Paul Coelho is openly committing CMS fraud by falsely dxing patients with OUD so Suboxone will be covered. He talked about it on camera. In fact, when you hear the term “complex opioid dependence”, this is an effort to get around off-label use for pain w/a new dx. @OIGatHHS
The @ORmedicine doesn’t care that this MD calls ppl with substance use disorder “drunks” or intractable pain patients “lotus-eaters”, citing Dr Coelho is protected due to free-speech. Imagine how promoting stigma on social media harms ppl. They’re protecting an abusive MD.
At 12 min 40 secs, talking about tapering ALL patients above cdc guideline limits, and 13min 15 secs, when the forced taper flounders, then he talk to them about an OUD dx and bupe. Hes’s saying to use the symptoms of WD to initiate an OUD dx, b/c of difficulty w forced taper.
At 8:15, he acknowledges that the DSM5 criteria is not being met.
23min 50sec: “When you come to this clinic and you’re a high-dose patient, you’re gonna taper and you’re gonna go to buprenorphine.” Also, he stated once RXed bupe, you’re forever banned from pain meds. As seen in this screenshot, there is no reversing any taper, no matter what.
29min 50secs: “When the patient fails the taper, if they’re below 1000 mmes, we’re going to rotate to bupe and it will be bupe forever after, and I will diagnose OUD.”
*PAIN patients being dxed with something they DON’T have, based solely on MME dose + difficulty w/ forced taper
So Joe Thaler is apparently good friends with Paul Coelho (as Paul stated in the above video) and also joins him on the tapering task force, along with Roger Chou. oregon.gov/oha/PH/PREVENT…
Joe T, from @ORmedicine presented along with members of PROP, including Paul Coelho, at this event. oregonpainguidance.org/wp-content/upl…
And Joe makes double what most of the board members make. Pretty lucrative position. govsalaries.com/thaler-joseph-…
One of the most offensive things about Coelho is the way he and Jane B. refer to pain patients that have taken over 90 mme of pain meds as “The Lost Generation”. Talk about stigma and discrimination!
Some more screen-shots of Coelho exercising his right to free-speech *cough* hate-speech.
Article by Coelho’s fellow PROP members (he signed it) where they knowingly seek to create off-label liability for MDs rxing full-agonist pain meds by striking it’s use for chronic pain. They KNOW that off-label opiod rxing is not covered by most plans. medscape.com/viewarticle/77…
*clarification*, Coelho signed the FDA letter that the above article was describing.
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