b'PACEPNEWSWINTER 2026EXECUTIVE PRIVILEGE Its Times Like TheseElizabeth Barrall Werley, MD, FACEPPACEP President 2025-2026Its times like these you learn to live again hopefully learn to love again. And when the next Its times like these you give and give again major national or global crisis arrives, we do it all Its times like these you learn to love again overtime and time again.Its times like these time and time again With that being said, PACEP continues to give and Times Like These, Foo Fighters give again. Despite the cold days and the long, I recently found myself reflecting on a particularlydark nights, PACEP has remained exceptionally haunting version of this song performed by thebusy and hard at work on your behalf. I am Foo Fighters on Saturday Night Live in Novemberincredibly proud of everything we are doing as 2020, during the early stages of the COVID-19an organization on behalf of our colleagues in pandemic. I remember being brought to tearsemergency medicine, in healthcare, and for our the first time I heard it. While life has largelypatients in Pennsylvania.normalized from a COVID perspective, there remains enough uncertaintyin medicine, inFighting Insurer Downcoding of politics, and in the broader state of our countryEmergency Department Visitsand the worldto leave me feeling unsettled and deeply concerned. Even now, this version ofIn late October, one of our members alerted us QUARTERLYthe song remains profoundly cathartic. to a Highmark newsletter sent to participating ACCOMPLISHMENTS Yet, as the lyrics remind us, we learn to liveproviders. The newsletter announced that againmuch as we did while emerging fromHighmark planned to begin downcoding CPCthe pandemic. For those of us in healthcare, andemergency department visits deemed lower HIGHLIGHT particularly in emergency medicinethe safetyacuity based solely on discharge diagnosis, net of the healthcare systemwe continue toregardless of the complexity of care or medical PACEP26 CONFERENCEgive, and give again. Amid political unrest, wedecision-making involved. Implementation was SPOTLIGHTsearch for common ground with others, andslated for early 2026.continue reading on page 6'