November 16, 2018 – WSJ, AMA and Wild Fires

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

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
November 16, 2018
Volume 21  Number 42

MSSNYPAC

Colleagues:

I spent last weekend in National Harbor, Maryland, at the Interim AMA Meeting with our hard working delegation. I am a member of the Council on Medical Service and at our meeting, the following item was discussed:

AMA’s CMS Report 4 addresses Site of Service Differential. The AMA supports Medicare payment for the same service routinely and safely provided in multiple outpatient settings (Office, HOPDs and ASCs) that are based on sufficient data regarding the actual cost in each setting. The AMA approved an amendment to its existing policy so that outpatient services are site neutral without lowering Medicare payments. 

Other major directives discussed are:

  • Physicians again forcefully spoke out on gun-violence policy as AMA delegates adopted policy calling for a better background-check system for firearms purchases, a ban on 3D-printed firearms, and “gun violence restraining orders” for people arrested or convicted of domestic violence or stalking.

The AMA’s actions stem from comprehensive policy adopted in previous House of Delegates meetings to stem the deadly toll of firearm violence.

  • Better data needed to guide suicide prevention efforts among physicians and medical students. Citing the high rate of suicide completion among medical professionals when compared with the general population and work-related stress as a risk factor for doctors, delegates want a better understanding of patterns linked to physician and medical student suicide. Long work hours are commonly cited as a reason for the prevalence of mental illness and burnout among physicians and medical students, but additional institutional factors can contribute to suicide.

  • Sex education should include age-appropriate content on bullying, consent. More than 11 percent of high-school girls are victims of forced sex, along with 3.5 percent of high-school boys, says a 2017 Centers for Disease Control and Prevention survey. To encourage this approach, delegates directed the AMA to “support state legislation mandating that public middle and high school health education programs include age-appropriate information on sexual assault education and prevention, including but not limited to topics of consent and sexual bullying.”

  • Help homeless people get the government ID cards often needed to access medical care. More than 3.5 million Americans will experience homelessness at some point in a given year—and nearly 80,000 are chronically homeless. Lack of government-issued identification remains a major barrier to seeking medical care. Delegates adopted new policy to: Recognize that among the homeless population, lack of identification serves as a barrier to accessing medical care and fundamental services that support health. Support legislative and policy changes that streamline, simplify and reduce or eliminate the cost of obtaining identification cards for the homeless population.

Other important issues:

  • Prescription-drug importation from Canada.
  • Improved access to preventive care.
  • Rural health disparities.

California Doctors

Our hearts go out to all those who have suffered tremendous losses in the California wild fires. Past President of the California Medical Association President Dick Thorpe, lost his house in Paradise, where his internal medicine practice is also located. They have kept their doors open by temporarily moving it to Chico. You can help our friends in California at their website.

Wall Street Journal and Marijuana

Finally, I made it into the Wall Street Journal. It was not for the usual reasons, but they actually published my letter to the editor regarding MSSNY’s stance on marijuana in response to an editorial from former Speaker of the House of Representatives, John Boehner, a consultant to the marijuana industry.

Contact me at comments@mssny.org.

Thomas J. Madejski, MD
MSSNY President


MLMIC Insurance for Doctors


 

eNews

NYU Langone to Open New Medical School on Long Island by September 2019
NYU Langone plans to open a new medical school on Long Island by September 2019 that would exclusively train primary care physicians, NYU President Andrew Hamilton announced at a University Senate meeting on Thursday.

“We have the opportunity to create a new medical school that would focus exclusively on primary care physicians,” Hamilton said. “It will be a three-year program focused on training physicians to become practicing doctors in primary care in communities.”

Over the last two years, Langone has merged with Winthrop Hospital on Long Island, and this would be the site of the new medical school. Hamilton mentioned an existing infrastructure of dormitories and educational facilities at Winthrop Hospital, which would make a transition into a full-blown medical school easier. There are several steps still to go before the medical school could be deemed official, such as receiving state approval. If approved, the school would enroll 40 students per semester, potentially by as early as September 2019 according to Hamilton.


FDA Increasing Scrutiny of Drug Manufacturing Processes In Light of Recalls
FDA Commissioner Scott Gottlieb, M.D., announced “the agency is increasing its focus on drug quality to guard against impurities such as the potentially cancer-causing chemicals that have been found in three commonly prescribed blood pressure medications.” Following the recall of valsartan, irbesartan, and losartan, Dr. Gottlieb said the FDA has recruited “dozens of chemists to review pharmaceutical companies and monitor for any changes in manufacturing techniques” to help “prevent drug impurities that may be harmful to consumers.” The article points out that the agency is currently “investigating the scope of the manufacturing problem that led to the recalls.” USA Today (11/14)


Older Age and Lack of Experience with Transgender May Hinder Caring
Findings published in the Annals of Family Medicine.(11/12,Subscription Publication) reports, “Older age and lack of personal experience with transgender individuals may correlate inversely with a clinician’s willingness to care for transgender patients,” The authors of an accompanying editorial write that transgender people often report feeling stigmatized or misunderstood by healthcare” professionals. The editorialists “use a hypothetical case scenario to show how physicians and their office staff can communicate with transgender patients in sensitive and respectful ways.”


NY Rx Card Banner


Workers with Highest Suicide Rates Have Construction, Mining, and Drilling Jobs
On November 16, The Centers for Disease Control and Prevention published in their Morbidity and Mortality Weekly Report that “workers with the highest suicide rates have construction, mining and drilling jobs.”  The findings corrected “an earlier study that mistakenly said farmers, lumberjacks and fishermen killed themselves most often.” In arriving at these conclusions, investigators examined data on “22,000 people who died of suicide in 2012 and 2015, and what jobs they held.”


SAVE THE DATE for the MSSNY Sections Annual Meeting: Young Physicians, Residents and Fellows, and Medical Students. Saturday, February 9, 2019. Contact sbennett@mssny.org

SYMPOSIUM/CME

Cybersecurity: A Daily Threat for Healthcare” CME webinar RESCHEDULED

November 28, 2018 at 7:30am Registration now openThe originally scheduled Medical Matters free CME webinar: Cybersecurity: A Daily Threat for Healthcare was unexpectedly cancelled owing to insurmountable weather and traffic conditions in the Capital District on November 14, 2018.

There were multiple road closures leading into Albany from every direction, preventing MSSNY staff and program faculty from reaching the MSSNY offices.  This was additionally compounded by technical difficulties that prevented MSSNY staff from accessing email remotely.

MSSNY has rescheduled this program for November 28th at 7:30am.  Register here for Medical Matters: Cybersecurity: A Daily Threat for Healthcare.  Mahesh Nattanmai, Deborah Sottolano, PhD 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. 


“The Continued Public Health Threat of Measles 2018” CME webinar
December 12, 2018 at 7:30am – Registration now open

In lieu of the recent measles outbreaks in New York State, MSSNY has added a just-in-time Medical Matters webinar to our 2018-19 schedule.  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 program here.

Educational Objectives:

  • Increase physician’s awareness of the role of measles as re-emerging infection.
  • Discuss strategies to improve vaccination rates.
  • Explore herd immunity and the role it plays in recent measles outbreaks.

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. 


Alzheimer’s Disease Research Symposium at Stonybrook on November 19
Learn from key experts about the important research being conducted at Stony Brook Medicine in the field of Alzheimer’s disease. The Stony Brook Center of Excellence for Alzheimer’s Disease will present a symposium on Monday, November 19, from 12 pm to 2 pm in the Health Sciences Tower, Galleria, Level 3.

No registration is required. For more information, email Daphne.Perry@stonybrookmedicine.edu or call (631) 632-3074.


Garfunkel Ad


FDA

FDA Approved Supplemental Application for Gardasil 9
The US Food and Drug Administration (FDA) has approved a supplemental application for Merck’s 9-valent human papillomavirus vaccine (Gardasil 9) to include women and men aged 27 through 45 years.

The CDC has stated that HPV vaccination prior to becoming infected with the HPV types covered by the vaccine has the potential to prevent more than 90% of these cancers, or 31,200 cases every year, from ever developing. The CDC estimates that every year about 14 million Americans become infected with HPV. About 12,000 women are diagnosed with cervical cancer and about 4000 women die from cervical cancer caused by certain HPV viruses. HPV is also associated with several other forms of cancer affecting men and women.

In 2014, the FDA approved Gardasil 9, which covers the same four HPV types as Gardasil as well as five additional types (31, 33, 45, 52, and 58). Gardasil 9 was first approved for use in males and females aged 9 through 26 years.

According to the FDA, in a study in roughly 3200 women aged between 27 and 45 years followed for an average of 3.5 years, Gardasil was 88% effective in preventing the combined endpoint of persistent infection, genital warts, vulvar and vaginal precancerous lesions, cervical precancerous lesions, and cervical cancer related to HPV types covered by the vaccine.

The safety of Gardasil 9 was evaluated in a total of about 13,000 males and females. The most commonly reported adverse reactions were injection-site pain, swelling, redness, and headaches.

The FDA granted the Gardasil 9 application priority review status, a program that facilitates and expedites the review of medical products that address a serious or life-threatening condition.


Dr. First Banner


NYS Mediciad

Continuous Recruitment for NYS DUR Board Membership
Federal legislation requires States to maintain a DUR program and establish a Drug Utilization Review (DUR) Board.  The NYS Medicaid DUR Board provides recommendations to the Health Department associated with establishing clinical standards for Medicaid’s pharmacy program. The composition of the DUR Board can be found on pages 1 & 2 of the General Operating Procedures.

Responsibilities of the DURB include:

  • The establishment and implementation of medical standards and criteria for the retrospective and prospective DUR program.
  • The development, selection, application, and assessment of educational interventions for physicians, pharmacists and recipients that improve care.
  • The collaboration with managed care organizations to address drug utilization concerns and to implement consistent management strategies across the fee-for-service and managed care pharmacy benefits.
  • The review of therapeutic classes subject to the Preferred Drug Program.

CVs associated with interest in becoming a DUR Board member are accepted continuously and can be submitted to the DUR Board mail-box at dur@health.ny.gov. If no vacancies exist, CVs will be kept on file for consideration once a position becomes available. Questions on membership and candidacy can be directed to the DUR Board Member Liaison, Robert Sheehan, at dur@health.ny.gov or 518-486-3209.

For more information about the NYS Medicaid DUR Board please go here.


 


Join MSSNY Banner


Classified

RENTAL/LEASING SPACE


For Rent or Share – Woodbury, Long Island
Beautiful recently renovated Plastic Surgery Class C-M AAAA-certified Operating Room available for part-time share and available for rent. Centrally located on Long Island. Close to expressways.
1 exam room /OR. Waiting room & break room. Available for full or half-days. Free WIFI. Suits Plastic/Cosmetic Surgeons/Derm/ENT/ObGyn/Podiatry or other Medical MDs. Contact Kendra at Kendra@drmadnani.com or 516-226-1080


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 or by month. Price is negotiable. 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.

58th Street room1 58th Street room2 58th Street room3


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


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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

November 9, 2018 – Winners and Losers

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

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
November 9, 2018
Volume 20  Number 42

MSSNYPAC

Colleagues:

The Arena

Apart from personal thoughts, beliefs and policy implications, I was fascinated and intrigued by the run up to the elections Tuesday night. I was encouraged, and my faith in our system was strengthened by the level of participation and engagement of all of us in the electoral process.  Democracy is a terribly inefficient system of government, but there is none better.

Then national, and importantly for MSSNY and our members, New York State political landscapes have changed (See article below). Subsequent to this, I had an email chat with some of our members on the importance of political activity and participation in MSSNYPAC. (Please see my contribution to the discussion below.)

The President of MSSNY is responsible for executing the MSSNY agenda (which changes depending on our members’ thoughts and desires) and, with the direction of the HOD and Council, the operation of the organization to attempt to achieve that agenda. Part of that Presidential responsibility is to try and get us to all pull together and craft a team of physician leaders to have the best chance of achieving our goals.

The PAC

PAC activity was created by our broader society as a mechanism for advocacy, and former wise leaders created MSSNYPAC to complete our advocacy efforts. It is a helpful tool; it would be more helpful if it was if better funded. When I came into the Presidency, one of my goals was to make us as effective as possible, building on the work of my predecessors. I asked staff to provide me data on PAC participation. We have excellent, but not uniform participation within leadership and committees. I also want to be sure that our committee members are committed to success for their efforts by participating personally and financially in our advocacy efforts.  While everyone’s personal circumstances differ, it should be a rare exception to not participate at all. There are a few instances that I can contemplate for not participating. Having said that it does raise a question of cognitive dissonance for achieving our mission.

Part of leadership is to lead by doing. We will reach out to every member, especially our new members who are becoming engaged (For example, I spoke with a new member who is excited to join us and will participate on our Legislative and CME committees) and ask them to participate in MSSNYPAC and the MSSNY Physicians Advocacy Liaison (PAL) Network.

You look for inspiration when you participate in an organization. I think that is one of the hardest things for a President to do. I felt honored to be able to have my Presidential Reception at the Theodore Roosevelt inaugural site. TR spoke about the responsibilities of citizenship in Paris in 1910:

It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat.

As physicians, we have a responsibility to the profession.  I’d like all members to dare greatly, inspire other non-members to join us as we try and make the practice of medicine, and the arena we live in—a better place.

Dare greatly!

Join MSSNYPAC http://www.mssnypac.org/contribute.

Contact me at comments@mssny.org.

Thomas J. Madejski, MD
MSSNY President


MLMIC Insurance for Doctors


 

eNews

Election Results Could Bring Major Change to Albany
This week’s election will bring many familiar faces back to Albany in 2019 but many new ones as well.  Overall, there will be nearly 40 new state legislators come 2019.

Democratic Governor Andrew Cuomo, Lieutenant Governor Kathy Hochul and Comptroller Tom DiNapoli were all re-elected for new four year terms. In the race for Attorney General, Democrat Letitia James defeated Republican Keith Wofford, to succeed current interim AG Barbara Underwood.

Perhaps the most significant aspect of this week’s elections is that Democrats will now have control of the New York State Senate for the first time in a decade and for only the second time in the last 50 years. Democrats appear to have picked up 8 new seats in the State Senate that had previously been held by Republicans, though ballots from some of these races are still being counted.  If the numbers hold as they are now, Democrats will outnumber Republicans 39-24.  These potential pick-ups include:

  • SD-3 (Suffolk): Monica Martinez (D) defeating Dean Murray (R) to replace Sen. Tom Croci (R)
  • SD-5 (Nassau/Suffolk): James Gaughran defeating Sen. Carl Marcellino (R)
  • SD-6 (Nassau): Kevin Thomas (D) defeating Senate Health Committee Chair Kemp Hannon (R)
  • SD-7 (Nassau): Anna Kaplan (D) defeating Sen. Elaine Phillips (R)
  • SD-22 (Kings): Andrew Gournardes (D) defeating Sen. Martin Golden (R)
  • SD-39 (Orange/Ulster): James Skoufis (D) defeating Tom Basile to replace Sen. Bill Larkin (R)
  • SD-40 (Putnam/Westchester): Peter Harckham (D) defeating Sen. Terence Murphy (R)
  • SD-42 (Orange/Sullivan/Ulster): Jen Metzger (D) defeating Anne Rabbit (D) to replace Sen. John Bonancic (R)

For more information about the still contested races, click here.

In the State Assembly, Democrats held their wide majority, 106-44. Three incumbent Democrats (Pellegrino, Jenne, and Magee) lost their seats to Republican challengers (LiPetri, Walczyk, and Salka). Two Republican incumbents (Curran, Walter) were defeated by Democratic challengers (Griffin and McMahon).

With so many new Assemblymembers and Senators coming to Albany next year, the need for physician grassroots involvement is greater than ever.

With the Democrats taking control of both the New York Senate in addition to the Assembly, there could be significant change in the approach to health care legislation. For example, many Democrats in their campaigns pushed for many progressive changes, including single payer healthcare. While that bill has overwhelmingly passed the Assembly multiple times, those votes were taken when it was likely the legislation would not be approved by the Senate.  Other health care issues likely to be acted upon include legalizing recreational marijuana, and expanding access to contraception.

There has never been a greater need for MSSNY members to become active both politically and at the grassroots level. It cannot just be left to a relative few individuals to participate and be active in MSSNYPAC and the MSSNYPAL. Many are part of our efforts but we need far more. We must broaden our network of active physicians. If you are not a member of MSSNYPAC, or would like to increase your contribution, you can do so at www.mssnypac.org/contribute.

Moreover, with some new faces in the Legislature, it is a perfect time to join MSSNY’s Physician Advocacy Liaison (PAL) program to commit to engaging with your local legislators on an ongoing basis to assure they are familiar with the concerns of physicians and their patients.  For more information about the PAL, contact Carrie Harring at charring@mssny.org, or join today at PAL Sign Up.


NY Rx Card Banner


Federal Elections Bring Change to Washington for New York House Seats
At the federal level, party control of the U.S. House of Representatives switched from Republican to Democrat as Democrats across the country won at least 30 seats. However, the Republicans increased their majority in the U.S. Senate, defeating Democratic incumbents in Florida, Indiana and North Dakota.

In New York’s House races, 22 of its 27 incumbent Representatives won re-election.  However, two incumbent Republican Congressmen, Dan Donovan and John Faso, lost their re-election bids to Democrat challengers Max Rose and Antonio Delgado, while a third, Democrat Anthony Brindisi, appeared to have defeated Republican incumbent Claudia Tenney with ballots still to be counted.   Also of note, current Assembly Democratic Majority Leader Joe Morelle defeated Republican Dr. Jim Maxwell to become Representative for the 25th Congressional District which is presently vacant following the death of Congresswoman Louise Slaughter (D).

New York’s U.S. Senator Kirsten Gillibrand was easily re-elected to another 6-year term, defeating Republican Chele Farley.


NYC Marathon Hero!
MSSNY Member and NYC Marathoner Theodore Strange MD, Stopped at Mile 16 to Save a Life

Dr. Theodore Strange, an IM from Richmond County (Staten Island), was running his 25th NYC Marathon last Sunday. At mile 16, Dr. Strange answered a call for help for a downed female runner. She was not breathing; he started performing CPR and called for an officer to bring him a defibrillator. On the fourth shock, the woman breathed and was finally taken to the hospital. “People have been calling me a hero, but I was doing what I was trained to do,” he said. Read the full story here.


Garfunkel Ad


Gov. Raises Medicaid Rates for Hospitals and Nursing Homes before Election
Gov. Andrew Cuomo “quietly increased Medicaid rates to hospitals and nursing homes” just a few days before the election. In the New York State Register, “the state Health Department notified the public of a two percent hike for hospitals and 1.5 percent nursing homes on page 90.”


Gov. Signs Measure to Eliminate Patient Cost-Sharing for Prostate Cancer Screening
Governor Cuomo signed into law this week legislation passed earlier in the year (S.6882-A, Tedisco/A.8683-A, Gottfried) and supported by MSSNY to ensure that health insurers provide coverage for diagnostic testing for prostate cancer for men 40 and over with a family history, and men 50 and over who are asymptomatic, without such care being subject to annual deductibles or coinsurance.

The bill would also require the inclusion of information regarding the availability of insurance coverage for prostate cancer screening without cost sharing in the standardized written summary prepared by the Commissioner of Health.  New York has for many years required insurance coverage for these tests, but were subject to patient cost-sharing.  The new law, effective for insurance policies initiated or modified after January 1, 2019, would provide coverage without patient cost-sharing to a greater cohort of men for necessary prostate cancer screening than what has been recommended by the US Preventative Services Task Force. 


Would You Like to Share MSSNY’s The Daily  with Other Professionals in your Practice?
MSSNY is ready to extend this popular member benefit to the PAs and NPs on your staff. If you’re interested, please send the email addresses of the appropriate professionals in your office to rraia@mssny.org so they can begin to enjoy this daily sweep of healthcare news.


Medical Society of NY Classifieds


The Best Test is the One That Gets Done: Colorectal Cancer Screening
“How to Save Lives and Resources by Matching the Test with the Patient,” featuring Dr. Dorado Brooks, VP Cancer Control Interventions, American Cancer Society; and Dr. Heather Dacus, Director, Bureau of Cancer Prevention and Control, NYS Department of Health.

WHEN: November 13th, 2018, from Noon to 1:00 pm. To register click or copy this link. Register today while lines are still available!


Nine Cases of Flaccid Myelitis Suspected in New York
New York health officials say there are now nine suspected cases of acute flaccid myelitis in the state, a mysterious condition that’s paralyzing children nationwide.

The last known report from state Department of Health officials put the number of suspected cases at five in late October. On Wednesday, they confirmed four additional cases are under investigation. They declined to say where the suspected cases originated, other than outside of New York City, citing patient confidentiality laws.

None of the nine cases have been confirmed yet, said spokesman Jeffrey Hammond. So far this year, the CDC has confirmed   80 out of 219 suspected cases of acute flaccid myelitis. The cases have been reported across 25 states, with an increase occurring in August and continuing through September and October — similar to other spike years.


Big Employers Will Use Online Startup To Save On Medicine Costs 
A group of large employers plans to use a new online prescription-savings tool as they confront high drug costs and try to steer patients to the most cost-effective medicines. The Health Transformation Alliance, a coalition of more than 40 big companies that includes IBM Corp., Verizon Communications Inc. and American Express Co., has agreed to use a new online tool from startup Rx Savings Solutions to help the millions of people who work for the group’s members get better deals on their medications. (Bloomberg, 11/1)


CVS to Test Stores with More Health Services after Aetna Deal Closes
Consumers will soon start to see CVS Health’s vision for the future of health care. CVS expects its roughly $69 billion acquisition of health insurer Aetna to close before Thanksgiving, the company said Tuesday when announcing third-quarter financial results. The combined company has pledged to improve health services and outcomes and lower costs. CVS plans to open its first concept stores early next year, CEO Larry Merlo told Wall Street analysts Tuesday. (CNBC, 11/6)

As previously reported, MSSNY Past-President Dr. Charles Rothberg testified at a NY Department of Financial Services hearing expressing MSSNY’s opposition to this acquisition.  NYDFS Superintendent Mario Vullo expressed many concerns about this transaction at the hearing.


Dr. First Banner


CMS

Review Comprehensive 2019 Summary of Medicare/MIPS Physician Payment Rule
As reported last week, CMS finalized its Medicare physician payment rule for 2019.  Please click here for a comprehensive summary of the rule by the American Medical Association.

According to the AMA summary, the 2019 PFS conversion factor will be $36.0391. The Anesthesia conversion factor is $22.2730. The 2019 conversion factors reflect a statutory update of .25%, (as required by MACRA), offset by a budget neutrality adjustment of -0.14%, resulting in a 0.11% update.

According to the summary, it was noted that CMS has postponed any coding and payment-related changes for E/M office visit services until CY2021.   But CMS will be implementing new documentation policies for E&M claims which will significantly reduce administrative burden.   These include:

  • The requirement to document medical necessity of furnishing visits in the home rather than office will be eliminated.
  • Physicians will no longer be required to re-record elements of history and physical exam when there is evidence that the information has been reviewed and updated.
  • Physicians must only document that they reviewed and verified information regarding chief complaint and history that is already recorded by ancillary staff or the patient.

It was also noted that the following policies opposed by the AMA will not be implemented by CMS:

  • Payment reductions by 50% for office visits that occur on the same date as procedures (or a physician in the same group practice); and
  • Condensed practice expense payment for the E/M office visits, by creating a new indirect practice expense category solely for office visits, overriding the current methodology for these services by treating Office E/M as a separate Medicare Designated Specialty.

It was also noted that CMS is expanding access to medical care using telecommunications technology by finalizing coverage of several new services, including three new CMS-created HCPCS codes for: brief, non-face-to-face appointments via communications technology (virtual check-ins); evaluation of patient-submitted photos; and the foregoing codes bundled together for use by federally qualified health centers and rural health clinics.

It was also noted that CMS reduces reimbursements for new Part B drugs. Currently paid with an add-on payment of 6% (before sequester), CMS will reduce the add-on payment to 3% (before sequester) for all drugs with Wholesale Acquisition Cost (WAC)-based payment rates.

The AMA summary also includes an extensive summary of changes to the MIPS program for 2019, which will effect Medicare payment for 2021. The Quality category will now comprise 45% of the score.   The promoting interoperability category (formerly Advancing Care Information) will now comprise 25%.  The performance improvement category will now comprise 15%, as will the cost efficiency category.  Performance on these measures will effect Medicare physician payment in 2021.

CMS projects that 97.8% of MIPS eligible clinicians will submit performance data in 2019. Of those submitting data, 91.2% are projected to receive a positive or neutral payment adjustment in 2021, with the remaining 8.8% receiving a penalty in 2021. Nearly two-thirds of those projected to receive a positive or neutral payment adjustment are projected to score high enough for an “exceptional” payment adjustment.


CMS: Most Physicians Will Receive Positive Medicare MIPS Payment Adjustment; Still Concerns for Smaller Practices

CMS Administrator Seema Verma announced this week that 93% of clinicians eligible for the Merit-based Incentive Payment System (MIPS) received a positive payment adjustment for their performance in 2017.  Moreover, she announced that 95% overall avoided a negative payment adjustment while nearly 100,000 eligible clinicians earned Qualifying APM Participant status under the Advanced Alternative Payment Model track.

However, the press release also noted that only 73% of “small practices” received a positive payment adjustment, while 19% received a negative payment adjustment.

The 2017 performance will affect Medicare payments for 2019.

The press release further noted Administrator Verma acknowledged that the MIPS “positive payment adjustments are modest,” while noting that 2017 was a transition year.  She indicated that CMS expects that gradual increases in performance thresholds in the future “will create an evolving distribution of payment adjustments for high performing clinicians who continue to invest in improving quality and outcomes for beneficiaries.”  She also pledged customized technical assistance, at no-cost, for clinicians who received a negative payment adjustment,” and to continue assistance to providers in solo, small and rural practices.


CME WEBINAR

Cybersecurity: A Daily Threat for Healthcare” CME Webinar
November 14 @7:30am_ Registration Now Open

It’s not too late to register! Do you know how best to protect your office against a cyberattack?  Are you aware of your vulnerabilities?  Learn how to protect yourself, your patients and your workplace on November 14 at 7:30am.  Register here for Medical Matters: Cybersecurity: A Daily Threat for Healthcare.  Mahesh Nattanmai, Deborah Sottolano, PhD 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. 


Join MSSNY Banner


Classified

RENTAL/LEASING SPACE


For Rent or Share – Woodbury, Long Island
Beautiful recently renovated Plastic Surgery Class C-M AAAA-certified Operating Room available for part-time share and available for rent. Centrally located on Long Island. Close to expressways.
1 exam room /OR. Waiting room & break room. Available for full or half-days. Free WIFI. Suits Plastic/Cosmetic Surgeons/Derm/ENT/ObGyn/Podiatry or other Medical MDs.

Contact Kendra at Kendra@drmadnani.com or 516-226-1080


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 medical
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

ozone park room1 ozone

ozone


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.comnyc nyc room2

nyc room3 nyc room4


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 or by month. Price is negotiable. 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.

58th Street room1 58th Street room2 58th Street room3

 


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


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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nov. 2, 2018 – Leading & Learning

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

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
November 2, 2018
Volume 20  Number 41

MSSNYPAC

Colleagues:

Meeting the Presidents

I experienced a fortuitous concatenation of meetings recently.   The common theme- Current and Former Presidents of the AMA and State Medical Societies.

Last Thursday evening I had dinner with AMA Past President Nancy Nielsen (and MSSNY Past Speaker) and two other friends at my home.  Friday afternoon, I saw my good friend and AMA Past President Andy Gurman.  Saturday morning, Dr. Barbara McAneny, current AMA President, treated me to breakfast while we were attending the Pennsylvania Medical Society House of Delegates Annual Meeting.  My wife Sandra and I were there to represent New York at the meeting.

Attending other states’ HODs allows me to see different approaches to problems, brainstorm with other leaders of the House of Medicine, and share our successes and challenges with colleagues from other states.  Pennsylvania is fortunate to have a number of great leaders at the local and national level.  Incoming president Danae Powers shared with me some of the opportunities and potential problems for physicians in the PAMED society. We have similar challenges and I was pleased to see that they have begun a successful marketing campaign and had substantial membership growth last year, particularly in some under-represented demographic groups.

Some of this was due to the activity and leadership of their outgoing President, Ted Christopher.  He has been a tireless advocate for patients and physicians this last year, crisscrossing the state and engaging with members and non-members.  Ted also focused on bringing to light issues with social determinants of health.  He transformed his personal experience as an emergency room physician into policy and advocacy that will improve the health and lives of his patients, and the joy of medicine for his colleagues.  I was also fortunate to meet new Indiana Medical Society President, Dr. Stacie Wenk, and Massachusetts President Alain Chaoui.

Listening, Learning, Leading

Dr. Christopher’s farewell address to the Pennsylvania House of Delegates emphasized his goals of listening, learning and leading.  That is a common theme of this group.  Dr. Nielsen had periods during which her family was uninsured and struggled with healthcare and economic insecurity.  Dr. McAneny continues to fight against consolidation of insurers and healthcare institutions and their unfair business practices that harm physicians and make care more expensive for her patients.  Dr. Chaoui is fighting the same battle with his practice against health systems and insurers in Massachusetts.

Their personal experiences and challenges are the crucible that helped to form these leaders.  They channeled their passion with the help of likeminded physicians, local medical students from their state, specialty or national medical societies to focus their energies for the good of their patients and our profession.  I’m grateful to them for sharing their time, talent, treasure and passion. I’m hopeful they inspire all of us to stand firm with our loins girt with truth, staff in hand, ready to battle for the health of our patients and improving the practice of medicine.

MSSNY, the AMA, and our County and Specialty Societies are the forge that created these great leaders.  Your involvement in creating policy and advocating for it is essential for your patients and your ability to care for them properly.  MSSNY has a strong focus on developing leaders (Physician Leadership Program on November 30-Dec.1 in Syracuse).

Let MSSNY help you forge your leadership skills.  Contact me at comments@mssny.org.

Ductus exemplo!

Thomas J. Madejski, MD
MSSNY President


MLMIC Insurance Banner


Legislator Scorecard Now Available
Before you vote next week, take a moment to view the MSSNYPAC Legislator Scorecard to see how your elected representatives have voted on issues that are of importance to physicians and feel free to share with your colleagues.  We’ve received such positive response from physicians who wish to access MSSNYPAC’s Legislator Scorecard that we are now offering it to all MSSNY members for free even if you are not yet a supporter of MSSNYPAC.  Please use this tool to make your best choices at the polls!

Click here to view the Legislator Scorecard now.  

eNews

MSSNY Seeking Info: Have You Received Letter from Walmart Re Prescribing Practices?
The Medical Society of the State of New York and the American Medical Association Task Force on Opioids is interested in hearing from physicians who may have received a letter from Walmart in regards to the prescribing practices for controlled substances.  Walmart, Walgreens, and CVS pharmacies has implemented the CDC Guidelines for Prescribing Opioids for Chronic Pain as corporate policy.  MSSNY and the AMA learned that Walmart has sent letters to physicians throughout the country about their prescribing practices.

In the letters, Walmart indicated that it will no longer be accepting physicians’ prescriptions for Controlled Substances II-V where it believes it is warranted based upon Walmart’s review of a physician’s prescribing practice. MSSNY and the AMA Task Force on Opioids are extremely concerned about corporate policies that could result in refusal to fill prescriptions above certain doses and to refuse to fill prescriptions from certain physicians based on the corporation’s arbitrary definitions of questionable prescribing patterns.

MSSNY is aware nationally there have been physicians who have received this letter; an example of the letters can be found here. MSSNY will meet with state officials from the NYS Bureau of Narcotic Enforcement within the next few weeks to discuss this corporate policy and its impact on NYS physicians and patients.  Any physician who may have received this letter, please contact Pat Clancy, Sr. Vice President, Public Health and Education/Managing Director, at pclancy@mssny.org or by phone at 518-465-8085.

Physicians may also ask the NYS Office of Professional Discipline (OPD) to review this matter. To file a complaint, please complete the OPD complaint form and list the contact information for the New York pharmacy(s) that is involved along with the details of the complaint. This completed form along with any additional information may be emailed to the OPD directly at conduct@nysed.gov   Please copy Pat Clancy when filing the complaint.


Contraction of Medicare E&M Payments Will Not Be Implemented in 2019
Among the many highlights of the final 2019 Medicare physician payment rule released this week is that CMS will not be implementing a proposal that had been opposed by MSSNY, the AMA and many other state and specialty medical associations to condense E&M payments for Level 2-5 visits.

According to an initial summary from the AMA of the 2,300 page payment rule, it noted that CMS will be implementing new documentation policies for E&M claims which will significantly reduce administrative burden.  Importantly, however, the CMS has acknowledged the work of the AMA’s CPT/RUC Workgroup on E/M by postponing any coding and payment-related changes for E/M office visit services until CY2021.  

The changes to E/M documentation guidelines for 2019 which were strongly supported by the AMA and other members of the Federation include:

  • The requirement to document medical necessity of furnishing visits in the home rather than office will be eliminated.

  • Physicians will no longer be required to re-record elements of history and physical exam when there is evidence that the information has been reviewed and updated.

  • Physicians must only document that they reviewed and verified information regarding chief complaint and history that is already recorded by ancillary staff or the patient.

It was also noted that the following policies opposed by the AMA and will not be implemented by CMS:

  • Payment reductions by 50% for office visits that occur on the same date as procedures (or a physician in the same group practice). The AMA brought attention to the fact that duplicative resources have already been removed from the underlying procedure through the current valuation process; and

  • Condensed practice expense payment for the E/M office visits, by creating a new indirect practice expense category solely for office visits, overriding the current methodology for these services by treating Office E/M as a separate Medicare Designated Specialty. This change would also have resulted in the exclusion of the indirect practice costs for office visits when deriving every other specialty’s indirect practice expense amount for all other services that they perform, which would have resulted in large changes in payment for many specialties (such as a greater than 10% payment reduction for chemotherapy services).

However, of concern, the final Medicare payment rule did include a reduction of the “add-on” amount for the wholesale acquisition cost (WAC)-based payment for Part B drugs.  Effective January 1, 2019, WAC-based payments for Part B drugs – during the first quarter of sales when ASP is unavailable – will be “subject to a 3 percent add-on in place of the 6 percent add-on that is currently being used.”  CMS stated that this “change in policy will help curb excessive spending, especially for new drugs with high launch prices, and will also decrease beneficiary cost sharing.”

Review of the final payment rule is ongoing and further updates will be provided.  To read the CMS press discussing highlights of the final 2019 Medicare payment rule, click here.


NY Rx Card Banner


November Council Meeting Voted on 2019 Legislative Program
At the meeting on November 1, Council approved the following:

  • MSSNY will support and co-sponsor the Gay and Lesbian Medical Association (GLMA) resolution regarding an amendment to the AMA policy on Medical Spectrum of Gender. The resolution calls for the AMA to work with appropriate medical organizations and community based organizations to inform and educate the medical community and public on the medical spectrum of gender identity; educate state and federal legislators on the medical spectrum of gender identity to ensure access to quality health care; and affirm that gender is not fixed and may differ from the sex assigned at birth.
  • MSSNY’s 2019 Legislative Program

  • MSSNY will advocate for legislation, regulation or other appropriate means to assure that needle electromyography and nerve conduction studies are performed by licensed physicians only, or those who are directly supervised by a physician.

  • MSSNY will work with the NYS Society of Orthopedic Surgeons to educate physicians regarding existing clinical data registries that collect data regarding poorly performing cobalt/chromium metal-on-hip implants to better assure physicians have necessary information to inform their patients. MSSNY will urge the AMA to work with the American Academy of Orthopedic Surgeons (AAOS) to increase the adoption of musculoskeletal registries so as to aid early detection capabilities of poorly performing implants and report to the public on clinical statistics, and inform quality improvement and educational activities.

Speaker of the House Dr. Kira Geraci announced the following important dates regarding the 2019 House of Delegates at the Tarrytown Marriot:

  • April 11-CMS Programs

  • April 12-14-House of Delegates

  • Resolution submissions: February 8-March 8 @ 5 pm

Mark your Calendars! The 3rd and 4th District Retreat will be held on January 26, 2019 at the Mirror Lake Inn in Lake Placid.


Garfunkel Ad


Extortion Scam Targeting DEA Registrants
DEA is aware that registrants are receiving telephone calls and emails by criminals identifying themselves as DEA employees or other law enforcement personnel.  The criminals have masked their telephone number on caller id by showing the DEA Registration Support 800 number.  Please be aware that a DEA employee would not contact a registrant and demand money or threaten to suspend a registrant’s DEA registration.

If you are contacted by a person purporting to work for DEA and seeking money or threatening to suspend your DEA registration, submit the information through “Extortion Scam Online Reporting” posted on the DEA Diversion Control Division’s website, www.DEADiversion.usdoj.gov.

For more information contact:
Locate DEA Field Office for your area – https://apps.deadiversion.usdoj.gov/contactDea/spring/fullSearch
Registration Service Center – 1-800-882-9539
Email – DEA.Registration.Help@usdoj.gov


Three-Year-Old State Billing Law Leads to Fewer Surprises for New Yorkers
Three years after New York implemented a landmark law to prevent patients from getting surprise bills, many consumers have been shielded from disputes between doctors and insurers. The out-of-network consumer protection law holds patients harmless in emergency cases when they are treated by out-of-network physicians, except for any in-network payment responsibility. It also removes patient liability in cases when a person attempts to use an in network provider but still receives an out-of-network bill from an anesthesiologist or pathologist, for example.

The New York State Health Foundation hosted a panel Monday to review the law’s successes and shortcomings. Troy Oechsner, deputy superintendent for health at the state Department of Financial Services, shared data about outcomes in the independent dispute-resolution process. In emergency cases, health plans were more likely to prevail than providers by a margin of 534 to 289. Plastic surgeons represented about one-quarter of the 2,104 cases that have gone through the resolution process, followed by emergency medicine physicians and orthopedic surgeons. Meanwhile, in cases of non-emergency, surprise bills, providers won the disputes more often, by a margin of 272 to 84, in cases where decisions were rendered. Those disputes most often involved neurosurgeons and anesthesiologists.

The law does have limitations, though. About half of New York’s commercially insured population is covered by self-insured employer health plans regulated by federal law, Oechsner said. “As a result, all these great protections that we’re working on for the state don’t apply to nearly half the commercial market,” he said. “That’s a huge problem.” He said the state is working to improve its enforcement of standards around the type and quantity of providers insurers must include in their networks. (Crains NY Business Oct 3).


Abentity Ad


Urge Gov. to Sign Legislation to Expand Access to Prostate Cancer Screening
Physicians are urged to contact Governor Cuomo to encourage him to sign into law legislation (S.6882/A.8683­) that would ensure that health insurers provide coverage for diagnostic testing for prostate cancer without such care being subject to annual deductibles or coinsurance. In particular, men over 40 with family history and men over 50 who are asymptomatic would be enabled to receive this care without being subject to annual deductibles or coinsurance. Additionally, the bill would require the information regarding the availability of insurance coverage for prostate cancer screenings without cost sharing, to also be included in the standardized written summary prepared by the Commissioner of Health. New York has for many years required insurance coverage for these tests, but were subject to cost-sharing. This undoubtedly will encourage even more men to have this often life-saving test. You can send a letter in support here.


Life Expectancy in New York Lowered: Obesity and Opioids Are Factors
Life expectancy in New York State is going in the wrong direction, an alarming reversal after years of steady increases. A report produced by the NYS Health Foundation’s internal policy and research department shows that, after peaking in 2014 at 80.7 years, life expectancy decreased in both 2015 and 2016 https://bit.ly/2Jz8bjf. The report found that a combination of factors–including the growing obesity epidemic and the opioid crisis–is likely contributing to declining life expectancy.


Rockland County: 33 Cases of Measles; Five More Suspected
Rockland County officials confirmed that 33 people have measles and five more suspected cases are under investigation. More than 2,000 people in the county have gotten the measles, mumps, 


Medical Society of NY Classifieds


Nassau County DOH Named Local Health Department of the Year
The Nassau County Department of Health (NCDOH) has been named “Local Health Department of the Year” for 2018 by the National Association of City and County Health Officials. The NACCHO represents the nation’s nearly 3,000 local governmental health departments.

The announcement was made at the NACCHO Annual Conference. NCDOH earned the tile by successfully bringing together providers, hospitals, and community-based organizations to evaluate the needs of residents, and together created a county-wide Community Health Assessment and Community Health Improvement Plan. NCDOH is a founding member of the Long Island Health Collaborative, which has grown from a three-agency online database to a grant-funded health initiative with almost 100 agencies.

In recent years, the County Health Department has created initiatives such as an Office of Minority Health Affairs, participation in the “Cribs for Kids” program, programs that screen infants for developmental delays, sending “Newborn Welcome Mailings” with pertinent newborn health information to the families of all 14,000 babies born in the county each year and serving as the grantee for the Long Island Ryan White HIV Service grant.

The Department’s Public Health Emergency Preparedness unit leads a troop of almost 1,000 volunteer medical professionals in a Medical Reserve Corps who train for emergencies and provide on-site medical coverage for the Games for the Physically Challenged and the Long Island Marathon.


Flu Vaccine: One Year Doesn’t Reduce Effectiveness the Next Year
Getting the flu vaccine every year doesn’t reduce its effectiveness — and might even boost its performance — suggests a study in JAMA Network Open. Researchers examined the vaccination status of nearly 3400 children who presented with acute febrile respiratory illness during one of three successive flu seasons between 2013 and 2016. About one-fourth had flu confirmed on reverse-transcription polymerase chain reaction testing; the rest were considered negative for flu.

The researchers found that while vaccine effectiveness varied by vaccine type (e.g., live attenuated influenza vaccine [LAIV) or inactivated influenza vaccine) and flu virus strain, past-season vaccination did not reduce vaccine effectiveness. In fact, in some cases — for example, the effectiveness of LAIV against influenza A (H3N2) — previous vaccination appeared to improve the vaccine’s effectiveness.

Of note, residual protection from past-season flu vaccine alone was observed only for influenza B.

A commentator writes, “The results thus suggest additional support for the current Advisory Committee on Immunization Practices’ recommendation that children be vaccinated annually against influenza.” article; JAMA (Free)


Dr. First Banner


CME

Cybersecurity: A Daily Threat for Healthcare” CME Webinar
November 14 @7:30am_ Registration Now Open

Do you know how best to protect your office against a cyberattack?  Are you aware of your vulnerabilities?  Learn how to protect yourself, your patients and your workplace on November 14 at 7:30am.  Register here for Medical Matters: Cybersecurity: A Daily Threat for Healthcare.  Mahesh Nattanmai, Deborah Sottolano, PhD 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. 


Be Sure to Check Out All of MSSNY’s Podcasts and CME Programs
Did you know that MSSNY has created several podcasts and CME programs on current topics such as influenza and measles to name just two?  Click here for MSSNY’s podcast on Measles, Mumps and Rubella and click here to listen to a podcast on Influenza Vaccines.  And you can listen to all of our podcasts here.

MSSNY also has several free CME programs at https://cme.mssny.org concerning influenza, including our most recent Medical Matters: Influenza 2018-19.

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


CMS

The Quality Payment Program Resource Library is Back on QPP.CMS.GOV
CMS has moved Quality Payment Program (QPP) resources from CMS.gov to the newly redesigned Quality Payment Program Resource Library on qpp.cms.gov. Following feedback from clinicians and others in the health care community, we wanted to make Quality Payment Program information and resources available in one place. We’ve also made it easier for you to find the resources you’re looking for by including a search function that allows you to search for resources by year, reporting track, performance category, and by document type (e.g., fact sheet, user guide, measure specifications).

Additional resources including materials from educational webinars will be added to the new Quality Payment Program Resource Library soon. Stay tuned for more information!

For More Information:

Questions? Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292.


Join MSSNY


Classified

RENTAL/LEASING SPACE


For Rent or Share – Woodbury, Long Island
Beautiful recently renovated Plastic Surgery Class C-M AAAA-certified Operating Room available for part-time share and available for rent. Centrally located on Long Island. Close to expressways.
1 exam room /OR. Waiting room & break room. Available for full or half-days. Free WIFI. Suits Plastic/Cosmetic Surgeons/Derm/ENT/ObGyn/Podiatry or other Medical MDs.

Contact Kendra at Kendra@drmadnani.com or 516-226-1080


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 medical
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

ozone park room1 ozone

ozone


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.comnyc nyc room2

nyc room3 nyc room4


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 or by month. Price is negotiable. 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.

58th Street room1 58th Street room2 58th Street room3

 


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


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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oct. 26, 2018 – Read MSSNY’s Scorecard Before Voting!

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

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
October 26, 2018
Volume 20  Number 40

MSSNYPAC

Colleagues:

The MSSNY presidency involves a fair amount of travel.  I’m very thankful for the help of my other MSSNY officers, Vice President Bonnie Litvack, President Elect Art Fougner, and our Immediate Past President Charles Rothberg for their counsel and assistance in meeting some of the demands of the presidency.  It’s hard to be in two places at once!

Recently, traveling upstate, I met with County and District Medical Societies, and other Health system leaders.  I finished up Saturday morning with a conference in Albany.  The New York State Thruway can be a little monotonous at times and I will usually have media content to keep me company while on the road.  The back and forth made me think of an old radio comedy duo, Bob and Ray, who started out in the Mohawk Valley.  They mention a number of real and fictional Upstate towns and had an NPR radio show some years ago which featured a traveling reporter, Farley Gerard.  Here’s a link for, hopefully, your listening pleasure.

The allusion (traveling back and forth, meeting members and nonmembers, considering new information, reporting it to you, and incorporating that into our society’s efforts) came to me upon reflection about some of my weekly activity.

Tuesday

I started out Tuesday with a meeting in Monroe County with MCMS President Surinder  Devgun, and their Executive Director Chris Bell.  We had a general discussion on how the County and State Societies can work together to grow membership.  One of the successful programs that Monroe County has implemented is a social rounds, held periodically at a hot venue in the County.  MCMS is trying to reconnect physicians socially and encourage collegiality and mutual support.  I would encourage other counties to attempt to replicate this outreach effort.

Wednesday

I met with a friend, Dr. Tom Hughes, Chief Medical Officer, Optimum Physician Alliance (OPA).  OPA is a growing 600+ member physician network in Western New York.  We had a great discussion about our organizations’ mutual goals of improving the care of patients and the well-being and satisfaction of our physician members.  We discussed physicians’ personal health related to loss of a colleague from our area last year, and how our organizations can work together, particularly with the activity of MSSNY’s Physician Wellness and Resilience Committee to improve the practice environment and reach out to physicians who may be struggling for whatever reason.  I look forward to further discussions with Tom, our 8th District Leaders, and other healthcare groups to improve the lives of patients and their physicians in Western New York.

Thursday

Our Committee on Legislation met to review our 2019 Legislative advocacy program for presentation and approval by the MSSNY Council.  Reducing the hassle factor to improve the practice environment and liability reform are high on our priority list.

Friday

Friday evening I met with members from the 3rd and 4th Districts at their Annual Fall retreat.  I gave an informal update of MSSNY’s recent activity on a number of issues.  We had a spirited debate about how MSSNY should prioritize its’ advocacy efforts, and whether we should bother to advocate for, or against, various issues based on a perceived likelihood of success.  Shepherding our limited resources is one of my primary duties, and we do prioritize our efforts. Having said that, to just roll over, because the odds are against us is, in my opinion,an abdication of our responsibility as the major advocacy organization on behalf of physicians and patients in New York State. We also have greater resources than many of our opponents and some of our physicians realize.

Saturday

I participated in the Annual Meeting and Board Training of the Board of Professional Medical Conduct, of the New York State Department of Health.  Dr. Rothberg and I were invited to participate in the training sessions by Dr. Bob Catalano, Executive Secretary of the BPMC, Dr. Art Hengerer, current Board chair, and Keith Servis, Director of the Office of Professional Medical Conduct.  Our invitation was the result of discussion between MSSNY and some of the BPMC members on examining ways that we might be able to help physicians prior to having a situation that requires the OPMC to sanction a physician. MSSNY already does much of this activity through our Committee on Physicians Health.

Physician Wellness

Our Committee on Physician Wellness and Resiliency believes we can create programs such as a Peer to Peer counseling program to reduce the chance of impairment farther upstream and reduce the chances of a physician becoming impaired. I believe Dr. Rothberg and I were effective in convincing the physicians on the Board of the need to identify and intervene for struggling physicians before they become impaired, and to promote programs to address physician burnout.  Our Medical Director for CPH, Dr. Jeff Selzer gave an excellent review of assessment of physician burnout.  Jeff had two particular points that hit home to me:

  • Physicians need to create positive disruption in the healthcare system: Civil disobedience for quality and patient concerns and to promote physician wellness which is associated with better patient care.
  • We need to change a culture which hides defects and promotes isolation for fear of repercussions.

Driving home after the meeting Saturday morning, I tried to synthesize the varied information that came in this week.  We do need to prioritize our activities.  MSSNY and our County Medical Societies are the vehicle to promote positive changes for the physicians and patients of New York State. Our Physician Wellness programs, advocacy for liability reform to change a culture of silence, continued efforts to improve the practice environment, and engagement of fellow physicians at the local level are key to make the practice of medicine a joy for physicians and provide great healthcare for the citizens of New York State. We will continue to engage with interested (as well as adversarial) groups to move forward.

You can help.  Contact me at comments@mssny.org to discuss how.

Excelsior!


Thomas J. Madejski, MD
MSSNY President

 


MLMIC Insurance Banner


eNews

Read the Records of Your Local Legislators!
With the elections coming up in 10 days, MSSNYPAC has created a number of tools to assist physicians in evaluating the records of their local legislators. Please click here to read the list of candidates endorsed by MSSNYPAC and here to view our legislative scorecard evaluating the voting and co-sponsorship records of legislators on several pieces of legislation supported and opposed by the physician community.  


Sexual Harassment Webinar:
The Impact on the Healthcare System and the Medical Profession*
When: November 15, 2018
Time: 12:00pm-1:00pm

REGISTER HERE

The issue of sexual harassment in the workplace has been the center of a staggering amount of media attention and of a surge in litigation activity. Consistent with this momentum, New York State recently mandated that all employers are required to have a sexual harassment policy containing specified criteria in place by October 9, 2018, and to conduct sexual harassment prevention training by October 2019. (New York City requirements are slated to take effect in April 2019.)

The issue of sexual harassment takes on particular significance for the healthcare industry, because there is an established nexus between disruptive behavior, which includes sexual harassment, and adverse patient outcomes and medical errors.

As general counsel to MSSNY, Garfunkel Wild is offering society members ONLY a complimentary training webinar on November 15th from 12:00pm-1:00pm. This program fully satisfies the New York State requirements, and the individual society member who registers for this program will receive a certificate of completion. 

Garfunkel Wild also offers individual or group training, on-site or off-site training, as well as “train-the-trainers” sessions that can serve to satisfy this new statutory mandate for your employees. If you would like to set up a personal training, please contact Andrew L. Zwerling at 516-393-2581 or azwerling@garfunkelwild.com.

By the conclusion you will know:

  • How to identify the more subtle forms of sexual harassment
  • Your responsibilities as an owner of or supervisor at your medical practice.
  • The impact of sexual harassment on the quality of care and the victim.
  • Practical advice on how to diminish and prevent sexual harassment at your practice.
  • Guidelines on how to comply with statutory mandates relating to sexual harassment.

REGISTER HERE

*In addition, a “Train the Trainer” tutorial will soon be available to members on the MSSNY website www.mssny.org. Learn what the requirements of this mandate are, and then instruct your staff in sexual harassment prevention.  Look for more information on this on-demand program soon. The deadline for providing staff training is October 9, 2019.


NY Workers’ Compensation Board Launches State-Of-The-Art Virtual Hearings
After successful pilot, injured workers and other participants can now choose to attend hearings remotely, avoiding travel burden

This week, New York State Workers’ Compensation Board Chair Clarissa M. Rodriguez announced the Board has launched a first-in-the-nation initiative that allows injured workers and other participants to attend workers’ compensation hearings right from their homes or offices. The Board’s virtual hearings provide injured workers a way to move the claim process forward without the need to travel many miles for a hearing that may last only minutes, which is especially beneficial depending on the extent of their injuries.

The New York State Workers’ Compensation Board developed virtual hearings in partnership with the Office of Information Technology Services to give all parties involved the option of using a smartphone, tablet or computer to attend hearings. This is the first high definition, all access system for legal hearings in the nation, where multiple users in different locations log in once and then move from one hearing to another.

To participate in a virtual hearing, the party of interest needs only a smartphone, tablet or computer with a microphone and video camera, as well as a high-speed internet connection. All participants can see and hear each other on their respective screens. Additionally, workers’ compensation law judges can share claim documents with all involved parties. The system includes security.

The Board is also developing a mobile app, for future release, that parties may download and use to attend hearings.

Many workers’ compensation hearings last less than 10 minutes, but injured workers can still lose time from work and suffer inconvenience traveling to Board offices. Weather-related complications can also make these trips difficult. Virtual hearings are entirely optional though, and parties may now choose them over attending a hearing at a Board office. They can always choose to attend in-person if they prefer.

Virtual hearings were first tested in the Capital District Office in Menands in November 2017, then rolled out across the state. Since the beginning of the pilot, more than 33,000 hearings have included at least one party who appeared remotely, successfully connecting injured workers, law judges and representatives from all over New York and nationally. The Board has trained more than 780 participants on the system, including law judges and other staff, attorneys and legal representatives. Feedback has been overwhelmingly positive.

More information on virtual hearings, including instructional videos and other training materials, is at www.wcb.ny.gov/virtual-hearings.


Garfunkel Ad


Nine Physician Specialties See Jump in Compensation
Physicians in nine specialties saw increases in total cash compensation from 2017 to 2018, with those specializing in general cardiology seeing the biggest jump in pay, according to a survey from SullivanCotter.

The survey includes data on nearly 167,000 individual physicians and advanced practice providers, with nearly 750 participating hospitals, health systems and medical groups.

Reported total cash compensation generally increased from 2017-18, averaging 1 percent to 4 percent. Out of 10 specialties listed, surgery (general) was the only specialty that did not see an increase in total cash compensation.

Here is the percent change from 2017-18 in total cash compensation for the nine other specialties in the survey:

  1. Cardiology (general): 4.4 percent increase
    2. Emergency medicine: 4.3 percent increase
    3. Pediatrics (general): 3.7 percent increase
    4. Orthopedic surgery (general): 3.2 percent increase
    5. Hospitalist: 2.2 percent increase
    6. Internal medicine: 2.1 percent increase
    7. Family medicine: 2 percent
    8. Psychiatry (general): 1.4 percent increase
    9. OB-GYN: 1.4 percent increase

Medicare Fraud-Settlement Tops $22M for Vascular Access Centers
The U.S. Attorney’s Office for the Southern District of New York said it reached a settlement with Vascular Access Centers and its related entities in a federal lawsuit alleging Medicare fraud. VAC agreed to pay at least $3.8 million and up to $18.3 million over five years. The settlement was approved Oct. 19 by a federal judge.

The lawsuit had named centers located in several cities in New Jersey, including Jersey City and West Orange, as well as in 11 other states and Washington, D.C., as defendants.

According to a complaint filed in U.S. District Court for the Southern District of New York, VAC Centers provided surgical procedures such as fistula grams and certain types of angioplasties to view patients’ arteries and restore blood flow. Patients had end-stage renal disease and were enrolled in Medicare. The complaint alleged “the VAC Centers routinely performed fistula grams and angioplasties on ESRD patients who did not have the requisite ‘diagnostically specific and appropriate indications,'” and that VAC submitted Medicare claims for those procedures in violation of the False Claims Act.

“For years, Vascular Access Centers cheated taxpayers out of millions of dollars by billing Medicare for treatments that were clearly non-reimbursable and in some cases by falsifying medical records to make it seem as if its billings were justified,” Manhattan U.S. Attorney Geoffrey Berman said in a statement. “Through this settlement, VAC is being made to account for its misconduct.” (Pulse 10/24)


New Flu Drug Approved for First Time in Twenty Years
On October 24, the FDA for the first time in nearly 20 years, approved a new antiviral influenza drug, Genentech’s Xofluza. The drug is a single-dose treatment intended to treat individuals ages 12 and older with acute uncomplicated influenza who have demonstrated symptoms for no longer than 48 hours.



Abentity Ad


CDC: Drug Overdose Deaths Fell Over Last 6 Months
Fatal drug overdoses have fallen nationwide over the last six months, according to a CDC report. However, health experts warn against early claims of the opioid and drug epidemic ending.

Here are four things to know:

  1. In the CDC’s most recent data for the 12-month period ending in March 2018, the agency reported a 2.8 percent decline in overdose deaths — representing an estimated 71,073 people — compared to the 12-month period ending in September 2017.

“After 40 years of this predictable growth pattern, we can hope that the curve is finally bending downward for good,” Donald Burke, MD, dean of University of Pittsburgh’s Graduate School of Public Health, told STAT in an email. “But history tells us to interpret these wobbles cautiously.”

  1. From April 2017 to March 2018, the number of fatal opioid overdoses declined by 2.3 percent compared to the 12 months ending in September 2017. The decline is attributed to a drop in the number of overdose deaths from heroin and prescription opioids.
  2. The CDC’s analysis also shows signs of increased drug deaths not attributed to opioids. Cocaine and stimulants, such as methamphetamine, kill more 10,000 people a year, the agency found.
  3. Researchers do not know what is driving the decrease in overdose deaths, but said policy initiatives at the local, state and federal level might have something to do with it.

Fun Fact: The Most-Googled Health Problems by State
The medical condition U.S. patients Googled most frequently in 2018 was attention deficit hyperactivity disorder, or ADHD, with nine states searching for this condition more than any other health concern, a report from Medicare Health Plans found.

Medicare Health Plans identified the most frequently searched medical conditions over the last year using Google Trends. The report authors then listed each of these conditions and ran them through Google Trends again to determine which states and the District of Columbia had the most searches for each condition.

Here are the most-Googled health problems by state for this year: Alabama — pneumonia; Alaska — UTI; Arizona — Hashimoto’s disease; Arkansas — endometriosis;
California — syphilis; Colorado — syphilis; Connecticut — quarter-life crisis; District of Columbia — HIV/AIDS; Delaware — hypertension; Florida — HIV/AIDS; Georgia — syphilis;
Hawaii — Hashimoto’s disease; Idaho — Escherichia coli; Illinois — syphilis; Indiana — ADHD; Iowa — binge drinking; Kansas — diabetes; Kentucky — hepatitis A; Louisiana — HIV/AIDS; Maine — rabies; Maryland — ADHD; Massachusetts — ADHD; Michigan — endometriosis; Minnesota — hemorrhoids; Mississippi — genital herpes; Missouri — ADHD; Montana — hypertension; Nebraska — anorexia; Nevada — skin cancer; New Hampshire — ADHD; New Jersey — breast cancer; New Mexico — PTSD; New York — breast cancer; North Carolina — ADHD; North Dakota — ear infection; Ohio — syphilis; Oklahoma — diabetes; Oregon — HIV/AIDS; Pennsylvania — syphilis; Rhode Island — lupus; South Carolina — endometriosis; South Dakota — insomnia; Tennessee — strep throat; Texas — ADHD; Utah — Hashimoto’s disease; Vermont — opioid use disorder; Virginia — ADHD; Washington — body dysmorphia; West Virginia — porn addiction; Wisconsin ADHD; Wyoming — flu


Amazon, Apple Opening On-Site Clinics for Employees
More large companies are opening on-site medical clinics for employees as they aim to control their healthcare spending, according to an employer survey conducted by Mercer and the National Association of Worksite Health Centers.

The survey results showed growth in the prevalence of on-site clinics providing health services for employees, particularly among large companies. Thirty-three percent of companies with 5,000 or more employees offer general medical clinics at their worksite, and an additional 11 percent of employers of this size are considering adding a clinic by 2019. That represents a significant increase from 2012, when 24 percent of large companies offered on-site clinics.

Amazon is reportedly launching a primary care clinic for a small number of employees at its headquarters in Seattle. After considering outsourcing clinic operations and hearing proposals from vendors, Amazon decided to develop the clinics internally. Meanwhile, Apple is hiring for AC Wellness, a group of health clinics for its employees and their families. Amazon, Apple and other large companies are opening clinics as a way to control healthcare costs. The majority (89 percent) of those who responded to the Mercer and NAWHC survey said their top objective for their clinics is having better control of their overall healthcare spending. (Becker’s Hospital Review, Sept.)


Medical Society of NY Classifieds


CME

Cybersecurity: A Daily Threat for Healthcare” CME webinar on Nov. 14, 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, PhD 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. 

CMS

Reminder: Register Today for the Physician Compare National Provider Call
CMS will host a MLN Connects® National Provider Call about Physician Compare on October 30, 2018 at 1:30 – 3:00 PM ET. 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:

  • What to expect during the upcoming 30-day preview period and
  • 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 Physician Compare.

Register today

If you have any questions, please contact us at PhysicianCompare@Westat.com

 


Join MSSNY


Classified

RENTAL/LEASING SPACE


For Rent or Share – Woodbury, Long Island
Beautiful recently renovated Plastic Surgery office available for part-time share and
AAAA-certified OR available for rent. Centrally located on Long Island.Close to expressways.
1 exam room /OR. Waiting room, break room and personal office. Available for full or half-days. Free WIFI. Suits Plastic/Cosmetic Surgeons/Derm/ENT/ObGyn/Podiatry or other Medical MDs.
Contact Kendra at Kendra@drmadnani.com or 516-226-1080


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 medical
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

ozone park room1 ozone

ozone


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.comnyc nyc room2

nyc room3 nyc room4


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.

58th Street room1 58th Street room2 58th Street room3

 


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


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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Council – November 1, 2018

AGENDA
MSSNY Council Meeting
Thursday, November 1, 2018 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A. Call to Order and Roll Call

C. New Business (All Informational/Action Items)

1. President’s Report
b. Dr. Madejski’s Letter to Assemblyman Gottfried regarding questions and concerns about single payor system in New York State. Assemblyman Gottfried’s response to MSSNY’s questions & comments. (For Council Information)
c. Letter to Governor Andrew Cuomo regarding legalization of regulated marijuana.(For Council Information)
d. MSSNY Strategic Planning Document (For Council Information)
e. Telemedicine Update – To be presented by Eunice Skelly (verbal)
    (For Council Information)

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 and Dues Remissions

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

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

6. MSSNYPAC Report –  Dr. Joseph Sellers will present the report (handout)

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

8. CME Update – Dr. Mark Adams will present the report

9. Commissioners/Councilors Action Items
          Commissioner of Governmental Relations, Gregory Pinto, MD, Commissioner
1. Legislative & Physician Advocacy Committee, Paul A. Pipia, MD, Chair
 FOR COUNCIL APPROVAL
b. Resolution 66 – Life Threatening Complications with HIP Replacements
c. Resolution 115 – Chiropractor (D.C.) Scope of Practice

D. Reports of Officers
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 – 9/30/18
5. Office of the Secretary – Frank G. Dowling, MD,
AMA Letters expressing  concerns regarding the new Walmart corporate policy on Opioid prescriptions
6. 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 (no written report submitted)
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
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 (handout)
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
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
    a. Report from the Division of Communications

2. Commissioner of Governmental Relations, Gregory Pinto, MD
a. HIT Committee Minutes, October 12, 2018
b. Long-Term Care Committee Minutes, September 30, 2018

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

4.    Commissioner of Science & Public Health, Joshua M. Cohen, MD
        (No written report submitted)
5.    Commissioner of Socio-Medical Economics, Howard H. Huang, MD
       a. Workers Compensation & No-Fault Insurance Committee re: EMG & NCS

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

H. Report of the General Counsel, Garfunkel Wild, P.C. , Donald R. Moy, Esq.
    (No written report submitted)

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

J.  Other Information/Announcements
1. Physicians Advocacy Institute Letter – RE: Medicare and State Health Care Programs: Fraud and Abuse; Request for Information (RFI) Regarding the Anti-Kickback Statute and Beneficiary Inducements CMP.
2. The Physicians Foundation 2018 Physician Survey (handout)
    the 2018 New York State Fair.
4. Blog Post Regarding MLMIC-Berkshire Hathaway
    https://www.mlmic.com/blog/physicians/mlmic-joins-berkshire-hathaway

K. Adjournment

Oct. 19, 2018 – CVS/MLMIC/Warren Buffet

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

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
October 19, 2018
Volume 20  Number 39

MSSNYPAC

Colleagues:

Last week, the US Department of Justice announced 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 AMA and other physician advocacy organizations spoke in strong opposition to the merger of health care behemoths on many occasions.

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. 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 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 in care.

Yesterday, organizations representing the physicians and community pharmacies testified at a hearing held by the State Department of Financial Services (DFS) related to the acquisition. In their testimonies, MSSNY, the Pharmacists Society and Chain Pharmacy Association each expressed dire warnings about the impact of the approved acquisition on health care costs and access to care by patients in the state.

My statement was as following: “…As stated in the DFS letter to the Connecticut Insurance Department, this merger will create an entity with an incredibly large market share that will adversely impact consumers and their physicians, without any discernable increase in quality.  Our concerns are numerous but include: reduced community pharmacy access for our patients; the potential for increased prior authorization hassles; and marginalization of community-based physician-led medical homes.  This transaction should not be approved unless these patient access issues are truly addressed.” (See first story below to read Immediate Past President Dr. Charles Rothberg’s compelling testimony to DFS at the hearing in Manhattan.)

MLMIC and Berkshire Hathaway

Berkshire Hathaway subsidiary National Indemnity Co. closed its $2.5 billion purchase of MLMIC on Oct. 1 after receiving approval from the state Department of Financial Services and MLMIC policyholders. Checks to the policyholders have started to go out to policyholders this week. Please keep in mind that the cash consideration resulting from the conversion will be paid out only to policyholders with policies in effect from July 15, 2013 through July 14, 2016 (or their designees). They are going out in sequential order. Buffett appeared Wednesday on a live-stream video from Omaha, NE., with Dr. James Reed, MLMIC chairman, to discuss the transaction and the health care industry. The acquisition gives physicians insured by MLMIC the financial backing of a company worth more than $520 billion.

Buffet said he views medical malpractice coverage as particularly important because, unlike home or auto coverage, the insurer is defending a physician’s reputation.

“We’re going to defend the physicians,” he said, “even if sometimes it makes sense to settle and pay the lawyer’s fees and move on.” Dr. Reed said changes in the health care industry, including the consolidation of medical practices and hospitals, have stoked fear among physicians. “There’s a lot of uncertainty in New York State,” he said. “What we want to do is take this uncertainty off the table.” One issue doctors are watching closely, he said, is the health care partnership between Amazon, Berkshire Hathaway and JPMorgan Chase. Buffett continued to keep details scant about the venture. The size of all three employers will be helpful in achieving their goals of promoting better care at a lower cost, Buffett said.

Please contact me at comments@mssny.org.


Thomas J. Madejski, MD
MSSNY President

 


MLMIC Insurance


eNews

MSSNY’s Dr. Rothberg to DFS – Do Not Let CVS-Aetna Move Forward
MSSNY Immediate Past-President Dr. Charles Rothberg delivered testimony at a Department of Financial Services hearing this week examining the proposed acquisition of Aetna by CVS.  Dr. Rothberg expressed the medical community’s strong concerns with this transaction, particularly with its potential adverse impact on patient access to community pharmacies and community physician-led medical homes.   Dr. Rothberg also praised DFS Superintendent Maria Vullo for her recent comments to the Connecticut Insurance Department expressing strong concerns with this transaction.

In Superintendent Vullo’s opening comments for the hearing, she further elaborated on these concerns, taking issue with the recent action of the United States DOJ to give its preliminary approval noting “unfortunately the Justice Department has taken a very myopic view and failed to address the substantial impacts that this vertical integration would have on consumers across the country.”

She also noted her concerns that “Large corporate for-profit conglomerates do not have a good history of serving the public above their shareholders.  And, here, we have independent pharmacists, medical providers, the uninsured, consumers suffering from too high pharmaceutical costs, who may suffer from this transaction.  While we want to believe the benefits being advocated, it is important that companies are held to account for the advocacy that we are hearing in favor of this transaction – to ensure that it is not just puffery to get the transaction approved.  Regulators, including DFS, must have oversight going forward.”

She further noted the numerous considerations that DFS has to consider in deciding whether this transaction should be approved in New York, and that comments will continue to be received by the DFS until October 25, 2018 by sending an e-mail to public-hearings@dfs.ny.gov.

Also testifying at the hearing in opposition to this transaction was Assembly Health Committee Chair Richard Gottfried who stated: “If the term “anti-competitive” has any meaning at all, it must mean a deal like this. Entities seeking monopolistic power always claim that their size will somehow benefit the consumers and others who will be at their mercy. And it is never true. In this case, what is at stake is not only competition in the insurance market but the control, quality and accessibility of health care for millions of consumers.”

MSSNY also joined with the Pharmacists Society of the State of New York and the Chain Pharmacy Association of New York to together express their enormous concerns with this marriage of behemoths.


MLMIC Transaction Closes and MLMIC Announces Process to Resolve Cash Consideration Disputes
On October 1, 2018, Medical Liability Mutual Insurance Company (“MLMIC”) completed its conversion from a mutual insurance company to a stock insurance company, and closed the transaction by which MLMIC was acquired by National Indemnity Company (“NICO”), a subsidiary of Berkshire Hathaway Inc. MLMIC’s conversion and acquisition by NICO come after the September 6, 2018 approval decision by the Superintendent of the New York State Department of Financial Services (the “Superintendent”), and a September 14, 2018 vote of MLMIC policyholders with policies in effect as of July 14, 2016. The cash consideration resulting from the conversion transaction will be paid out to eligible policyholders (i.e. policyholders with policies in effect from July 15, 2013 through July 14, 2016) or to policy administrators or other designees.  MLMIC began sending out checks for such cash consideration earlier this week.

 For those instances when the distribution of cash consideration was objected to by a party claiming entitlement to such funds (an “objector”), the cash consideration has been placed by MLMIC in escrow in line with the Superintendent’s decision.  Any such disputed cash consideration shall remain in escrow until the dispute is resolved or until the Superintendent orders otherwise.  The Superintendent’s decision provides that policyholders and objectors have an initial period of 90 days from the closing of the transaction (October 1, 2018) to resolve their disputes. At the end of the 90 day period, the Superintendent may direct disbursement of all or any portion of the funds in the escrow. During the 90 day period, the parties are free to independently mediate or negotiate, initiate legal action, or take any other steps that the parties may believe necessary to resolve the dispute.

As an alternative, and as required by the Superintendent’s September 6 decision, MLMIC is required to provide and pay for an alternative dispute resolution (“ADR”).  The ADR process is a method for policyholders and objectors to resolve their disputes.  MLMIC is employing the services of National Arbitration and Mediation (“NAM”), an organization that specializes in mediation, for this purpose. To use the ADR process, both the policyholder and objector must agree to participate. On October 12, 2018, MLMIC sent out written notices describing the ADR process, which included a form to opt-in to the program.  Within 30 days of the October 1, 2018 transaction closing date, the policyholder and the objector must notify MLMIC of their intention to participate in the ADR Process by signing and returning to MLMIC an Opt-In Notice as instructed on the form.

Should you have any questions regarding these issues, please feel free to contact Kevin G. Donoghue of Garfunkel Wild, PC at (516) 393-2535.


NYS Controller Report: Health Care Employment Gains Across New York State

  • Private-sector health care employment, which comprises 90% of all health care jobs in the State, grew by 18.1% from 2007 to 2017, adding nearly 216,000 jobs. Total wages increased by $23.2 billion, while average annual wages increased by over $10,400
  • For all health care occupations, doctors and dentists had the highest annual average wages in 2017, at $152,650, while the average for nurses was $79,240

With over 548,000 jobs, or 43.7 percent, ambulatory services had the largest share of industry employment in 2017. As it concludes that 21.3% of the total jobs are in ambulatory care sites, which translates to 247,132 jobs in these locations.


ASC Symposium BannerMedical Society State of New York 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

November 2, 2018, at the Marriott Marquis, in the heart of Time Square.

Gain valuable knowledge. Participate in insightful discussion. Engage in dynamic networking.

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 couponcode: 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 www.garfunkelwild.com


Garfunkel Ad


UnitedHealth to Debut “Fully Portable” EHR in 2019
UnitedHealth Group revealed plans to debut a “fully individualized, fully portable” EHR in 2019, CEO David Wichmann said on the company’s third-quarter earnings call Oct. 16.

Mr. Wichmann didn’t provide specifics about the product, but repeatedly noted that the insurer’s digital capabilities are a key component of its long-term growth strategy.

He added that UnitedHealth may offer its members a personal health record through an expansion of its mobile wellness platform Rally. Rally currently has about 20 million registered users.

The health record would be a “deeply personal” tool for UnitedHealth members and could be used to help members identify gaps in care and highlight “next best actions,” Mr. Wichman said on the call. UnitedHealth’s new tool could also attract providers by looking “a little more like their EHR,” while also using predictive analytics. (Becker Hospital Review, 10/16)

UnitedHealth reported revenue was up 12.4 percent year over year at $56.6 billion for its third quarter.


Anthem’s $16M HIPAA Settlement Related to Cyberattacks Is Largest in History
Anthem will pay HHS $16 million to settle potential HIPAA violations related to cyberattacks that compromised the health information of nearly 79 million people in 2015, HHS said Oct. 15. The payment is the largest settlement the Office for Civil Rights has seen, eclipsing the previous $5.5 million high the office received in 2016.

“The largest health data breach in U.S. history fully merits the largest HIPAA settlement in history,” said OCR Director Roger Severino. “Unfortunately, Anthem failed to implement appropriate measures for detecting hackers who had gained access to their system to harvest passwords and steal people’s private information.”

In January 2015, Anthem discovered cyberattackers gained access to the health insurer’s IT system through phishing emails sent to an Anthem subsidiary. Between December 2014 and January 2015, cyberattackers stole the ePHI of almost 79 million individuals. Compromised information included names, Social Security numbers, medical identification numbers, addresses, dates of birth, email addresses and employment information.
(Becker’s Hospital Review, Oct 16)


Abentity Ad


Many Employers Now Offering Coverage for Telemedicine, Survey Indicates
The New York Times (10/12) reported that more employers are utilizing telemedicine, adding that around “three-quarters of large firms that offer health insurance now cover” telemedicine according to a survey conducted by the Kaiser Family Foundation.

The survey involved almost 160 companies which “collectively employ about 13 million people.” Additionally, about half of the employers surveyed “said adopting virtual solutions was their ‘top initiative’ in 2019.”


Research Retraction from Prominent Cardiologist?
Harvard Medical School and Brigham and Women’s Hospital have determined that 31 papers published in prominent scientific journals contain potentially falsified and fabricated data from the laboratory of the prominent cardiologist Piero Anversa, MD, and have called for the research to be retracted. (STAT News, 10/14) The cardiologist, Dr. Piero Anversa, produced research suggesting that damaged heart muscle could be regenerated with stem cells, a type of cell that can transform itself into a variety of other cells. Although other laboratories could not reproduce his findings, the work led to the formation of start-up companies to develop new treatments for heart attacks and stroke, and inspired a clinical trial funded by the National Institutes of Health.


Medical Society of NY Classifieds


Majority of Older Adults Would Opt to Take Fewer Medications
Research published in JAMA Internal Medicine indicates that in a survey of “data collected from 1,981 adults covered by Medicare,” nine of 10 respondents age 65 and older “are willing to stop taking one or more medications if their doctor recommends this.” Researchers also found that “two-thirds of older adults would like to cut back on the total number of medicines they take.” 


Worker’s Compansation

NY Workers Comp Board Releases Revised Prescription Drug Formulary Proposal
The New York State Workers’ Compensation Board this week released substantial revisions to its previous proposal to establish a prescription drug formulary for Workers Compensation coverage.    Please click here to read the revised proposed regulations, and here (http://www.wcb.ny.gov/drug-formulary-regulation/NYS-drug-formulary.pdf) to read the revised formulary.  Comments will be received on the proposal until November 16.

The prescription formulary was required by legislation enacted in 2017.  According to an announcement from Board Chair Clarissa Rodriguez, “the Board substantially expanded the list of drugs on the Formulary, clarified the criteria for when certain drugs are on the Formulary and more fully defined the prior authorization process for drugs that are not listed on the Formulary.”

According to the Revised Drug Formulary proposal, the Formulary contains a list of drugs that are designated as either “Phase A”, “Phase B”, “Phase C” or “Perioperative”.

Phase A Drug List Drugs may be prescribed and dispensed when: (1) The drug is prescribed at the initial treatment visit following a disability event and such initial treatment is within seven days following a disability event, (2) The drug is dispensed within seven days of the initial treatment visit, and (3) The supply does not exceed seven days or, if an antibiotic or post-exposure medication, the normal course of treatment.

Phase B Drug List Drugs on this list may be prescribed and dispensed when: (1) The prescribing occurs between the eighth and thirtieth day following a disability event, which can be either the initial visit or a follow-up/second treatment, (2) The dispensing occurs within seven days of the date of treatment, (3) The supply does not exceed thirty days, and (4) The case has not been accepted by the insurer or established by the Board. When a case has not been accepted by the insurer, or the case has not been established, Phase B drugs prescribed and dispensed in accordance with Phase B criteria may be prescribed and dispensed for up to a 30-day supply. Following the insurer or self-insured employer’s acceptance of the injury or illness with or without liability, or establishment by the Board, all drugs must be prescribed and dispensed consistent with the Phase C drug list.

Phase C Drug List Drugs on this list may be prescribed and dispensed when: (1) A body part or illness has been accepted (with or without liability) or established, (2) The drug is prescribed in accordance with, as applicable, the adopted Medical Treatment Guidelines, (3) The prescription does not exceed a 90-day supply.

Perioperative Formulary Drugs listed on the Perioperative Drug List may be prescribed/dispensed when: (1) The drug is prescribed during the perioperative period (four days before through four days following surgery), and (2) Does not exceed a seven-day supply.

MSSNY is reviewing the revised proposal and will follow up with appropriate comments to the Workers Compensation Board.


CMS

CMS Proposes To Require Drug Manufacturers to Disclose Prices in Television Ads
On October 15, CMS issued a proposed rule aimed at increasing drug price transparency and reducing the price of prescription drugs and biological products to consumers by requiring drug manufacturers to include list prices in all direct-to-consumer television advertisements of prescription drugs and biological products for which Medicare or Medicaid reimbursement is available. The specific drugs that would require list price disclosure are those that are used for a 30-day regimen or for a typical course of treatment.

“Today, the Trump Administration made real progress toward ensuring consumers have the information they need to make the health care decisions that are best for them,” said the Campaign for Sustainable Rx Pricing, of which the AHA is a founding member. “Consumers have the right to know how much medicines cost, and providing drug pricing in advertisements will do just that. We must build off this and accelerate efforts to ensure affordable drug prices for American patients.”

CMS will accept comments on the proposal for 60 days after publication in the Federal Register. For more information on the proposal, see the agency’s press release. AHA continues to advocate for policies that address high and rising drug costs, a summary of which can be found here.


 

CME Courses

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, PhD 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. 


CME Activities that Count For Maintenance of Certification/Continuing Certification
The Accreditation Council for Continuing Medical Education (ACCME) currently is collaborating with the following American Board of Medical Specialties (ABMS) member boards to simplify and align the Maintenance of Certification (MOC) process to better meet the needs of physicians and educators:

  • American Board of Anesthesiology (ABA) MOCA
  • American Board of Internal Medicine (ABIM) MOC
  • American Board of Otolaryngology–Head and Neck Surgery (ABOHNS) MOC
  • American Board of Pathology (ABPath) Continuing Certification
  • American Board of Pediatrics (ABP) MOC

This collaboration enables CME providers that are accredited by ACCME or State Medical Society Accreditors (such as MSSNY) to provide to their learners CME activities that count for MOC(A)/Continuing Certification points without a separate process of having CME activity content approved by the individual boards.  When CME providers report attendance data to the ACCME via ACCME’s Program and Activity Reporting System (PARS), the system uses learner names, diplomate ID numbers, and month/day of birth to report participation to the applicable board.  Eligible learners quickly receive email confirmation from their board(s) regarding points earned.

In its capacity as an ACCME-accredited CME provider, MSSNY is in the planning stages of offering CME activities that count for MOC points.  MSSNY members can expect more information as the activities become available in 2019.

In its capacity as an ACCME-recognized intrastate accreditor of CME providers, MSSNY has been providing ongoing education and support to enable MSSNY-accredited providers to plan and implement CME activities with MOC points.

To assist learners in finding CME activities that offer MOC points, ACCME maintains the CME Finder website. CME providers that enter their CME MOC activities into PARS in advance of the activity date automatically have the activity added to the CME Finder site.

ACCME anticipates more ABMS-member boards will be entering into collaboration agreements as described above, and when they do, MSSNY members will be informed via eNews, News of New York, or other communication methods.

More information is available at ACCME’s “CME in Support of MOC” page.
 Questions on this topic may be addressed to Miriam Hardin at mhardin@mssny.org.


LI-CAN Hosting Program: Removing Barriers to Opioid Addiction Treatment
On Sunday October 28, from 3p – 4:30 at St John’s Episcopal Church on 25A in Cold Spring Harbor (behind the Fish Hatchery) LI-CAN leaders have been asking Governor Cuomo and his administration to prevent overdose deaths by removing the barriers to evidence-based opioid addiction treatment. After six months of pushing, it’s time to evaluate. O n Long Island and across America, opioid and other drug overdoses are killing people – our neighbors, friends and loved ones — in unprecedented numbers. Come and find out what needs to be done, and what is being done, by: Governor Cuomo, State Agencies and County Leaders. RSVP joemorris03@gmail.com

For more information: http://www.mssnyenews.org/wp-content/uploads/2018/10/October-28-flyer.pdf

LI-CAN’s work on the overdose crisis is made possible through funding from dues-paying member institutions: UJA-Federation of New York; Episcopal Diocese of Long Island; Individual Donors


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

ozone park room1 ozone

ozone


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.comnyc nyc room2

nyc room3 nyc room4


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.

58th Street room1 58th Street room2 58th Street room3

 


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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oct. 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 Seal

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 Banner


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 Banner


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 Banner


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 Banner


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.Columbia Conference Banner

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 Banner


 

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

Rental Space Long Island Main Area Rental Space Long Island Office

Rental Space Long Island Common Area


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.comRental Space East 74th St. NYC Waiting Room Rental Space East 74th St. NYC Nurses Station

Rental Space East 74th St. NYC Medical Room Rental Space East 74th St. NYC Hallway


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. NYC Building Lobby West 57th St. NYC Waiting Room

West 57th St. NYC Window View


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.

Great Neck Office Waiting Room Great Neck Medical Office Great Neck Office

 


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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oct. 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, 2018
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.


CPH Banner
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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 2 3 22