October 12, 2018 – MSSNY Says NO to Legal Marijuana

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
October 12, 2018
Volume 20  Number 38

MSSNYPAC

Colleagues:

The sale of MLMIC to Berkshire Hathaway has been concluded. This should provide a windfall to many of MLMIC’s policyholders, and hopefully improve the competitive position of MLMIC with the assets of Berkshire Hathaway providing additional financial security for MLMIC insureds.

Legalization of Marijuana

I recently met with Governor Cuomo’s team to discuss legalization of marijuana in New York State.  MSSNY policy opposes legalization of marijuana. I expressed our concerns with the recommendations of the Governors work group and reviewed our policy recommendations and support for decriminalization without legalization. My editorial on this topic was published in the Syracuse Post- Standard this week

Execs Meeting

I attended the County Executive meeting at West Point last week. Our executives are a hard-working group and are always open to new ideas to increase membership and its value. I applaud them for their loyalty and ability to act alone and as a group. They are our valuable “hunters and gatherers” of prospective members and deserve more recognition than they receive. We agreed that MSSNY will exercise deliberate efforts to improve communications between county and state.

Personal Note

Since I took office, I have been burning up the roads of New York, which gave me the opportunity to spend some time with my godmother, Margaret Quinn, a retired Administrative Law Judge for the Social Security Administration. My aunt related her experience with discrimination and harassment when she was in the process of application for her judgeship back in 1980. She was able to fight back successfully and served for 20 years before her retirement in 2001. It brought home to me the importance of MSSNYs establishment of our Women’s Physician Committee, and the importance of an open, welcoming work place for all in our society. New York State recently codified a requirement for sexual harassment training. We will have our General Counsel Garfunkel Wild’s Sexual Harassment webinar up on our website shortly for members.

Excelsior!

Please contact me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President



MLMIC


eNews

Preliminary Approval of CVS/Aetna Deal in Spite of MSSNY/AMA Opposition
The US Department of Justice announced this week it had given preliminary approval to the proposal of CVS to purchase Aetna for $69 billion, with the condition that Aetna divest itself of its Part D prescription drug plan. MSSNY as well as the American Medical Association and other provider advocacy organizations had spoken in opposition to merger of health care behemoths on many occasions.  In August, the AMA submitted a letter to the US DOJ to reject the merger.

Of particular concern is the clear financial incentive of the merged entity to steer patients to their own sites rather than other community-based health care providers including physician-led medical homes.  Next week, MSSNY Immediate Past-President Dr. Charles Rothberg will be testifying at a NY Department of Financial Services hearing examining this transaction.

MSSNY President Dr. Thomas Madejski was quoted in a City & State article this week examining this transaction. “The premise behind this consolidation is that CVS – using their retail clinics and their stores – is going to make health care more accessible.  However, there’s really not that much data to support that. They may be able to make it more accessible, but that really has not translated to any improvement in outcomes nor to better patient care. And, actually, there are some studies that show that retail clinics actually cost more without any improvement.”

MSSNY’s strong concerns were also noted in a Westchester Journal News reporting on the DOJ action.

AMA President Dr. Barbara McEneny offered the following statement expressing disappointment in DOJ decision:

“The AMA worked tirelessly to oppose this merger and presented a wealth of expert empirical evidence to convince regulators that the merger would harm patients. We now urge the DOJ and state antitrust enforcers to monitor the post-merger effects of the Aetna acquisition by CVS Health on highly concentrated markets in pharmaceutical benefit management services, health insurance, retail pharmacy, and specialty pharmacy.

“Patients are better served by promoting competitive health care markets. The AMA is committed to ensuring that competition in health care is not compromised. We will continue to examine proposed health care mergers as they arise and take every opportunity to challenge those that are detrimental to the patients we serve.”


Four in 10 Cases of Legionnaires’ Disease Live in New York
Nearly four in 10 Americans who contracted Legionnaires’ Disease this year live in New York, according to the latest data from the CDC. The CDC projected there will be 1,180 cases of Legionnaires’ Disease in New York by the end of 2018, up from 1,009 in 2017. This statistic does not include the 27 cases from the Washington Heights outbreak earlier this summer.


Garfunkel Ad


President Trump Signs Bills Banning “Gag Clauses”
The New York Times (10/10) reports that on Wednesday, President Trump signed bipartisan legislation that would ban so-called “gag clauses” and allow “pharmacists to tell consumers when they could actually save money by paying the full cash price for prescription drugs rather than using health insurance with large co-payments, deductibles and other out-of-pocket costs.” Pharmacists “say they have often been forbidden to share information on drug pricing with customers” because of the gag clauses imposed on them “by companies that manage drug benefits for insurers and employers.” One bill bans gag clauses in commercial insurance and the other applies to outpatient drug coverage in Medicare, either through its fee-for-service program or Medicare Advantage plans.


West Nile Virus Detected in Chautauqua County
The Buffalo (NY) News (10/10) reports West Nile virus has been found in two mosquito pools in Chautauqua County, New York, where officials “are advising residents to take precautions.” The county health department said the pools, “collected from the Audubon Community Nature Center in Jamestown, tested positive for the virus in late September,” according to the article.


Abentity Ad


Medicare Advantage Plans Shifting Financial Risk to Physicians’ Groups
Kaiser Health News (10/8) discusses “WellMed, a physician-management company whose doctors treat more than 350,000 Medicare patients at primary care clinics in Florida and Texas.” Rather than “being reimbursed for each patient visit, WellMed gets a fixed monthly payment from private Medicare Advantage plans to cover virtually all of their members’ health needs, including drugs and physician, hospital, mental health and rehabilitation services.” If companies like WellMed “can stay under budget, the physician companies profit. If not, they lose money.” The article says the model, called “‘full-risk’ or ‘global risk’ – is increasingly used by Medicare plans such as Humana and UnitedHealthcare to shift their financial exposure from costly patients to WellMed and other physician-management companies.” Meanwhile, it provides physicians’ groups with “more money upfront and control over patient care.”


US Saw Most Flu Deaths in Over a Decade Last Winter
The New York Times (10/1) reports that “more than 80,000 Americans died of the flu in the winter of 2017-2018, the highest number in over a decade, federal health officials said last week.” Although 90 percent of those deaths were in people over age 65, “the flu also killed 180 young children and teenagers, more than in any other year since the Centers for Disease Control and Prevention began using its current surveillance methods.” The estimates were released at a news conference held by the National Foundation for Infectious Diseases to urge Americans to get vaccinated and to fight the myths that scare off some people — such as the common misconception that flu shots can cause flu.


Medical Society of NY Classifieds


Study: Elderly Spending More Time in Rehab Therapy Near End of Their Lives
Bloomberg News (10/9) reports research published in JAMDA indicates nursing home residents increasingly are “spending time in rehabilitation treatment during the last days of their lives, subjected to potentially unnecessary therapy that reaps significant financial benefits for cash-strapped facilities.” According to the study, the number of “nursing home residents who received ‘ultrahigh intensity’ rehabilitation increased by 65 percent from October 2012 to April 2016.”


Continuing Medical Education

4th Columbia Psychosomatics Conference “Healing Unexplainable Pain” – Oct 20-21, 2018 NYC (13.5 CME Category 1 credits)

If you can’t see this image please go to 4th Columbia Psychosomatics Conference website HERE.

Leading international experts in the field are coming to present and conduct workshops on How to Treat Psychosomatic Brain-Body Disorders – topics include:

  • Somatic Symptom Disorders, Functional Disorders, Medically Unexplained Symptoms: From medical office to specialized psychosomatic treatments
  • How to Treat Somatic Symptom and Functional Disorders in Primary Care and Family Medicine Practice
  • Advances in Psycho-Cardiology
  • Biopsychosocial Treatment of Gastrointestinal Disorders: Disorders of Gut-Brain Interaction
  • How to Diagnose and Treat Hypochondriasis
  • Chronic Pain and Fibromyalgia
  • Where Body Meets Mind in Late-Stage Lyme Disease and many more……

Our conference is science-based & clinically relevant

Register NOW as several workshops are almost full and the number of seats is limited!

       CONTINUING MEDICAL EDUCATION (CME) CREDITS   

The Bureau of Psychiatric Services & Research Institute Support (BPSRIS) is accredited by the Medical Society of the State of New York (MSSNY) to provide continuing medical education for physicians. The Bureau of Psychiatric Services & Research Institute Support (BPSRIS) designates this live activity for a maximum of 13.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For more details about the conference and to register please visit the conference website

Look forward to seeing you at the conference!

Conference Organizing Committee:

Alla Landa, PhD,
Harald Guendel, MD,
Brian Fallon, MD,
Philip Muskin, MD


“Influenza 2018-19” CME Webinar on October 17; Registration Now Open
The CDC estimates that there were approximately 80,000 flu and flu-related deaths in the United States during the 2017-18 flu season.  And there have already been at least three flu-related deaths this season.  Are you prepared for the 2018-19 flu season?  Learn about the upcoming flu season at the first of MSSNY’s 2019 Medical Matters continuing medical education (CME) webinar series: “Influenza 2018-19” on Wednesday, October 17, 2018 at 7:30 a.m.  William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Describe key indicators to look for when diagnosing patients presenting with flu-like symptoms
  • Describe clinical and laboratory diagnostic features and treatment specific to each flu season
  • Identify recommended immunizations and antiviral medications for treatment and how best to effectively encourage patients to get vaccinated

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


Cybersecurity: A Daily Threat for Healthcare” CME webinar on November 14, 2018 at 7:30am Registration now open
Is your office protected against a cybersecurity event?  Studies show that 88% of all ransomware attacks in 2017 occurred within the healthcare industry and 89% of studied healthcare organizations experienced a data breach.  Learn how to protect yourself, your patients and your workplace on November 14th at 7:30am.  Register here for Medical Matters: Cybersecurity: A Daily Threat for Healthcare.  Mahesh Nattanmai, Deborah Sottolano, MD of New York State Department of Health and Peter Bloniarz of the New York State Cyber Security Advisory Board will serve as faculty for this program.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Describe vulnerabilities within medical practices, hospitals and daily life
  • Identify methods to increase protection from cyberattacks
  • Review methods for reporting and responding to a cybersecurity incident

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


EHR Incentive

New Webinar from the NY Medicaid EHR Incentive Program
Unsure about the security risk analysis (SRA) requirements for meaningful use? NY Medicaid EHR Incentive Program now offers a live webinar to help eligible professionals, especially those new to meaningful use, understand the basic definitions and actions related to the SRA which must be conducted each calendar year.

Topics covered include:

  • Meaningful Use Objective 1: Protect Patient Health Information
  • SRA Toolkit (by the Office of the National Coordinator)
  • Safety Measures to Consider
  • Common Considerations and Creating an Action Plan

Sign up here for one of the webinar sessions scheduled on October 30 and November 28, 2018.

Reference materials about the SRA and other program requirements are available at https://health.ny.gov/ehr. For additional assistance, please contact program support at 1-877-646-5410 or hit@health.ny.gov.


HRSA GRANTS

HRSA Funding Opportunities

Join MSSNY


 

Classified

RENTAL/LEASING SPACE


All-Inclusive Medical Office Space for Rent-5 Locations: Elmhurst, Ozone Park, Lawrence, Lindenhurst & East Setauket
Starting up, slowing down or growing your practice? Interested in trying out
a new town or opening a satellite site, with no long term commitment? Come
look into one of our 5 locations throughout Queens and Long Island.

MedPlex is an all-inclusive medical office rental company dedicated to the medial
field. We offer low daily rates ($106-$191 per room, per day), with over 100
customizable rooms available for rent. You have the freedom to choose the days,
times & locations that best suite you and your practice.

We are open 24/7 and offer individual rooms or private suites to rent, with
leasing options as little as 1 year. Each option includes all utilities, exam room set up
with furniture & a list of medical equipment, medical waste pick-up, office cleaning,
common areas, basic consumables, a fully stocked reception station (equipped with
computer, phone, fax and copier) and lockable storage.

For more information please log on to www.MedPlexLLC.com, Loop-Net/Co-Star, or call Carla Scalici, Operations manager, @ 516-797-7735, cscalici@MedPlexLLC.com


Magnificent Medical Suites for Lease 184 East 70th St. New York, NY
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital, Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A: one consultation room plus 2 exam rooms. $6000 per month
Space B: One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharing For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.com 


West 57 St. – Shared Office Space to Rent
Lovely Garden view office with natural light. Located near Columbus Circle in a beautiful Art Deco building. Recently renovated office with additional exam room/ room with a sink. Wi-Fi, medical waste pickup and cleaning included.  Ideal location in desirable neighborhood. Contact Jason Faller 914-393-6583 goutmd@aol.com

West 57th St. Office West 57th Doctors Office

West 57th St Doctors Lobby


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. Beautiful bright rooms, lovely reception area and front . First-rate building on 58th Street between Park and Lexington.  Rent by day (about $180) or by month ($5500). Front desk and office management available, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.


 


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up


PHYSICIAN OPPORTUNITIES

Internal Medicine Physician and Nurse Practitioner Wanted – Syracuse Area
Syracuse primary care practice recruiting for a highly motivated Internal Medicine Physician and Nurse Practitioner. Candidates should be interested in working closely with patients, care teams, and community partners, Send resume to neurosciencesgroup@gmail.com


Physicians Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology startup committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are compensated for their participation, which requires only a few hours annually.

Interested? Learn more and apply today at www.98point6.com/pcc

 


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

October 5, 2018 – Workplace Sex Harassment and YOU

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
October 5, 20187
Volume 20  Number 37

MSSNYPAC

Colleagues:

If you have employees and have not addressed the elements of the new law concerning sexual harassment in the workplace, you must jump into action NOW! You are required to have a policy in place by October 9!

In the wake of the #MeToo movement, employers (including physicians) operating in New York will be subject to sweeping new laws aimed at curtailing sexual harassment in the workplace. On April 12 of this year, Gov. Andrew Cuomo signed into law the New York State Budget Bill for Fiscal Year 2019 (the Executive Budget), which he termed “the nation’s most aggressive anti-sexual harassment agenda.”

The links for forms and a Q & A are listed below. They will fulfill the baseline requirements.

The model sexual harassment prevention policy, as the Cuomo administration called it, is part of legislation passed earlier this year to reduce the prevalence of discrimination and harassment in the workplace.

New York is building upon the nation’s strongest anti-sexual harassment laws by ensuring that intolerable workplace conduct is addressed swiftly and aggressively across the state. The model policy is a floor for employers to build on. There are several provisions that must be included in any policy created by employers, which are required by the new law to adopt a policy by Oct. 9. Employers have to provide a form for employees to report complaints of harassment and develop a procedure for investigating those complaints that ensures due process for all parties involved.

Employers also have to give employees information about federal and state law on workplace sexual harassment, including remedies available to victims and a statement that local laws may also apply. That information must include examples of conduct that would constitute unlawful sexual harassment.

The policy also has to clearly state to employees that sexual harassment is considered a form of employee misconduct under law and that employees or managers who take part in or knowingly allow such harassment will be disciplined. Employers also have to make clear that there will not be any retaliation against employees who either complain about sexual harassment or help an investigation into such harassment.

Employers will also have to provide sexual harassment prevention training to each of their employees by Jan. 1, 2019. According to the state, that training has to be interactive and must explain each part of the model policy, or whatever policy the employer chooses to adopt beyond the minimum standards.

Please contact me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President



MLMIC


eNews

MLMIC Joins Berkshire Hathaway Family of Companies
MLMIC Insurance Company (formerly known as Medical Liability Mutual Insurance Company) announced the completion of its conversion from a property and casualty mutual insurance company to a property and casualty stock insurance company and its acquisition by National Indemnity Company, a subsidiary of Berkshire Hathaway Inc.

The conversion and acquisition follow a September 6, 2018 approval by the Superintendent of the New York State Department of Financial Services and a September 14, 2018 vote of policyholders of MLMIC with policies in effect on July 14, 2016. The cash consideration resulting from the conversion will be paid out to eligible policyholders (policyholders with policies in effect from July 15, 2013 through July 14, 2016) (or their designees) as promptly as practicable.

As a subsidiary of Berkshire Hathaway, MLMIC will have enhanced capacity and financial strength to continue to serve New York State physicians, hospitals and dentists as it has for over 40 years. MLMIC remains the largest underwriter of medical professional liability insurance in New York and continues to be a New York-focused medical malpractice writer regulated by New York State. It will be operated by the same Board of Directors and staff that have served the market well for several decades.

Per an amended and restated charter, MLMIC has changed its full name from “Medical Liability Mutual Insurance Company” to “MLMIC Insurance Company.” However, it will still be known by and referred to using the familiar shorthand: “MLMIC.”

Warren Buffett, Berkshire Hathaway’s CEO, stated, “MLMIC is a gem of a company that has protected New York’s physicians, mid-level providers, hospitals and dentists like no other for over 40 years. We are delighted to add them to the Berkshire Hathaway family and enhance their capacity to serve these and other policyholders for many years to come.”

Dr. James Reed, Chairman of MLMIC’s Board of Directors, said, “We are delighted to partner with such a fine organization. MLMIC has always had strong standing and stability within the challenging New York insurance market, and the alliance with Berkshire Hathaway will bring policyholders further peace of mind, knowing MLMIC will be able to offer them an even higher level of service and financial security.”

About MLMIC Insurance Company
MLMIC has been a leader in the medical malpractice insurance industry for over 40 years. Its mission is to provide quality professional liability insurance to healthcare professionals in New York. Today, MLMIC is not only the largest writer of professional liability insurance in the State of New York, but also one of the largest companies of its kind in the nation. MLMIC insures more than 13,000 physicians, 3,000 dentists, dozens of hospitals and thousands of other healthcare professionals and facilities. MLMIC can be found on the internet at www.mlmic.com.

About National Indemnity Company
National Indemnity Company is one of the leading property/casualty members of the Berkshire Hathaway group of insurance companies, with the highest possible financial strength rating by A.M. Best. Located in Omaha, Nebraska, and backed by a wealth of experience, National Indemnity Company offers the kind of stability that (re)insureds can depend upon. National Indemnity Company can be found on the internet at 
www.nationalindemnity.com.


Join MLMIC for a Live-Streaming Event Oct 17: A Conversation with Warren Buffett
To all of our endorsed partners,

On October 17 at 12 p.m. EDT, MLMIC will be hosting a live streaming event as Berkshire Hathaway CEO Warren Buffett and MLMIC Chairman of the Board Dr. James Reed discuss the state of today’s economy and its interplay with New York’s ever-changing healthcare marketplace.  Hopefully, you have received an email invitation to view this presentation.  If you haven’t received an invitation, we have an alternative:

You may register for this event by clicking the link below.  You may also forward this message to your membership allowing them the opportunity to view this event.  We hope all find the presentation interesting and informative.

http://conversation.mlmic.com/register


Garfunkel Ad


Governor Urged to Sign Legislation to Require Greater Transparency of Insurer Compliance with Mental Health & SUD Parity Laws
Physicians are urged to send a letter to the Governor requesting that he sign into law legislation (S.1156-C, Ortt/A.3694-C, Gunther) which directs the NY Department of Financial Services (DFS) to collect certain key data points and elements from health insurers in order to scrutinize and analyze if they are in compliance with the federal and state mental health and substance use (MH/SUD) disorder parity laws.   A letter can be sent from here.

MSSNY working together with the New York State Psychiatric Association and other specialty societies had strongly supported this legislation as it passed the Legislature nearly unanimously.  However, the bill has not as of yet been delivered to the Governor.   

If signed into law by the Governor, the information collected would be analyzed and used for the preparation of a parity compliance report that would be contained within in the annual “Consumer Guide to Health Insurers” issued by the DFS.

Although MH/SUD parity laws have been on the books for over a decade on the federal and state level, recent Attorney General settlements note that there continue to be patterns of disparity between coverage criteria imposed on MH/SUD care and treatment as compared to other covered services.  The goal of the legislation is to better ensure compliance with these laws.


Abentity Ad


March 6, 2019 – Hold this Date for MSSNY’s Physician Lobby Day in Albany
Please plan to be in Albany on Wednesday March 6, 2019 for MSSNY’s Annual Physician Advocacy Day.

Participating in the MSSNY Lobby Day is one of the most important steps you can take to help to assure that legislators and key policymakers are making the right choices for New York’s physicians and their patients.

More details about this event will follow.  Join us in Albany to urge your legislators to:

    • Reduce excessive health insurer prior authorization hassles that needlessly delay patient care
    • Reduce the high cost of medical liability insurance
    • Preserve choice of physician for our patients
    • Reject burdensome mandates that interfere with patient care delivery

  • Preserve opportunities for our medical students and residents to become New York’s future health care leaders

US Senate Passes Opioid Response Bill; Goes to President for Consideration
The United States Senate passed a comprehensive bill to respond to the opioid abuse epidemic that had passed the United States House of Representatives last week.   The bill will now be sent to the President for his consideration.  According to a summary from the American Medical Association, the bill contains a number of important provisions, including:

  • Expands existing programs and create new programs to prevent substance use disorders and overdoses, including reauthorization of the Office of National Drug Control Policy;
  • Expands programs to treat substance use disorders, including medication-assisted treatment (MAT); partially lift (for five years) a current restriction that blocks states from spending federal Medicaid dollars on residential addiction treatment centers with more than 16 beds by allowing payments for residential substance use disorder services for up to 30 days; allows Medicare to cover MAT, including methadone, in certain setting, to treat substance use disorders;
  • Increases funding for residential treatment programs for pregnant and postpartum women; require the CDC to develop educational materials for clinicians to use with pregnant women for shared decision-making regarding pain management during pregnancy
  • Authorizes CDC grants for states and localities to improve their Prescription Drug Monitoring Programs (PDMPs), collect public health data, implement other evidence-based prevention strategies, encourage data sharing between states and support other prevention and research activities related to controlled substances, including education and awareness efforts;
  • Expands the use of telehealth services for Medicaid and Medicare substance use disorder treatment and requires the Attorney General to issue final regulations within a year to provide waivers to health care providers to allow them to prescribe controlled substances via telemedicine in emergency situations;
  • Provide loan repayment for substance use disorder treatment professionals, including physicians, who agree to work in mental health professional shortage areas (HPSA) or counties that have been hardest hit by drug overdoses and clarify that mental and behavioral health providers participating in the National Health Service Corps can provide care at a school or other community-based setting located in a HPSA as part of their obligated service requirements;
  • Help stop the flow of illicit opioids into the country by mail, especially synthetic fentanyl and its analogs, which are responsible for the rise in overdose deaths;
  • Provide funding to encourage research and development of new non-addictive painkillers and non-opioid drugs and treatments;
  • Requires HHS to study and report to Congress on the impact of federal and state laws and regulations that limit the length, quantity, or dosage of opioid prescriptions;
  • Requires the Department of Labor, in collaboration with CMS, to provide additional information in annual reports to Congress on mental health parity compliance.
  • Requires electronic prescribing of Schedule II, III, IV, and V controlled substances by January 2021 for prescriptions  under Medicare Part D and Medicare Advantage (MA); and
  • Requires the Drug Enforcement Administration (DEA) to update its regulations pertaining to how prescribers authenticate prescriptions using biometrics to keep up with changing technology


Medical Society of NY Classifieds


Recent Ricin Attack: Reminder to Prepare for a Public Health Emergency
In light of the recent attempt to poison the president and two top military officials, MSSNY strongly encourages physicians to view its CME course on Physically and Biologically Derived Chemical Agents: an Overview as well as a variety of other emergency preparedness courses.  Each program will prepare physicians to assist in both the short and long term during a public health emergency.  Go to https://cme.mssny.org and log in or create an account to view these modules.

For assistance, please contact Melissa Hoffman at mhoffman@mssny.org.


FP’s Announce Major Meeting for Rochester in January
NYSAFP Scientific Assembly (Winter Weekend) has been announced for January 17 – 20at the Hyatt in Rochester, NY. Click here to register. The program has both clinical and office management content and is worth approximately 18 credits. The multi-track program includes such topics as: diabetes, sports medicine, medical marijuana, depression, HIV, and Nexplanon training. A hands-on workshop welcomes medical students as they practice injections, suturing and casting. Residents, Students and Attendings are welcome to submit a proposal for the annual poster presentation. Dr. Gary Morsch has been slated as the plenary speaker on Saturday. He is a family and emergency physician and a founder of Heart to Heart International and has received several awards for his humanitarian work. Here is a look at the agenda: http://www.nysafp.org/Conferences/Winter-Weekend-2018.


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Continuing Medical Education

4th Columbia Psychosomatics Conference “Healing Unexplainable Pain” – Oct 20-21, 2018 NYC (13.5 CME Category 1 credits)

If you can’t see this image please go to 4th Columbia Psychosomatics Conference website HERE.

Leading international experts in the field are coming to present and conduct workshops on How to Treat Psychosomatic Brain-Body Disorders – topics include:

  • Somatic Symptom Disorders, Functional Disorders, Medically Unexplained Symptoms: From medical office to specialized psychosomatic treatments
  • How to Treat Somatic Symptom and Functional Disorders in Primary Care and Family Medicine Practice
  • Advances in Psycho-Cardiology
  • Biopsychosocial Treatment of Gastrointestinal Disorders: Disorders of Gut-Brain Interaction
  • How to Diagnose and Treat Hypochondriasis
  • Chronic Pain and Fibromyalgia
  • Where Body Meets Mind in Late-Stage Lyme Disease and many more……

Our conference is science-based & clinically relevant

Register NOW as several workshops are almost full and the number of seats is limited!

       CONTINUING MEDICAL EDUCATION (CME) CREDITS   

The Bureau of Psychiatric Services & Research Institute Support (BPSRIS) is accredited by the Medical Society of the State of New York (MSSNY) to provide continuing medical education for physicians. The Bureau of Psychiatric Services & Research Institute Support (BPSRIS) designates this live activity for a maximum of 13.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For more details about the conference and to register please visit the conference website

Look forward to seeing you at the conference!

Conference Organizing Committee:

Alla Landa, PhD,
Harald Guendel, MD,
Brian Fallon, MD,
Philip Muskin, MD


Cybersecurity: A Daily Threat for Healthcare” CME webinar on November 14, 2018 at 7:30am Registration Now Open

Studies show that 88% of all ransomware attacks in 2017 occurred within the healthcare industry and 89% of studied healthcare organizations experienced a data breach.  Learn how to protect yourself, your patients and your workplace on November 14th at 7:30am.  Register here for Medical Matters: Cybersecurity: A Daily Threat for Healthcare.  Mahesh Nattanmai, Deborah Sottolano, MD of New York State Department of Health and Peter Bloniarz of the New York State Cyber Security Advisory Board will serve as faculty for this program.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Describe vulnerabilities within medical practices, hospitals and daily life
  • Identify methods to increase protection from cyberattacks
  • Review methods for reporting and responding to a cybersecurity incident

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


“Influenza 2018-19” CME Webinar on October 17; Registration Now Open
The CDC estimates that there were approximately 80,000 flu and flu-related deaths in the United States during the 2017-18 flu season.  Are you prepared for the 2018-19 flu season?  Learn about the upcoming flu season at the first of MSSNY’s 2019 Medical Matters continuing medical education (CME) webinar series: “Influenza 2018-19” on Wednesday, October 17, 2018 at 7:30 a.m.  William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Describe key indicators to look for when diagnosing patients presenting with flu-like symptoms
  • Describe clinical and laboratory diagnostic features and treatment specific to each flu season
  • Identify recommended immunizations and antiviral medications for treatment and how best to effectively encourage patients to get vaccinated

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 



Join MSSNY


SYMPOSIUM

5th Annual Metro ASC Symposium Nov 2 MSSNY Members Receive Discounted Rate

Why should you attend?

The New York Metro ASC Symposium is devoted to ambulatory surgery centers in the tristate area. It is focused on the most pressing business, technological, regulatory, legal and clinical issues facing ASCs on a daily basis. More than 250 people including physicians, ASC developers, financiers, healthcare executives, and clinical representatives are expected to be in attendance this year. The 5th Annual NY Metro ASC Symposium will take place at the Marriott Marquis, in the heart of Time Square.

Who is eligible for the discounted rate?

As the Medical Society State of New York General Counsel, Garfunkel Wild is offering

Members of the chapter a discounted conference registration rate of $285.
Use coupon code:
NYM18MS during registration at https://www.nymetroasc.com/register-now/

For additional information please visit our website at nymetroasc.com or call 516-393-2294

About Garfunkel Wild:

Garfunkel Wild was founded over 38 years ago with a single purpose in mind to attend to the specific business and legal needs of our clients in the health care industry. With nearly 80 attorneys representing more than 60 hospitals plus health care systems and other health care facilities, organizations and practitioners, Garfunkel Wild has kept this focus. The firm has offices in Connecticut, New York, and New Jersey. For more information, visit www.garfunkelwild.com.


Emergency Physicians Face Rising Violence, Survey Indicates
The Boston Globe (10/2) reports a survey of more than 3,500 emergency room physicians released on Tuesday reveals that nearly half of the surveyed physicians have been physically attacked while on duty, around “two-thirds of those doctors said they were assaulted in the past year,” and 71 percent “said they have witnessed an assault on the job at some point.” The survey was released by the American College of Emergency Physicians.

A second survey published Tuesday in the Annals of Emergency Medicine examined ERs in Michigan and reached similar results. That survey “found that 72 percent of ER doctors in that state reported experiencing violence in the past year, and almost 22 percent said they are constantly fearful, up from just over 9 percent in a similar survey in 2005.”


US Saw Most Flu Deaths in Over a Decade Last Winter
The New York Times (10/1) reports that “more than 80,000 Americans died of the flu in the winter of 2017-2018, the highest number in over a decade, federal health officials said last week.” Although 90 percent of those deaths were in people over age 65, “the flu also killed 180 young children and teenagers, more than in any other year since the Centers for Disease Control and Prevention began using its current surveillance methods.”

Last season included more than 30,000 hospitalizations and 180 pediatric deaths linked to influenza, according to the Centers for Disease Control and Prevention (CDC).

“It was a bad virus to begin with and the vaccine itself was not optimally protective against it,” said Dr. Anthony Fauci, Director of The National Institute of Allergy and Infectious diseases, at the National Institutes of Health.

Last year’s flu vaccine was only 25 percent effective against H3N2, a subtype of the virus that infected thousands.


12-Item Screening Tool Can Identify Teems Likely to Smoke
A 12-item screening tool can help identify teens who are likely to start smoking in the next year, researchers report in Pediatrics.

To develop the tool, the researchers used data from over 800 children who completed questionnaires several times each year from seventh grade through high school. All were initially nonsmokers. The questionnaires assessed lifestyle factors, personality traits, and mental health, as well as whether the student had begun smoking in the prior 3 months. From this information, the researchers identified variables most predictive of smoking.

Overall, 16% of the adolescents began smoking. Twelve predictors emerged and were incorporated into the screening tool. Among them: having friends who smoke, having low self-esteem, and consuming alcohol. (See second link below to access the tool.)

The researchers write: “If the predictive ability is replicated in other settings, this tool can be used to help clinicians select who should be counseled and, because several items in the tool are amenable to prevention, how they should be counseled.”

Pediatrics article  Screening tool


Neurological Surgery, P.C. Announces Nation’s First Health Science Competition for High School Students
The Neurological Surgery, P.C. Health Science Competition Gives High School Students from Nassau and Suffolk Counties the Opportunity to Vie for $80,000 in Awards

Dr. Michael Brisman of Neurological Surgery, P.C., one of the New York Metropolitan region’s premier neurosurgical groups, and Dr. Ray Ann Havasy, Executive Director of the Center for Science Teaching and Learning (CSTL), have announced the creation and launch of the Neurological Surgery, P.C. Health Science Competition. This competition is the first of its kind in the United States, and is now open to all high school students who attend school in Nassau and Suffolk Counties on Long Island. There is a registration fee for students to enter the competition, allowing them to present projects to judges in May 2019.  For competition rules and to enter, students must apply and provide information about their project concepts to www.CSTL.org/nspc/. The competition is expected to attract a large number of entries, so student teams are encouraged to submit applications early to ensure their place in the competition.

The Neurological Surgery, P.C. Health Science Competition urges young people to leverage science to research, study and develop projects that address and solve health related challenges,” said Dr. Brisman. “Today far too few American high school graduates are pursuing careers in medical science.” The competition allows students to work alone but encourages them to work as part of a team. Students are tasked with creating a presentation that they will showcase at the competition to be held on Long Island in May 2019. Projects must be focused on human health science and finding solutions to health related issues.

Students will compete for $80,000 in awards that will go to the top teams. There will also be two non-score based awards to be presented as well. For more information about, the Neurological Surgery, P.C. Health Science Competition, competition rules and deadlines please visit www.cstl.org, call (516) 764-0045 or email Kevin Sanders at NSPC@cstl.org.


CMS, MEDICARE & MEDICAID

Save the date: Physician Compare National Provider Call
Be sure to mark your calendars. CMS will host a MLN Connects® National Provider Call about Physician Compare on October 30, 2018 at 1:30 – 3:00 PM ET. Registration information will be available in early October.

Learn more about Physician Compare and the public reporting of 2017 Quality Payment Program performance information. The Physician Compare preview period allows clinicians and groups to review their performance information before it is publicly reported on the Physician Compare website. This webinar will describe: (1) what to expect during the upcoming 30-day preview period and (2) how to navigate previewing your performance information.

There will be a question and answer session after the presentation, during which attendees will have a chance to ask the Physician Compare team questions about all things Physician Compare.

To learn more about public reporting on Physician Compare, visit our Initiative page where you can find resources and documents, including information about the 2016 performance information currently available on Physician Compare.


10-Day Deadline to Submit a MIPS Targeted Review Request

You Have 10 days to Submit a Targeted Review Request!

If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback are available on the Quality Payment Program website. The payment adjustment you will receive in 2019 is based on this final score. A positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished under the Medicare Physician Fee Schedule in 2019.

MIPS eligible clinicians or groups (along with their designated support staff or authorized third-party intermediary), including those who are subject to the APM scoring standard, may request for CMS to review their performance feedback and final score through a process called targeted review if they believe an error has been made in the 2019 payment adjustment calculation.

Please note, on September 13, 2018, CMS updated MIPS 2017 performance feedback for clinicians affected by scoring issues previously identified through the targeted review process. Additionally, to ensure that we maintain the budget neutrality required by law under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), some clinicians will see slight changes in their payment adjustment. If you believe an error exists in your 2019 MIPS payment adjustment calculation, you can request a targeted review by the extended deadline of October 15 at 8:00 PM EDT-which is just 20 days away. To learn more, view this 2017 MIPS Performance Feedback Statement.

When to Request a Targeted Review

The following are examples of circumstances in which you may wish to request a targeted review:

  • Errors or data quality issues on the measures and activities you submitted
  • Eligibility issues (e.g., you fall below the low-volume threshold and should not have received a payment adjustment)
  • Being erroneously excluded from the APM participation list and not being scored under APM scoring standard
  • Not being automatically reweighted even though you qualify for automatic reweighting due to the 2017 extreme and uncontrollable circumstances policy

This is not a comprehensive list of circumstances. CMS encourages you to contact the Quality Payment Program if you believe a targeted review of your MIPS payment adjustment (or additional MIPS payment adjustment) is warranted. We’ll help you to determine if you need to submit a targeted review request.

How to Request a Targeted Review

You can access your MIPS final score and performance feedback and request a targeted review by:

  • Going to the Quality Payment Program website
  • Logging in using your Enterprise Identity Management (EIDM) credentials; these are the same EIDM credentials that allowed you to submit your MIPS data. Please refer to the EIDM User Guide for additional details.

When evaluating a targeted review request, we will generally require additional documentation to support the request. If your targeted review request is approved, CMS will update your final score and associated payment adjustment (if applicable), as soon as technically feasible. CMS will determine the amount of the upward payment adjustments after the conclusion of the targeted review submission period. Please note that targeted review decisions are final and not eligible for further review.


 

Classified

RENTAL/LEASING SPACE


All-Inclusive Medical Office Space for rent-5 Locations: Elmhurst, Ozone Park, Lawrence, Lindenhurst & East Setauket
Starting up, slowing down or growing your practice? Interested in trying out
a new town or opening a satellite site, with no long term commitment? Come
look into one of our 5 locations throughout Queens and Long Island.

MedPlex is an all-inclusive medical office rental company dedicated to the medial
field. We offer low daily rates ($106-$191 per room, per day), with over 100
customizable rooms available for rent. You have the freedom to choose the days,
times & locations that best suite you and your practice.

We are open 24/7 and offer individual rooms or private suites to rent, with
leasing options as little as 1 year. Each option includes all utilities, exam room set up
with furniture & a list of medical equipment, medical waste pick-up, office cleaning,
common areas, basic consumables, a fully stocked reception station (equipped with
computer, phone, fax and copier) and lockable storage.

For more information please log on to www.MedPlexLLC.com, Loop-Net/Co-Star, or call Carla Scalici, Operations manager, @ 516-797-7735, cscalici@MedPlexLLC.com


Magnificent Medical Suites for Lease 184 East 70th St. New York, NY
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital, Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A: one consultation room plus 2 exam rooms. $6000 per month
Space B: One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharing For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.com 


West 57 St. – Shared Office Space to Rent
Lovely Garden view office with natural light. Located near Columbus Circle in a beautiful Art Deco building. Recently renovated office with additional exam room/ room with a sink. Wi-Fi, medical waste pickup and cleaning included.  Ideal location in desirable neighborhood. Contact Jason Faller 914-393-6583 goutmd@aol.com


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. Beautiful bright rooms, lovely reception area and front . First-rate building on 58th Street between Park and Lexington.  Rent by day (about $180) or by month ($5500). Front desk and office management available, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.


 


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up


PHYSICIAN OPPORTUNITIES

 


Physicians Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology startup committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are compensated for their participation, which requires only a few hours annually.

Interested? Learn more and apply today at www.98point6.com/pcc

 


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

September 28, 2018 – Back to the Future

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
September 28, 2018
Volume 20  Number 36

MSSNYPAC

Colleagues:

Last week I felt like the Flux Capacitor of the Delorean from the film Back to the Future –on a journey from the shores of Lake Erie to the North Shore of Long Island.

On Tuesday, I  joined the Erie County Medical Society at their golf outing in Hamburg, New York—and was pleased to stick a pitching wedge 5 feet from the pin on our second last hole to secure a birdie for our team and get to 8 below par.  We still ended up fourth.

The satisfaction of a well hit golf shot is substantial, but more important was the discussion I had with two of our prominent MSSNY members, Dr. Richard Vienne, a member of our AMA delegation and a medical director for Univera Health Care and Dr. Raghu Ram, a regional medical director for Landmark Care.  We discussed improving the care of our patients on an individual and population basis—from advancing communication across various sites and transitions of care to creating a collaborative team.

Innovative Ways to Improve Care

Dr. Ram and his colleagues explained some novel interventions they are attempting, using large data sets and analytics to improve care and avoid hospitalizations.    I think we also need to have further discussions with insurers on how to improve that interaction, particularly with a move to capitation in Western New York by some insurers that may paradoxically incentivize physicians to drop higher cost or more complex patients.

Challenges remain on integrating additional care without disrupting patients’ established care, but as I drove home that day I felt hopeful that there are opportunities to continue to refine and improve that approach.

Continuing Medical Education

Later in the week, I had the pleasure to meet with Dr. Graham McMahon, MD—MMSc  President and CEO of the Accreditation Council for Continuing Medical Education (ACCME)—along with our MSSNY CME Committee and staff.  We had an informal dinner on Thursday, and I provided opening remarks for our 2018 MSSNY CME Provider Conference on Friday.

I snuck in part of a teleconference with our MSSNY Committee for Physician Wellness and Resilience Committee prior to the opening of the CME conference.

Back to the Future

The various discussions of the multiple groups addressed issues that intersect in various, complicated ways.  Continuing professional development, MOC, quality improvement, a complex and fatiguing practice environment and value based care all affect patient care and physician satisfaction.

These streams of organizational activity flow to our Office of the President (the flux capacitor allusion) much faster than the 88 mph required to accelerate the DeLorean of the movie through time.  Our goal is to travel together to improve care for patients, and the practice environment for physicians.  I’ve tasked both our CME Committee and Wellness and Resilience Committee to focus on those goals with some new offerings to improve the professional and personal lives of our members.

I’d appreciate your thoughts and comments, and am always looking for active participation in achieving our mission.  Please contact me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President



eNews

New York DFS Raises Concerns With CVS-Aetna Merger
New York Department of Financial Services (DFS) Superintendent Maria Vullo issued a letter this week expressing ‘significant concerns’ with the proposal of pharmacy and PBM behemoth CVS to acquire health insurer behemoth Aetna.  The letter was sent to Connecticut Insurance Department Commissioner Wade in advance of the Connecticut hearing examining this transaction next Thursday, October 4.

Among the concerns that Superintendent Vullo identified in her letter:

  • If approved, the proposed transaction “would create an incredibly large market share in the health care market for the combined company, in an already concentrated marketplace, and is likely to increase prices for members and reduce options for consumers, without any discernable increase in quality.”
  • CVS minute-clinics “might provide unfair competition to other medical providers and hospitals, which when combined with CVS’ proposed ownership of a major health insurer creates significant concerns for consumer choice and cost”; and
  • The $40 billion in debt that CVS is taking on to finance the transaction “could affect operating performance”, “will create pressure on Aetna to raise premiums or take other actions that negatively impact consumers”, and “impacting Aetna policyholders and providers alike”.

As MSSNY has made several public statements expressing its opposition to this merger, MSSNY President Dr. Thomas Madejski issued a statement thanking Superintendent Vullo for her comments.

The DFS also announced this week that it will be holding a public hearing on this proposed transaction on October 18 in New York City.  MSSNY will likely present testimony at this hearing, and has invited the American Medical Association to also present testimony.

Earlier this year, the AMA submitted to the US Department of Justice its own comprehensive analysis of the adverse impact of this proposed merger, and urging the DOJ to work to block the merger.

The merger has also been opposed by the California Insurance Department and the American Antitrust Institute.




Governor Signs Legislation to Permit Medical Marijuana as Alternative to Opioids
This week Governor Cuomo signed into law legislation (A.11011-B/S.8987-A) that would permit physicians to certify patients for medical marijuana use as an alternative to prescribing opioids to patients who are experiencing “pain that degrades health and functional capability”, or substance abuse disorder.  Earlier in the year, the NYS Department of Health adopted similar regulations.  MSSNY had expressed strong concerns with these proposals, noting that while we “appreciate the extensive efforts being undertaken to be responsive to the opioid epidemic…MSSNY is very concerned that there is no evidence that using marijuana to treat opioid use disorder is an effective medical treatment for this condition”.  Instead, MSSNY advocated for a pilot program to be undertaken to determine what place if any there may be for medical marijuana for those with opioid use disorder.

Click here for more information about New York’s medical marijuana program.

MSSNY Member Dr. Mell, Age 33, Passed Away Suddenly
Thomas Mell, MD, 33, passed away suddenly on September 14.  A resident of Brooklyn, he was an anesthesiologist and affiliated with SUNY Downstate Medical Center University Hospital. Dr. Mell was a member of MSSNY and served as the Associate Treasurer and member of the Board of Censors for the Medical Society of the County of Kings. He had a strong interest in legislation, which was strengthened after attending his first MSSNY Advocacy Day in 2017.

Dr. Mell is survived by his wife Kacie McFarland, MD, Vascular & Intervention Radiology and currently a Fellow in year 3 of 4 of the DIRECT Pathway at SUNY Downstate Medical Center and their nine month old son, Maximus William Mell. Also a MSSNY member, Dr. McFarland served on MSSNY’s Committee on Emergency Preparedness and Bioterrorism.

In memory of Dr. Tom Mell, the family requests that in lieu of flowers donations be made to his son, Maximus William Mell. To donate, please go here.



Abentity


House, Senate Negotiators Agree to Compromise Opioid Addiction Package
The United States Congress is expected to pass comprehensive legislation (HR 6, the Support for Patient and Communities Act) to combat the opioid abuse epidemic across the country.  The 660-page bill is the product of a bi-partisan compromise between the US House and Senate, which had advanced separate proposals earlier in the year.

Please remain alert for a more in-depth summary, but among the noteworthy items in the agreed upon package include:

  • Expands Medicare coverage to include Opioid Treatment Programs (OTPs) for the purposes of delivering Medication-Assisted Treatment (MAT) to expand access to treatment options for Medicare beneficiaries.
  • Better enables states to share prescription monitoring program data with each other
  • Requires by 2021 e-prescribing for Schedule 2,3, and 4 controlled substances for Medicare Part D prescription (with exceptions);
  • Requiring FDA guidelines for prescribing for acute pain;
  • Authorizes clinical nurse specialists, certified nurse midwives, and certified registered nurse anesthetists to prescribe MAT for five years; codifies the ability for qualified physicians to prescribe MAT for up to 275 patients;
  • Authorizes grants to support the development of curriculum that will help health care practitioners obtain a waiver to prescribe MAT.
  • Requires the Secretary of HHS, no later than two years after effective date, to annually notify prescribers that they have been identified as an outlier prescriber of opioids compared to other prescribers in their specialty and geographic area.
  • Requires the Secretary of HHS, no later than two years after effective date, to annually notify prescribers that they have been identified as an outlier prescriber of opioids compared to other prescribers in their specialty and geographic area.


 

Please Plan to Participate in NYS “Listening Sessions” on Legalizing Recreational Marijuana Use
As previously reported, New York Governor Andrew Cuomo has called for a series of “listening sessions” across New York State to receive public comment regarding a proposal to legalize and regulate the recreational use of marijuana in New York State.  As noted below, there are forums coming up next week on Monday (10/1) in Newburgh, Tuesday (10/2) in Binghamton, Wednesday (10/3) in Buffalo and Thursday (10/4) in Hempstead.   Local physician leaders are expected to testify at these forums.

This week, MSSNY President-elect Dr. Art Fougner testified at the Queens forum, and Nassau County Medical Society Vice President Dr. David Podwall testified at the Hempstead forum, to raise public health concerns with this proposal.  Dr. Fougner’s testimony noted MSSNY’s support for de-criminalizing marijuana possession, but also significant concerns with motor vehicles spiking in Colorado after legalization in 2014.  He also noted the need for investment in readily available emergency care, mental health as well as addiction resources to handle anticipated demand that will inevitably arise from legalization.  In addition, Dr. Fougner, an OB-GYN, noted that “systematic reviews reveal that marijuana use during pregnancy is associated with lower birthweight and increased admission to Special Care Nurseries. Moreover, there are also reports of increased risk of stillbirth.”

Last week, the New York State Association of County Officials (NYSACHO) – representing 58 local Health Departments across New York State – sent a letter to Governor Cuomo expressing their opposition to proposals to legalize recreational marijuana use. Their letter noted that “both research and experience of states with legalized marijuana (such as Colorado) have substantiated these concerns”.

Physicians are urged to register to participate and testify at these upcoming forums from the links below:

  • Newburgh – Monday, October 1, 2018 – Register
  • Binghamton – Tuesday, October 2, 2018 – Register
  • Buffalo – Wednesday, October 3, 2018 – Register
  • Rochester – Thursday, October 4, 2018 – Register
  • Syracuse – Tuesday, October 9, 2018 – Register
  • Utica – Wednesday, October 10, 2018 – Register
  • Watertown – Thursday, October 11, 2018 –Register
  • Ronkonkoma – Tuesday, October 16, 2018 – Register
  • New Rochelle – Wednesday, October 17, 2018 – Register

Medical Society of NY Classifieds


4th Columbia Psychosomatics Conference – Oct 20-21, 2018 NYC (13.5 CME Category 1 credits)
If you can’t see this image please go to 4th Columbia Psychosomatics Conference website HERE.

4th Columbia Psychosomatics Conference

The Bureau of Psychiatric Services & Research Institute Support (BPSRIS) is accredited by the Medical Society of the State of New York (MSSNY) to provide continuing medical education for physicians. The Bureau of Psychiatric Services & Research Institute Support (BPSRIS) designates this live activity for a maximum of 13.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


ADA and Your Medical Practice’s Website
MSSNY has been alerted to a serious concern for our physicians that have websites for their medical practices.  Recently, many health care providers in New York have been sued in the United States District Court, Southern District of New York, for alleged violations of the Americans with Disabilities Act concerning their websites.  MSSNY contacted our General Counsel, Garfunkel Wild, P.C., for advice and guidance.  Please refer to this link for the educational material.


New York’s Life Expectancy Has Decreased Past Two Years, Report Says
Crain’s New York Business (9/21, Henderson) reports the life expectancy of New York residents has decreased over the past two years in an “alarming reversal,” according to a report from the NYS Health Foundation. The report said that the state’s life expectancy is still above the national average, but the “increasing trajectory of death rates for most major causes of death, rising obesity rates and growing rates of so-called deaths of despair” are all cause for concern.



Join MSSNY

Continuing Medical Education

Cybersecurity: A Daily Threat for Healthcare: CME webinar on November 14 at 7:30am Registration now open
Studies show that 88% of all ransomware attacks in 2017 occurred within the healthcare industry and 89% of studied healthcare organizations experienced a data breach.  Learn how to protect yourself, your patients and your workplace on November 14th at 7:30am.  Register here for Medical Matters: Cybersecurity: A Daily Threat for Healthcare.  Mahesh Nattanmai, Deborah Sottolano, MD of New York State Department of Health and Peter Bloniarz of the New York State Executive Chamber will serve as faculty for this program.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Describe vulnerabilities within medical practices, hospitals and daily life
  • Identify methods to increase protection from cyberattacks
  • Review methods for reporting and responding to a cybersecurity incident

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


Influenza 2018-19: CME Webinar on October 17
Did you know that the World Health Organization (WHO) is predicting two new strains of influenza for the 2018-2019 season?  Learn about this and more at the first of MSSNY’s 2019 Medical Matters continuing medical education (CME) webinar series: “Influenza 2018-19” on Wednesday, October 17, 2018 at 7:30 a.m.  William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Describe key indicators to look for when diagnosing patients presenting with flu-like symptoms
  • Describe clinical and laboratory diagnostic features and treatment specific to each flu season
  • Identify recommended immunizations and antiviral medications for treatment and how best to effectively encourage patients to get vaccinated

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


Member Benefit

Join MSSNY’s Member Perks Program and Enjoy $4,500 in Savings!
MSSNY is pleased to announce our newest member benefit!  Our new Abenity App provides members with exclusive perks and over $4,500 in savings on everything from restaurants, City Pass, AMC movie tickets, theme parks, hotels, car rentals, mortgage savings, auto care and much more!

Popular Features Include:

  • Nearby Offers: Use our show and save mobile coupons to quickly access savings on the go.
  • eTickets On Demand: Save up to 40% with no hidden fees.
  • Showtimes: Find movies, watch trailers, and save up to 40% at a theater near you.
  • Monthly Giveaways: Win cash, movie tickets, electronics and more with our monthly contests.

And, with over 302,000 available discounts across 10,000 cities in the United States and Canada, you’ll never be far from savings!

REGISTER & LOG IN

Click on the following link: http://mssny.abenity.com and then create a unique user name and password.


Classified

RENTAL/LEASING SPACE


Magnificent Medical Suites for Lease 184 East 70th St. New York, NY
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital, Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A: one consultation room plus 2 exam rooms. $6000 per month
Space B: One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharing For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.com 


West 57 St. – Shared Office Space to Rent
Lovely Garden view office with natural light. Located near Columbus Circle in a beautiful Art Deco building. Recently renovated office with additional exam room/ room with a sink. Wi-Fi, medical waste pickup and cleaning included.  Ideal location in desirable neighborhood. Contact Jason Faller 914-393-6583 goutmd@aol.com


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. Beautiful bright rooms, lovely reception area and front . First-rate building on 58th Street between Park and Lexington.  Rent by day (about $180) or by month ($5500). Front desk and office management available, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.


 


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up

PHYSICIAN OPPORTUNITIES

Medical Director in the NYS Office of Health Insurance Programs Division of Systems
The Medical Director position will be responsible to review prior approval requests and issue denials as indicated.  The incumbent will review pended claims and recommend whether payment should be made or denied and review requests for enhanced reimbursement for Out-of-State Hospital services.  The incumbent will participate in several external and internal committees including: Provider Enrollment Appeals Committee, Laboratory Policy Committee, Internal Benefit Review Committee, Irregular Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered Medication Committee, and Medical Coding Review and Coverage Decisions Committee.  The incumbent will also attend the Hearing Aid Dispensing Advisory Committee representing the Commissioner of Health and participate in the Evidence-Based Benefit Review.  The incumbent will a key stakeholder in monitoring the Radiology Utilization Management Contract and interacting with the Medical Director and clinical staff.  The incumbent will also be responsible to participate with other OHIP Medical Directors in meetings on topics about Medicaid Policy including DSRIP and VBP.

Interested candidates may submit a resume to Human Resources Management Group, Room 2276, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, 

or by email to resume@health.state.ny.us with a subject line “OHIP Medical Director Position,” or by fax to (518) 474-6771.


Physicians Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology startup committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are compensated for their participation, which requires only a few hours annually.

Interested? Learn more and apply today at www.98point6.com/pcc

 


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

September 21, 2018 – MLMIC Deal Almost Complete

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
September 21, 2018
Volume 20  Number 35

MSSNYPAC

Colleagues:

As you may be aware, the MLMIC Berkshire Hathaway transaction is very close to completion. DFS Superintendent Maria Vullo has approved the demutualization application, the acquisition and the application for approval of the amendments to MLMIC’s charter and bylaws. MLMIC is currently in the process of being acquired by National Indemnity Company NICO, a Berkshire Hathaway subsidiary. Currently, MLMIC is a mutual insurance company, meaning it is owned by its policyholders/insured physicians. Once the sale to NICO is complete, however, the company will be transitioned to a stock insurance company owned by NICO’s shareholders.

Policy Holders Entitled to Distribution

Any physician who was a MLMIC policyholder between July 15, 2013 and July 14, 2016 will be entitled to a distribution from the NICO transaction. It is currently estimated that the distribution for each policyholder will equal approximately 1.9 times the annual premiums paid by that provider during the eligible period. For instance, if a physician was insured for the entire three-year period and paid total malpractice insurance premium of $100,000, the physician would be entitled to $190,000 from the distribution.

In the event that a proper objection to a distribution is received by MLMIC, upon the closing of the NICO transaction, the disputed distribution payment will be placed in an escrow account until the individual and employer agree on the manner of its release, or until MLMIC is ordered to release the funds by a court or arbitration panel.

Whether you are an employer who has employed providers insured through MLMIC between July 2013 and July 2016, or an individual provider who has been covered a MLMIC policy while employed by a practice, hospital, or other entity, you may want to promptly take affirmative steps to protect your potential interest in the distribution. For more information, visit www.mlmic.com.

MSSNY Testifies

On August 23, MSSNY Executive Vice-President Philip Schuh, CPA testified in support of MLMIC’s acquisition by Berkshire Hathaway, during a New York Department of Financial Services (DFS) hearing examining the proposed transaction. Mr. Schuh noted that “MLMIC’s alliance with Berkshire Hathaway will fortify its finances and enable MLMIC to continue its mission to assure physicians, dentists and hospitals have access to quality medical malpractice insurance coverage and risk management services long into the future”.

He noted that “some physicians have expressed concerns that entities with enormous resources at their disposal could coerce a physician to give up their statutory right to these proceeds because of the fear of excessive litigation costs.   He suggested that DFS impose a condition on the conversion approval “to assure a strict deadline for release of the funds from escrow following the closure of the transaction, whereby the funds will be awarded to the policyholder at the conclusion of such period if the process for resolving the dispute has not yet been completed.”

Final Steps

In the recent vote of Record Date Policyholders, 6,635 out of 6,979 of the ballots were in favor of the Conversion & Amended/Restated Charter. MLMIC & NICO, a subsidiary of Berkshire Hathaway, are now proceeding to finalize the closing arrangements.

Please share your thoughts and comments with me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President


eNews

ADA and Your Medical Practice’s Website
MSSNY has been alerted to a serious concern for our physicians that have websites for their medical practices.  Recently, many health care providers in New York have been sued in the United States District Court, Southern District of New York, for alleged violations of the Americans with Disabilities Act concerning their websites.  MSSNY contacted our General Counsel, Garfunkel Wild, P.C., for advice and guidance.  Please refer to this link for the educational material.


Plan to Participate in NYS “Listening Sessions” on Legalizing Recreational Marijuana
As previously reported, New York Governor Andrew Cuomo has called for a series of “listening sessions” across New York State to receive public comment regarding a proposal to legalize and regulate the recreational use of marijuana in New York State.  As noted below, there are forums coming up next week on Monday (9/24) in Queens, Tuesday (9/25) in Brooklyn, Wednesday (9/26) in Staten Island and Thursday (9/27) in Hempstead.  MSSNY President-elect Dr. Fougner and MSSNY Councilor Dr. Saulius Skeivys will participate at the Queens Forum.

This week, MSSNY Councilor and Westchester neurosurgeon Dr. Thomas Lee testified at the Bronx forum to raise public health concerns with this proposal.  Dr. Lee’s testimony noted MSSNY’s support for de-criminalizing marijuana possession, but also significant concerns with outright permitting recreational use.   Specifically, he noted that “While marijuana offers potential benefits, one must always balance them against intoxication, carcinogenic effects, respiratory illnesses, altered mental status, depression, anxiety, and addiction.  In the era of narcotic dependence and associated catastrophic outcome, the State of New York is seeking to legalize this mind altering substance. We must have a more internally consistent and scientifically sound public health policy.

MSSNY Treasurer Dr. Joseph Sellers testified at the Albany forum on September 5.

This week Crains New York Business wrote an article about these forums that referenced MSSNY’s opposition while also noting the strong public commentary in support of legalization.

Physicians are urged to register to participate and testify at these upcoming forums from the links below:

  • Queens – Monday, September 24, 2018- Register
  • Brooklyn – Tuesday, September 25, 2018 – Register
  • Staten Island – Wednesday, September 26 – Register
  • Long Island – Thursday, September 27, 2018 – Register
  • Newburgh – Monday, October 1, 2018 – Register
  • Binghamton – Tuesday, October 2, 2018 – Register
  • Buffalo – Wednesday, October 3, 2018 – Register
  • Rochester – Thursday, October 4, 2018 – Register
  • Syracuse – Tuesday, October 9, 2018 – Register
  • Utica – Wednesday, October 10, 2018 – Register
  • Watertown – Thursday, October 11, 2018 –Register



County Health Officials Urge Rejection of Legalized Recreational Marijuana
Noting that  “legalization of regulated marijuana will lead to dangerous public health outcomes”,  this week the New York State Association of County Officials (NYSACHO)  – representing 58 local Health Departments across New York State – sent a letter to Governor Cuomo expressing their opposition to proposals to legalize recreational marijuana use.

Their letter noted that “both research and experience of states with legalized marijuana (such as Colorado) have substantiated these concerns. Their list of public health concerns included: 

  • Risk of Addiction– evidence clearly indicates that long–term marijuana use can lead to addiction. There is also recognition of a bona fide cannabis withdrawal syndrome, which makes cessation difficult and contributes to relapse. Adolescents are particularly susceptible; as compared with persons who begin the use of marijuana in adulthood, those who begin in adolescence are approximately 2 to 4 times as likely to have symptoms of cannabis dependence within 2 years after first use
  • Possible Role as a Gateway Drug– data suggests that the use of marijuana in adolescence could influence multiple addictive behavior in adulthood
  • Cognitive and Academic Effects– weekly or more frequent marijuana use by adolescents and young adults is associated with impaired learning, memory, math and reading achievement, even 28 days after last use, and is strongly associated with failure to graduate from both high school and college
  • Relation to Mental Illness– regular marijuana use is associated with an increased risk of anxiety and depression, and is linked with psychoses, especially among people with a preexisting genetic vulnerability.
  • Adverse Cardiac and Respiratory effects– marijuana use may be associated with increased risk of stroke in individuals younger than 55 years of age, and may be associated with increased risk of heart attack among adults. Daily or near daily marijuana smoking is strongly associated with chronic bronchitis, including chronic cough, sputum production, and wheezing..
  • Unintentional Exposures in Children– legal marijuana access is strongly associated with increased numbers of unintentional exposures in children, which can lead to hospitalizations. In Colorado, at least 14,000 children are at risk of accidentally eating marijuana products that are not safely stored, and at least 16,000 are at risk of being exposed to secondhand marijuana smoke in the home1.
  • Risk of Motor Vehicle Accidents– both immediate exposure and long term exposure to marijuana impair driving ability; marijuana is the illicit drug most frequently reported in connection with impaired driving and accidents, including fatal accidents


Abentity


2019 Nominations for MSSNY Leadership
The list of nominations for 2019 MSSNY leadership positions is now available on the website. Click here to view the list.


Governor Urged to Sign Legislation to Require Greater Transparency of Insurer Compliance with Mental Health & SUD Parity Laws
Physicians are urged to send a letter to the Governor requesting that he sign into law legislation (S.1156-C, Ortt/A.3694-C, Gunther) which directs the NY Department of Financial Services (DFS) to collect certain key data points and elements from health insurers in order to scrutinize and analyze if they are in compliance with the federal and state mental health and substance use (MH/SUD) disorder parity laws.   A letter can be sent from here.

MSSNY, working together with the New York State Psychiatric Association and other specialty societies, had strongly supported this legislation as it passed the Legislature nearly unanimously.  While many physicians weighed in with their legislators in support earlier this year, advocacy should now be directed to the Governor’s office in support of this important measure.

If signed into law by the Governor, the information collected would be analyzed and used for the preparation of a parity compliance report that would be contained within in the annual “Consumer Guide to Health Insurers” issued by the DFS.

Although MH/SUD parity laws have been on the books for over a decade on the federal and state level, recent Attorney General settlements note that there continue to be patterns of disparity between coverage criteria imposed on MH/SUD care and treatment as compared to other covered services.  The goal of the legislation is to better ensure compliance with these laws.


Research Finds No Benefit of Low-Dose Aspirin For Primary Prevention
The Washington Post (9/16, Bernstein) reports that research indicates “a regimen of low-dose aspirin offers healthy, older people no benefit in staving off cardiovascular disease, dementia or disability and increases their risk of bleeding in the digestive tract and brain.” The findings were published in three articles in the New England Journal of Medicine. To view the NEJM articles, click here, here, and here.



Medical Society of NY Classifieds


Marist College to Open Medical School 2022
New York’s Marist College is teaming up with a regional health care company to create a new medical school. The college announced that it will join forces with the hospital network Health Quest to create the Marist Health Quest School of Medicine. Marist is a private liberal arts college in Poughkeepsie, about 85 miles north of New York City. Marist President David Yellen says adding a medical school is “a natural next step” for the college.

The new medical school will be the only MD-granting institution between Westchester County and Albany. Marist and Health Quest say the college will open in July 2022 with 60 students. There will be an estimated 480 students when the schoolis running at full enrollment after six years.


Buying Life Insurance? Strap on Your Fitbit!
John Hancock insurance announced this week that it will stop selling traditional life insurance and instead sell only interactive policies that track data through wearable fitness devices and smartphones. Interactive life insurance is already well-established in South Africa and Britain and is becoming more widespread in the United States. Read more here.


Fetal Exposure to Environmental Pollutants May be Associated With Thyroid Functioning in Newborns
MedPage Today (9/14, Monaco) reports that “Fetal exposure to environmental pollutants was associated with thyroid functioning in newborns,” research indicated. In the “analysis of infants born in Los Angeles, those exposed in utero to greater amount of ambient pollution had higher levels of total thyroxine (TT4) levels as newborns,” the study found. The findings were published in JAMA Network Open.

Continuing Medical Education

HIV in 2018: Keeping the Vision on Women
Friday, October 12th, 2018
Hilton Garden Inn
235 Hoosick Street
Troy, NY 12180

This free full-day clinical conference will focus on HIV prevention and care for women of all experiences, highlighting the vital role medical providers play in women’s health. Click here for the agenda.

Register today! http://rebrand.ly/CEIOct12   

Registration is free of charge and is restricted to New York State medical providers including physicians, physician assistants, nurses, nurse practitioners, certified nurse midwives, dentists, and pharmacists. A light breakfast and lunch will be included.

6 free CME, CNE, and CPE credits!

Questions? Contact Jessica Steinke at jessica.steinke@mountsinai.org or 212-731-3789


Influenza 2018-19: CME Webinar on October 17
Did you know that the World Health Organization (WHO) is predicting two new strains of influenza for the 2018-2019 season?  Learn about this and more at the first of MSSNY’s 2019 Medical Matters continuing medical education (CME) webinar series: “Influenza 2018-19” on Wednesday, October 17, 2018 at 7:30 a.m.  William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Describe key indicators to look for when diagnosing patients presenting with flu-like symptoms
  • Describe clinical and laboratory diagnostic features and treatment specific to each flu season
  • Identify recommended immunizations and antiviral medications for treatment and how best to effectively encourage patients to get vaccinated

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


Member Benefit

Join MSSNY’s Member Perks Program and Enjoy $4,500 in Savings!
MSSNY is pleased to announce our newest member benefit!  Our new Abenity App provides members with exclusive perks and over $4,500 in savings on everything from restaurants, City Pass, AMC movie tickets, theme parks, hotels, car rentals, mortgage savings, auto care and much more!

Popular Features Include:

  • Nearby Offers: Use our show and save mobile coupons to quickly access savings on the go.
  • eTickets On Demand: Save up to 40% with no hidden fees.
  • Showtimes: Find movies, watch trailers, and save up to 40% at a theater near you.
  • Monthly Giveaways: Win cash, movie tickets, electronics and more with our monthly contests.

And, with over 302,000 available discounts across 10,000 cities in the United States and Canada, you’ll never be far from savings!

REGISTER & LOG IN

Click on the following link: http://mssny.abenity.com and then create a unique user name and password


Workers Compensation

New TPAs for Workers’ Compensation, Volunteer Firefighter, and Volunteer Ambulance Claims
As of September 10, 2018, the Special Funds Conservation Committee (SFCC) will no longer be administering workers compensation, volunteer firefighter, and volunteer ambulance worker claims.

These claims are being transferred to new third-party administrators (TPAs), who will assume all claims administration services.

Notifying Injured Workers

Injured workers have been notified of the name and contact information of their new TPA, and have been advised to inform their legal representatives and medical providers of this change.

Medical Reporting and Billing

All requests for treatment authorization on and after September 10, 2018, must be sent to the correct TPA for the injured worker.

All medical bills received by SFCC in error during this period of transition will be forwarded to the proper TPA for resolution and payment.

Finding the New TPA

If you are providing medical treatment or legal representation for an injured worker who lists SFCC as their insurer on or after September 10, 2018, please inquire further, as the SFCC will no longer be the claims administrator at that time.

For information about the new TPA, the injured worker (or your office if you have previously submitted Form OC-400 or medical bills to the Workers Compensation Board for that person in that workers compensation case) may contact SFCC or the Workers Compensation Board.

Contact SFCC
Buffalo: (716) 686-5700
Dewitt: (315) 445-9405
New York City: (212) 883-3900

Contact the Workers Compensation Board
(877) 632-4996
general_information@wcb.ny.gov


4th Columbia Psychosomatics Conference – Oct 20-21, 2018 NYC
If you can’t see this image please go to 4th Columbia Psychosomatics Conference website HERE.

4th Columbia Psychosomatics Conference


 

Join MSSNY

Classified

RENTAL/LEASING SPACE


Magnificent Medical Suites for Lease 184 East 70th St. New York, NY
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital, Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A: one consultation room plus 2 exam rooms. $6000 per month
Space B: One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharing For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.com 


West 57 St. – Shared Office Space to Rent
Lovely Garden view office with natural light. Located near Columbus Circle in a beautiful Art Deco building. Recently renovated office with additional exam room/ room with a sink. Wi-Fi, medical waste pickup and cleaning included.  Ideal location in desirable neighborhood. Contact Jason Faller 914-393-6583 goutmd@aol.com


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. Beautiful bright rooms, lovely reception area and front . First-rate building on 58th Street between Park and Lexington.  Rent by day (about $180) or by month ($5500). Front desk and office management available, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.



 


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up

PHYSICIAN OPPORTUNITIES

Medical Director in the NYS Office of Health Insurance Programs Division of Systems
The Medical Director position will be responsible to review prior approval requests and issue denials as indicated.  The incumbent will review pended claims and recommend whether payment should be made or denied and review requests for enhanced reimbursement for Out-of-State Hospital services.  The incumbent will participate in several external and internal committees including: Provider Enrollment Appeals Committee, Laboratory Policy Committee, Internal Benefit Review Committee, Irregular Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered Medication Committee, and Medical Coding Review and Coverage Decisions Committee.  The incumbent will also attend the Hearing Aid Dispensing Advisory Committee representing the Commissioner of Health and participate in the Evidence-Based Benefit Review.  The incumbent will a key stakeholder in monitoring the Radiology Utilization Management Contract and interacting with the Medical Director and clinical staff.  The incumbent will also be responsible to participate with other OHIP Medical Directors in meetings on topics about Medicaid Policy including DSRIP and VBP.

Interested candidates may submit a resume to Human Resources Management Group, Room 2276, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, 

or by email to resume@health.state.ny.us with a subject line “OHIP Medical Director Position,” or by fax to (518) 474-6771.


Physicians Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology startup committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are compensated for their participation, which requires only a few hours annually.

Interested? Learn more and apply today at www.98point6.com/pcc

 


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sept. 14, 2018 – MSSNYeNews: Do No Harm: The Movie

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
September 14, 2018
Volume 20  Number 34

MSSNYPAC


Do No Harm Movie

MSSNY President Thomas Madejski, MD (far right) speaks to panel (L-R) Michael Myers, MD; Pamela Wible, MD; Michele and John Dietl; Hawkins M., MD

Colleagues:

This week’s travels brought me back to New York City to attend the MSSNY Board of Trustees meeting and to preside (that’s what Presidents do best) at the MSSNY Council meeting. Physician wellness is one of the key components of MSSNY’s agenda.  Fortuitous timing allowed me to attend the World Premiere of Do No Harm, a heartrending film documentary focused primarily on the negative transformation of some students during medical school leading too often to depression and, in some cases—to suicide.

The filmmaker, Robyn Symon is the daughter of a physician. Ms. Symon’s film is a sensitive depiction of some of the factors that may lead to despondency, and lethality, and is especially powerful due to the narrative provided by Michele and John Dietl who lost their son, Kevin, to a self-inflicted gunshot wound; and Hawkins M., a 1st year resident, who attempted to end his life, and fortunately has recovered and is doing well.  I was honored to represent MSSNY at a post-screening   panel discussion along with these three courageous individuals, MSSNY member Dr. Michael Myers, professor of Psychiatry at SUNY Downstate, an expert on physician mental health and suicide and a member of the CPH Advisory Committee and Dr. Pam Wible, a family physician and advocate.

Fear of Stigma

Versions of the Hippocratic Oath and the Declaration of Geneva require a commitment to personal wellness and an obligation to care for our brothers and sisters within our profession, yet too often stigma and fear of negative impact on our work prevents physicians from seeking assistance for stress, depression or substance use disorders.  The film starts out by suggesting there is hypocrisy towards the oath due to a potentially toxic combination of factors that physicians encounter along their career path.  We had a robust discussion about the complex issues involved and potential solutions. I explained MSSNY’s commitment to physician wellness and the resources we have available currently. The discussion session was wide ranging and the audience, a mix of physicians and interested non-physicians, came away with a better sense of the adverse environmental stressors and other factors.

Dr. Frank Dowling, MSSNY secretary and member of the Committee on Wellness and Resilience explained our efforts to develop a statewide confidential Peer-to-Peer Support Program.

The most moving part of the evening was the courage of the Dietl family and Hawkins who in sharing their pain, hopefully, will help us come together to improve the care of our caregivers.  Do No Harm is a powerful, encouraging start to expand the conversation about medical student and physician suicide outside of our profession that includes our entire community.

Watch the film trailer here.

Non nobus solum nati sumus

Please share your thoughts and comments with me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President


eNews

Please Plan to Participate in NYS “Listening Sessions” on Legalizing Recreational Marijuana Use
As reported last week, New York Governor Andrew Cuomo has called for a series of “listening sessions” across New York State to receive public comment regarding a proposal to legalize and regulate the recreational use of marijuana in New York State.  As noted below, there are forums coming up next week on Monday (9/17) in the Bronx and Thursday (9/20) in Manhattan.

Last week, MSSNY Treasurer Dr. Joseph Sellers testified at an Albany forum to raise public health concerns with this proposal.  Dr. Sellers’ testimony noted MSSNY’s support for de-criminalizing marijuana possession, but also significant concerns with outright permitting recreational use noting that “data from jurisdictions that legalized cannabis demonstrated concerns particularly around unintentional pediatric exposures resulting in increased calls to poison control centers and ED visits as well as an increase in traffic deaths due to cannabis-related impaired driving.

Physicians are urged to register to participate and testify at these upcoming forums from the links below:

  • Bronx – Monday, September 17, 2018 – Register
  • Manhattan – Thursday, September 20, 2018 – Register
  • Queens – Monday, September 24, 2018 – Register
  • Brooklyn – Tuesday, September 25, 2018 – Register
  • Staten Island – Wednesday, September 26 – Register
  • Long Island – Thursday, September 27, 2018 – Register
  • Newburgh – Monday, October 1, 2018 – Register
  • Binghamton – Tuesday, October 2, 2018 – Register
  • Buffalo – Wednesday, October 3, 2018 – Register
  • Rochester – Thursday, October 4, 2018 – Register
  • Syracuse – Tuesday, October 9, 2018 – Register
  • Utica – Wednesday, October 10, 2018 – Register
  • Watertown – Thursday, October 11, 2018 – Register


Council Notes-September 13, 2018

  • MLMIC Vice President and Assistant Secretary Donald Fager reported to Council that the Berkshire Hathaway transaction is very close to completion and thanked MSSNY for its support. Department of Financial Services Superintendent Maria Vullo has approved the Demutualization Application, the Acquisition Application and the application for approval of the amendments to MLMIC’s Charter and By-laws. Mr. Fager noted that the final step is policyholder approval.
  • Council approved the MSSNYPAC Endorsement recommendations for candidates running for re-election to the New York State Legislature and to the US Congress. Click here to view the list.
  • Physicians’ Day at the Races, which took place at the Saratoga Race Track in July, was a great success and raised $13,000 for MSSNYPAC. Plan to join the fun next summer for another Physicians’ Day at the Races!
  • MSSNY President Dr. Tom Madejski and New York County Medical Society president Dr. Naheed Van de Walle reported on a September 5 meeting in which MSSNY and New York County Medical Society leaders met with NYS Assembly Health Committee Chair Richard Gottfried to discuss and raise questions about various aspects of his legislation (A.4738) that would create a single payor system in New York State.
  • Elizabeth Amato, Vice President, SHIN-NY Programs at New York eHealth Collaborative (NYeC) provided an update on the Data Exchange Incentive Program (DEIP), which provides physicians with up to $13,000 to help connect to the SHIN-NY. Overview documents are available online at nyehealth.org/deip. Or contact NYeC with any questions at deip@nyehealth.org.

Primaries: Strong Wins for Cuomo and Hochul; Defeat Many Senate IDC Members
While New York Governor Andrew Cuomo and Lt. Governor Kathy Hochul each won decisive victories this week, several incumbent state legislators lost in their respective primary elections to represent their parties for the upcoming November 6 general election.

Governor Cuomo defeated challenger Cynthia Nixon for the Democrat nod for Governor by a 64%-34% margin.     Lt. Governor Hochul defeated challenger Jumaane Williams by a 53%-47% margin.  They will face Republican gubernatorial candidate Marc Molinaro and Lt. Governor candidate Julie Killian in the general election.

New York City Public Advocate Leticia James won a four-way primary battle to get the Democratic line for New York State Attorney General.    She will face Republican Keith Wofford in the general election.

Six of the 8 members of the former New York State Senate Independent Democratic Conference (IDC) lost their Democratic primaries:

  • In the 11th Senate District (Queens), John Liu defeated Senator Tony Avella
  • In the 13th Senate District (Queens), Jessica Ramos defeated Senator Jose Peralta
  • In the 20th Senate District (Brooklyn), Zellnor Myrie defeated Senator Jesse Hamilton
  • In the 31st Senate District (Manhattan/Bronx), Robert Jackson defeated Senator Marisol Alcantara
  • In the 34th Senate District (Bronx/Westchester), Alessandra Biaggi defeated Senator Jeff Klein
  • In the 53rd Senate District (Onondaga/Madison), Rachel May defeated Senator David Valesky.

The only former IDC members to win their primaries were Senator Diane Savino (Staten Island) and Senator David Carlucci (Rockland/Westchester).

In addition, Democratic Senator Martin Dilan lost his primary to challenger Julia Salazar.

Currently, the NYS Senate is divided between 31 elected Republicans and 32 elected Democrats, with one of the Democrats Simcha Felder aligning with the Republicans to create GOP Majority. As a result, there is an intense campaign battle as to which party will have majority control after the upcoming November elections.


Advocacy Organizations Express Concern re Proposed E&M Payment Changes
Several news articles (such as here and here) have highlighted the strong concern of physician advocacy organizations, including MSSNY, with the CMS proposal to contract Medicare payment rates different levels of E&M services. 

As previously reported, MSSNY sent a letter to CMS, as well as joining on to multiple group letters, to raise serious concern with CMS’ proposal to collapse evaluation and management (E/M) payments as part of its Medicare payment rule for 2019.  These letters express appreciation for the CMS “Patients Over Paperwork” initiative to reduce the extraordinary documentation burden facing physicians, but also note that any benefit to be gained would be sizably outweighed by the likely significant reductions in payments.  Under the proposal, payments for E&M codes 99202-99205 would be $134 (instead of ranging from $76 to $211) and payments for E&M codes 99212-99215 would be $92 ($45 to $148).

MSSNY signed on to a letter initiated by the AMA and 170 other medical associations.  That letter that noted medicine’s support for CMS’ “goal of reducing administrative burdens for physicians and other health care professionals so that they can devote more time to patient care”, but also that there are “unanswered questions and potential unintended consequences that would result from the coding policies in the proposed rule.”  Moreover, it expressed concerns that the policy change “could hurt physicians and other health care professionals in specialties that treat the sickest patients, as well as those who provide comprehensive primary care, ultimately jeopardizing patients’ access to care.”

MSSNY also signed on to a letter initiated by the Coalition of State Medical Societies (consisting of the medical societies of AZ, CA, FLA, LA, NC, NJ, OK, SC and TX together with MSSNY), which articulated the following concerns:

  • Eliminating incentives for physicians to care for complex or complicated patients including those with disabilities and those with serious or terminal illnesses;
  • Making treating patients covered by Medicare even more financially challenging for physicians, leading more physicians to limit the number of Medicare patients they see or to opt out of the program entirely; and
  • Similar changes being imposed by commercial insurance companies that tend to follow CMS’ lead on payment matters.

Abentity


Heart Group Updates Guidelines on Resistant Hypertension
The American Heart Association has updated its 2008 guidelines on detecting and managing resistant hypertension — defined as above-goal blood pressure (≥130/80 mm Hg) despite use of three antihypertensive drugs, or controlled BP on a four-drug regimen.The guidelines, published in Hypertension, contain numerous practical diagnostic and clinical management tips. Among the most notable:

  • Healthcare providers should regularly ask patients with resistant hypertension about their sleep patterns. Poor sleep duration and quality trigger the sympathetic and renin-angiotensin systems and, thus, can interfere with BP control.
  • The role of lifestyle is emphasized as part of first-line management of resistant hypertension. Clinicians should advise patients to follow a low-sodium diet (
  • If BP is above goal despite an optimal lifestyle and adherence to a three-drug regimen, providers should consider switching from hydrochlorothiazide to chlorthalidone or indapamide. If BP is still high after that, spironolactone may be considered as a fourth drug.

AHA guideline in Hypertension https://www.ahajournals.org/doi/10.1161/HYP.0000000000000084


NY Sepsis Deaths May Have Declined In Since State Mandate Implemented
Medscape (9/7) reported researchers found that “deaths from sepsis declined during the [two] years following implementation of a [New York] state mandate requiring hospitals to follow sepsis care bundles and report on patient outcomes.” The findings were published in the American Journal of Respiratory and Critical Care Medicine.


Study: More Documentation Should be Required to Show Need of Opioids
Research published Monday in the Annals of Internal Medicine state that a review of medical records from 2006 to 2015 “showed that a physician gave no explanation at all for writing an opioid prescription in 29 percent of the cases.” The findings by researchers at Harvard Medical School and the Rand Corp. “help support criticism by the Centers for Disease Control and Prevention, the Food and Drug Administration and others that say inappropriate prescribing practices have helped drive the opioid crisis.”

Researchers examined 32,000 clinician visits in which an opioid was prescribed to adults. Of these visits, 5% were documented as related to cancer-associated pain, 66% were coded for non-cancer pain, and 29% had no recorded pain diagnosis. Lack of a recorded pain diagnosis was more common among continuing rather than new opioid prescriptions (31% vs. 23%).The Boston Globe (9/10) reports “inappropriate prescribing, bad recordkeeping, or a combination of both were possible reasons for the missing data, according to the researchers.” Study author Tisamarie Sherry said, “Whatever the reasons, lack of robust documentation undermines our efforts to understand physician prescribing patterns and curtails our ability to stem overprescribing.”



Medical Society of NY Classifieds


Three Hospitals Earn Through Captive Insurers Despite Settlement with State
Modern Healthcare (9/8) reported that Maimonides Medical Center, Montefiore Medical Center, and Mount Sinai Hospital “continue to make money – about $64 million this year – off a revamped version of an insurance maneuver that New York regulators last year characterized as a hidden scheme to funnel hundreds of millions of dollars back to the hospitals.”

Last year, New York’s Department of Financial Services “found that the professional liability insurer Hospitals Insurance Co. illegally kept secret the fact that its offshore captive insurance company soaked up more than $160 million in premium payments that yielded more than $200 million in investment income over a two-decade period, all while avoiding domestic regulation.” Despite a settlement with the state, however, “the latest financial filings from” the three hospitals “indicate” they “have kept a version of the operation running.”

CME Webinar

 “Influenza 2018-19” CME Webinar on October 17; Registration Now Open
The first of MSSNY’s 2019 Medical Matters continuing medical education (CME) webinar series is: “Influenza 2018-19” on Wednesday, October 17, 2018 at 7:30 a.m.  William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Describe key indicators to look for when diagnosing patients presenting with flu-like symptoms
  • Describe clinical and laboratory diagnostic features and treatment specific to each flu season
  • Identify recommended immunizations and antiviral medications for treatment and how best to effectively encourage patients to get vaccinated

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


CMS Updates 2017 MIPS Performance Feedback
Recently, CMS released performance feedback for clinicians included in the Merit-based Incentive Payment System (MIPS) during the 2017 performance year. As we’ve previously announced, we saw a very high 91 percent participation rate for the first performance year (2017) of MIPS. Over the last several weeks, individual clinicians, groups, and eligible clinicians in certain Alternative Payment Models (APMs) have had access to this feedback on the Quality Payment Program website, which provides a comprehensive overview of their MIPS final score, performance category details, and 2019 MIPS payment adjustment.

Along with releasing performance feedback, we launched a process known as targeted review. A targeted review provides the opportunity for clinicians, groups, or those participating in certain APMs to request that we review their MIPS payment adjustment factor(s), if they believe there is an error with the 2019 MIPS payment adjustment calculation.

The requests that we received through targeted review caused us to take a closer look at a few prevailing concerns. Those concerns included the application of the 2017 Advancing Care Information (ACI) and Extreme and Uncontrollable Circumstances hardship exceptions, the awarding of Improvement Activity credit for successful participation in the Improvement Activities (IA) Burden Reduction Study, and the addition of the All-Cause Readmission (ACR) measure to the MIPS final score. Based on these requests, we reviewed the concerns, identified a few errors in the scoring logic, and implemented solutions. The targeted review process worked exactly as intended, as the incoming requests quickly alerted us to these issues and allowed us to take immediate action.

Addressing and correcting for the above elements resulted in changes to the 2017 MIPS final score and associated 2019 MIPS payment adjustment for the clinicians who were impacted by the identified issues. Additionally, in order to ensure that we maintain the budget neutrality that is required by law under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), some clinicians will see slight changes in their payment adjustment as a result of the reapplication of budget neutrality.  These revisions were made to the performance feedback on the Quality Payment Program website on September 13, 2018. We encourage you to sign-in to the Quality Payment Program website as soon as possible to review your performance feedback. If you believe an error still exists with your 2019 MIPS payment adjustment calculation, the targeted review process is available for you.

To offer additional time for clinicians, groups, and APM entities and their participants to access and review their performance feedback, we are extending the targeted review deadline to October 15, 2018 at 8:00pm (EDT). We also have a number of resources available on our Quality Payment Program Resource Library to help you understand your performance feedback and the targeted review process. If you are in-need of additional assistance, please reach out to the Quality Payment Program Service Center by phone at 1-866-288-8292, (TTY) 1-877-715-6222 or by email at QPP@cms.hhs.gov, or contact your local technical assistance organization for no-cost support.

From the onset of the Quality Payment Program, goals have included creating a program that is fully transparent and provides accurate information. We believe that the above steps are essential to achieving that goal for the first performance year (2017), also referred to as the “transition” year. We will continue to work closely with the clinician community to learn from one another and ensure operational excellence in implementation.


4th Columbia Psychosomatics Conference – Oct 20-21, 2018 NYC

If you can’t see this image please go to 4th Columbia Psychosomatics Conference website HERE.


Medicaid

DOH Hosts Medicaid Drug Cap
The Department of Health will be hosting a webinar on the SFY 18-19 Medicaid Drug Cap on September 17, 2018 at 2:00 pm. There will be an email address provided at the end of the webinar for questions and answers. Materials will be made available after the webinar at: https://www.health.ny.gov/health_care/medicaid/regulations/global_cap/. To register please follow the instructions below. This event requires registration.

Topic: SFY 18-19 Medicaid Drug
Host:  Office of Health Insurance Programs
Date:  Monday, September 17, 2018 2:00 pm
To register for the online event:
  1. https://meetny.webex.com/meetny/onstage/g.php?MTID=ee02c8551d0ed9d5a9948b31aef96c3cb
    2. Click “Register”.
    3. On the registration form, enter your information and then click “Submit”. 

Meaningful Use Attestations Due Oct. 15 for NY Medicaid EHR Incentive
Don’t delay! The deadline to attest 2017 Meaningful Use is October 15, 2018. All attestations for the NY Medicaid EHR Incentive Program must be submitted through MEIPASS at https://meipass.emedny.org/ehr/login.xhtml. Eligible professionals (EPs) no longer have to mail hard copies of their attestations – Everything is submitted online!

Note: Extensions will be automatically granted to EPs whose 2016 attestations are still pending state review. Those EPs will be notified via email about their extended deadlines, so they have sufficient time to attest 2017 Meaningful Use in MEIPASS.

Need assistance with MEIPASS? Check out our video tutorials and walkthrough to help you with the attestation process. For additional assistance, please contact program support at 1-877-646-5410 or hit@health.ny.gov.


 

Join MSSNY

Classified

RENTAL/LEASING SPACE


Magnificent Medical Suites for Lease 184 East 70th St. New York, NY
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital, Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A: one consultation room plus 2 exam rooms. $6000 per month
Space B: One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharing For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.com 


West 57 St. – Shared Office Space to Rent
Lovely Garden view office with natural light. Located near Columbus Circle in a beautiful Art Deco building. Recently renovated office with additional exam room/ room with a sink. Wi-Fi, medical waste pickup and cleaning included.  Ideal location in desirable neighborhood. Contact Jason Faller 914-393-6583 goutmd@aol.com


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. Beautiful bright rooms, lovely reception area and front . First-rate building on 58th Street between Park and Lexington.  Rent by day (about $180) or by month ($5500). Front desk and office management available, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.



 


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up

PHYSICIAN OPPORTUNITIES

Medical Director in the NYS Office of Health Insurance Programs Division of Systems
The Medical Director position will be responsible to review prior approval requests and issue denials as indicated.  The incumbent will review pended claims and recommend whether payment should be made or denied and review requests for enhanced reimbursement for Out-of-State Hospital services.  The incumbent will participate in several external and internal committees including: Provider Enrollment Appeals Committee, Laboratory Policy Committee, Internal Benefit Review Committee, Irregular Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered Medication Committee, and Medical Coding Review and Coverage Decisions Committee.  The incumbent will also attend the Hearing Aid Dispensing Advisory Committee representing the Commissioner of Health and participate in the Evidence-Based Benefit Review.  The incumbent will a key stakeholder in monitoring the Radiology Utilization Management Contract and interacting with the Medical Director and clinical staff.  The incumbent will also be responsible to participate with other OHIP Medical Directors in meetings on topics about Medicaid Policy including DSRIP and VBP.

Interested candidates may submit a resume to Human Resources Management Group, Room 2276, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, 

or by email to resume@health.state.ny.us with a subject line “OHIP Medical Director Position,” or by fax to (518) 474-6771.


Physicians Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology startup committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are compensated for their participation, which requires only a few hours annually.

Interested? Learn more and apply today at www.98point6.com/pcc

 


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MSSNY eNews: Talking Marijuana/Single Payor

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
September 7, 2018
Volume 20  Number 33

MSSNYPAC

Dear Colleagues:

Being MSSNY President is a new adventure every day.  Your leadership and staff have been active this week on many fronts.  Many of you are aware that the Governor and Health Department are considering legalization of marijuana for recreational use.  MSSNY and the AMA have extensive policy on a scientific approach to evaluating marijuana as a therapeutic agent, as well as for recreational use.  Just before the Labor Day Holiday, Governor Cuomo announced a series of public comment opportunities throughout the state.

Pundits often joke about public policy— “you can lead the train, be on the train, or be under the train.”  I’m concerned that further expansion of non-medicinal marijuana usage in New York State may lead to a train wreck.  We have some data with regards to increased use of marijuana that is troubling.  The AMA Council on Science and Public Health recently reviewed Clinical Implications and Policy Considerations of Cannabis Use (read here, beginning on page 25) in response to the request of AMA and MSSNY members last fall.  I encourage you to read it.  After discussion with our leadership team, MSSNY in conjunction with some of our specialty and County Society leaders will provide comment to hopefully keep the train on track.  We want our patients to arrive safely at their destination, prevent the inappropriate expansion of drug use, misuse, and abuse, and avoid the development of a ‘new tobacco’ industry that exploits our most vulnerable citizens. 

Medical Marijuana

Thanks to Dr. Joe Sellers, our MSSNY Treasurer who was able to pinch hit for me in Albany on Wednesday, where he represented MSSNY at the Governor’s listening session on medical marijuana.  Read the full statement here.

While Dr. Sellers was covering for me in Albany, I was in New York at the MLMIC Executive Committee meeting.  MSSNY provided testimony at the recent public hearing with regards to the proposed sale of MLMIC to Berkshire Hathaway.

Single Payor

Later in the day, President Elect Dr. Arthur Fougner and I along with colleagues from New York County, spent a couple of hours with Assemblyman Richard Gottfried—who has been a great advocate for patients and physicians. He provided insight into his proposed single payer legislation.  We came away with a better understanding of the general workings of the plan and how it could affect your practice.  We agreed to continue dialogue on the evolution of the plan.  You can find our policy with regards to single payer here. I will keep you updated periodically on those discussions.

Your membership and personal contributions allow us to be effective advocates on behalf of our patients and our profession. Click here to join or contribute to MSSNYPAC.

Excelsior!

Please share your thoughts and comments with me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President


eNews

DOH HIV Prevention and Partner Service to Aid “End the Epidemic”
The NYS Department of Health’s HIV Prevention and Partner Service programming is highlighted in the attached document. NYS and County health department staff can assist in locating and re-engaging individuals with diagnosed HIV infection into HIV-related medical care. Staff also actively refer HIV status unknown or negative persons with syphilis or other STDs to clinicians offering PrEP and facilitate access to these services.

A new HIV/STI prevention approach works with individuals in rapidly growing transmission clusters to ensure their partners are linked to HIV and STI testing, medical care, PrEP and other prevention services. Finally, electronic clinician reporting is included in the document to improve efforts for expedited partner services to aid in the efforts to End the Epidemic.

MIPS, NO MIPS, HATE MIPS? TELL US!
Please take the three-question survey on your use/non-use of MIPS! https://www.surveymonkey.com/r/MIPS_Survey

Governor Announces Series of Listening Tour for Regulated Marijuana
Governor Andrew Cuomo has announced a series of listening sessions on regulated marijuana slated for September and October.  The purpose of these sessions is to garner input from community members and key stakeholders on the implementation of a regulated marijuana program in New York State. This input will assist the regulated marijuana workgroup in drafting legislation for an adult-use marijuana program for the legislature to consider in the upcoming session.  A copy of the governor’s press announcement is available here.

MSSNY will have representation at each listening session. NOTE: Although the dates are finalized, several of the venues have not been finalized.

The listening dates and registration is required for the sessions:

– Monday, September 17 –    Bronx

– Thursday, September 20 – Manhattan

– Monday, September 24 –    Queens

– Tuesday, September 25 –    Brooklyn

– Wednesday, Sept. 26 –       Staten Island

– Thursday, September 27    Long Island

– Monday, October 1 –          Newburgh

– Tuesday, October 2 –         Binghamton

– Wednesday, October 3 –     Buffalo

– Thursday, October 4 –        Rochester

– Tuesday, October 9 –         Syracuse

– Wednesday, Oct.  10 –       Utica

– Thursday, October 11 –     Watertown

Registration for individual listening sessions: https://tinyurl.com/y9sh5j9k

DFS’ Report Ranking Health Insurers Based Upon Complaints and Care Access
This week, the NY Department of Financial Services released it 2018 Consumer’s Guide to Health Insurers, which provide consumers information regarding the complaints, appeals and grievances filed against insurance companies during 2017, as well as out of network independent dispute resolution (IDR) statistics for 2017.

For 2017, the insurers with the highest overall ranking based on the lowest number of complaints were:

  • MVP Health Services Corp.
  • Independent Health
  • Genworth Life Insurance Company
  • Community Blue (Health Now)

Some of the most noteworthy findings of the report:

  • For Prompt Payment complaints, CDPHP had the best ranking among HMO plans and MVP the best among EPO/PPO plans. Empire had the worst ranking among HMO plans, and GHI the worst among EPO/PPO plans.
  • For Overall complaints, Independent Health had the best ranking among HMO plans and MVP the best among EPO/PPO plans. Empire had the worst ranking among HMO plans, and GHI had the worst among EPO/PPO plans.
  • There were 1,512 external appeals of health insurer denials of care, of which approximately 38% where reversed entirely or in part.
  • For “Access and Service”, CDPHP had the highest ranking among HMOs and Empire had the highest among PPOs. However, Empire had the lowest ranking among HMOs and MVP had the lowest among PPOs.
  • Regarding IDR for “surprise” medical bills, of the 332 resolutions reached, the provider’s charge was found more reasonable in 141 claims, the plan’s payment more reasonable in 49 claims, a “split decision” in 75 claims, and a settlement in 67 claims.
  • Regarding IDR for out of network emergency care bill, of the 475 resolutions reached, the provider’s charge was found more reasonable in 61 claims, the plan’s payment more reasonable in 2013 claims, a “split decision” in 102 claims, and a settlement in 109 claims.

MSSNY Joins Patient Advocacy Organizations to Protest CMS Authorization of Step Therapy for Part B Medications
MSSNY this week joined nearly 200 patient and physician advocacy association in a letter to US House and Senate leaders expressing strong concerns about the Center for Medicare and Medicaid Services’ (CMS) recent notification to Medicare Advantage plans that they will no longer be prohibited from utilizing step therapy protocols for physician administered drugs covered under Medicare Part B beginning in 2019.   It would in effect overturn a 2012 CMS policy that had prohibited the use of step therapy for Part B covered medications.

Last week, MSSNY also joined many other national specialty and state medical societies in a similar letter initiated by the American Medical Association to CMS.

Numerous states across the country, including New York, fought for the enactment of strong patient protection laws that put strict guardrails around the insurer/PBM use of “step therapy” for needed medications.  However, this policy would go in the opposite direction.  In particular, the group letter expressed concerns that “CMS’ sudden and disruptive decision to allow the inappropriate use of step therapy policies is inconsistent with the requirement that MA plans provide coverage consistent with Original Medicare and threatens to restrict access and decrease therapy choices for patients. This could put patients’ health at risk and potentially creates long-term health care issues in the process.”

The measure was advanced <by CMS as part of its “Blueprint” to lower prescription costs.

4th Columbia Psychosomatics Conference – Oct 20-21, 2018 NYC
Healing “Unexplainable” Pain: Advances in Multidisciplinary Integrated Psychosomatic Care”
Columbia University Medical Center & Office of Mental Health of the State of New York present: 4th Columbia Psychosomatics Conference.

Healing “Unexplainable” Pain: Advances in Multidisciplinary Integrated Psychosomatic Care Lectures and workshops by multidisciplinary world experts in research and treatment of psychosomatic disordersConference Chairs: Alla Landa, PhD, Harald Gündel, MD, Brian A. Fallon, MD, Philip R. Muskin, MD

When: Sat-Sun, October 20 – October 21, 2018
Where: New York State Psychiatric Institute at Columbia University Medical Center,
 1051 Riverside Drive, NY, NY
Advanced registration is encouraged at the number of seats is limited!
For information on CME, complete program, and to register please visit conference website here.

CME Programs

FREE BUPRENORPHINE WAIVER TRAINING: Sept. 22, 2018 in White Plains
Saturday, September 22nd, 2018 9:00AM – 2:00PM

The NYSDOH AIDS Institute in partnership with Westchester Medical Center (WMC) Health Network Performing Provider System (PPS), Westchester County Department of Health and Hudson Valley Community Services is sponsoring a free Buprenorphine Waiver Eligibility Training for Clinical Providers at Westchester County Center, 198 Central Ave, 2nd Floor, Room E, White Plains, NY 10606. Parking: available on the street and in a paid parking lot across the street. Light refreshments will be provided. Directions.  Online Registration.

Under current regulations, authorized practitioners (MDs, DOs, NPs, and PAs) are required to obtain a ‘waiver’ to prescribe buprenorphine. To acquire this waiver, physicians are required to complete a standardized buprenorphine waiver 8-hour training. Nurse Practitioners (NPs) and Physician Assistants (PAs) are required to complete the standardized buprenorphine waiver 8-hour training as well as an additional 16 hours of online training as established by the Comprehensive Addiction and Recovery Act (CARA). Residents may also take the course and apply for their waiver once they receive their DEA license. The buprenorphine waiver 8-hour training is offered in a ‘half and-half’ format [4.5 hours of in-person training followed up by 3.5 hours of online training]. Upon completion of the required training, providers will meet the requirement of the DATA 2000 to apply for a waiver to prescribe buprenorphine for opioid-dependent patients. Please contact us for further information.

Questions: NYSDOH, AIDS Institute, Office of Drug User Health

Stephen Crowe, 212-417-4558, stephen.crowe@health.ny.gov Belinda Duncan, 212-417-4553, buprenorphine@health.ny.gov

ACCREDITATION: This activity has been planned and implemented by NYSDOH, AIDS Institute in accordance with the accreditation requirements and policies of the American Academy of Addiction Psychiatry (AAAP) and in partnership with Westchester Medical Center (WMC) Health Network Performing Provider System (PPS), Westchester County Department of Health and Hudson Valley Community Services.

“Influenza 2018-19” CME Webinar on October 17; Registration Now Open
The first of MSSNY’s 2019 Medical Matters continuing medical education (CME) webinar series is: “Influenza 2018-19” on Wednesday, October 17, 2018 at 7:30 a.m.  William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Describe key indicators to look for when diagnosing patients presenting with flu-like symptoms
  • Describe clinical and laboratory diagnostic features and treatment specific to each flu season
  • Identify recommended immunizations and antiviral medications for treatment and how best to effectively encourage patients to get vaccinated

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

2018 MSSNY Continuing Medical Education Provider Conference
To meet the challenges facing planners, providers, and participants of CME, MSSNY recognizes the need for ongoing education and training of its Accredited Providers as well as physicians and other healthcare professionals in NYS. This conference will inspire participants to explore new developments in continuing medical education, including compliance with the changing accreditation criteria that clearly address practice gaps and practice-based needs while creating opportunities for measurable change in physicians and reinforcing the undeniable link between a successful CME activity and quality improvement for physicians and patients alike.

Conference will take place on Friday, September 21, 2018, at the Courtyard Westbury Long Island (adjacent to the MSSNY Westbury Office).  Registration links and more information are available here.  Graham McMahon, MD, President and CEO of the Accreditation Council for Continuing Medical Education (ACCME) will deliver the keynote speech, as well as leading an educational session on “Better Methods” for planning and implementing CME activities.  MSSNY President Thomas Madejski, MD will deliver the welcome and opening remarks.  For more information, please contact Miriam Hardin at mhardin@mssny.org.

Two Studies Doubt Benefits of Commercialized Probiotic Products
Two studies published Thursday in the journal Cell “cast further doubt on the benefits of the highly-commercialized probiotic products.” Because they are “marketed as dietary supplements, not drugs,” probiotics do not need to be approved by the FDA for claims that they prevent or treat any health conditions, such as “preventing the common cold to treating allergic disorders.”

In the first study, “25 healthy volunteers ate a generic probiotic with 11 strains of ‘good’ bacteria,” and while each had “probiotic bacteria in their stool,” when physicians “did the endoscopy to evaluate their intestines, they found that probiotics had only actually ‘stuck’ and grown in a few people.” In the second study, the researchers tested what happens when a patient takes probiotics after a course of antibiotics and discovered the probiotics colonized their gastrointestinal tracts “at the expense of the normal gut microbiome, delaying the return to its normal, pre-antibiotic state by several months.”

CMS Medicare

MSSNY Joins House of Medicine to Urge CMS to Reject Proposal to Collapse E&M Payments
MSSNY has joined on to multiple letters to the Center for Medicare & Medicaid Services (CMS) to raise serious concern with CMS’ proposal to collapse evaluation and management (E/M) payments as part of its Medicare payment rule for 2019.  Both letters express appreciation for the CMS “Patients Over Paperwork” initiative to reduce the extraordinary documentation burden facing physicians, but also note that any benefit to be gained would be sizably outweighed by the likely significant reductions in payments.  Under the proposal, payments for E&M codes 99202-99205 would be $134 (instead of ranging from $76 to $211) and payments for E&M codes 99212-99215 would be $92 ($45 to $148).

Register for September 12 All-Payer Combination Option Overview Webinar
Join CMS for 9/12 Webinar on All-Payer Combination Option Overview on Wednesday, September 12, 2018 at 2:00 PM ET to provide an overview of the All-Payer Combination Option, which allows clinicians to become a Qualifying APM Participant (QP), and therefore eligible for the 5% APM Incentive payment, through participation in a combination of Medicare Advanced Alternative Payment Models (APMs) and Other-Payer Advanced APMs, including Medicaid, Medicare Advantage and commercial payers.

During the webinar, CMS will discuss:

  • Overview of APMs and Advanced APMs
  • All-Payer Combination Option Basics
  • Determinations of Other Payer Advanced APMs (Payer and Eligible Clinician Initiated Processes)
  • Determinations for QPs under the All-Payer Combination Option
  • Frequently Asked Questions
  • Additional Resources

CMS will address questions from participants at the end of the webinar, as time allows.

Webinar Details

The audio portion of this webinar will be broadcast through the web. You can listen to the presentation through your computer speakers. CMS will open the phone line for the Q&A portion. If you cannot hear audio through your computer speakers, please contact CMSQualityTeam@ketchum.com.

More on Medicare Revalidation
Previously, MSSNY has reminded physicians of the requirement to revalidate their enrollment with the Medicare program. Once a timeframe is established for the physician or group, revalidation will occur every 5 years.  Physicians need to know that CMS/NGS Medicare reserves the right to perform off cycle revalidations in addition to the regular 5–year revalidations and may request that a provider or supplier recertify the accuracy of the enrollment information when warranted to assess and confirm the validity of the enrollment information maintained by CMS. Off cycle revalidations may be triggered as a result of random checks, information indicating local health care fraud problems, national initiatives, complaints, or other reasons that cause CMS to question the compliance of the provider or supplier with Medicare enrollment requirements. Off cycle revalidations may be accompanied by site visits.

In addition, physicians, non-physician practitioners, and physician and non-physician practitioner organizations must report the following reportable events to their Medicare contractor within the specified timeframes:

(1) Within 30 days—

(i) A change of ownership;

(ii) Any adverse legal action; or

(iii) A change in practice location.

(2) All other changes in enrollment must be reported within 90 days.

The law further provides that no payment will be made (by the program or the Medicare beneficiary) for an otherwise Medicare covered item or service during the period of deactivation of billing privileges.

Physician Fee Schedule Year 3 Proposed Rule: Comments Due September 10
On July 12, CMS released proposed changes to the Physician Fee Schedule and Quality Payment Program. CMS seeks comment on various proposals by 5 pm ET on September 10. See the proposed rule for information on how to submit your comments. If you haven’t yet done so but would like to, you can submit your comments on the CMS Proposed Rule electronically here – look for the green box, see below: This document has a comment period that ends (09/10/2018) SUBMIT A FORMAL COMMENT

NOTE: Personalized comments have the highest impact on CMS’ decision making process, so the public is encouraged to submit separate comments and add information about how this rule will uniquely impact the medical practice and patients. 

Classified

RENTAL/LEASING SPACE


Magnificent Medical Suites for Lease 184 East 70th St . New York, NY
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital , Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A: one consultation room plus 2 exam rooms. $6000 per month
Space B: One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharingFor full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.com

 


West 57 St. – Shared Office Space to Rent
Lovely Garden view office with natural light. Located near Columbus Circle in a beautiful Art Deco building. Recently renovated office with additional exam room/ room with a sink. Wi-Fi, medical waste pickup and cleaning included.  Ideal location in desirable neighborhood. Contact Jason Faller 914-393-6583 goutmd@aol.com


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. . Beautiful bright rooms, lovely reception area and front . First-rate building on 58th Street between Park and Lexington.  Rent by day (about $180) or by month ($5500). Front desk and office management available, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.


 


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up

PHYSICIAN OPPORTUNITIES

Medical Director in the NYS Office of Health Insurance Programs Division of Systems
The Medical Director position will be responsible to review prior approval requests and issue denials as indicated.  The incumbent will review pended claims and recommend whether payment should be made or denied and review requests for enhanced reimbursement for Out-of-State Hospital services.  The incumbent will participate in several external and internal committees including: Provider Enrollment Appeals Committee, Laboratory Policy Committee, Internal Benefit Review Committee, Irregular Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered Medication Committee, and Medical Coding Review and Coverage Decisions Committee.  The incumbent will also attend the Hearing Aid Dispensing Advisory Committee representing the Commissioner of Health and participate in the Evidence-Based Benefit Review.  The incumbent will a key stakeholder in monitoring the Radiology Utilization Management Contract and interacting with the Medical Director and clinical staff.  The incumbent will also be responsible to participate with other OHIP Medical Directors in meetings on topics about Medicaid Policy including DSRIP and VBP.

Interested candidates may submit a resume to Human Resources Management Group, Room 2276, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, 

or by email to resume@health.state.ny.us with a subject line “OHIP Medical Director Position,” or by fax to (518) 474-6771.


Physicians Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology startup committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are compensated for their participation, which requires only a few hours annually.

Interested? Learn more and apply today at www.98point6.com/pcc

 


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Council – September 13, 2018

AGENDA
MSSNY Council Meeting
Thursday, September 13, 2018, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590


A. Call to Order and Roll Call
B. APPROVAL of Council Minutes of May 10, 2018
C. New Business (All Action & Informational Items)

1. President’s Report
a. Minutes of the MSSNY Executive Committee Teleconference, August 20, 2018
b. Talking Points on the Membership Agreement with Northwell Hospitals
c. DRAFT Summary – Meeting with Assemblyman Gottfried

d. Long Range Planning Committee Grid

2. Board of Trustees Report –   Dr. Robert Hughes will present the report (handout)

3. Secretary’s Report – Dr. Frank Dowling will present the report for Nominations for   Life Membership, Dues Remissions & Special Life Membership request

4. MLMIC Update  –  Donald Fager will present a verbal report

5. AMA Report – Dr. John Kennedy will present the report

6. MSSNYPAC Report – Dr. Joseph Sellers will present the report (handout) 
       MSSNYPAC Executive Committee Action Item
    Approval of the MSSNYPAC Endorsement recommendations for candidates
    running for  re-election to the New York State Legislature and to the US Congress
    (FOR COUNCIL APPROVAL)

7. MESF Report – Dr. Charles Rothberg will present the report

8. CME Report – On behalf of Dr. Mark Adams, Dr. Paul Pipia will present the report

9. Presentation – Elizabeth Amato, Vice President, SHIN-NY Programs New York     eHealth Collaborative (NYeC)
Update on the Data Exchange Incentive Program (DEIP). The program which provides   physicians with up to $13,000 to help connect to the SHIN-NY).

10.    Councilors’ Action Reports (No written reports submitted)

D. Reports of Officers (Verbal Reports)    

  1. Office of the President – Thomas J. Madejski, MD
  2. Office of the President-Elect – Arthur C. Fougner, MD
  3. Office of the Vice President – Bonnie L. Litvack, MD
  4. Office of the Treasurer – Joseph R. Sellers, MD Financial Statement for the period 1/1/18 to 7/31/18
  5. Office of the Speaker – Kira A. Geraci-Ciradullo, MD

E. Reports of Councilors (Informational)

  1.          Kings & Richmond Report – Parag H. Mehta, MD
  2.          Manhattan & Bronx Report – Joshua M. Cohen, MD
  3.          Nassau County Report – Paul A. Pipia, MD
  4.          Queens County Report – Saulius J. Skeivys, MD
  5.          Suffolk County Report – Maria A. Basile, MD 
  6.          Third District Branch Report – Brian P. Murray, MD
  7.          Fourth District Branch Report – Gregory Pinto, MD
                 (no written report submitted)
  8.          Fifth District Branch Report –Howard H. Huang, MD
  9.          Sixth District Branch Report – Robert A. Hesson, MD
  10.        Seventh District Branch Report – Janine L. Fogarty, MD
  11.        Eighth District Branch Report – Edward Kelly Bartels, MD
  12.        Ninth District Branch Report  –  Thomas T. Lee, MD
  13.        Medical Student Section Report –  Breyen Coffin
  14.        Organized Medical Staff Section – Stephen F. Coccaro, MD
                  (no written report submitted)
  15.        Resident & Fellow Section Report – Justin Fuehrer, DO
                  (no written report submitted)
  16.        Young Physician Section Report – L. Carlos Zapata, MD
                  (no written report submitted)

F.  Commissioners (Committee Informational Items)

    1. Commissioner of Communications, Maria A. Basile, MD, MBA
           Report from the Division of Communications

    2. Commissioner of Governmental Relations, Gregory Pinto, MD

        1. MSSNY’s 2018 Legislative Summary (handout)
2. HIT Committee Minutes, June 1, 2018

    3. Commissioner of Membership, Parag H. Mehta, MD
       (No written report submitted)

    4. Commissioner of Science & Public Health, Joshua M. Cohen, MD
     1. Bio Ethics Committee Minutes, May 11, 2018
     2. Eliminate Health Disparities Committee Minutes, April 27, 2018
     3. Preventive Medicine & Family Health Minutes, May 3, 2018
     4. Division of Public Health & Education Report

5.Commissioner of Socio Medical Economics, Howard H. Huang, MD 
      1. Interspecialty Committee Minutes, June 28, 2018
      2. Workers’ Compensation & No Fault Minutes, June 6, 2018

G. Report of the Executive Vice President, Philip Schuh, CPA, MS
        1. Membership Dues Revenue Schedule
        2. Group Institutional Dues Comparison Report

H. Report of the General Counsel, Garfunkel Wild, P.C.

1.   Amendment to the Bylaws of the Nassau County Medical Society
An amendment to the bylaws of the Nassau County Medical Society was reviewed. A review confirms that the amendment relates to the internal governance of the Nassau County Medical Society, and does not conflict with the bylaws of  MSSNY.  Accordingly, it is recommended that the Council approve the amendment to the bylaws of the Nassau County Medical Society. (FOR COUNCIL APPROVAL)

2.    Amendments to the Bylaws of the New York County Medical Society

       The amendments to the bylaws of the New York County Medical Society were presented for review.  A review shows that the amendments relate solely to internal matters of the county medical society, which do not conflict with the bylaws of MSSNY. Accordingly, it is recommended that the amendments be approved.
(FOR COUNCIL APPROVAL)

3.     Amendments to the Bylaws of the Richmond County Medical Society
The amendments to the bylaws of the Richmond County Medical Society were
presented for review. A review shows that the bylaws are not in conflict with the bylaws of MSSNY.  Accordingly, it is recommended that Council approve the amendments.
(FOR COUNCIL APPROVAL)

I. Report of the Alliance, Valerie Semeran, Co-President
    Alliance Report

J. Other Information/Announcements  (all attached

1. Continuing Board Certification: Vision for the Future Commission Summary of Testimony July, 2018

    2. Department of Health & Human Services Letter to the AMA regarding changes in reimbursement rates for laboratory services on the Medicare Clinical Laboratory Fee Schedule and CMS Clinical Laboratory Fee Schedule Sign-On Letter.

3. Dr. Madejski’s Letter to Department of Health & Human Services – E&M Services & Coalition of State Medical Societies Sign-On E&M Letter

4. Dr. Madejski’s Letter to Workers’ Comp Board – Increase in the Workers’ Comp Medical Fee Schedule

5.  National Council of State Boards of Nursing Sign-On Letter – A request to reconsider certain provisions of the Advanced Practice Registered Nurse(APRN) Compact that alter state laws related to the scope of practice of APRNs

6. AMA Letter to the CEO of Walmart – Walmart Opioid Policy

7. Physician Advocacy Institute Letter to CMS & PAI Statement – Physician Self-Referral Law 

K. Adjournment

 

 

 

 

MSSNY eNews: Together-Yes! We Are Stronger!

 

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
August 31, 2018
Volume 20  Number 32

MSSNYPAC

Dear Colleagues:

I want to wish you a peaceful Labor Day weekend, and thank you for the care you provide to your patients individually, and through your membership in your County Medical Society and MSSNY for your efforts on behalf of patients collectively.  MSSNY and your County Society allow us to come together to advocate on behalf of our patients and our profession to improve the health and productivity of our country.

Some of you know that I am a member of the Council on Medical Service at the American Medical Association. I am writing this in the airport Tuesday afternoon, awaiting my flight to return to Buffalo from our summer Council on Medical Service meeting. The Council creates policy proposals for consideration by the AMA House of delegates. We reviewed a number of different topics, and had wide ranging discussions on how to improve care for our patients, improve physician satisfaction, and provide value to society.  We often have discussions about cost effectiveness and continue to look for data to support the AMA policies on healthcare. Some of the value we bring to patients and society is difficult to quantitate due to measuring effectiveness of a particular policy or intervention and the perspective of different entities—patients, physicians, insurers, economists and others.  During the creation of an upcoming report on the patient centered medical home, we had mixed data on the cost effectiveness of the PCMH concept.  Part of the discussion again looked at value to different stakeholders. From the patient standpoint, improved coordination of care and better preventive care seems like a no-brainer, but patients who live longer might ultimately be paradoxically more expensive in the long run.  Most of the tools used do not adequately capture the value to society from— hopefully—a reduction in the disabled population and a longer more productive life.

MSSNY and the AMA have a great working relationship. The AMA is a great source for health policy and assists MSSNY in our advocacy efforts at the New York State level.  MSSNY brings grassroots issues to the AMA on behalf of New York’s physician community, and through our MSSNY AMA delegation has led the country on issues relating to Out of Network billing, medical education, and many public health issues.

Local Medical Societies, MSSNY, and the AMA continue to work on behalf of our patients, our members, and the betterment of our societies.

Working together, we ARE stronger.  Thanks for your membership and labor on behalf of your patients.

Excelsior!

Please share your thoughts and comments with me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President


eNews

MIPS, NO MIPS, HATE MIPS? TELL US! 
Please take the three-question survey on your use/non-use of MIPS! https://www.surveymonkey.com/r/MIPS_Survey

MSSNY Joins Numerous Other Organizations to Protest CMS Permission to MA Plans to Use Step Therapy
MSSNY joined several other physician advocacy associations in a letter initiated by the American Medical Association to the Center for Medicare and Medicaid Services (CMS) expressing strong concerns about CMS’s recent notification to Medicare Advantage plans that they will no longer be prohibited from utilizing step therapy protocols for physician administered drugs covered under Medicare Part B beginning in 2019.   It would in effect overturn a 2012 CMS policy that had prohibited the use of step therapy for Part B covered medications.

Numerous states across the country, including New York, fought for the enactment of strong patient protection laws that put strict guardrails around the insurer/PBM use of “step therapy” for needed medications.  However, this policy would go in the opposite direction.  In particular, the AMA letter noted that “Step therapy protocols that require patients to try and fail certain treatments before allowing access to other, potentially more appropriate treatments can both harm patients and undercut the physician-patient decision-making process”.  Moreover, it would result “in delays in getting patients the right treatments at the right time and unnecessary complications in the physician-patient decision-making process”.

The letter also notes that the new policy would have a particularly significant impact on the sickest of Medicare-covered patients. “In many cases, patients receiving drugs covered under Part B are especially vulnerable, many with serious or life-threatening conditions. Many cancer therapies, for example, are covered under Part B. For cancer patients, selecting the proper personalized treatment as quickly as possible can be critical to survival. For others, such as those suffering from conditions like autoimmune disorders and progressive blinding eye diseases, delays in getting appropriate treatments can mean prolonged symptomatic periods and irreversible damage, making a “fail first” approach to treatment inappropriate.” The measure was advanced by CMS as part of its “Blueprint” to lower prescription costs.

MSSNY Joins House of Medicine to Urge CMS to Reject Proposal to Collapse E&M Payments
MSSNY has joined on to multiple letters to the Center for Medicare & Medicaid Services (CMS) to raise serious concern with CMS’ proposal to collapse evaluation and management (E/M) payments as part of its Medicare payment rule for 2019.  Both letters express appreciation for the CMS “Patients Over Paperwork” initiative to reduce the extraordinary documentation burden facing physicians, but also note that any benefit to be gained would be sizably outweighed by the likely significant reductions in payments.  Under the proposal, payments for E&M codes 99202-99205 would be $134 (instead of ranging from $76 to $211) and payments for E&M codes 99212-99215 would be $92 ($45 to $148).

MSSNY signed on to a letter initiated by the AMA and 170 other medical associations.  That letter that noted medicine’s support for CMS’ “goal of reducing administrative burdens for physicians and other health care professionals so that they can devote more time to patient care”, but also that there are “unanswered questions and potential unintended consequences that would result from the coding policies in the proposed rule.”  Moreover, it expressed concerns that the policy change “could hurt physicians and other health care professionals in specialties that treat the sickest patients, as well as those who provide comprehensive primary care, ultimately jeopardizing patients’ access to care.”

This week MSSNY also signed on to a letter initiated by the Coalition of State Medical Societies (consisting of the medical societies of AZ, CA, FLA, LA, NC, NJ, OK, SC and TX together with MSSNY).  In that letter, it was noted that the adverse outcomes of this change include:

  • Eliminating incentives for physicians to care for complex or complicated patients including those with disabilities and those with serious or terminal illnesses;
  • Making treating patients covered by Medicare even more financially challenging for physicians, leading more physicians to limit the number of Medicare patients they see or to opt out of the program entirely; and
  • Similar changes being imposed by commercial insurance companies that tend to follow CMS’ lead on payment matters.

NY Assembly Insurance Committee Chair Urges US DOJ to Block CVS-Aetna
Expressing great concern that the proposed acquisition of Aetna by CVS “creates a conglomerate that will be too difficult to regulate and will likely harm patient care,” this week Assembly Insurance Committee Chair Kevin Cahill urged the US Department of Justice to block this merger.  As noted in his press release, the letter to DOJ summarized several significant concerns that came to light during a June 4 hearing held by the New York Assembly Committees on Health and Insurance.  He asserted “that the loss of competition will result in increased prescription drug prices, harm independent pharmacies and diminish provider choice – all of which significantly hurts New York consumers.”

MSSNY President Dr. Thomas Madejski issued a statement thanking Assemblyman Cahill for sending this letter, and noting MSSNY’s testimony during the June 4 hearing that raising numerous concerns about the adverse impact to patient access to needed care. These concerns include: reduced community pharmacy access; reduced health insurer competition; increased prior authorization hassles; and marginalization of physician-owned medical homes.

Dr. Madejski’s statement also noted that several other entities, including the California Insurance Commissioner, the American Medical Association and the American Antitrust Institute also urged the DOJ to reject the proposed merger.   “Several diverse perspectives have resulted in the same conclusion – that this merger would have an adverse impact on patient access to care. We are hopeful that the US DOJ reviews these submissions very carefully, and reaches a similar decision” stated Dr. Madejski.

The Pharmacists Society of the State of New York also issued a statement to thank Assemblyman Cahill for taking this action, noting that “nothing good can come out of this merger”, and that “the only improved health outcome from this merger will be the dividends returned to CVS and Aetna shareholders”.

Governor Announces Series of Listening Tour for Regulated Marijuana
Governor Andrew Cuomo has announced a series of listening sessions on regulated marijuana slated for September and October.  The purpose of these sessions is to garner input from community members and key stakeholders on the implementation of a regulated marijuana program in New York State.  This input will assist the regulated marijuana workgroup in drafting legislation for an adult-use marijuana program for the legislature to consider in the upcoming session.  A copy of the governor’s press announcement is available at:

The listening dates and registration is required for the sessions:

– Wednesday, September 5 – Albany

– Thursday, September 6 – Glens Falls

– Monday, September 17 – Bronx

– Thursday, September 20 – Manhattan

– Monday, September 24 – Queens

– Tuesday, September 25 – Brooklyn

– Wednesday, September 26 – Staten Island

– Thursday, September 27 – Long Island

– Monday, October 1 – Newburgh

– Tuesday, October 2 – Binghamton

– Wednesday, October 3 – Buffalo

– Thursday, October 4 – Rochester

– Tuesday, October 9 – Syracuse

– Wednesday, October 10 – Utica

– Thursday, October 11 – Watertown

Registration for individual listening sessions: https://tinyurl.com/y9sh5j9k

USPSTF: Women at Risk for Perinatal Depression Should Get Counseling
The US Preventive Services Task Force is advising clinicians to refer women at risk for perinatal depression to counseling in a draft recommendation statement.

The grade B recommendation applies to both pregnant women and those who have given birth in the past year. The group suggested providing counseling to women with a history of depression, current depressive symptoms that are below the diagnostic threshold, or socioeconomic risk factors like low income or being young or single.

Effective counseling interventions include cognitive behavioral therapy and interpersonal therapy.

USPSTF draft recommendation

USPSTF draft evidence review

Background: NEJM Journal Watch Women’s Health coverage of averting postpartum depression in women at risk  

Free Tuition at NYU Medical School Could Create Pressure for Other Med Schools
Few medical schools could pull off NYU School of Medicine’s policy of offering free tuition and it could create a gap between well-financed institutions and other schools, two medical students at the Icahn School of Medicine at Mount Sinai wrote in STAT.

Classified

 

RENTAL/LEASING SPACE

 


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. . Beautiful bright rooms, lovely reception area and front . First-rate building on 58th Street between Park and Lexington.  Rent by day (about $180) or by month ($5500). Front desk and office management available, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.


Upper East Side Plastic Surgery Office Available for Rent Part Time
Located in posh Carriage House off Park Avenue with fully certified operative suite (AAAASF). OR can be rented separately.  OR Packages available for multiple case use. Please contact 212-628-7600between 11am and 6pm for further information.


Orthopedist to Rent Space
Sports Medicine Multidisciplinary Practice. MIDTOWN MANHATTAN. Exclusive Referrals Available
Turn key operation with full services. Unique opportunity with little to no risk.
Excellent for satellite or primary office. Flexible options available.
Inquire with director@manhattanspine.com www.manhattanmd.com


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up

PHYSICIAN OPPORTUNITIES

Medical Director in the NYS Office of Health Insurance Programs Division of Systems
The Medical Director position will be responsible to review prior approval requests and issue denials as indicated.  The incumbent will review pended claims and recommend whether payment should be made or denied and review requests for enhanced reimbursement for Out-of-State Hospital services.  The incumbent will participate in several external and internal committees including: Provider Enrollment Appeals Committee, Laboratory Policy Committee, Internal Benefit Review Committee, Irregular Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered Medication Committee, and Medical Coding Review and Coverage Decisions Committee.  The incumbent will also attend the Hearing Aid Dispensing Advisory Committee representing the Commissioner of Health and participate in the Evidence-Based Benefit Review.  The incumbent will a key stakeholder in monitoring the Radiology Utilization Management Contract and interacting with the Medical Director and clinical staff.  The incumbent will also be responsible to participate with other OHIP Medical Directors in meetings on topics about Medicaid Policy including DSRIP and VBP.

Interested candidates may submit a resume to Human Resources Management Group, Room 2276, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, 

or by email to resume@health.state.ny.us with a subject line “OHIP Medical Director Position,” or by fax to (518) 474-6771.


Physicians Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology startup committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are compensated for their participation, which requires only a few hours annually.

Interested? Learn more and apply today at www.98point6.com/pcc 


Chief of Medical Services
MINIMUM QUALIFICATIONS: Possession of a license and current registration to practice medicine in New York State, plus six years of experience in the practice of medicine, two years of which must be in an administrative or supervisory capacity. Appointee must be eligible for and maintain eligibility for full and unconditional participation in Medicaid and Medicare programs. Appropriate certification by an American Medical Specialty Board and one year of post certification experience in that specialty can be substituted for four years of general experience.
PREFERRED QUALIFICATIONS: Board certification in Geriatric Medicine and/or Certification as a Medical Director (AMDA), and experience in a long-term care facility.
RESPONSIBILITIES: Serve as Medical Director of a 242-bed skilled nursing facility for veterans and their dependents. Provide medical leadership and oversight ensuring the delivery of quality health care services while also ensuring compliance with clinical, statutory and regulatory standards.Send resume to:  NYS Veterans Home, Attn: Human Resources, 4207 State Highway 220, Oxford, NY 13830

The New York State Veterans Home at Oxford is a 242-bed skilled nursing facility operated by the NYS Department of Health located in Chenango County. It is an Affirmative Action/Equal Opportunity Employer. 


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MSSNY eNews: NYU’s Bold Step

 

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
August 24, 2018
Volume 20  Number 31

MSSNYPAC

Dear Colleagues:

When NYU School of Medicine announced last week that it will offer full tuition scholarships to all new, current and future students, it signaled a potential game-changer for the future of medical education in this country.

NYU Medical School students will graduate and move into residency with the ability to choose a path based on their passion—which might include research, family medicine or pediatrics—rather than choosing a more lucrative specialty in order to pay back loans. NYU will also benefit from an increasingly competitive applicant pool.  Hopefully, this will translate into new research initiatives and improved access and health outcomes for patients in the years ahead.

Presently, some residents may choose a specialty based on future income potential because of their massive loan debt. I don’t think that is a consideration for most students when they enter school, but has to be part of the equation for choosing a specialty as the bills pile up. According to the Association of American Medical Colleges, three out of four medical school graduates in 2017 graduated in debt—with the median amount at $192,000.

MSSNY and the American Medical Association both have concerns about the indebtedness of medical school graduates affecting their choice of specialty, as well as practice location.  While it is reasonable to postulate that reduced or no tuition will free medical students to follow their passion, the impact of loan forgiveness programs to date is less than compelling.

I practice in a rural, underserved area in upstate New York.  While New York State and the Federal government have a number of programs to entice physicians to practice in underserved areas, it is unusual to have a participant in those programs stay long term.

Studies that look at the long term effects of loan forgiveness are challenged to demonstrate any long term positive effect.  Having some of these gifted clinicians practicing in underserved areas is good for the community but, as demonstrated  by the decline in practitioners and small hospitals in rural areas in upstate New York, has not had a long lasting impact.  Nonetheless, every one of these physicians who stays long term is critical to maintain access and improve the health of their community.

The NYU initiative is a bold step in the right direction towards solving the long-standing issue of onerous and out-of-control medical school debt. Personally, I am skeptical that it will have a major effect on specialty choice as debt is just one of many factors in choice of specialty.  Will it help to improve access to care and health of our communities?  Is the $600 million cost of the program money well spent?  How will other medical schools respond to the NYU initiative?

Please share your thoughts and comments with me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President


eNews

MSSNY Testifies in Support of Transaction to Bolster Financial Stability of MLMIC
MSSNY Executive Vice-President Phil Schuh testified in support of MLMIC’s acquisition by Berkshire Hathaway, during a New York Department of Financial Services hearing this week examining the proposed transaction.  Mr. Schuh noted that “MLMIC’s alliance with Berkshire Hathaway will fortify its finances and enable MLMIC to continue its mission to assure physicians, dentists and hospitals have access to quality medical malpractice insurance coverage and risk management services long into the future”.

If the proposed transaction were to be approved, MLMIC policyholders between July 15, 2013 and July 14, 2016 would be eligible to receive approximately 1.9 times the amount paid in premiums over that time period.

Mr. Schuh’s testimony also urged that DFS assure that there is a strict deadline for release of the funds following the closure of the transaction after approval. Specifically, he urged that there be a prompt resolution to situations where a Policy Administrator (such as a health system or physician group) believes it has a legal right to payments otherwise due to the physician policyholder because it had paid premiums on behalf of that physician policyholder.  He noted that “some physicians have expressed concerns that entities with enormous resources at their disposal could coerce a physician to give up their statutory right to these proceeds because of the fear of excessive litigation costs.   He suggested that DFS impose a condition on the conversion approval “to assure a strict deadline for release of the funds from escrow following the closure of the transaction, whereby the funds will be awarded to the policyholder at the conclusion of such period if the process for resolving the dispute has not yet been completed.”


Governor Urged to Sign Legislation to Require Greater Transparency of Insurer Compliance with Mental Health & SUD Parity Laws
Physicians are urged to send a letter to the Governor requesting that he sign into law legislation (S.1156-C, Ortt/A.3694-C, Gunther) which directs the NY Department of Financial Services (DFS) to collect certain key data points and elements from health insurers in order to scrutinize and analyze if they are in compliance with the federal and state mental health and substance use (MH/SUD) disorder parity laws. A letter can be sent from here.

MSSNY, working together with the New York State Psychiatric Association and other specialty societies, had strongly supported this legislation as it passed the Legislature nearly unanimously.  While many physicians weighed in with their legislators in support earlier this year, advocacy should now be directed to the Governor’s office in support of this important measure.

If signed into law by the Governor, the information collected would be analyzed and used for the preparation of a parity compliance report that would be contained within in the annual “Consumer Guide to Health Insurers” issued by the DFS. Although MH/SUD parity laws have been on the books for over a decade on the federal and state level, recent Attorney General settlements note that there continue to be patterns of disparity between coverage criteria imposed on MH/SUD care and treatment as compared to other covered services.  The goal of the legislation is to better ensure compliance with these laws.


Photos from the MSSNY Booth at the Great New York State Fair
The Great New York State Fair is now underway in Syracuse (August 22-September 3). Come Visit the MSSNY booth in the Hall of Health outside gate #2!

 

Karen Jonas from Central New York Care Collaborative (left)
and Dr. Joseph Maldonado (right) 

Dr. David Page checks blood pressure at the MSSNY Booth


Attention: Guide to Timely Filing is Now Available
The “Guide to Timely Billing” presentation being used by the Department of Health for its August webinar series has been posted to emedny.org. Click here to view the PDF. For more information, contact 1-800-343-9000 or emednyalert@csra.com

Emblem Notified Its Network of A New Policy on July 19 re Modifier 25
The “Guide to Timely Billing” presentation being used by the Department of Health for its August webinar series has been posted to emedny.org. Click here to view the PDF. For more information, contact 1-800-343-9000 or emednyalert@csra.com.

Modifier 25 with Evaluation and Management Services Reported with Procedures

Date Issued: 7/19/2018

Modifier 25 is used to describe a significant, separately identifiable evaluation and management (E/M) service that was performed at the same time as a procedure.

Beginning October 30, 2018, our current coding policy will apply to GHI plans regarding E/M services billed with modifier 25 within 28 days of a previous face-to-face service. The E/M service will be denied when both of the following apply:

  • The E/M service (92002-92004, 92012-92014, 99201-99380, 99441-99499) is billed with modifier 25 on the same day as a procedure with a 0-day, 10-day, or 90-day postoperative period.
  • The patient has had a face-to-face service with the same provider for the same condition as the E/M service, and the 0-day, 10-day or 90-day procedure within the previous 28 days.


Face-to-face service codes included in this medical policy: 10021-36410, 36420-44680, 44800-69990, 90935-90993, 92002-92371, 92502-92504, 92511, 95831-95852, 96365-96379, 96405-96406, 96440, 96450, 96542-96999, 97597-97755, 97802-98943, 99100-99170, 99201-99285, 99291-99337, 99341-99357

After members questioned MSSNY about the veracity of this policy change, MSSNY questioned the plan.  Their Medical Director responded, as follows:

“As per the definition of Modifier 25, if there is a significant separate and distinct problem, not associated with a procedure performed or during the global period for a prior procedure, then the physician should appeal the determination by providing the appropriate documentation that substantiates the additional billing.”

                                                                    Regina McNally, MSSNY VP Socio-Med


New York Ranks Second Among States in Healthcare Spending

The Poughkeepsie (NY) Journal (8/22, Robinson) reports New York spent $57.6 billion, or about $3,000 per person, on healthcare in 2015, the second-highest total in the nation, behind New Mexico, according to a new study. The biggest driver of healthcare costs is Medicaid, accounting for about 80 percent of annual state health costs. More than six million New Yorkers are enrolled in the program, approximately one third of the state’s population. The state’s healthcare spending, however, “doesn’t appear to be translating into better quality,” as it “recently was ranked the 17th best health care system in the country based on cost, accessibility and medical outcomes.”

 

NEW MEMBER BENEFIT

Join MSSNY’s Member Perks Program and Enjoy $4,500 in Savings!
MSSNY is pleased to announce our newest member benefit!  Our new Abenity App provides members with exclusive perks and over $4,500 in savings on everything from restaurants, City Pass, AMC movie tickets, theme parks, hotels, car rentals, mortgage savings, auto care and much more!

Popular Features Include:

  • Nearby Offers: Use our show and save mobile coupons to quickly access savings on the go.
  • eTickets On Demand: Save up to 40% with no hidden fees.
  • Showtimes: Find movies, watch trailers, and save up to 40% at a theater near you.
  • Monthly Giveaways: Win cash, movie tickets, electronics and more with our monthly contests.

And, with over 302,000 available discounts across 10,000 cities in the United States and Canada, you’ll never be far from savings!

REGISTER & LOG IN:

    • Click on the following link: http://mssny.abenity.com
    • Create a unique user name and password
    • Visit the App Store and download the Abenity App
    • Begin Saving!

 

Classified

 

RENTAL/LEASING SPACE

 


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. . Beautiful bright rooms, lovely reception area and front . First-rate building on 58th Street between Park and Lexington.  Rent by day (about $180) or by month ($5500). Front desk and office management available, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.


Upper East Side Plastic Surgery Office Available for Rent Part Time
Located in posh Carriage House off Park Avenue with fully certified operative suite (AAAASF). OR can be rented separately.  OR Packages available for multiple case use. Please contact 212-628-7600between 11am and 6pm for further information.


Orthopedist to Rent Space
Sports Medicine Multidisciplinary Practice. MIDTOWN MANHATTAN. Exclusive Referrals Available
Turn key operation with full services. Unique opportunity with little to no risk.
Excellent for satellite or primary office. Flexible options available.
Inquire with director@manhattanspine.com www.manhattanmd.com


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up

PHYSICIAN OPPORTUNITIES

Medical Director in the NYS Office of Health Insurance Programs Division of Systems
The Medical Director position will be responsible to review prior approval requests and issue denials as indicated.  The incumbent will review pended claims and recommend whether payment should be made or denied and review requests for enhanced reimbursement for Out-of-State Hospital services.  The incumbent will participate in several external and internal committees including: Provider Enrollment Appeals Committee, Laboratory Policy Committee, Internal Benefit Review Committee, Irregular Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered Medication Committee, and Medical Coding Review and Coverage Decisions Committee.  The incumbent will also attend the Hearing Aid Dispensing Advisory Committee representing the Commissioner of Health and participate in the Evidence-Based Benefit Review.  The incumbent will a key stakeholder in monitoring the Radiology Utilization Management Contract and interacting with the Medical Director and clinical staff.  The incumbent will also be responsible to participate with other OHIP Medical Directors in meetings on topics about Medicaid Policy including DSRIP and VBP.

Interested candidates may submit a resume to Human Resources Management Group, Room 2276, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, 

or by email to resume@health.state.ny.us with a subject line “OHIP Medical Director Position,” or by fax to (518) 474-6771.


Physicians Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology startup committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are compensated for their participation, which requires only a few hours annually.

Interested? Learn more and apply today at www.98point6.com/pcc 


Chief of Medical Services
MINIMUM QUALIFICATIONS: Possession of a license and current registration to practice medicine in New York State, plus six years of experience in the practice of medicine, two years of which must be in an administrative or supervisory capacity. Appointee must be eligible for and maintain eligibility for full and unconditional participation in Medicaid and Medicare programs. Appropriate certification by an American Medical Specialty Board and one year of post certification experience in that specialty can be substituted for four years of general experience.
PREFERRED QUALIFICATIONS: Board certification in Geriatric Medicine and/or Certification as a Medical Director (AMDA), and experience in a long-term care facility.
RESPONSIBILITIES: Serve as Medical Director of a 242-bed skilled nursing facility for veterans and their dependents. Provide medical leadership and oversight ensuring the delivery of quality health care services while also ensuring compliance with clinical, statutory and regulatory standards.Send resume to:  NYS Veterans Home, Attn: Human Resources, 4207 State Highway 220, Oxford, NY 13830

The New York State Veterans Home at Oxford is a 242-bed skilled nursing facility operated by the NYS Department of Health located in Chenango County. It is an Affirmative Action/Equal Opportunity Employer. 


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MSSNY eNews: Visits from the DEA!

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
August 17, 2018
Volume 20  Number 30

MSSNYPAC

Dear Colleagues:

On Monday, August 13, I attended a meeting at the Medical Society of the County of Erie in order to better understand the DEA’s role in audits and investigations of buprenorphine providers.

Representing the medical community at this meeting were: Gale Burstein, MD, Chair, Public Health Committee (MSCE) and Commissioner-Erie County Department of Health; Nancy Nielsen, MD, PhD, Senior Associate Dean for Health Policy, Medicine, SUNY at Buffalo; and Christine Nadolny, Executive Director-MSCE.  Representing the DEA were: Edward Orgon, Resident Agent in Charge-US DEA, Joseph Cowell, Group Supervisor – US DEA Diversion Squad and Michael Cereo, Group Supervisor, US DEA Tactical Diversion Squad. 

There are two types of visits that a prescriber might receive from the DEA:  Compliance Inspections and Audits: 

  • Compliance Inspection is a minimally-invasive visit to an office wherein the DEA representative interviews the provider and may check buprenorphine stock on hand. This is done unannounced, but we received assurances that the DEA does not “shut down the office” while this is taking place, is done in a very respectful manner and in a way that does not alert patients that the DEA is on the premises.
  • Audits, which are normally only done after a compliance inspection and only if the DEA feels that a more thorough audit of the practice may be necessary.

According to Mr. Cowell (US DEA Diversion Squad), the only reason the audits are conducted is to ensure that buprenorphine is not being diverted onto the streets and prescribing physicians are employing all the prescribing protocols put forth by SAMHSA and state and federal regulations, which include:

  1. Verifying the prescriber’s credentials
  2. Checking on the number of patients under the prescriber’s care
  3. Ensuring that patients are monitored regularly during their treatment
  4. Verifying the ages of patients being treated
  5. Verifying the number of prescriptions being written v. number of patients
  6. Effectiveness and outcomes of treatment with buprenorphine
  7. Verifying that patients being referred to counseling are required to undergo urine testing for substances being administered (and results of testing).
  8. Verifying whether the prescriber is dispensing or administering buprenorphine on site or prescribing buprenorphine.

A physician practicing medicine in a lawful way has nothing to fear from either type of visit from the DEA.

Mr. Cowell provided some stats that prove that these types of aforementioned actions by the DEA are rare:

  • Of the 16,000 prescribers in the jurisdiction of the Division of the DEA that Mr. Orgon oversees, there have been only 20 cases of physicians being prosecuted criminally in the last 5 years. There is always a thorough investigation and evidence in hand before the DEA will “shut the office down” and bring an indictment against a provider.
  • The number of visits to provider’s offices (within the 17 counties overseen by this particular DEA office’s jurisdiction) have steadily decreased from 40 visits in 2013 to 9 visits in 2017 indicating that providers are prescribing within the confines of the law.  The DEA has not conducted one inspection or audit of a buprenorphine provider in the 17 counties to date in 2018.

It was clear during our discussion that all parties involved have the same goal in mind—the safe prescribing of buprenorphine to stop diversion of buprenorphine on the streets and to keep the health and safety of the public as the main priority.

Please send your thoughts to comments@mssny.org.

Thomas J. Madejski, MD 
MSSNY President


MLMIC Insurance

eNews

How to Obtain a Waiver to Treat Opioid Dependency
According to the Substance Abuse and Mental Health Services Administration (SAMHSA) there are 751 physicians in New York State that have a waiver to treat opioid dependency with approved buprenorphine products.  The 751 physicians are certified to treat 30 patients and there are 146 physicians who are certified to treat 100 patients.

Under the Drug Addiction Treatment Act of 2000 (DATA 2000)  qualified physicians may apply for waivers to treat opioid dependency with approved buprenorphine products in any settings in which they are qualified to practice, including an office, community hospital, health department, or correctional facility.

To Obtain a Waiver, please click here.

GOVERNMENT AFFAIRS

Governor Urged to Sign Legislation to Require Greater Transparency of Insurer Compliance with Mental Health & SUD Parity Laws
Physicians are urged to send a letter to the Governor requesting that he sign into law legislation (S.1156-C, Ortt/A.3694-C, Gunther) which directs the NY Department of Financial Services (DFS) to collect certain key data points and elements from health insurers in order to scrutinize and analyze if they are in compliance with the federal and state mental health and substance use (MH/SUD) disorder parity laws.   A letter can be sent from here.

MSSNY working together with the New York State Psychiatric Association and other specialty societies had strongly supported this legislation as it passed the Legislature.  While many physicians weighed in with their legislators in support earlier this year, advocacy should now be directed to the Governor’s office in support of this important measure. 

If signed into law by the Governor, the information collected would be analyzed and used for the preparation of a parity compliance report that would be contained within in the annual “Consumer Guide to Health Insurers” issued by the DFS. Although MH/SUD parity laws have been on the books for over a decade on the federal and state level, recent Attorney General settlements note that there continue to be patterns of disparity between coverage criteria imposed on MH/SUD care and treatment as compared to other covered services.  The goal of the legislation is to better ensure compliance with these laws. 

Tanning Bill Prohibition for Children under 18 Passes NYS Legislature
Governor Cuomo this week signed into law legislation strongly supported by MSSNY that would prohibit the use of tanning booths for children under 18.  The measure, Assembly Bill 7218A/Senate Bill 8858A, was sponsored by Assemblywoman Ellen Jaffe and Senator Phil Boyle.  MSSNY worked together with several public health advocacy organizations, including the American Cancer Society, to urge this measure be passed and signed into law.

“We have long known the dangers of indoor tanning and the devastating health risks that go along with prolonged exposure to ultraviolet rays,” Governor Cuomo said in signing this measure. “By further limiting our children from exposing themselves to this health risk, we can stop the spread of preventable disease and help save lives.”

Currently, the law allows children between the ages of 17-18 years of age to use tanning booths with parental permission.  According to the American Cancer Society, skin cancer is the most diagnosed cancer in the United States. About 95,400 invasive skin cancers will be diagnosed in the US, and more than 87,000 of these will be of melanoma, the most serious form.    The law takes effect immediately.


NYU: Free Tuition for Medical Students!
On August 15, New York University issued a statement that it will cover tuition for all its medical students regardless of their financial situation, a first among the nation’s major medical schools and an attempt to expand career options for graduates who won’t be saddled with six-figure debt. (Wall Street Journal Aug16)

NYU raised more than $450 million of the roughly $600 million it estimates it will need to fund the tuition package in perpetuity. The school will provide full-tuition scholarships for 92 first-year students—another 10 are already covered through MD/PhD programs—as well as 350 students already partway through the MD-only degree program. The full tuition program does not cover room and board. The school will refund out-of-pocket tuition payments already made for the current year, and return loans students may have taken out.

Nationally, 72% of graduates from the class of 2018 had debt from medical school, with a median of $195,000 in loans, according to student surveys by the Association of American Medical Colleges. More than one-third of medical students also have student loans from prior academic programs.

Sixty-two percent of NYU medical school’s most recent graduating class had student loans, averaging $171,908 for medical school and $184,000 overall. Most medical students will still need to pay for about $29,000 in annual room, board and other living expenses; tuition had been set at $55,018 for the coming year. (Wall Street Journal)

LEGAL

NYS Sues Purdue Pharma for Misleading Physicians about Opioids
New York State filed a lawsuit against Purdue Pharma on Tuesday, alleging that the opioid maker misled doctors and patients about the dangers of its drugs. The state joins a growing list of states and local governments that have turned to the courts in their effort to go after drug companies to link them to tens of thousands of fatal overdoses across the country.

Governor Andrew Cuomo said in a statement: “The opioid epidemic was manufactured by unscrupulous distributors who developed a $400 billion industry pumping human misery into our communities.” (Reuters 8/14) The suit says that more than 75 percent of New York’s opioid deaths were a result of painkillers and asserts that a statewide investigation found that the company’s marketing scheme contributed to the excessive use and prescription of opioids.

CASE DISMISSED: ACA Does Not Pre-Empt NY’s Risk Adjustment Rules
A federal judge has ruled that the Affordable Care Act does not pre-empt New York’s new risk adjustment rules, dismissing a lawsuit from UnitedHealthcare of New York. The decision could potentially cost the insurer tens of millions of dollars. U.S. District Court Judge John Koeltl said the insurer’s claims “are meritless.” “If Congress intended to preempt all state risk adjustment programs, it is unlikely it would have included provisions expressly leaving to the states the power to promulgate any regulations that did not conflict with the ACA,” Koeltl wrote. Maria Vullo, the superintendent of the Department of Financial Services, said in a statement she is pleased with the federal court’s decision. “This decision correctly upholds New York’s regulatory insurance authority and clearly affirms that New York’s continued enforcement of New York insurance law and regulation is not preempted by federal law,” she said. (Politico, Aug. 14)


BILLING

MSSNY Members Only: Unpaid Claims?? We Can Help!
In 2016, MSSNY’s Ombudsman Program was successful in recovering $89,815.79 for physicians who had reached a stalemate regarding unpaid claims. For calendar year 2017, we recovered a total of $308,889.18 for our MSSNY members who availed themselves to the Ombudsman service. So far for January through June of 2018, we recouped $62,639.58 for our members.  If you are a member in good standing, this service is available to you for FREE! For further information, call 516-488-6100 ext. 334 or 332.


NEW MEMBER BENEFIT

Join MSSNY’s Member Perks Program and Enjoy $4,500 in Savings!
MSSNY is pleased to announce our newest member benefit!  Our new Abenity App provides members with exclusive perks and over $4,500 in savings on everything from restaurants, City Pass, AMC movie tickets, theme parks, hotels, car rentals, mortgage savings, auto care and much more!

Popular Features Include:

  • Nearby Offers: Use our show and save mobile coupons to quickly access savings on the go.
  • eTickets On Demand: Save up to 40% with no hidden fees.
  • Showtimes: Find movies, watch trailers, and save up to 40% at a theater near you.
  • Monthly Giveaways: Win cash, movie tickets, electronics and more with our monthly contests.

And, with over 302,000 available discounts across 10,000 cities in the United States and Canada, you’ll never be far from savings!

REGISTER & LOG IN

Click on the following link: http://mssny.abenity.com and then create a unique username and password 

MEDICAID

Reminder: 2018 Meaningful Use Registration for Public Health
In order to meet the 2018 Meaningful Use Public Health Reporting requirements for the NY Medicaid EHR Incentive Program, providers must complete their registration of intent in the Meaningful Use Registration for Public Health (MURPH) System. Registration of intent must be completed before or within 60 days of the start of the provider’s 2018 EHR reporting period.

The last 90-day EHR reporting period available in 2018 is October 3, 2018 – December 31, 2018. Therefore, the final day a registration of intent may be submitted for that period is December 1, 2018.

Note: Only one registration is required. If you previously completed your registration in MURPH, then you do not need to submit a new registration. You may edit an existing registration as necessary.

More information about Meaningful Use Public Health Reporting, including webinars, MURPH registration guides, and FAQs are available at www.health.ny.gov/ehr/publichealth. For additional assistance, please contact program support at 1-877-646-5410 Option 3 or MUPublicHealthHelp@health.ny.gov.

INNOVATOR

SOMOS-IPA: An “Innovator,” New Value Based Payment Contracting Designation
First Physician Group to Achieve Innovator Designation

The New York State DOH, on August 14, announced that Somos Independent Practice Association has been designated as an Innovator under Medicaid’s Value Based Payment (VBP) Roadmap, a key component to the Delivery System Reform Incentive Payment (DSRIP) Program. Somos-IPA is the first physician-led group in the State to reach VBP Innovator status.

VBP Innovators contract at the most advanced payment levels with managed care organizations to improve quality of care for a defined group of patients while sharing in financial gains and risks. By taking on additional management and administrative functions, providers approved as Innovators are eligible for an increased portion of the monthly payment made by Medicaid to the Managed Care Plan. New York’s Roadmap is unique in requiring Innovators to include community-based organizations and address social determinants of health interventions such as housing, food insecurity or transportation.  As part of New York’s $8 billion DSRIP federal waiver, the VBP Roadmap builds on the success of DSRIP’s Performing Provider Systems (PPS) and paves the way for New York’s Medicaid program to shift to paying for value over volume.

The Somos-IPA, which is comprised of three community based Physician IPAs: Corinthian, Excelsior, and Eastern Chinese American Physicians, will cover Bronx, Kings, Queens, and New York Counties. The Innovator network will also partner with Montefiore Health System & St. Barnabas Hospital, MEDISYS Health System, NYU Health System, and Wycoff Heights Hospital. Included in the Somos-IPA Innovator network will be17 community-based organizations to help address social determinants of health such as nutrition, economic stability, and housing. By contracting with seven Medicaid Managed Care Organizations, the SOMOS-IPA will care for an estimated 180,000 Medicaid members in its first year. Somos IPA is the third VBP Innovator designated by the State. Earlier this year, DOH designated Montefiore ACO-IPA and NYU-Langone IPA,

two hospital-led systems, as VBP Innovators.

Classified

 

RENTAL/LEASING SPACE

 


Upper East Side Plastic Surgery Office Available for Rent Part Time
Located in posh Carriage House off Park Avenue with fully certified operative suite (AAAASF). OR can be rented separately.  OR Packages available for multiple case use. Please contact 212-628-7600between 11am and 6pm for further information.


Orthopedist to Rent Space
Sports Medicine Multidisciplinary Practice. MIDTOWN MANHATTAN. Exclusive Referrals Available
Turn key operation with full services. Unique opportunity with little to no risk.
Excellent for satellite or primary office. Flexible options available.
Inquire with director@manhattanspine.com www.manhattanmd.com


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up

PHYSICIAN OPPORTUNITIES

Medical Director in the NYS Office of Health Insurance Programs Division of Systems
The Medical Director position will be responsible to review prior approval requests and issue denials as indicated.  The incumbent will review pended claims and recommend whether payment should be made or denied and review requests for enhanced reimbursement for Out-of-State Hospital services.  The incumbent will participate in several external and internal committees including: Provider Enrollment Appeals Committee, Laboratory Policy Committee, Internal Benefit Review Committee, Irregular Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered Medication Committee, and Medical Coding Review and Coverage Decisions Committee.  The incumbent will also attend the Hearing Aid Dispensing Advisory Committee representing the Commissioner of Health and participate in the Evidence-Based Benefit Review.  The incumbent will a key stakeholder in monitoring the Radiology Utilization Management Contract and interacting with the Medical Director and clinical staff.  The incumbent will also be responsible to participate with other OHIP Medical Directors in meetings on topics about Medicaid Policy including DSRIP and VBP.

Interested candidates may submit a resume to Human Resources Management Group, Room 2276, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, 

or by email to resume@health.state.ny.us with a subject line “OHIP Medical Director Position,” or by fax to (518) 474-6771.


Physicians Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology startup committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are compensated for their participation, which requires only a few hours annually.

Interested? Learn more and apply today at www.98point6.com/pcc 


Chief of Medical Services
MINIMUM QUALIFICATIONS: Possession of a license and current registration to practice medicine in New York State, plus six years of experience in the practice of medicine, two years of which must be in an administrative or supervisory capacity. Appointee must be eligible for and maintain eligibility for full and unconditional participation in Medicaid and Medicare programs. Appropriate certification by an American Medical Specialty Board and one year of post certification experience in that specialty can be substituted for four years of general experience.
PREFERRED QUALIFICATIONS: Board certification in Geriatric Medicine and/or Certification as a Medical Director (AMDA), and experience in a long-term care facility.
RESPONSIBILITIES: Serve as Medical Director of a 242-bed skilled nursing facility for veterans and their dependents. Provide medical leadership and oversight ensuring the delivery of quality health care services while also ensuring compliance with clinical, statutory and regulatory standards.Send resume to:  NYS Veterans Home, Attn: Human Resources, 4207 State Highway 220, Oxford, NY 13830

The New York State Veterans Home at Oxford is a 242-bed skilled nursing facility operated by the NYS Department of Health located in Chenango County. It is an Affirmative Action/Equal Opportunity Employer. 


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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