Americans expect health reform implementation with minor changes; CMS seeks appropriate supervision for outpatient services;

> The American College of Emergency Physicians (ACEP) was quick to fire back after GOP presidential nominee Mitt Romney said in a "60 Minutes" interview that uninsured Americans can get care in emergency rooms. "Emergency departments have become a healthcare safety-net for everyone, but that safety-net is breaking," ACEP President David Seaberg said Monday. "If you continue to take emergency care for granted and don't support it, it eventually won't be there for anyone." Response

> Most Americans think the health reform law will be implemented, although seven in 10 expect some changes, according to a Associated Press-GfK poll. Only 11 percent think it will take effect as passed, The Washington Post reported. Article

> Twenty-two percent of nearly 17,000 prescriptions made to kids at two urban clinics went unfilled, concluded a study in the journal Pediatrics, Reuters reported. The findings question whether pediatricians are effectively explaining the importance of prescribed medications or supplements to parents. Article

> The Centers for Medicare & Medicaid Services yesterday proposed changing supervision levels for 15 outpatient services, including certain vaccine administrations, blood collection, bladder catheter insertion and intravenous hydration services. After considering public comments, the final decisions will take effect Jan. 1, 2013. Proposal (.pdf)

> Medicare data suggests wide variation in antibiotic prescribing for older patients based on geography and the season in which the prescriptions for the medication were written, according to a study published online in the Archives of Internal Medicine. Announcement

And Finally… For "Skinvertisers," the ink remains. Article