
It is easier to sell a house that is attractive to potential buyers, which means that you spend a little time and money on cosmetics.
By C.A.R.I.N.G. Group Elmbrook
New consumer-focused program in Elmbrook School District started with 2013-14 school year
By Wisconsin Wellness Clinic
Lisa McNeil is sole practitioner in state to be certified as medically-trained Level III Fascial Stretch Medical Specialist
By JM Creative Group, LLC
State-by-state. It's never been done before: jm creative group changes course and launches state-specific websites that showcase vacation rentals online.
By Nalani Services
Business development firm serves as key sponsor for charity event
By Clinic of Cosmetic Surgery
Dr. Mark Blake of the Clinic of Cosmetic Surgery ranked among the top physicians in the nation based on patient reviews.
By Unique Memorials
Unique Memorials provides personalized, artistic memorial products for people and pets
By Lake Geneva Area Convention & Visitors Bureau
Paying homage to the contributions made to Wisconsin by German immigrants, Lake Geneva will host its 22nd Annual Oktoberfest on Saturday, October 12 and Sunday, October 13 from 11:00 a.m. to 5:00 p.m. in downtown Lake Geneva, WI.
By Fainting Goat-Madison's Website design company
Existing home sales were up almost 14% compared to last August, closing out a very strong summer for Wisconsin real estate sales. Median prices also gained traction with a 6.3% rise during the past year.
By Futurity First
Green Bay, WI - The Greater Wisconsin branch of Futurity First Insurance Group recently relocated to the Broadway District of Green Bay and hosted an open house and ribbon cutting.
By Deb Hoffmann
Deb Hoffmann has collected Pooh items for 25 years, first entering the Guinness Book of World Records in 2010
By Exhibit Systems
Exhibit and display marketing company recognized for growth, successful practices
By Lake Geneva Area Convention & Visitors Bureau
Wedding planners and brides and grooms to be seeking a Midwest destination wedding will attend the Lake Geneva Bridal Show on September 29th
By Fainting Goat-Madison's Website design company
Wisconsin REALTORS® Association, News, July 22, 2013 Wisconsin home sales rose an impressive 11.4 percent in the first six months of 2013 compared to last year, according to recent statistics compiled by the Wisconsin REALTORS® Association (WRA).
By Lake Geneva Area Convention & Visitors Bureau
Antique and classic boats on display at the lakeside venue of The Abbey Resort & Avani Spa on September 27 – 29.
By Lake Geneva Area Convention & Visitors Bureau
For less than half of a tank of gas, urban dwellers can take advantage of a multi-sensory retreat and a welcome world away during the beautiful fall season in Lake Geneva.
By GSF Mortgage
GSF Mortgage Corporation welcomes long time mortgage professional, Mike Morrison, to the Raleigh, NC branch. Morrison graduated from the North Carolina State University with a degree in Business and a minor in Computer Science.
By Fitness Revolution Brookfield
Wisconsin fitness center donates money to Safe Babies Healthy Families to fight child abuse, neglect
By Lake Geneva Area Convention & Visitors Bureau
Unique merchandise, plenty of bargains and a personal touch for Lake Geneva, WI visitors
By Foti Chiropractic
"Year of Wishes" campaign to send Wisconsin girl and family to Hawaii
By Cheese with Ease
Cheese with Ease to exhibit at their first American Cheese Society, 30th Anniversary, meeting in Madison, Wisconsin July 31 thru August 3rd, 2013.
By redhot international
The North and South American distributor of the Rolly mini brush announced the signing of another superstar salesperson, Lisa Carlsen of Madison, Wisconsin. The contract follows signings with Danny Lemelin in Canada and Hugo Madrigal in Mexico.
By Grounds Maintenance Services
ActionCOACH of Elm Grove joins ninth annual golf event, which will benefit both Leukemia & Lymphoma Society and Autism Society of Southeastern Wisconsin
By Julie Baron
Lake Geneva is known for its 22 beautiful courses that combine lush landscapes with inspirational challenges & earned bragging rights. Nowhere else in America's Heartland is this outstanding variety & easy accessibility available almost year-round.
By Lake Geneva Area CVB
Pristine Surroundings Serve as Backdrop for Impressive Music Lineup
By GSF Mortgage
GSF hires recent UW-Milwaukee graduate, Alyssa Huhndorf, as Content & Social Media Marketer.
By Lake Geneva Area CVB
Many Convenient Choices to Celebrate Independence Day in Lake Geneva, WI
By Blue Spruce Ventures
Just in time to cool off for the summer, Tripleblaze.com has officially released a list of the top 10 campgrounds in the state of Wisconsin, including one campground that is in the nation's top 10.
By Lake Geneva Convention & Visitors Bureau
Nearby Lake Geneva Rich in Activity and Accommodation Options
By The National Court Reporters Association
Organization is first legal group to sign on to National Court Reporters Association's program
By American Youth Group
Let us introduce ourselves…American Youth Group (AYG) is a National Organization dedicated to the enrichment of Academics & Sports in a drug free America through the creation and distribution of scholastic products and endeavors.
By Cresa
Cresa Madison represented InfoSec Institute, Inc. (www.infosecinstitute.com) on a lease transaction for their Madison office space at 2 South Carroll Street in downtown Madison. InfoSec Institute will occupy their new space in August, 2013.
By Exhibit Systems
Laurie Arendt brings more than two decades of writing experience to new position
By Loreen Niewenhuis, Author & Adventurer
Best-selling author, Loreen Niewenhuis, to kick off the book tour for A 1000-MILE GREAT LAKES WALK with events in Wisconsin this June. The fascinating account of her adventure was published by Crickhollow Books of Milwaukee & released June 1.
Page updated every 10 minutes


text:
Simple code:
import os
filenamelist = []
#path = "E:\blah\blah\blah"
path = "C:\Program Files\Console2"
for files in os.walk(path):
print files
The above works. But when I set path= "E:\blah\blah\blah" the script runs but returns nothing.
1) C:\Users\guest>python "read files.py"
('C:\\Program Files\\Console2', [], ['console.chm', 'Console.exe', 'console.xml', 'ConsoleHook.dll', 'FreeImage.dll', 'FreeImagePlus.dll'])
2) C:\Users\guest>python "read files.py"
Any idea why os.walk() is having a difficult time with E:\? I can't get it to read anything on E:. I have an external drive mapped to E drive.


text:
I got sick twice. Now they stopped carrying gf pasta which is probably safer, because their gf items made me sick.
They stopped carrying gluten free pasta! Also they have raised the prices. Not worth stepping foot in the restaurant and this point.
Terrible experience! Friendly staff but no understanding that ceoeliacs CANNOT have gluten. They brought an allergy list menu. We made our choices and then they said that they had no gluten free pasta but could have the sauce with spinach instead. Hmmm. No. Apparently the manager was out at the supermarket and GF pasta was on her list. I also noticed that there was no GF pizza. If you're going to buy supermarket GF pasta, why not sling a couple of GF pizza bases in the freezer too? We left. One star for actually having a list at all.
I went to the Macaroni Grill for the first time in 3 years last night. My first experience was not that great 3 years ago. The food tasted good but I got unbelievable sick from the food. My friends and I decided we should give it another try. I hate being one of the people that just goes off on people about everything being terrible so Let me start off by saying the waiter was nice and so was the manager. But that was it. We waited an hour and a half to get our food. They said it was taking so long because they had to make the gluten free pasta from scratch. Finally when our food arrived it was cold. We sent it back to get it re heated. When the food came back it was just barely warm but we were so hungry we just started eating it anyways. I was 3 bites into my meal and found a regular non gluten free pasta noodle in my food. We called the waiter over and expressed again how sever my allergy to gluten was. He apologized and said he would get a manager. When she came to the table she apologized profusely and said she had her best chef remaking my meal and that my food was on them. We thanked her and she asked how everyone else's food was. That's when we told her how long we waited and then our food was cold. Which was obviously something the waiter had not told her. She again apologized and said all of our meals were on them. At this point I had already started to get sick and I had only had the couple bites of food. I finally got my meal which tasted pretty good. We finished our meal and got the left overs to go and tipped the waiter because he did a good job. But I still got really sick after eating. I took my leftovers for lunch and as I was 3/4 the way done and I found another regular pasta noodle that was not gluten free in my food I thew the rest away And once again got really sick! Needless to say I will not be returning to Romano's macaroni grill ever again.
the best gf chicken alfredo! I've been gf for 4 years and this was the first time I have been able to have this. This puts Olive Garden to shame!!! Many gf choices and quality food, service.
900 State Rt. 17, Ramsey, NJ 07446
Usually very good, but twice now we have ordered gluten free pasta and the chef has had to come out and tell us that they did not have it on those particular days. Without the pasta, there really isn't that much for gf people, so this was very disappointing. We'll probably go back again, but not without calling them first to make sure they have the gf pasta.
3410 Highway 190, Mandeville, LA 70471-3102
There is no longer a GF menu here so we left.
102 E Winchester St., Salt Lake City, UT 84107
I'm baffled as to why so many have such high stars for this place. they do not have any kind of a gf menu and both the host and waitress seemed to know nothing about Gluten free. I was really looking forward to going here but was thoroughly disappointed.
241 Summit Blvd., Vestavia, AL 35243
Walked in last night and asked the greeter for a gluten free menu and was told they did not have a gluten free menu nor gluten free options available. Very Very disappointed since the Romano's near us does have a gluten free menu and caters well to celiacs. Hoping this was just a very untrained (new) person but could not take chance and we dined elsewhere.
2302 Tyrone Blvd. N, St. Petersburg, FL 33710
I'd give them 0 stars if I could. We mentioned at the host stand needing gluten free menus and there was no help until it was time to order and then they were unable to accommodate.
3250 Airport Blvd., Suite B6, Mobile, AL 36606
No longer offers GF! I was fortunate to have a server who bent over backwards to help me find *something* I could eat, since the rest of my family had already ordered. Two stars only because of the awesome server.
415 Philbrook Avenue #100, South Portland, ME 04106
Mom and I had the Chicken Milanese and the Veal dish and they were both delicious. our server was very well educated about allergies and very friendly. Apparently the company has stopped serving GF pasta after only a six month trial, but I never heard any advertisement about it in the first place.
21055 Dulles Town Circle, Sterling, VA 20166
Just tried to eat here. I was told by the greeter that they did not have the GF pasta here, and didn't have any GF options.
760 Jefferson Rd., Rochester, NY 14623
did away with their gluten free menu. they told me they only have potatoes. they do not have gluten free pasta anymore. we had to leave and go somewhere else.
1 Metro Park Rd., Albany, NY 12205
this place used to be great .. i went in last week and they informed me that they discontinued their gluten free options and all they could recommend is that I complain on the website.
3410 Highway 190, Mandeville, LA 70471-3102
No longer have GF menu, BUT, staff was extremely helpful with menu, evan getting chef involved. Roz was our server and was great.
50 South Ave., Burlington, MA 01803
We stopped there for lunch last week and they no longer serve gluten free pasta:( My celiac daughter loved the penne alfredo and never had any issues eating here. We are so very disappointed.
2302 Tyrone Blvd. N, St. Petersburg, FL 33710
they stopped serving gluten free pasta 3 months ago but the chef came to our table and worked out how to make a special batch of potatoes for us and dabbed the meal.
3250 Airport Blvd., Suite B6, Mobile, AL 36606
They no longer have GF PASTA. Fail. 'But if you're not super allergic there's only a little bit of bread crumbs on it, it shouldn't bother you' 😡
21001 N Tatum Blvd., Suite 4, Phoenix, AZ 85050
Used to love having gluten free pasta. Liability issues reported by staff the reason for getting rid of allergy menu items. I went with out and we will not return. HUGE MISTAKE to the new owners of the chain. It is time to improve food services not tell the world "our food is not safe to everyone in the world with any type of food allergy." Good luck with your customer service model.
1958 State Route 23, Wayne, NJ 07470
Loved our first meal here, the GF pasta was great, but they don't have it anymore. Just about all you can safely get is Chicken Caesar Salad and another chicken breast dish (no paata with it). Not worth going when there are other places that have more selection for GF.
148 Harbison Blvd., Columbia, SC 29212-2204
Service was great. They made me a great steak. No GF carbs available.
573 N Stephanie St., Henderson, NV 89014
We were glutened here. I explained to the waiter that my daughter has celiac disease and needs to be gluten-free. We discussed the GF menu and I made sure to clarify that the cooks use different utensils, etc. The waiter was fully in-the-know. I ordered GF pasta and a side of broccoli for her. It came, it was the best darn GF pasta she ever tasted! I thought to myself they really need to sell this! Then as she was eating the broccoli, there was a spaghetti noodle in it. I complained about the noodle to the waiter, and he did offer to bring out another order of broccoli, but the damage was done. She didn't eat the noodle, but cross contamination. And then I find out that the pasta itself wasn't actually GF pasta either. No wonder it was so good. She was puking by the time we got home :-(
5045 Windward Pkwy., Alpharetta, GA 30004-3890
We were given a GF allergen menu. We ordered the GF Fettuccini Alfredo for our son. The waiter came back and told us they no longer had the GF pasta. They should remove the GF options from the allergen menu if they are no longer carrying it. This was the only reason we came since we had a gift card for MG and 3 other restaurants owned by the group.
4157 Concord Pike, Wilmington, DE 19803-1401
They don't carry gluten free pasta anymore!!! Very limited options are available now.
14331 Hall Rd., Shelby Township, MI 48315-6107
They removed the gluten free pasta from the menu. My life will never be the same. They do have gluten free options, but no pasta & their potatoes are dusted in floor. Bummer
900 State Rt. 17, Ramsey, NJ 07446
The chicken scallopini was delicious. They substituted broccolini for the pasta. The lemon butter sauce was perfect.
9292 Metcalf Ave., Overland Park, KS 66212
This used to be a favorite. They no longer have gf pasta. Menu is much smaller and they seem to be in a downhill slide.
8850 Rosedale Hwy, Bakersfield, CA 93312
Menu is not helpful but the staff is. When I told the server I was GF, he checked with the kitchen and advised me that my entree was GF, but the potatoes had flour on them and olives had bread crumbs! They were happy to sub another veg and dinner was delicious. Mgr came by several times to make sure we were pleased. Just make sure you ask about your selections.
2501 S IH 35, Round Rock, TX 78664
If you are on a Gluten Free diet, DO NOT go to the Macaroni Grill. They stopped providing gluten free pasta. They don't tell you this when they hand you the GF/allergy menu. I spent several minutes finding dishes I could eat and when it came time to order, they could not prepare any of them. The company decided to no longer stock GF pasta. To add to the situation, the GF/allergy menu is 3 years old and the manager told me that they stopped serving the pasta in January. Four months. That is plenty of of time to print a new menu. We paid for our wine and left the restaurant. Their customer relations department will be receiving a letter, e-mail, or phone call from me very soon.
5925 Kingstowne Towne Ctr., Alexandria, VA 22315-5877
manager offered only salads due to practices of cross contamination. DO NOT RRCOMMEND THIS PLACE IF YOU HAVE ANY ALLERGIES OR INTOLERENCES.
2501 S IH 35, Round Rock, TX 78664
Not only did they quit carrying GF pasta but we were handed 3 year old menus and sat there for ten minutes and then told they could not prepare any of the GF OPTIONS ON THE MENU. We paid for our wine and left. We won't be back!
5420 Pacific Ave., Stockton, CA 95207-5614
They don't have a GF menu or GF pasta.
11745 W IH 10, Suite 300, San Antonio, TX 78230-1067
They do NOT do gluten free pasta anymore. They say it's because they can't guarantee it won't be contaminated.
760 Jefferson Rd., Rochester, NY 14623
Came for Gluten Free Pasta, after being served drinks, told they no longer carry it! There are a few other non pasta menu options.
2001 N Rainbow Blvd., Las Vegas, NV 89108-7050
No gluten free pasta anymore. had to leave after a long wait :/
12148 S Apopka Vineland Rd., Orlando, FL 32836
They got rid of all their gluten free options. You can get grilled chicken but who wants that. I can make my own grilled chicken for way cheaper.
8850 Rosedale Hwy, Bakersfield, CA 93312
Update....this location no longer has a GF menu, or pasta due to cross contamination issues (according to the manager). They DO have GF items, but if you are coming for pasta you will be dissatisfied.
1958 State Route 23, Wayne, NJ 07470
They no longer have gluten free pasta as an option.
1915 Hampton Inn Ct., Winston Salem, NC 27103
They discontinued their gluten free pasta which was the reason to go there for me. No thanks to the only option of grilled chicken and broccolini! No longer celiac friendly.
2641 Prince William Pkwy., Woodbridge, VA 22192
on 3/21/15 I went and was told they had nothing gluten free on the menu and couldn't make anything gluten free. The staff even checked with the kitchen to make sure.
8620 Research Dr, Charlotte, NC 28262
Unfortunately, my celiac husband always gets his favorite meal. So all I can say is that the chicken Alfredo is excellent and he has never been sick afterwards. Update!!! Changed my review to 1star because they have removed all gluten free pasta from the menu!
3111 Preston Rd., Frisco, TX 75034-9444
We had a nice waiter, but we were informed that fbey no longer carry GF pasta because it could get cross contaminated. Won't be eating there any longer.
8156 W Bowles Ave., Littleton, CO 80123-3050
So sad that they no longer offer gluten free pasta! Used to be one of my favorites.
8620 Research Dr, Charlotte, NC 28262
I asked for a gluten free menu and I was told they didn't have one. Then I tried to order a chicken dish and was told they had run out. I ended up just eating a salad. It was definitely not the meal I was hoping for.
2100 Louisiana Blvd. NE, Albuquerque, NM 87110
This place no longer has gluten free noodles. Don't bother.
14904 N Dale Mabry Hwy., Tampa, FL 33618
They won't do gluten free because it's a "liability." I will NEVER give them business.
26641 Aliso Creek Rd., Aliso Viejo, CA 92656-2882
Romano's no longer has GF pasta. Options are very limited for those with celiac disease.
5925 Kingstowne Towne Ctr., Alexandria, VA 22315-5877
this location has ZERO KNOWLEDGE of gluten allergies.the manager I talked to when I asked about the potatoes he said they were safe if I wasnt celiac, when asked why he told me there was bread crumbs in them but not that much so it should be fine...no mention the gelato comes.with biscoti on top.. no gf menu at all, it was a lot of questionss but I know I will probably be sick later as I am gluten intolerant They no longer carry GF Noodles.
10000 West O'Hare Avenue, Chicago, IL 60666
eaten here three times each time staff asked about my GF allergy and explained what items could be substituted no published GF menu not sure kitchen has dedicated space so use caution
1580 North Dale Mabry Highway, Tampa, FL 33607
Romano ' s no longer has a gluten free menu. the hostess was awful and said she thought there was one menu item that was gluten free!
3000 184th St SW, Lynnwood, WA 98037
Romano's at the Alderwood Mall is no longer carrying the gluten free pasta. They do have some creative ways to make a gluten free meal but what's the point of Italian without the pasta.
13652 Jamboree Rd., Irvine, CA 92602
they dont have gluten free pasta anymore. just went in and sat down to eat and then the waitress told me. So I left....very awkwardly. oh well.
7607 FM 1960 Rd. W, Houston, TX 77070
I was told by their wait staff that they no longer have a gluten free menu at this restaurant. I went elsewhere. March 2, 2015
2535 Medical Center Pkwy., Murfreesboro, TN 37129
I have never had a bad experience here and the staff are all well versed in gluten free.
11:00 am - 10:00 pm
11:00 am - 10:00 pm
11:00 am - 10:00 pm
11:00 am - 10:00 pm
11:00 am - 11:00 pm
11:00 am - 11:00 pm
11:00 am - 10:00 pm


text:
|The Emory
|The Caldwell
|The Lenox
|The Oglethorpe
|The Piedmont
|The Clairmont
|Check Availability
Prices, specials, features and availability subject to change.
The Sanctuary at Oglethorpe offers distinctive living in a convenient location. Located in Brookhaven off Peachtree St, near I-85, I-285, GA 400, Midtown, and downtown Atlanta.
This ideal Brookhaven location means you're just a quick ride from the finest shopping, dining, and nightlife in Buckhead. Lenox Square Mall, Phipps Plaza and Perimeter Mall are only minutes away. Enjoy walking distance from Oglethorpe University or jump on the Brookhaven MARTA that takes you directly to mid-town and downtown Atlanta, and the Atlanta Airport.
Move-in by July 15th and pay your first full month's rent in September! Call the office for more details.
Please call below to find out about lease terms.
No breed or weight restrictions and up to 2 pets per apartment.
Cats Allowed. Dogs Allowed. Call for service animal policy.
92 units
Check Availabilityor call
Monday-Friday: 9:00am-6:00pm
Saturday: 10:00am-5:00pm
Sunday: 1:00pm-5:00pm
Don't have a Rent.com account? Create one.
Creating an account allows you to acccess your saved and contacted properties on any device. Already have an account?
Log In


text:
I installed and activated Flutter per the instructions, but it doesn't appear as an option in the toolbar or menu in the wp-admin for my site.
Does it take a while to update? I know the install is a little more complicated than other plugins. I did follow both steps, including CHMOD 777 the folders.


text:
G2D Games
Most Played Games
New Games
Dressup Games
Makeover Games
Girls Games
Celebrity Games
Cool Games
Cooking Games
Baby Games
Fun Games
Game Name
Beautiful Mermaid Dress up
Dressup Games
Game Tags
Click Here to Play
Game Details :
Let's play this fantasy dress up game where the mermaid is the most beautiful in the kingdom, a princess of the ocean and the daughter of the Ocean King who is an idol for her. Help her to learn the mistery of dress up, the combinations of clothes and all possible colours.
New Games
Winter Streetshot Anim
Barbie Princess Design
Hot 16 Dress Up
Kitty Princess
Peach Princess
Black Laces
Seeing Jewelry
Loose Denim Anime
Bikini Season
Neutral Pastel
Comfy Cozy Anime
Pleated Fashion


text:
Reload the page and try again.
The financial aid process is very easy. Alot of paper work to fill out but the aid is worth it. The financial aid office will help you if you need help.
Campus Quality:
Academic Program – There are alot of academic programs or majors to choice from while attending Arizona State University. Arizona State University offers over 250 academic undergraduate programs and majors led by expert faculty from highly ranked colleges and schools. An exceptional education inspired by vision, scholarship, and creativity. Students can enjoy which major to choice from which is offered at Arizona State University. Campus life is awesome while you meet your new roommate and other students that are attending. Making new friends that will till you graduate and still be friends while performing your career. I recommend Arizona State University to students who want to learn from the best and still be a kid. Professor, Doctors, etc still act like children but they do so in a fun way to be creative and teach students about the real world. The faculty at Arizona State University is helpful and will not turn you down. the faculty is there to help you succeed in college and earn your degree.
My review for the science class is tough but in all it depends on you. How much work you put in your study time. For, me it was hard because I work part time jobies trying to fulfil payment fees for Arizona State University. Basically, all the classes at Arizona State University is not hard, you just got to attend class, read your books and ask questions if you do not know whats going on. The professor at Arizona State University is professional and know what they are doing. They are cool and nice to get to know but watch out, do not get on their bad side or they will humanilate you in front of everyone but hey, relax it is college and professors needs examples to give. Not on you but examples on how the real world will function. In all, Arizona State University is a good school to attend.
I did not receive nearly enough money to pay for both tuition and the costs of living on campus. Although ASU is one of the most affordable schools in the nation, it is really only accounting for tuition. The cost of living on campus costs more than the cost of schooling itself.
Drug Safety:
Drinking Is Popular – Drinking is popular with the frat and sorority houses, but not so much in the on-campus housing. It is a dry campus, but there are always ways around that if there are people willing to look into it.
Campus Quality:
Libraries Are the Best – The libraries are great places to go study. Because Arizona State is such a large school, there are many resources in the library's data base that range from thousands of journal articles, to thousands of different books on dispersed between the many libraries on the four campuses. There is even a pretty new engineering library that is extremely modern with awesome study rooms. Its a great place to go when you need to study or get work done.
Tedious, Confusing, and Discouraging – I did not receive any financial aid, other than a grant that had me tied down to a major for years after the program which I was switching out of anyway. It seems as though it is awarded unfairly when hearing about other people's situations. It is not cheap coming from out of state, and I think she process should be simpler.
Overall Experience:
Couldn't Have Picked a Better School – ASU is a beautiful, and growing campus. It is geared towards educating students to get them out into the career world. There are many opportunities and possibilities here. I have a good balance between school, work, and social life.
Diverse, Yet White – There are several different races at ASU. Many are white, and that may be the majority, but not by a large margin. There are a decent amount of international students as well. Clubs, organizations, and programs are available to the various nationalities.
Hot. Just Hot. The fall semester sterts at the tail end on monsoon season but other then that its just dry and hot. The coats dont really come out until Late November or Early December and the coldest by the time winter break is over, spring is on the way. Bring a bathing suit because if your dorm doesnt have a pool, you'll want to use the one at the SRC. Also, bring rain boots. While it doesnt rain often, the drainage is horrible and you'll find yourself wading in puddles for days. The end of spring semester is Hot! Dont put off moving out until the last minute or you'll be sweating off the Frosh 15.
Off-Campus Dining:
Easy to Get Fat! There is so much to eat just off campus. Chili's, PF Changs, Five Guys burgers, Hooters, Gordon Biersch, and Jack in the Box not to mention the little family owned eateries on Mill. McDonalds, Thai Basil, and Taco Bell cover the east end. Wendy's and Carl's Jr cover the south along with Ihop, Dominoes and Jimmy Johns. A Papa Johns and a new taco place take University Drive, while Panda Express, Subway, Smash Burger, Cupz, and a few other places cover College Ave to the north. And yet, you'll eventually eat everywhere.
Campus Food:
Good on Most Days – The dining halls offer a good variety of home cooked goods and each dining hall has its strengths. All of them offer cereal all day. Pitchforks serves breakfast in the morning and burgers for the rest of the day. The home meal is different every day. The Pitchforks salad bar and deli area are great and the international option every night is usually pretty good. They also offer vegetarian options. Pitchforks has waffle makers set up all day. Hassayampa's dining hall has a sitr fry and their home cooked meals are sometimes better that Pitchforks. They, along with Pitch and Manzanita, offer pizza all day. There are tvs in Hassy. Manzanita has a lot of the same options as pitchforks but its scaled down a bit.Its best to get a meal plan if you want to eat at the dining hall, otherwise, its just too expensive. But dont get all M&G dollars either. These can only be used at campus eateries and you will never use them all by the end of the year. They dissappear if you dont use them up.There are a lot of alternatives to the dining hall on campus. There are a few Starbucks, a Burger King, a Jamba Juice, a Quiznos, a Papa Johns, a Dominoes, an Extreme Pita, and Jump which serves asian quisine, a mexican place, a hot dog place, a cafe in Hayden Library, and many other places on the periferary of the campus. Sun dollars, which stay on your sun card whether you use them or not, can be used on and off campus and are required for the laundry room anyway.
Try It on Your Own – Going up to the Financial Aid offic is almost always an excercise in futility. The people at the desk are often rude and love to tell you things you already know. They have a set of options for all students and once those options are exhausted they no longer have the patience to help you, or they dont know how. Ask you advisor or your peers about financial aid and use the office as a last resort.
Parking passes at ASU are horrendously expensive. $800 and up will get you a year's pass to ONE garage. you cannot park anywhere else and they will ticket you several times in a day if you dont move your vehicle. Some of the parking lots are cheaper but you have to take either the Orbit shuttle or the Flash bus to where you want to be. Motorcycle passes are about $300 and allow you to park anywhere on campus where there is a mororcycle lot. You can also get a converter tag if your bike or scooter breaks down and you have to drive your car to campus. It might be better to just live close to campus or buy a semester bus pass. The Tempe Transit Center is just few blocks from the main part of Tempe campus and accross the street from University Towers dorms.
Our football team is the focus of our sports program, mostly because it brings in the most money. The games are entirely too much fun to go to and a season pass is worth it if you live on campus. Although we havent been winning games in recent years the fans are still devoted and the action is still exciting. Sick? FSNArizona is available in the dorms so you can watch the game at home. Recently, the baseball program was fined but it didnt get a lot of media. The basketball team is great to watch but because the football and basketball season tickets are no longer bundled, not as many people go.
To be honest, I waited for a long time to start applying for scholarships, and ended up having to get a loan. But hearing from other people, and looking online, there is so much financial aid available, I feel stupid for not applying earlier. I could have paid for everything without having to pay later, but now I just have to wait for next year to get all my financial aid now for free!
Party Scene:
Always Poppin' – Arizona State is notorious for the parties. We have been on every single one of Playboy magazine's Top Party School lists! Every day, there's some party going on. Weekends especially. There's the Vue, Vista Del Sol, and of course some of the dorms for everyone to go to. Clubs? Go to Mill Ave. They are, unfortunately, 21 and up, but no one cares since there's always something else to do. Sure, you have to build your social network to get into some of the best parties around, but even then, you're going to have fun no matter who you are.
Guys & Girls:
Arizona State is so diverse, it's like New York. It's a melting pot! There are so many different types of people, it can get overwhelming, but no matter what, they are all friendly. Not to mention, everyone is pretty much the hottest thing. Voted Hottest Girls, we aren't too shabby with boys either. And the social scene? Amazing. There's always something to do no matter what. Bored on a Monday? Go out with friends, and you'll find something within minutes to do. Same goes with every other day, especially on the weekends. ASU is pretty much a baller school.
Financial Need Crucial – Like most colleges, at ASU you can get a lot of money for basically anything besides merit. Low income? First gen college kid? Homosexual? I'm not saying any of those things are bad, but they are definitely much preferred to a genuinely smart kid. My dad has a mid-high income, but they have four kids in college and can't support us at all. ASU and the FAFSA didn't seem to recognize that.I am National Merit Scholar, but that's not nearly enough to begin to cover housing and food.
Good Internet; Need Laptop – Wireless access is good for the most part, but sometimes it's down for short periods at a time. Generally speaking it is good though.I would not be able to survive without my laptop. As an engineering student, I have to use a lot of computer programs for hw and such, so it's absolutely necessary.
Very Strict – The police are abundant looking for underage drinking. Segway, bicycle, and undercover cops can ticket you for just walking weird, and are very strict on their enforcement.
The lightrail is the most amazing thing in Tempe when it comes to transportation! A single ride is only $.85 and it travels from downtown PHX all the way to Mesa!
i went to a high school that had a lot of Caucasians and Hispanics and Asians but at ASU there really is a variety of everyone. I can probably say that almost every time i meet someone ethnic they are from a different place every time.
Local Area:
Tempe Town Lake – its nice to have a lake around since i grew up near the beach. it has really nice trails to run on and is also available for swimming and paddle boat rentals. adds a really nice touch the university and looks gorgeous at night with all the lights.
Drug Safety:
Smoking Is All the Rage – Lots of smokers here, but there are designated areas and the campus's population is sparse so you rarely run into a puff of smoke.
{{review.SectionLabel}} at {{review.EntityName}}:
Sorry, there are no reviews.
Arizona State is like no other university in the country. With a large, vibrant, and exciting student body that truly makes the campus unique, there is no arguing that ASU is by any means a boring place to be for the next four years of your life. As soon as you step onto ASU's campus, you will feel the immense amount of positive and exciting energy that gives you sense of belonging. Even though there are so many students around campus, you will be sure to find a niche to call your own. College is the time to find yourself and truly learn who you are as you prepare for the real world. ASU provides the perfect environment to challenge you to make "adult" decisions, and you won't always, but by the end of it all, you will mature into a dedicated individual!
Even though students will struggle with all-nighters, sports practice, parking tickets, and trying to recover from a great night, many of them couldn't ask for anything else. There will be times that you are drowning in homework and studying, but by the end of it all, you will look back and laugh. Your peers help you get through the tough times and make those social outings even more fun. ASU knows how to party hard, but when it comes to crunch time, we pull it off well. The kids here know how to have a great time, the nightlife and social settings are extremely fun, the academics are quite challenging—especially when you apply yourself and take it seriously—but most importantly, students will leave prepared for post-graduation and taking on the world. ASU is a fantastic place to meet new people and a great way to experience life in the great southwest. But don't take my word for it—come on out and experience it for yourself!
Compared against the students in the chart, you are in the:
Non-registered users are limited to 5 school profile page views per month.
Register for free to gain full access!


text:
Craftsy Member since November 2012
I'm enrolled in these Craftsy classes:
Modern Piping
Piece of Cake! with Colette Peters
Basic Fondant Techniques
Intro to Modeling Chocolate
Modern Buttercream
The Hand-Painted Cake
I love cake decorating and scrapbooking.
Take Craftsy with you!
Craftsy Apps for iOS and Android. Read more »


text:
Three Indie Films in Running for Mexico's Ariel Awards
Paula Markovitch's "The Prize" has performed well on the festival circuit.
MEXICO CITY -- Paula Markovitch's dirty war drama El Premio (The Prize) will vie for best picture and director honors against Rodrigo Pla's Uruguay-set drama La Demora (The Delay) and Matias Meyer's Cristero War period piece Los Ultimos Cristeros (The Last Cristeros) at Mexico's 55th Ariel Awards ceremony.
Written and directed by newcomer Markovitch, The Prize garnered 10 nominations on Wednesday, including best first work, lead actress and original screenplay. Winner of the Silver Berlin Bear for outstanding achievement in production design and cinematography, the story centers on a mother and daughter who must go into hiding during Argentina's dirty war era.
Also getting multiple noms were The Delay, a character-driven drama about a strained mother-daughter relationship; The Last Cristeros, set during Mexico's Cristero War; and Luis Mandoki's immigrant-themed La Vida Precoz y Breve de Sabina Rivas (The Precocious and Brief Life of Sabina Rivas).
Michel Franco's Despues de Lucia (After Lucia), winner of the 2012 Un Certain Regard Award at Cannes, landed best actor, actress and original screenplay noms but got snubbed for best picture and director.
Competing for best Ibero-American picture are Spain's Blancanives (Snow White), Chile's Oscar-nominated No and Ecuador's Pescador (Fisherman).
The awards ceremony will be held on May 28 at Mexico City's Palace of Fine Arts.
Never miss a story. Stay up-to-date with THR's Daily Headlines.
Must Reads
Comic-Con: Which Movies Could Benefit From Panel Buzz?
Comic-Con 2015: THR's Full Guide to Parties in San Diego
CBS Entertainment Chief and "Loudmouthed Feminist" Nina Tassler Reveals the Strategy Behind 'Supergirl' Gamble
Paul Rudd and Marvel's Kevin Feige Reveal 'Ant-Man's' Saga, from Director Shuffle to Screenplay Surgery to Studio's "Phase Three" Plans
HBO's Real-Life Game of Thrones: The Fight to Stay Rich, on Top and Score Bill Simmons
Taraji P. Henson, Viola Davis and Drama Actress A-List Tackle Race, Sexism, Aging in Hollywood
Lena Dunham, Amy Schumer and Comedy Actress A-List in Raunchy, R-Rated Roundtable
Bob Odenkirk, David Oyelowo and Drama Actor A-List on Oscar Snubs, Bad Scripts and Getting Ignored by Robert Redford


text:
There are 148 private schools in Hawaii, serving 45,159 students.
Minority enrollment is 60% and the student:teacher ratio is 11:1.
72% of Hawaii private schools are religiously affiliated (most commonly Roman Catholic and Christian).
We believe that children learn best when they are having fun and that keiki need room to express themselves creatively in order to thrive.
Sr. Jean and some students from Christ the King School on a float at a recent Maui County Fair parade.
Our big yard area allows the students free space to play on beautiful, sunny days. The yard overlooks a stream that runs in the back of the school.
Hanalani has a highly successful robotics program that contributed to two International Championship and 4 Regional Championship Botball teams. Here a student builds a robot from the multitude of parts and tools at his disposal.
In 2004 and 2006 the school completed construction of its two large and well-equipped classroom and office buildings. In Fall 2009, IPA completed negotiations that resulted in purchase of the campus land.
Hawaii Private Schools by County
Popular cities: Honolulu (55 schools), Kailua (7 schools), Hilo (7 schools), Makawao (6 schools), Kamuela (5 schools)
County# Schools# Students% Minority
2424 Schools |4,4074,407 Students |40% 40% Minority
9090 Schools |35,95335,953 Students |64% 64% Minority
88 Schools |872872 Students |23% 23% Minority
2323 Schools |3,6303,630 Students |59% 59% Minority
Recent Articles
Updated June 28, 2015
When it comes to choosing a private school, there are so many choices to consider that the project can be a huge challenge to most of us. We offer some help and advice to help you get started.
Sending your child to a foreign language school makes good sense when you have been posted to this country from abroad and in other circumstances as well.
Do you need financial aid? Not sure? Confused by how financial aid works? Here are some answers.


text:
VIEWS: 253 PAGES: 2 CATEGORY: Education POSTED ON: 9/11/2011 Public Domain
This article gives valuable tips on how to stay away from essay fraud
Article was written by an intern at course-works.com Essay Fraud: Excellent tips and Suggestions to avoid it Essay fraud is not encouraged since it leads to produce highly plagiarized academic writing works. However, soft cheats are allowed to some extent, provided it the essay is a non-plagiarized one. Soft cheat is just getting the idea of others. But, students need to write an essay such that it is original even if they perform soft cheats. This article can guide a student on how to avoid essay fraud in a successful manner. The useful tips and information given in this article will be really helpful for writing effective papers. Essay Fraud: Tips and suggestions When writing essay assignments, students can avoid essay fraud using the following tips: 1. It is very much important to explore the given topic. 2. Avoid copying contents from sample essays or ready-made essays as such. 3. Just read some sample essays or custom essay, and then try to put the ideas in own words. 4. Effective and correct research in combination with powerful writing skill can help in creating high quality essay. 5. Students must never forget to create the essay in accordance with the required format and structure. Essay Fraud: Some effective guidance In order to write better quality essay assignments, essay fraud must be avoided as follows: 1. It is very much essential to understand the essay writing rules and procedures, as well as the essay content to be written. 2. Students must be unambiguous about the concept that is going to be written in the essay. 3. Do not refer just one or two samples. 4. Note down the points that are very clear in own words, after referring to many sample essays, and research materials. 5. Develop the points noted down in own words. The tips and information given in this article can be very useful for writing successful assignments without any essay fraud. Students can refer for more tips on custom term paper company websites and other internet sources. Article was written by an intern at course-works.com
Pages to are hidden for
"Essay Fraud: Excellent tips and Suggestions to avoid it"Please download to view full document


text:
Boyd Duckett makes his first cast of the final day of practice on an overcast Lay Lake.
Boyd Duckett makes his first cast of the final day of practice on an overcast Lay Lake.
Not too long after Duckett arrived, another local favorite, Russ Lane, arrived and started casting nearby.
The clouds begin to clear and the temperature rises above freezing for Wednesday's final day of practice.
Duckett casts past a dock as he tries to expand upon his Lay Lake strategy.
Boyd Duckett recently started Duckett Fishing, a line of fishing rods tailored to his specifications.
Wearing his signature sneakers, Duckett makes another cast from the bow of his boat.
Duckett is all smiles as he eats another Oreo while idling around Lay Lake.
The last time the Bassmaster Classic came to Lay Lake, Boyd Duckett walked away with the winner's trophy and a half million dollars.
Duckett was the first angler to break the home-state jinx, winning in Alabama in 2007.
A culvert makes for a good target for Boyd Duckett midway through his final practice day.
A boisterous dog howls territorially as Duckett approaches a dock on Lay Lake.
Lures of every kind lay discarded along the bottom of Duckett's boat as he tries to unlock the secrets of Lay Lake.
Duckett thinks the cold water has shut down the spotted bass bite, which he relied on heavily to patch together daily limits in 2007.
With cold temperatures, shad have been dying all around the lake, making an easy meal for bass and difficult fishing for anglers.
Duckett stares down some shallow cover as he moves around the lake.
Boyd Duckett hopes to bring home the trophy for all the bass fishing fans in Alabama.


text:
And you dont require that "blob" just act like the microcode in your grafics card is on a rom, dont update it, you will not get uvd, but you dont have that on nouvou drivers also not. And btw, only a few intel-gpus are able to make vdpau, most especialy the cheaper ones dont.
ok maybe I react in a to agressive tone... seems I do that sometimes... so cut it out when you read that
but you basicly then, go further than what fsf and rms wants... most of the time I get much hate even if I only want opensource, or from opensourcelers because I am on fsf site... but you are the first I see (and some others in this thread) that are more extreme than rms


text: Governor Snyder Signs Right to Work Legislation By Jason Cooper December 11, 2012 8:54 PM Share on Facebook Share on Twitter YouTube Governor Snyder announced he has signed House Bill 4003 and Senate Bill 116 making Michigan the 24th state to enact "freedom to work" laws. See his comments here: Filed Under: Governor Rick Snyder, right to work Category: State News Share on Facebook Share on Twitter More Leave a comment Send to a friend! Print this page Pin it! Reddit This! Share on Tumblr! Recommended For You Around the Web


text:
Bend, ORUSA
November 9, 2012
No answer yet
No introduction yet
About us…
Help support your Meetup
This group is for anyone who's interested in learning more about online marketing, whether they're a professional or a newbie. Topics include:
• Search Engine Optimization
•How to Dominate Local Search
• Driving Traffic with Social Media
• Blogging
• Content Creation and Curation
• Product Creation
• Affiliate Marketing
• Copywriting
• Traffic and Conversion
• Sales Funnels
• Email Marketing and List Building
• Design for Optimum Sales
• Basic website development and more!
We usually meet at least once a month, on the 3rd Thursday of each month, at Tech Space Bend, but sometimes we have additional meetings, gatherings, workshops, and masterminds.
Each month, we'll have a presentation by a subject-matter expert, with plenty of time for questions and networking.
Contact Mike Darling if you have any questions. Otherwise, we'll look forward to seeing you at an upcoming meetup!
Tech Alliance provides pizza & beer, as well as the meeting space. Yay!
114 Meditators
66 UX-ers
286 Dog Lovers
338 Designers and Developers
445 Cyclists
407 Photographers
Meetup members, Log in
By clicking "Sign up" or "Sign up using Facebook", you confirm that you accept our Terms of Service & Privacy Policy