April 13, 2018 – NO Aetna/CVS! NO Walmart/Humana!

Thomas J. Madejski, MD MSSNY President

PRESIDENT’S MESSAGE
Thomas J. Madejski, MD
MSSNY President
April 13, 2018
Volume 18
Number 14

 

Dear Colleagues:

Physicians should be leading patient care delivery, not corporations.

Last Saturday’s New York Times included a lengthy article analyzing the proposed health care mega-mergers such as CVS-Aetna and Walmart-Humana that touched upon concerns that many physicians have with the significant encroachment of corporate interests into medical care delivery.

MSSNY has been outspoken in its opposition to the proposed takeover of insurance behemoth Aetna by retailer and PBM owner CVS.  Our concerns about the impact of this proposal have been reported in several media outlets, and were heard loudly and clearly by the State Legislature, which rejected a proposal originally contained in the State Budget that would have authorized corporate owned retail clinics.

And we were pleased that the AMA echoed our concerns in its recent testimony to the US House of Representatives Judiciary Committee that set forth its very serious concerns with this transaction.  Having led efforts to defeat the Anthem-Cigna and Aetna-Humana mergers, the AMA can be a powerful voice in opposition to excessive market concentration that harms our patients.

With recent reports of a similar proposed takeover of insurance giant Humana by ubiquitous big box retailer Walmart, MSSNY again sent a letter to the New York State Attorney General and issued a press release urging federal and state antitrust enforcement agencies to undertake a careful investigation of this proposed cross-sector mega-merger that would likely have adverse consequences for physicians and patients.

Our concerns with these mega-mergers are numerous and include:

  • The adverse impact to patient care that could result from the loss of physician-led medical homes.
  • Further reduction of patient choice of pharmacy, as it may become harder for pharmacies not affiliated with CVS or Walmart to be incorporated into these merged entities’ pharmaceutical networks.
  • Enabling PBM’s to impose even more burdensome prior authorization hassles for physicians and their staff as a pre-condition for patients receiving needed prescription medications.
  • The proliferation of so-called “retail clinics,” owned by an insurance company/retailer that could have great incentive to steer patients to these sites instead of a community based primary care practice that typically serves as a patient’s medical home.   This will result in the fragmentation of patient care instead of helping to better coordinate it.
  • Loss of physician advocacy for the best treatment for their patient, not the corporate bottom line.

While careful review by our state and federal investigatory agencies of these cross-sector consolidations is one avenue, another is legislative. If these entities are permitted to merge, independently practicing physicians should then have the power to counter such consolidation by being permitted to come together to negotiate on behalf of their patients against these corporate behemoths. MSSNY continues to advocate for legislation (A.4472, Gottfried/S.3663, Hannon) that would enable this. Please add your voice of support to this legislation by clicking here. Our patients’ ability to continue to receive needed care from the physician of their choice depends upon it.

Thomas J. Madejski, MD 
MSSNY President

 


HIT MLMIC Symposium


Capital Update

AMA Study: More Than 9 in 10 Physicians Believe Prior Authorization Programs Harm Patient Care Delivery
MSSNY has shared with the State Legislature the results of a recent AMA survey that showed that a staggering 92% of physicians believe that prior authorization programs have a negative impact on patient clinical outcomes.   The information was shared with legislators in support of legislation advocated for MSSNY, the NY-ACP, and the New York State Academy of Family Physicians (A.9588, Gottfried/S.7872, Hannon) that seeks to reduce some of the prior authorization hassles experienced by physicians when they seek to assure their patients can receive the treatment or medications they need.The survey also showed that 84% of responding physicians said that burdens associated with prior authorization were high or extremely high; and that 86% reported that these PA requirements had increased in the last 5 years.  Moreover, every week a medical practice completes an average of 29 PA requirements per physician, which take an average 14.6 hours to process.Among the provisions of A.9588/S.7872 that would address these hassles:

    • Requiring health plan utilization review criteria to be evidence-based and peer reviewed;
    • Reducing the time frame for reviewing prior authorization requests from 3 business days to 48 hours (and to 24 hours for urgent situations);
    • Assuring that a prior authorization, once given, is enduring for the duration of the medication or treatment.
    • Prohibiting mid-year prescription formulary changes; and

  • Assuring that once a prior authorization is given, it cannot be withdrawn if eligibility is confirmed on the day of the service.                           (AUSTER)

MSSNY Urges for Extension of Committee for Physicians Health Program
As the Legislature returns to Albany next week after a brief post-Budget break, MSSNY is advocating for legislation (A.10221, Gottfried, S.8093, Hannon) that would extend for an additional 5 years the continued operations of the MSSNY Committee for Physicians Health (CPH) program.  Authorization for several key components of the program expired on March 31, 2018.

The CPH is a program designed to confront and assist physicians thought to be suffering from alcoholism, substance abuse or mental illness.   Since the inception of this program, CPH has assisted thousands of physicians in returning healthy to medical practice.  The work of the CPH program is an important public service both to our health care system as well as the general public. As a result, the State Budget annually includes an appropriation of $990,000 for the program, which is generated from a $30 assessment on all physicians’ biennial registration fees.

The program has traditionally been extended by the Legislature in 3 or 5 year “demonstration programs” with the most recent extension in 2013.  The recently enacted State Budget included a provision to create another “demonstration program” until 2023.  However, it unintentionally omitted other provisions historically extended at the same time that are essential to its functioning that could greatly impair its operations unless immediate action is taken.

These includes provisions that set forth the CPH program’s reporting requirements to the Office of Professional Medical Conduct (OPMC), provisions to ensure liability protections for the physician Committee members for work performed within the scope of CPH, and necessary confidentiality protections for the program given the sensitivity of the work they perform.   These protections are absolutely essential to the continued functioning of the program to ensure that physicians with the appropriate expertise are willing to serve on the Committee, as well as to assure that the program has the ability to report sensitive information to OPMC when warranted by the circumstances.              
(DIVISION OF GOVERNMENTAL AFFAIRS)



Cross-Sector Health Care Mega-Mergers of Growing Concern to Health Care Delivery
Following last Sunday’s New York Times article about the proposed health care “mega-mergers” of Aetna by CVS, and of Humana by Walmart, MSSNY President Dr. Thomas Madejski issued a press release reiterating the concerns that many physicians have with the significant encroachment of corporate interests into medical care delivery.

At the same time, MSSNY has written to the New York State Attorney General’s office urging that they assess the potential antitrust implications of these potential acquisitions and, as appropriate, convey these concerns to the federal agencies such as the Department of Justice reviewing these proposed transactions.   Among the concerns of these proposed “mega-mergers” include:

  • Further reduction of patient choice of pharmacy, as it may become harder for pharmacies not affiliated with CVS or Walmart to be incorporated into these merged entities’ pharmaceutical networks;
  • Enabling subsidiary PBMs to impose even more burdensome prior authorization hassles for physicians and their staff as a pre-condition for patients receiving needed prescription medications.
  • The potential proliferation of so-called “retail clinics,” owned by an insurance company/retailer, that could have great incentive to steer patients to these sites instead of a community based primary care practice that typically serves as a patient’s medical home, and the adverse impact to patient care that could result from the loss of physician-led medical homes.

“It is imperative that our state and federal investigatory agencies carefully review the impact of this cross-sector consolidation on patient care delivery and access before any such consolidation is permitted to move forward,” stated Dr. Madejski, “We also urge the enactment of measures that would enable independently practicing physicians to counter such consolidation by being permitted to come together to negotiate on behalf of their patients against these corporate behemoths.”  Legislative (A.4422/S.3663 to permit physician collective negotiation has been introduced by Assemblymen Gottfried  & Senator Hannon. (AUSTER)

New AAMC Study Concludes a Significant Physician Shortage by 2030
The United States could see a shortage of up to 120,000 physicians by 2030, according to new data published this week by the Association of American Medical Colleges (AAMC). The study estimates a shortfall of between 14,800 and 49,300 primary care physicians, as well as a shortage in non-primary care specialties of between 33,800 and 72,700 physicians.

Importantly, the press release notes that the shortages will continue to exist despite modeling that takes into account the use of other health professions and changes in care delivery.

Much of the increased demand comes from a growing, aging population. The U.S. population is estimated to grow by nearly 11%, with those over age 65 increasing by 50% by 2030. Additionally, the aging population will affect physician supply, since one-third of all currently active doctors will be older than 65 in the next decade. When these physicians decide to retire could have the greatest impact on supply.

The press release calls for a number of approaches to address this shortage including: legislation sponsored by Rep. Joe Crowley (D-NY) and Senate Minority Leader Charles Schumer (D-NY) that would increase federal support for an additional 3,000 new residency positions each year over the next five years, as well as federal incentive programs such as the National Health Service Corps, Public Service Loan Forgiveness, the Conrad 30 Waiver Program, and Title VII/VIII workforce development and diversity pipeline programs. (AUSTER)

Medical Society of the State of New York Announces its Spring Medical Matters CME Webinar Schedule
The Medical Society of the State of New York is pleased to announce its free Continuing Medical Education (CME) webinars for April and May.  Participation in the webinars will earn physicians one CME credit free of charge.   The Medical Mattes webinar schedule for April and May is as follows:

April 18th at 7:30amMedical Matters: Plague & Q Fever

Register for this webinar here.

Faculty: Kira Geraci-Ciardullo, MD, MPH

Educational Objectives:

  • Describe the epidemiology of Plague and Q Fever
  • Describe the transmission of Plague and Q Fever
  • Describe the diagnosis and treatment of Plague and Q Fever
  • Explain the use of Yersinia pestis and Coxiella burnetii as a biologic weapons(s)
  • Identify infection control procedures
  • Identify resources for reporting.

May 16 at 7:30am – Medical Matters: Chemical Overview
Register for this webinar here.
Faculty: Arthur Cooper, MD

Educational Objectives:

  • Acquire a basic understanding of physically and biologically derived chemical agents
  • Identify types of physically and biologically derived chemical agents used as chemical weapons
  • Understand the indicators of each type of chemical agent
  • Describe the treatment of each type of chemical agent
  • Identify local and state resources

To view all of MSSNY’s scheduled programs, click here and select the Training Center tab and click on “Upcoming”.

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 each of these live activities 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.

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

“Bending the Diabetes Curve” Webinar is Now Available Online!
The Medical Society of the State of New York has partnered with the American Medical Association to bring its Prevent Diabetes STAT initiative to New York. MSSNY has created a free CME program to educate New York State physicians on prediabetes prevention and the CDC’s National Diabetes Prevention program.

Webinar: Bending the Diabetes Curve
Faculty: Geoffrey Moore, MD & Sarah Nosal, MD
Click here to view the webinar!

Educational Objectives:

  • Describe the trends in Type 2 diabetes and implications for clinical practice
  • Review evidence that supports referring patients with prediabetes to lifestyle change program
  • Outline the considerations for implementing a diabetes prevention initiative in a physician practice
  • Describe NYS specific incidents of prediabetes and diabetes in adult population
  • Understand the reimbursements mechanisms for DPP

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 each of these live activities 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.

Additional information may be obtained by visiting our diabetes webpage or by contacting Carrie Harring at charring@mssny.org.                                                  (HARRING) 

A Big Thank You for Physician Advocacy Efforts, But More Advocacy Needed
Throughout the budget season, MSSNY shared its concerns and input on the many State Budget proposals that impacted upon physicians and their patients. MSSNY staff and leaders worked around the clock while the State Budget was being finalized in helping to ensure that many adverse proposals were completed eliminated, or substantially improved.

The newly created Physician Advocacy Liaison (PAL) program was instrumental in helping to achieve our numerous Budget victories, by helping us in quickly responding to legislators who wanted to hear the physician perspective on a number of issues. As always, thank you for the work all of you do on a daily basis and taking the additional time to be active in the legislative and budgetary process.  There is no doubt that your efforts were a major contributor to our successes.

While another budget has wrapped up in Albany, several items MSSNY is championing need your help, including in support of legislation to address health insurer hassles and needed liability reforms, and in opposition to inappropriate scope of practice changes and practice mandates that interfere with patient care delivery.

When issues arise, it takes collective action to impact change. It cannot just be left to a few individuals. Every rank and file legislator needs to be informed of our issues.  Legislators are often bombarded with paper, phone calls, emails and meeting requests.   We need to cut through the clutter with our elected officials by establishing personal relationships with every member of the legislature so that they will be better informed how legislative proposals will impact the care received by their constituents.

If you are not a member of the PAL network, but would like to join, please e-mail jbelmont@mssny.org (BELMONT)

For more information relating to any of the above articles, please contact the appropriate contributing staff member at the following email addresses:

pschuh@mssny.org   mauster@mssny.org  pclancy@mssny.org  

Please Note: The January 2019 Council Meeting has been rescheduled for Thursday, January 24th. Also, the Board of Trustees meeting has been rescheduled for Wednesday, January 23rd. The revised MSSNY meeting schedule has been posted on the home page of the MSSNY website.


eNews

BCBS Releases Study on Children with Allergies and Allergic Reactions
The Blue Cross Blue Shield (BCBS) Association, in collaboration with Blue Health Intelligence, examines American children diagnosed with different kinds of allergies and allergic reactions. Nearly 1.7 million, or 18 percent, of children suffer from one or more allergy. This report specifically studies anaphylaxis, dermatitis and rhinitis. The study analyzes how many young BCBS members were diagnosed with any type of allergy and the number of emergency room visits those members made from 2010 to 2016. The scope of the research includes approximately 9.6 million commercially insured American children age 18 and under per year.  

NY’s Aging Mastery Program Improved Seniors’ Activity Levels/Eating Habits
The Health Foundation for Western and Central New York has partnered with the New York State Office for the Aging on a 30-month initiative to embed the National Council on Aging’s Aging Mastery Program® in all eight counties of Western New York (Erie, Cattaraugus, Chautauqua, Niagara, Wyoming, Orleans, Allegany and Genesee).

Preliminary results from pilot projects across the country show that after taking the 10 sessions, AMP participants significantly increased their physical activity levels, had healthier eating habits, increased their use of advanced planning, stayed more socially connected and participated in evidence-based self-management programs.

AMP is a nationally recognized, fun and interactive class for adults 55 and older that encourages developing sustainable behaviors that lead to health improvements, stronger economic security, enhanced well-being and increased participation in society. The 10-session program combines sharing knowledge in a classroom-like structure with goal setting, daily practice, peer support and small rewards. Expert local speakers lead a curriculum based on the challenges older adults may encounter as they age, and participants gain the skills and tools they need to master aging.

The Health Foundation will be working with the Population Health Collaborative to implement AMP across western New York over the next two years.To learn more about the Foundation, the programs and projects it is currently funding and the many other ways it is involved in the communities it serves, visit www.hfwcny.org.

No One Knows New York Better Than MLMIC!
For 40+ years, MLMIC has been providing New York medical professionals from Buffalo to the Bronx with localized risk management insights, claims protection, and 24/7 legal advice. Our policyholders enjoy benefits and expertise not found anywhere else – supported by concierge-level service every step of the way. For medical malpractice insurance in New York, nothing compares to MLMIC. Learn more at MLMIC.com/better or call (888) 996-1183. Brochure is available here.

CVS Health Will Offer Discount on Overdose Antidote for Uninsured Customers
CVS Health will provide a discount on the overdose-antidote Narcan for customers who are uninsured, the company announced Thursday. The coupon will bring the cost from a list price of $125 for two nasal sprays containing naloxone down to $94.99. The Narcan spray, manufactured by Adapt Pharma, reawakens someone who is overdosing from OxyContin, heroin or fentanyl. CVS’s announcement coincided with a public health advisory by Surgeon General Jerome Adams, who urged more people to stock the antidote so they could intervene when they see someone overdosing. 

IPRO Hosting 34th Annual Membership Meeting at Garden City Hotel

When :   Tuesday, June 5, 2018
Time  :   12:30 p.m.—3:30 p.m.
Where:  The Garden City Hotel – 45 Seventh Street, Garden City, NY

For further information, click here.

NYS’s First Memory Care Assisted Living Program for Medicaid Recipients Opens
Buffalo (NY) Business First (4/9) reports that Briarwood Manor, an assisted living company in Lockport, “has opened the state’s first memory care assisted living program for Medicaid recipients.” The company “will accept 20 Medicaid-eligible seniors with dementia or Alzheimer’s disease for the program, a new demonstration project through the New York State Department of Health.” A company official said this “offers an option for families” who cannot afford $5,000 to $6,500 per month for private care. 

DEA Warns Public of Extortion Scam by DEA Special Agent Impersonators
The Drug Enforcement Administration is warning the public about criminals posing as DEA Special Agents or other law enforcement personnel as part of an international extortion scheme.

The criminals call the victims (who in most cases previously purchased drugs over the internet or by telephone) and identify themselves as DEA agents or law enforcement officials from other agencies. The impersonators inform their victims that purchasing drugs over the internet or by telephone is illegal, and that enforcement action will be taken against them unless they pay a fine. In most cases, the impersonators instruct their victims to pay the “fine” via wire transfer to a designated location, usually overseas. If victims refuse to send money, the impersonators often threaten to arrest them or search their property. Some victims who purchased their drugs using a credit card also reported fraudulent use of their credit cards.

Impersonating a federal agent is a violation of federal law. The public should be aware that no DEA agent will ever contact members of the public by telephone to demand money or any other form of payment.

The DEA reminds the public to use caution when purchasing controlled substance pharmaceuticals by telephone or through the Internet. It is illegal to purchase controlled substance pharmaceuticals online or by telephone unless very stringent requirements are met. And, all pharmacies that dispense controlled substance pharmaceuticals by means of the internet must be registered with DEA. By ordering any pharmaceutical medications online or by telephone from unknown entities, members of the public risk receiving unsafe, counterfeit, and/or ineffective drugs from criminals who operate outside the law. In addition, personal and financial information could be compromised.

Anyone receiving a telephone call from a person purporting to be a DEA special agent or other law enforcement official seeking money should refuse the demand and report the threat using the online form below. Please include all fields, including, most importantly, a call back number so that a DEA investigator can contact you for additional information. Online reporting will greatly assist DEA in investigating and stopping this criminal activity.
https://apps.deadiversion.usdoj.gov/esor/spring/main?execution=e1s1

Feinstein/NIH Recruiting Patients with Lupus/Active Joint Disease for Trial
Feinstein Institute, NIH launch Groundbreaking Clinical Trial Lupus Trial examines use of synthetic endocannabinoid mimetic with no psychotropic properties to treat lupus inflammation. Researchers at Northwell Health’s Feinstein Institute for Medical Research are leading a nationwide National Institutes of Health (NIH) National Institute of Allergy and Infectious Diseases (NIAID) sponsored clinical trial testing the efficacy of a synthetic cannabinoid derivative with no psychotropic properties for the treatment of joint inflammation in lupus.

The 15-site, two-year study plans to recruit 100 patients in total. If you have a patient with lupus and active joint disease with at least moderate pain and are interested in finding out more about this clinical trial, contact Andrew Shaw at 516-562-2591 or Latchmin Persaud at 516-562-3814. This trial is supported by the (NIAID) under trial number NCT03093402.

CMS

CMS Releases 2018 MIPS Eligibility Tool
You can now use the updated CMS MIPS Participation Lookup Tool to check on your 2018 eligibility for the Merit-based Incentive Payment System (MIPS).

Just enter your National Provider Identifier, or NPI, to find out whether you need to participate during the 2018 performance year.

Changes to Low-Volume Threshold

To reduce the burden on small practices, we’ve changed the eligibility threshold for 2018. Clinicians and groups are now excluded from MIPS if they:

  • Billed $90,000 or less in Medicare Part B allowed charges for covered professional services under the Physician Fee Schedule (PFS)

OR

  • Furnished covered professional services under the PFS to 200 or fewer Medicare Part B -enrolled beneficiaries

This means that to be included in MIPS for the 2018 performance period  you need to have billed more than $90,000 in Medicare Part B allowed charges for covered professional services under the PFS AND furnished covered professional services under the PFS to more than 200 Medicare Part B enrolled beneficiaries.

Note: The 2018 Participation Lookup Tool Update for Alternative Payment Model (APM) participants will be updated at a later time. 

Find Out Today

Find out whether you’re eligible for MIPS today. Prepare now to earn a positive payment adjustment in 2020 for your 2018 performance.


 

Classified

RENTAL/LEASING SPACE

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


Beautiful NYC Medical Office — Long-term Share
Bright, big consultation room and one or two exam rooms in large,  tastefully furnished office in first-rate building. 58th Street between Park and Lexington. Near transportation.  Smaller, windowed consultation room and exam room also available. Rent by the day or week, beginning June 1 or sooner. $180 per day or $5500 per months. Perfect for internist, rheumatologist, physical medicine, ob-gyn and others. Superb front desk and office management available, along with many amenities including internet, ultrasound, EMG, kitchen, optional C-arm. Call Carol: 917-856-6402.



For Rent – Medical Office 715 W 170 Street New York
Ground floor just completed build out 4 exam rooms with sinks and wall cabinets
Waiting and reception areas, windows throughout.
Street and private entrances, two bathrooms and storage/lab/staff room.
One block to bus and two blocks to Presbyterian Medical Center and subway.
$1900-$7900/ month for one to 4 exam rooms.
Drdese@gmail.com or 917.8618273


For Share – Plastic Surgeon’s Office Facing Central Park Ground Floor Lobby Entrance/Private exit
One to three exam rooms, consult/private office and procedure room for full or part time use.
Elegant, modern and spacious secretarial, waiting and two exam rooms.
Accredited operating rooms and recovery rooms on site.
One block to bus and 20 feet to subways.
$1275-$3750/day monthly for one to three exam rooms.
Drdese@gmail.com or 917.861.8273


Office Space – Sutton Place
Newly renovated medical office. Windows in every room looks out to a park like setting on the plaza level. 2-4 exam rooms/offices available, possible procedure room or gym. Separate reception and waiting area, use of 3
bathrooms and a shower. Central air and wireless. All specialties welcome. Public transportation nearby. Please call 212-772-6011 or e-mail: advocate@medicalpassport.org


 

PHYSICIAN OPPORTUNITIES

 

Family Practice Physician – Schenectady/Amsterdam, NY
Hometown Health Centers is a Federally Qualified Community Health Center in the Upstate, Schenectady and Amsterdam, NY areas. Bi-lingual in English/Spanish is a plus.  Excellent total compensation package.  No hospital rounding. Flexible and part-time schedules available.  Sign-on bonus. For additional information please send inquiries or resumes to jobs@hhchc.org. www.hometownhealthcenters.org


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


 

Physicians Concerned with Encroachment of Corporate Interests into Medical Care Delivery

MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release

Physicians Concerned with Encroachment of Corporate Interests into Medical Care Delivery

April 11, 2018, Westbury, NY—Saturday’s New York Times article regarding proposed health care mega-mergers such as CVS-Aetna and Walmart-Humana highlights concerns many physicians have with the significant encroachment of corporate interests into medical care delivery.

These concerns include:

  • Adverse impact to patient care that could result from the loss of physician-led medical homes.
  • Further reduction of patient choice of pharmacy, as it may become harder for pharmacies not affiliated with CVS or Walmart to be incorporated into these merged entities’ pharmaceutical networks.
  • Enabling PBMs to impose even more burdensome prior authorization hassles for physicians and their staff as a pre-condition for patients receiving needed prescription medications.
  • These transactions could lead to a proliferation of so-called “retail clinics,” owned by an insurance company/retailer that could have great incentive to steer patients to these sites instead of a community based primary care practice that typically serves as a patient’s medical home.   This will result in the fragmentation of patient care instead of helping to better coordinate it.
  • Loss of physician advocacy for the best treatment for their patient, not the corporate bottom line.

“It is imperative that our state and federal investigatory agencies carefully review the impact of this cross-sector consolidation on patient care delivery and access before any such consolidation is permitted to move forward,” said Thomas Madejski, MD, president of the Medical Society of the State of New York.  “We also urge the enactment of measures that would enable independently practicing physicians to counter such consolidation by being permitted to come together to negotiate on behalf of their patients against these corporate behemoths.

“Our patients’ ability to continue to receive needed care from the physician of their choice depends upon it.”

# # #

Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

Media Contact:
Roseann Raia
Medical Society of the State of New York
516.488.6100 x 302
rraia@mssny.org

 

MSSNY eNews: April 6, 2018 – Difficult NYS Budget Passes

 

Thomas J. Madejski, MD MSSNY President

PRESIDENT’S MESSAGE
Thomas J. Madejski, MD
MSSNY President
April 6, 2018
Volume 18
Number 13

Dear Colleagues:

Nearly 75 percent of practices do not like the technology they use for the most part. This is according the 2017 Annual Physicians Practice Technology Survey, which looks at the usage of technology at the practice level from more than 500 (mostly independent) practices across the country.

According to the survey, only 12.6 percent of practices have used telemedicine. About six years ago, one of the physician executives of United Healthcare gave a presentation regarding telemedicine to the MSSNY Council. When the Power Point concluded the Councilors were silent. Then, the outrage flowed freely with several physicians commenting that telemedicine violated every code of ethics including the Hippocratic Oath.

Well, telemedicine is here to stay and many physicians are interested in integrating it into their practices as a patient convenience, especially in rural areas. MSSNY has been working with telemedicine expert Peter Caplan for two years as a source for our physicians who are interested in adopting this technology into their practice.

Mr. Caplan’s Telemedicine Resource Guide was created to assist MSSNY members in navigating the telemedicine service industry. Its purpose is to provide physicians with information about companies that either:

  • Recruit physicians to be part of a regional/national provider network offering direct-to-consumer tele-consults (a monthly subscription vs. fee-per-call or a hybrid of both models) that are available as part of an employer health plan or as an independent, standalone service paid by the individual employee
  • Sell practice-based turnkey solutions (hardware, software, network connectivity, videoconferencing services, peripheral devices and vital sign monitors) used by physicians offering a customized and branded telemedicine program to their own patients. Click here for the Telemedicine Resource Guide (Excel)

If we can better understand and integrate the use of telemedicine as part of a patient management strategy to improve care, increase access to treatment, reduce transportation costs, and more effectively engage patients who are not able to get to a physician’s practice location, we will have created real value for patients and their physicians.

MSSNY’s Telemedicine Task Force continues to review options for our members to consider for the addition of telemedicine into their practices to enhance patient care.  I think it is critical we continue to review the evolving landscape of telemedicine options to the benefit of our patients.  We also need to review what type of care is not appropriate for a telemedicine program and ensure the safety of patients.

Proper integration of telemedicine will enhance the care of our patients and limit the intrusion of non-physician retailers like CVS and WalMart and their potential interference in the physician patient relationship.

I’d appreciate your thoughts.  Send your comments to csouthard@mssny.org

Thomas J. Madejski, MD 
MSSNY President

 


HIT MLMIC Symposium


eNews

State Legislature Completes Passage of Difficult Budget that Rejects Several Items Opposed by MSSNY
As reported last week, the New York State Legislature recently completed passage of a $168 Billion State Budget that closed a $4.4 Billion Budget deficit.    Importantly, the final adopted State Budget rejected numerous proposals of great concern that MSSNY together with specialty societies and other allies had been advocating against, including:

  • Independent practice authority for CRNAs
  • Authorization for corporate-owned retail clinics;
  • Steep Medicaid cuts to the Patient-Centered Medical Home program;
  • Elimination of “Prescriber prevails” protections for prescriptions for patients covered by Medicaid;
  • Overbroad state powers to penalize physicians and other health care providers for Medicaid billing errors
  • Authorization for patient drug management protocols between Nurse Practitioners and pharmacists.  Instead, there was a 2-year extension of the current Collaborative Drug Therapy pilot program (between physicians and pharmacists) that MSSNY supports;
  • Authorizations for EMTs to provide non-emergency care in patient homes without any express coordination requirement with that patient’s treating physician;
  • Provisions which would have reduced from 7 days to 3 days the length of an initial prescription for acute pain.  The final bill did include a requirement, consistent with CDC Chronic pain guidelines, for a prescriber to have a written treatment plan that follows generally accepted professional or government guidelines for a patient on opioid medications longer than 90 days or past the time of normal tissue healing;
  • Significant expansion of the DOH’s Commissioner’s power to investigate physician misconduct, including provisions that would have a) greatly reduced the time to respond to document requests and b) expanded the power to search and seize records and equipment.  The final bill did include a provision to permit the Commissioner to summarily suspend a physician who is both been charged with a felony crime and believed to be an imminent danger to the public as determined by the Commissioner;

At the same time, the final Budget included the following items supported by MSSNY:

  • Continued funding for the Excess Medical Malpractice Insurance Program at the historical level.
  • A new $150,000 allocation for the MSSNY’s Veterans Mental Health Initiative;
  • Reducing some of the insurance barriers to substance abuse treatment
  • Consistent with policy recently adopted at the MSSNY Council, prohibiting PBMs from disclosing to patients drug cost options that may be less than what is specified in their insurance
  • Continued historical funding and a 5-year extension of the MSSNY Committee for Physicians Health until 2023.

Thank you to all the physicians who took the time to make phone calls, send letters, or meet with their local legislators over the last few months to advocate on all these issues.  Certainly, our success on these fronts is in large part due to these extensive grassroots efforts.  However, we can’t exhale just yet – many of these proposals will continue to be raised during the remainder of the legislative session.

 

DEA Warns Public of Extortion Scam by DEA Special Agent Impersonators
The Drug Enforcement Administration is warning the public about criminals posing as DEA Special Agents or other law enforcement personnel as part of an international extortion scheme.

The criminals call the victims (who in most cases previously purchased drugs over the internet or by telephone) and identify themselves as DEA agents or law enforcement officials from other agencies. The impersonators inform their victims that purchasing drugs over the internet or by telephone is illegal, and that enforcement action will be taken against them unless they pay a fine. In most cases, the impersonators instruct their victims to pay the “fine” via wire transfer to a designated location, usually overseas. If victims refuse to send money, the impersonators often threaten to arrest them or search their property. Some victims who purchased their drugs using a credit card also reported fraudulent use of their credit cards.

Impersonating a federal agent is a violation of federal law. The public should be aware that no DEA agent will ever contact members of the public by telephone to demand money or any other form of payment.

The DEA reminds the public to use caution when purchasing controlled substance pharmaceuticals by telephone or through the Internet. It is illegal to purchase controlled substance pharmaceuticals online or by telephone unless very stringent requirements are met. And, all pharmacies that dispense controlled substance pharmaceuticals by means of the internet must be registered with DEA. By ordering any pharmaceutical medications online or by telephone from unknown entities, members of the public risk receiving unsafe, counterfeit, and/or ineffective drugs from criminals who operate outside the law. In addition, personal and financial information could be compromised.

Anyone receiving a telephone call from a person purporting to be a DEA special agent or other law enforcement official seeking money should refuse the demand and report the threat using the online form below. Please include all fields, including, most importantly, a call back number so that a DEA investigator can contact you for additional information. Online reporting will greatly assist DEA in investigating and stopping this criminal activity.

 



Complimentary Webinar by MSSNY Counsel Garfunkel Wild: How to Handle Medicare and Medicaid Overpayments

Friday, April 20, 201812:00 PM – 1:00 PM EST

Providers who identify Medicaid or Medicare overpayments have a legal obligation to timely report, return and explain the overpayments.  Knowing how to appropriately handle Medicare and Medicaid overpayments is both necessary and an essential part of an effective compliance program.

 This complimentary webinar will:

  • Educate providers on the applicable laws
  • Discuss the various mechanisms that exist for returning overpayments to the government
  • Provide practical ideas for how best to report, return and explain identified overpayments

Click Here To Register

After registering, you will receive a confirmation email containing information about joining the webinar.

SYMPOSIUM

Register Now For 2018 NY HIT Symposium on Sat. April 28 in Brooklyn

When: Saturday, April 28, 2018 8:30 a.m. – 3:00 p.m.
Where: Brooklyn Borough Hall
209 Joralemon St.
Brooklyn, NY 11201

Please join us as we examine potential risk management issues with EHR technology.

  • Liability pitfalls in EHR documentation
  • Fraud risks in documenting encounters
  • Privacy, security, and confidentiality in EHR technology


The HIT Symposium is designed for physicians in all specialties.

Click here to register.

Supported by MLMIC and MSSNY

CME

“Current Concepts in Concussion for Pediatric and Adult Patients” CME Webinar on April 12, 2018, Registration Now Open
The Medical Society of the State of New York will hold a free Continuing Medical Education (CME) webinar on the “Current Concepts in Concussion for Pediatric & Adult Patients” on Thursday, April 12th at 12:30pm.

Register for this webinar here.

Faculty: Deborah Light, MD & John Pugh, MD, PhD

Educational Objectives:

  • Identify signs and symptoms indicative of concussion as well as red flags that indicate alternate or more severe pathology;
  • Outline an appropriate management plan for a patient presenting with concussion including a return to “normal life” protocol;
  • Describe methods for the primary and secondary prevention of concussion;
  • Identify patients who would benefit from referral to a concussion specialist


Plague & Q Fever” CME Webinar on April 18, 2018; Registration Now Open
Upcoming in MSSNY’s Medical Matters continuing medical education (CME) webinar series is: Plague & Q Fever”.  This webinar will take place on Wednesday, April 18, 2018 at 7:30 a.m. Faculty for this program is Kira Geraci-Ciardullo, MD, MPH.

Register for this webinar here.

Educational objectives are:

  • Describe the epidemiology of Plague and Q Fever
  • Describe the transmission of Plague and Q Fever
  • Describe the diagnosis and treatment of Plague and Q Fever
  • Explain the use of Yersinia pestis and Coxiella burnetii as a biologic weapons(s)
  • Identify infection control procedures
  • Identify resources for reporting

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

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. 

Bolstering Small-Practice “Medical Home” Capabilities
Small independent primary care providers are a vital lifeline for New Yorkers, providing services to many diverse and often disadvantaged communities. While they make up approximately 40 percent of all primary care providers in New York City and State, these practices are at risk of falling behind in the race toward medical home recognition and value-based purchasing.

Understanding that challenge, UHF brought together more than 30 experts last year to discuss the potential for shared services among small practices-a way to pool resources for practice transformation and eventual value-based purchasing (VBP). The results of that convening and subsequent efforts are now being finalized, with an anticipated release this spring.

Part of UHF’s partnership with the New York City Department of Health and Mental Hygiene and the New York City Population Health Improvement Program, the roundtable discussion solicited expert feedback on a white paper entitled New York City Population Health Improvement Program (PHIP) Small Primary Care Practice Project, Draft Interim Report, which was provided to participants in advance for their review and comment.

That report reviewed:

  • Findings from a series of focus groups of small-practice providers in New York City, describing a specific set of capacities the practices felt they needed to operate as medical homes and participate in VBP contracts, but could not afford on their own. Providers reported willingness to consider sharing services with other small practices if those services were affordable and provided by a trusted organization with a track record of competence;
  • Findings from a series of interviews with organizations in New York State that are providing a range of services to small practices, describing the types of services offered and how they are organized, deployed, and supported.

The conversation reinforced the findings of this qualitative research, particularly related to the core competencies of medical homes and preparation for value based payment. Of particular value were discussions on the scope of the shared service “bundle” that was envisioned, with discussants recommending that it include support in two priority areas with which many small practices often struggle:

  • The adoption and best use of electronic medical records, and
  • Practice management consultation and support on operational issues and on compliance with complex and changing requirements related to billing and coding.


The Draft Interim Report and roundtable findings served as the foundation for subsequent quantitative work describing the legal and regulatory issues involved in establishing a shared service program, and modeling the economics of such a venture.

The final report will bring together both the qualitative and quantitative reports findings of the project.

More Info: Can Small Physician Practices Survive? (JAMA April 3, 2018) 

 

Crain’s Reports MSSNY’s HOD Gun Safety Resolution
New York Business (3/28, Lewis) reports, “The Medical Society of the State of New York is endorsing a set of proposed gun-control measures through a resolution that was passed at its annual House of Delegates meeting over the weekend.” MSSNY supports “bans on high-capacity magazines and bump stocks, legislation requiring a background check and waiting period before someone can purchase a gun, and the ability of the Centers for Disease Control and Prevention to conduct public health research on gun violence.” Dr. Thomas Madejski, the president of MSSNY, said that MSSNY members disagree about how restricted gun ownership should be. Madejski also said that there have been difficulties implementing the New York SAFE Act, which “requires mental health practitioners to report when a patient is likely to harm himself or others.”


Correction re Third Party Payers Being Billed
On March 30, it was reported that Resolution 261, which required that all 3rd party payers be billed before any patient is billed, was adopted.  This was incorrect.  The House voted NOT adopt this resolution.  We apologize for any confusion.

 

CVS Health Sued for Revealing HIV Status of 6000 Patients in Ohio
CVS Health is being sued for allegedly revealing the HIV status of 6,000 patients in Ohio.

A federal lawsuit claims CVS mailed letters last year that showed the status of participants in the state’s HIV drug assistance program through the envelopes’ glassine window.

The complaint, which was filed March 21 in federal court in Ohio, also names Fiserv, the company that CVS hired to mail the letters. On the envelopes used by Fiserv, the patients’ HIV status could be seen through the clear window, just above their name and address, the documents states. The letters included the patients’ new benefits cards and information about a mail prescription program.

The attorneys claim that CVS failed to announce the breach of privacy data and did not contact all the patients whose status was revealed. In a statement to CNN, CVS Health said the envelope window was intended to show a reference code for the assistance program and not the recipient’s health status. “CVS Health places the highest priority on protecting the privacy of those we serve, and we take our responsibility to safeguard confidential information very seriously,” the statement said. “As soon as we learned of this incident, we immediately took steps to eliminate the reference code to the plan name in any future mailings.”

 

Surgeon General Releases Advisory on Naloxone
Naloxone is already carried by many first responders, such as EMTs and police officers. The Surgeon General is now recommending that more individuals, including family, friends and those who are personally at risk for an opioid overdose, also keep the drug on hand.MSSNY endorses the surgeon general’s call for more availability/use of naloxone. MSSNY quickly endorsed the bill/law that passed a few years ago calling for more widespread availability of Naloxone including without a patient specific script.  Naloxone is available in pharmacies throughout NY State.  With endorsement by MSSNY and other groups, the bill passed quickly and as a result, thousands of lives have been saved in NY by overdose reversals.  MSSNY appreciates and supports the Surgeon General’s call for more widespread availability and use.


FDA Orders Recall of Powdered Kratom Products Due To Salmonella
The Food and Drug Administration “ordered a mandatory recall of” Triangle Pharmanaturals’ “powdered kratom products because salmonella was found in the herbal supplement.” The agency “said the company did not cooperate with the agency’s request for a voluntary recall.” The Wall Street Journal (4/3) reported that FDA said that the recall was the first of its kind under the Food Safety Modernization Act of 2011.

Physician Medicine and Drug Procedure Codes and Fee Schedule Updated
The Physician Medicine and Drugs Procedure Codes and Fee Schedule have been updated for 2018. For details, click here. 

Classified

RENTAL/LEASING SPACE

Beautiful NYC Medical Office — Long-term Share
Bright, big consultation room and one or two exam rooms in large,  tastefully furnished office in first-rate building. 58th Street between Park and Lexington. Near transportation.  Smaller, windowed consultation room and exam room also available. Rent by the day or week, beginning June 1 or sooner. $180 per day or $5500 per months. Perfect for internist, rheumatologist, physical medicine, ob-gyn and others. Superb front desk and office management available, along with many amenities including internet, ultrasound, EMG, kitchen, optional C-arm. Call Carol: 917-856-6402.


Medical Office to Sublet – Sheepshead Bay, Brooklyn
Sublet available 2-3 days per week. Features 3 exam rooms, consultation room, x-ray and waiting room. Reasonable rent. Call 917-971-1691


For Rent – Medical Office 715 W 170 Street New York
Ground floor just completed build out 4 exam rooms with sinks and wall cabinets
Waiting and reception areas, windows throughout.
Street and private entrances, two bathrooms and storage/lab/staff room.
One block to bus and two blocks to Presbyterian Medical Center and subway.
$1900-$7900/ month for one to 4 exam rooms.
Drdese@gmail.com or 917.8618273


For Share – Plastic Surgeon’s Office Facing Central Park Ground Floor Lobby Entrance/Private exit
One to three exam rooms, consult/private office and procedure room for full or part time use.
Elegant, modern and spacious secretarial, waiting and two exam rooms.
Accredited operating rooms and recovery rooms on site.
One block to bus and 20 feet to subways.
$1275-$3750/day monthly for one to three exam rooms.
Drdese@gmail.com or 917.861.8273


Office Space – Sutton Place
Newly renovated medical office. Windows in every room looks out to a park like setting on the plaza level. 2-4 exam rooms/offices available, possible procedure room or gym. Separate reception and waiting area, use of 3
bathrooms and a shower. Central air and wireless. All specialties welcome. Public transportation nearby. Please call 212-772-6011 or e-mail: advocate@medicalpassport.org


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.  


PHYSICIAN OPPORTUNITIES

General or Vascular Surgeon Needed
Busy Vein Center in Brooklyn and Staten Island, NY is looking for a General or Vascular Surgeon,Previous experience in vein procedures is helpful but not necessary. Full-time or part-time  schedules available. For additional information please Call Muhammad Shoaib at 718-435-1777 or send resumes to shoaib@varicosecenter.com info@varicosecenter.com varicosecenter.com


Patient Navigation and Patient Advocacy Services for Your Patients
Barbara A. Brody & Associates, LTD., founded in 1992, is a private “Value–Added” resource for practices and patients. Barbara A. Brody, MPA analyses medical insurance policies, long–term care policies, and insurance billing (physicians, healthcare facilities and pharmaceutical plans). We provide an understanding of the details of Medicare, Group and Individual policies to your patients and, in return, to you and your staff.  We can help your patients with long–term claim filing and medical financial management too.  We help your patients figure out their insurance so you don’t have to.  Contact us at (212) 517–5100 or www.barbarabrody.com


Family Practice Physician – Schenectady/Amsterdam, NY
Hometown Health Centers is a Federally Qualified Community Health Center in the Upstate, Schenectady and Amsterdam, NY areas. Bi-lingual in English/Spanish is a plus.  Excellent total compensation package.  No hospital rounding. Flexible and part-time schedules available.  Sign-on bonus. For additional information please send inquiries or resumes to jobs@hhchc.org. www.hometownhealthcenters.org

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


 

MSSNY Passes Gun Safety Resolutions

MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

The Medical Society of the State of New York Passes Gun Safety Resolutions
Resolutions Passed at Today’s Medical Society Annual House of Delegates Meeting

For Immediate Release

Westbury, NY, March 24, 2018—The Medical Society of the State of New York (MSSNY) today passed the following gun safety resolutions at its annual House of Delegates meeting:

  • MSSNY will support legislation that blocks the sale of any device or modification—including but not limited to bump stocks—that functionally convert a firearm into a weapon that mimics fully-automatic operation. In addition, MSSNY voted to support legislation that would ban the sale and/or ownership of high capacity magazines or clips and high speed high destruction rounds.
  • MSSNY will support legislation that requires a waiting period and background checks prior to the purchase of all firearms, including the person-to-person transfer, internet sales, and interstate transactions of all firearms.
  • MSSNY believes that gun violence in the United States is a public health crisis and will support legislation that would reverse the ban that prohibits the Center for Disease Control from researching gun related injuries, deaths and suicides related to this violence.
  • MSSNY will create a task force to study and make recommendations regarding how healthcare providers can play a role in safely sequestering a patient’s firearms to reduce the risk of suicide during a vulnerable time.

# # #

Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

Press Contact:
Julie Vecchione
Medical Society of the State of New York
865 Merrick Avenue
Westbury, New York 11590
516-488-6100 x 302 / 631.697.3470 (cell)
jvecchione@mssny.org
 

March 30, 2018 – Happy Doctors’ Day

Thomas J. Madejski, MD MSSNY President

PRESIDENT’S MESSAGE
Thomas J. Madejski, MD
MSSNY President
March 30, 2018
Volume 18
Number 12


Dear Colleagues:

Happy Doctor’s Day! The day chosen is March 30th, in honor of the 91st anniversary of the first administration of ether during surgery in 1842 by Dr. Crawford Long of Georgia.  The NY Daily News is honoring our day with a pullout section today that features MSSNY articles. 

Who Am I?

For those who do not know me, I am an Internist who specializes in geriatric medicine and palliative care.  The practice of medicine has changed substantially over the last 25 years.  Many of my geriatric patients are living longer and healthier lives at the same time that a tsunami of obesity, diabetes, and disability arises in our younger population— disproportionately in people with social, economic and other challenges.

There was an article in the New York Post on Tuesday titled, “Beware: Hospitals think ‘do not resuscitate’ means you don’t want to live.  The author was concerned that a patient who chooses to forego some care, may suffer from their physicians and other caregivers not offering other useful interventions that could improve their quality of life.  While I am certain that there are some instances of a bias toward less treatment, the remedy proposed (don’t choose to limit care so that you get the care you should have) will lead to other patients receiving treatment that may cause increased discomfort, iatrogenic complications or actually hasten their demise. There are a number of factual mistakes in the article and much misinterpretation of data.  A couple of links below give some information on prognosis with CPR in patients with chronic disease. 2% or less of patients with advanced COPD, CHF, malignancy or cirrhosis who undergo CPR are discharged to home and live six months.

https://www.ncbi.nlm.nih.gov/pubmed/25086252

On the other hand, patients have a better chance of being resuscitated today.  Unfortunately, the survivors have more impairment, lower functional states and are less likely to return home.

https://www.ncbi.nlm.nih.gov/pubmed/23470471

The real world solution is listening to patients and adjusting care to their wishes after reviewing treatment options with them. We need to advocate for better implementation of advanced directives and encourage the use of MOLST Forms.

Patients celebrate Doctor’s Day because of the care and compassion you share with them during their time of greatest need.

Thanks to all of you for the difference you make one patient at a time.

I’ll Be Seeing You

We are expecting a busy legislative session this year. I hope to visit all of your districts to foster maintenance and growth in membership this year. We need more troops to enhance our voice both statewide and nationally.

Thomas J. Madejski, MD 
MSSNY President

Please send your comments to comments@mssny.org


HIT MLMIC Symposium



Northwell Physicians at 2018 House of Delegates

MSSNY - Northwell

(L-R) Dr. Carlos Zapata, Dr. Louis Auguste, Dr. Art Fougner, Dr. Marie Basile, Dr. Paul Hamlin, Dr. Penny Stern, Dr. Cara Kvilekval, Dr. Charles Rothberg, Dr. Ani Bodoutchian, Dr. Robert Schreiber, Dr. Bonnie Litvack, Dr. Michael Ziegelbaum, Dr. David Podwall, Dr. Inderpal Chhabra, Dr. Carol Moodhe



Happy National Doctors’ Day!
Today, in recognition of National Doctors’ Day, we celebrate our physician members who have dedicated their lives to taking care of all New Yorkers.  March 30th was established to recognize physicians, their work and their contributions to society and the community.

Today, we say “thank you” to our physician members for all they do to help their patients every day!

MSSNY has partnered with the NY Daily News to produce a supplement in today’s paper that celebrates the work of New York physicians. Click here to view National Doctors’ Day.

State Budget Still Not Final, But Likely to Reject Several Items Opposed by MSSNY
As of press time, it was uncertain whether the Legislature would be able to complete passage of the State Budget before the April 1 deadline.   However, they were getting close as several of the “agreed-to” Budget bills were being voted upon today.  Importantly, the Health Budget bill has rejected several Budget proposals of great concern that MSSNY together with specialty societies and other allies had been advocating against, including:

  • Independent practice authority for CRNAs
  • Authorization for corporate-owned retail clinics
  • Authorization for patient drug management protocols between Nurse Practitioners and pharmacists.  Moreover, there was a 2-year extension of the current Collaborative Drug Therapy pilot program (between physicians and pharmacists) that MSSNY supports
  • Steep Medicaid cuts to the Patient-Centered Medical Home program
  • Authorizations for EMTs to provide non-emergency care in patient homes without any express coordination requirement with that patient’s treating physician
  • Elimination of “Prescriber prevails” protections for Medicaid prescriptions
  • Provisions which would have reduced from 7 days to 3 days the length of an initial prescription for acute pain.
  • Significant expansion of the DOH’s Commissioner’s power to investigate physician misconduct, including provisions that would have a) greatly reduced the time to respond to document requests and b) expanded the power to search and seize records and equipment.  It should be noted that the final Health Budget bill did include a provision to permit the Commissioner to summarily suspend a physician who is both been charged with a felony crime and believed to be an imminent danger to the public as determined by the Commissioner.

At the same time, the Health Budget bill also included the following important items:

  • Continued funding for the Excess Medical Malpractice Insurance Program at the historical level.
  • A new $150,000 allocation for the MSSNY’s Veterans Mental Health Initiative
  • Reducing some of the insurance barriers to substance abuse treatment
  • Continued historical funding and a 5-year extension of the MSSNY Committee for Physicians Health until 2023.

Please remain alert for further updates.

NY AG, MSSNY AND AMA All Express Strong Concerns with Proposed OCR “Conscience” Rule
New York Attorney General Eric Schneiderman this week led a coalition of 19 state Attorneys General, to oppose a proposed rule of the US Department of Health and Human Services’ Office of Civil Rights (OCR) which would significantly expand the ability of businesses and individuals to refuse to provide necessary health care on the basis of businesses’ or employees’ “religious, moral, ethical, or other beliefs.”

The AG comments to OCR were submitted by the Attorneys General of New York, Connecticut, Delaware, Hawaii, Illinois, Iowa, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Pennsylvania, Rhode Island, Vermont, Virginia, Washington, and the District of Columbia.

At last weekend’s MSSNY House of Delegates, the physician delegates also expressed strong concern with this HHS “conscience” proposal, passing a resolution that called for MSSNY to a) speak against policies that are discriminatory and create even greater health disparities in medicine; and b) be a voice for New York’s most vulnerable populations, including sexual, gender, racial and ethnic minorities, who will suffer the most under such policies, further widening the gaps that exist in health and wellness in our nation.

The AMA also submitted a detailed letter to OCR expressing its strong concerns, noting that “the Proposed Rule would undermine patients’ access to medical care and information, impose barriers to physicians’ and health care institutions’ ability to provide treatment, impede advances in biomedical research, and create confusion and uncertainty among physicians, other health care professionals, and health care institutions about their legal and ethical obligations to treat patients. We are very concerned that the Proposed Rule would legitimize discrimination against vulnerable patients and in fact create a right to refuse to provide certain treatments or services.” (AUSTER, CLANCY)


2018 MSSNY HOD HIGHLIGHTS

Public Health and Education

  • MSSNY will support legislation to prohibit the sale of any device — such as a bump stock — that functionally converts a firearm to fully-automatic operation.
  • MSSNY will support legislation that would ban the sale and/or ownership of high capacity magazines or clips and high speed high destruction rounds.
  • MSSNY will support legislation that requires a waiting period and background checks prior to the purchase of all firearms.
  • As gun violence in the United States is a public health crisis, MSSNY will support legislation that would reverse the ban that prohibits the Center for Disease Control from researching gun related injuries, deaths and suicides related to this violence.
  • MSSNY will create a task force to study and make recommendations regarding how healthcare providers can play a role in safely sequestering a patient’s firearms to reduce the risk of suicide during a vulnerable time.

Governmental Affairs and Legal Matters A

  • MSSNY supports legislation to give discretion to the patient’s attending physician or the emergency physician to have such patient sent for skilled nursing care without having to first meet the current Medicare 3-day hospital stay pre-condition;
  • MSSNY will advocate to reduce the administrative burdens of complying with value-based payment programs and advocate to assure that these programs comply with evidence-based standards of care.
  • MSSNY will work to assure strong enforcement of the NY and federal laws that require health insurance companies to cover emergency room care when a patient reasonably believes they are in need of immediate medical attention, including the imposition of meaningful financial penalties on insurers who do not follow the law.
  • MSSNY will advocate that all pharmacies, prescription programs, and EHR vendors adopt technologies for physicians to easily cancel medications electronically.

Governmental Affairs and Legal Matters B

  • MSSNY will seek to have legislation introduced and signed into law in

New York State stipulating that a patient undergoing any medical treatment requiring anesthesia in a hospital or ambulatory surgical center, regardless of where the hospital or ambulatory surgical center is located and regardless of the type of health insurance coverage, be guaranteed that a physician-anesthesiologist will either personally administer or supervise a nurse anesthetist in the administration of anesthesia or the operative that a designated surgeon, who has agreed to medically supervise the nurse anesthetist.

  • MSSNY will advocate for patients to have a choice to receive maintenance prescriptions from either a mail order pharmacy or a brick-and-mortar pharmacy without any financial penalty, and advocate for legislation that prohibits pharmacies from charging higher prices (from pharmacy benefit managers or insurance plans) than the actual pharmacy price of the medication
  • MSSNY will support legislation to prohibit Medicare plans and HMO plans would not from changing covered drugs during the enrollment year
  • MSSNY will support the use of State funding to establish and to support addiction medicine fellowships in New York State. 

Socio-Medical Economics

  • MSSNY requests that the New York State Department of Financial Services mandate all insurance companies print current copays and deductibles and date of issue on all subscribers’ health insurance cards.
  • MSSNY will adopt the position that it is proper to remove the CLIA certification mandate requirement for physicians who only use CLIA-waived tests and physician-performed microscopy; and bring this proposal to the AMA.
  • MSSNY should call on the AMA to reimburse all AMA members for the fees they pay in relation to CPT coding; and the New York delegation to the AMA bring this resolution to the Annual Meeting of the AMA in 2018.
  • MSSNY will advocate that no providers may remit bills for services until they can document that all resources have been exhausted attaining third party reimbursement; and  when there is a balance for which the patient is responsible, that if paying the total amount due is a hardship for the patient that an installment plan be worked out; and recognizing that installment plans require extra staff time, charging a nominal fee is acceptable for such arrangements; and if it is ascertained that a beneficiary is responsible for a fee, reasonable payment options should be offered. 

Reports of Officers

  • Free county medical society and MSSNY membership for medical students (beginning in 2019)
  • Equity in Dues – HOD adopted policy that the long-term goal of MSSNY is to achieve equity in dues for all members through growth in membership.  The House of Delegates and the Council will monitor all programs created to achieve growth by enrolling members at special dues rates, to ensure that they are conducted in accordance with the MSSNY Bylaws.
  • Life Member Administration Fee – The House approved a pilot project whereby Life Members would be sent an annual statement requesting payment of a recommended voluntary administration fee of $100 to be shared equally by the county medical society and MSSNY.  


Aetna Follows United On Rebates to Customers for Medicines
Aetna announced Tuesday morning it will automatically provide pharmacy rebates to customers when they purchase their medicines. UnitedHealth Group said the same a few weeks ago. Both will provide discounts to people in fully insured commercial plans — which affects around 3 million people for Aetna.  

Antitrust Institute Calls for DOJ to Block CVS-Aetna Merger
Yesterday, the American Antitrust Institute (AAI), an antitrust research and advocacy organization whose mission is to advance the role of competition in the economy and to protect consumers, called upon the DOJ to block the merger of CVS-Aetna.

The AAI request was communicated in a persuasive and well-documented 10 page letter. It opens with a statement that “the letter adds to the concerns raised by other important voices, including the American Medical Association (AMA) and Consumers Union.” The letter concludes with the judgment that the merger would “trigger a fundamental restructuring of the US healthcare system” in ways that would “harm competition and consumers at all levels.” The AAI letter can be found here. 

SYMPOSIUM

Register Now For 2018 NY HIT Symposium on Sat. April 28 in Brooklyn

When: Saturday, April 28, 2018 8:30 a.m. – 3:00 p.m.
Where: Brooklyn Borough Hall
209 Joralemon St.
Brooklyn, NY 11201

Please join us as we examine potential risk management issues with EHR technology.

  • Liability pitfalls in EHR documentation
  • Fraud risks in documenting encounters
  • Privacy, security, and confidentiality in EHR technology


The HIT Symposium is designed for physicians in all specialties.

Supported by MLMIC and MSSNY

CME

Plague & Q Fever” CME Webinar on April 18, 2018; Registration Now Open

Upcoming in MSSNY’s Medical Matters continuing medical education (CME) webinar series is: Plague & Q Fever”.  This webinar will take place on Wednesday, April 18, 2018 at 7:30 a.m.   Faculty for this program is Kira Geraci-Ciardullo, MD, MPH.  Register for this webinar here.

Educational objectives are:

  • Describe the epidemiology of Plague and Q Fever
  • Describe the transmission of Plague and Q Fever
  • Describe the diagnosis and treatment of Plague and Q Fever
  • Explain the use of Yersinia pestis and Coxiella burnetii as a biologic weapons(s)
  • Identify infection control procedures
  • Identify resources for reporting

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

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

CMS Extends MIPS 2017 Data Submission Deadline
If you’re an eligible clinician participating in the Quality Payment Program, you now have until Tuesday, April to submit your 2017 MIPS performance data. You can submit your 2017 performance data using the new feature on the Quality Payment Program website.

Note: For groups that missed the March 16 CMS Web Interface data submission deadline, it’s not too late to submit your data through another mechanism.

How to Get Started

Go to qpp.cms.gov and click on “sign in” on the top right side of the web page.

  • You’ll be required to log into the Quality Payment Program data submission feature using your Enterprise Identity Management (EIDM) credentials user name and password. If you don’t have an EIDM account, you’ll need to obtain one. Review this EIDM user guide and get started with the process as soon as possible. Currently, you should allow at least 5 business days for EIDM requests to be processed.
  • After logging in, the feature will connect you to the Taxpayer Identification Number (TIN) associated with your National Provider Identifier (NPI).
  • You’ll be able to report data either as an individual or as a group. Be sure to login and get familiar with the feature before you submit your data.

Real-Time Score Projections

As you enter data into the feature, you’ll see real-time scoring projections for each of the Merit-based Incentive Payment System (MIPS) performance categories. This scoring may change if new data is reported or quality measures that have not yet been benchmarked are used.

Data can be updated at any time during the submission period. Once the submission period ends, CMS will calculate your payment adjustment based on your last submission or submission update.

Please note, your performance category score will not initially take into account your Alternative Payment Model (APM) status, Qualifying APM Participant (QP) status, or other special status—if applicable. To check your QP status, review the updated APM Lookup Tool.

Get Help and Learn More

Contact the Quality Payment Program by email at qpp@cms.hhs.gov or toll free at 1-866-288-8292, if you need help or have questions about using the data submission feature.

You can also view the data submission fact sheet and this video to learn more about the Quality Payment Program data submission feature.

Open Payments Program Year 2017 Review and Dispute Period Begins April 1st
Review and dispute for the Program Year 2017 Open Payments data begins on Sunday, April 1, 2018 and will last until May 15, 2018. During the review and dispute period physicians and teaching hospitals may review, affirm, and, if necessary, dispute their attributed records. Physicians and teaching hospitals must initiate their disputes during the 45-day review period in order for the disputes to be addressed before or reflected in the June data publication.

Note: Physicians and teaching hospitals must work directly with the reporting entity to reach a resolution. The Centers for Medicare & Medicaid Services (CMS) does not mediate or moderate disputes.

Physician and teaching hospital review of the data is voluntary, but strongly encouraged.
While the opportunity for physicians and teaching hospitals to dispute any data associated with them expires at the end of the calendar year in which the record is published, the disputes must be initiated during the 45-day review and dispute period, ending on May 15th, in order to be reflected in the June 30th publication.  CMS will publish the Open Payments Program Year 2017 data and updates to previous program year’s data in June 2018.

If You Have Never Registered In Open Payments Before:

Before you begin, make sure you have your National Provider Identifier (NPI) number and State License Number (SLN). Initial registration is a two-step process and should take approximately 30 minutes:

  1. Register in the CMS Enterprise Identity Management System (EIDM);
  2. Register in the Open Payments system

For Users That Registered Last Year and Have Used Their Accounts in the Last 60 Days:

Physicians and teaching hospitals who registered last year do not need to reregister in the EIDM or the Open Payments system. If the account has been accessed within the last 60 days, go to the CMS Enterprise Portal, log in using your user ID and password, and navigate to the Open Payments system home page.

For Users That Registered Last Year but Have Been Inactive for More than 60 Days:

The EIDM locks accounts if there is no activity for 60 days or more. To unlock an account, go to the CMS Enterprise Portal, enter your user ID and correctly answer all challenge questions; you’ll then be prompted to enter a new password.

For Users That Registered Last Year but Have Been Inactive for More than 180 Days:

The EIDM deactivates accounts if there is no activity for 180 days or more. To reinstate an account that has been deactivated, contact the Open Payments Help Desk at
1-855-326-8366.

Classified

RENTAL/LEASING SPACE

Beautiful NYC Medical Office — Long-term Share
Bright, big consultation room and one or two exam rooms in large,  tastefully furnished office in first-rate building. 58th Street between Park and Lexington. Near transportation.  Smaller, windowed consultation room and exam room also available. Rent by the day or week, beginning June 1 or sooner. $180 per day or $5500 per months. Perfect for internist, rheumatologist, physical medicine, ob-gyn and others. Superb front desk and office management available, along with many amenities including internet, ultrasound, EMG, kitchen, optional C-arm. Call Carol: 917-856-6402.


Medical Office to Sublet – Sheepshead Bay, Brooklyn
Sublet available 2-3 days per week. Features 3 exam rooms, consultation room, x-ray and waiting room. Reasonable rent. Call 917-971-1691


For Rent – Medical Office 715 W 170 Street New York
Ground floor just completed build out 4 exam rooms with sinks and wall cabinets
Waiting and reception areas, windows throughout.
Street and private entrances, two bathrooms and storage/lab/staff room.
One block to bus and two blocks to Presbyterian Medical Center and subway.
$1900-$7900/ month for one to 4 exam rooms.
Drdese@gmail.com or 917.8618273


For Share – Plastic Surgeon’s Office Facing Central Park Ground Floor Lobby Entrance/Private exit
One to three exam rooms, consult/private office and procedure room for full or part time use.
Elegant, modern and spacious secretarial, waiting and two exam rooms.
Accredited operating rooms and recovery rooms on site.
One block to bus and 20 feet to subways.
$1275-$3750/day monthly for one to three exam rooms.
Drdese@gmail.com or 917.861.8273


Office Space – Sutton Place
Newly renovated medical office. Windows in every room looks out to a park like setting on the plaza level. 2-4 exam rooms/offices available, possible procedure room or gym. Separate reception and waiting area, use of 3
bathrooms and a shower. Central air and wireless. All specialties welcome. Public transportation nearby. Please call 212-772-6011 or e-mail: advocate@medicalpassport.org


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.  


PHYSICIAN OPPORTUNITIES

General or Vascular Surgeon Needed
Busy Vein Center in Brooklyn and Staten Island, NY is looking for a General or Vascular Surgeon,Previous experience in vein procedures is helpful but not necessary. Full-time or part-time  schedules available. For additional information please Call Muhammad Shoaib at 718-435-1777 or send resumes to shoaib@varicosecenter.com info@varicosecenter.com varicosecenter.com


Patient Navigation and Patient Advocacy Services for Your Patients
Barbara A. Brody & Associates, LTD., founded in 1992, is a private “Value–Added” resource for practices and patients. Barbara A. Brody, MPA analyses medical insurance policies, long–term care policies, and insurance billing (physicians, healthcare facilities and pharmaceutical plans). We provide an understanding of the details of Medicare, Group and Individual policies to your patients and, in return, to you and your staff.  We can help your patients with long–term claim filing and medical financial management too.  We help your patients figure out their insurance so you don’t have to.  Contact us at (212) 517–5100 or www.barbarabrody.com


Family Practice Physician – Schenectady/Amsterdam, NY
Hometown Health Centers is a Federally Qualified Community Health Center in the Upstate, Schenectady and Amsterdam, NY areas. Bi-lingual in English/Spanish is a plus.  Excellent total compensation package.  No hospital rounding. Flexible and part-time schedules available.  Sign-on bonus. For additional information please send inquiries or resumes to jobs@hhchc.org. www.hometownhealthcenters.org

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


 

New York Is 2018’s 3rd Worst State for Doctors

MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release
March 28, 2018

New York Is 2018’s 3rd Worst State for Doctors
New York Moves Up from 51st to 49th Worst State

Statement attributable to:
Thomas Madejski, MD
President, Medical Society of the State of New York

The latest report identifying New York as the 3rd worst state in the country to be a physician shows that we have a long way to go to improve New York’s practice climate.  Once again, New York’s exorbitant malpractice insurance costs  combined with low insurer payments creates an untenable squeeze that makes it exceedingly difficult to continue to be available to deliver patient care.  Make no mistake – physicians, residents and medical students make decisions about where to locate to deliver patient care based upon perception of the practice environment.  It is imperative that the Legislature and the Governor work together to advance initiatives to make  New York physician- friendly, by reducing hassles with insurance companies, controlling medical liability costs, and providing opportunities for meaningful loan repayments.  Patients who depend on physician availability deserve nothing less.”

# # #

Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

Press Contact:
Julie Vecchione
Medical Society of the State of New York
865 Merrick Avenue
Westbury, New York 11590
516-488-6100 x 302 / 631.697.3470 (cell)  jvecchione@mssny.org

MSSNYeNews: Thumbs Up! Welcome Dr. Madejski

Charles Rothberg, MD - MSSNY President
PRESIDENT’S MESSAGE

Charles Rothberg, MD
March 16, 2018
Volume 18
Number 11

Dear Colleagues:

Next week is our Annual House of Delegates and I am leaving you in the capable hands of Dr. Tom Madejski. We came up the ranks together and we had brilliant mentors who taught us to follow— then lead. No one is better prepared to lead than Dr. Madejski.

My Three Pillars—Engagement, Disparity, Wellness

This year, membership was key to all of our pillars. The process was uncomfortable for some but it became apparent that we had to be more inclusive if we want to remain viable and true to our physician mission. We need the force of numbers behind our legislative platform if we want to succeed.   We must encourage big step-recruiting – group practices, employees, hospital-based specialties, private practitioners who are newly affiliated with a health care system (sometimes through no effort of their own).  We must engage physicians where and how they work.

 Every physician needs MSSNY!

As to my Three Pillar platform of Wellness, Engagement and Disparity, we made meaningful inroads that will continue as areas of concentration.

Engagement: In addition to revitalizing the way we look at membership, our communications are updated and our social media presence has expanded mightily. We have improved our relations with other medical associations such as the AMA – as evidenced by collaboration on such matters as the Anthem 25 modifier issue.  We have made an imprint on others, such as the coalition of state medical societies.

We have engaged the Health Department on education and disaster preparedness. We have fortified our relationships with MLMIC on so many physician programs. And we have collaborated with other provider stakeholders such as the hospital associations.

Big issues require partners. We continue to develop key relationships with New York and national media by delivering timely and decisive positions.  We no longer try to be conciliatory when we should be militant.

Wellness: We progressed in studying our Physician Burnout issue under Dr. Michael Privitera’s Committee.  Council approved a Peer Program and authorized us to seek the financial backing to start it. The Committee’s scientific papers will be presented at the House.

Disparity: We now have excellent representation on the AMA Committee for Disparity by Dr. Malcolm Reid and Dr. Erick Eiting.

Watch Out for the Big Players

I leave with one caveat! Adverse business practices by the mega-insurance companies is rearing its ugly head again. BCBS is instituting a policy of monitored anesthesia care by the surgeon (instead of the anesthesiologist) during common ophthalmological services (i.e. cataract extraction); Fidelis has instituted a policy requiring authorization for most of the common ultrasound procedures for OB/GYNS; another company is instituting a policy where they will not pay for a Level 4 or 5 ER visit unless the patient is admitted to the hospital. There are many other egregious activities by other plans. Anthem proposed to institute a 50% reimbursement reduction for an E & M visit performed on the same day as a procedure. With the help of the AMA and DFS, we were successful in having Anthem retreat on that proposal.

I don’t know if we have to initiate another class action lawsuit (as we did 18 years ago), but I do know as organized medicine we must speak loudly to the regulatory authorities and our legislature to curb the resurgence of these insurer directed adverse business practices that increase our burdens and decrease the quality of care.

We cannot do this alone. You need to speak to your colleagues, coworkers and any physician you know who is not a member and get them to JOIN US. The more voices, the more valid and powerful we become. If we fail, the insurers will WIN!

Not all stakeholders appreciate us.  If they were more  clever, they would leverage us as a resource. Good health and good healthcare is robust for us all – even business. Healthcare in NY would be a better system and a better product.

Credits

I thank our EVP Phil Schuh for his strong (amazing, actually) guidance and all MSSNY Division Vice-Presidents for their expertise. My predecessor Dr. Malcolm Reid “set the table for me” and I just had to “dig in.” Dr. Frank Dowling and Dr. Marie Basile are great friends, councilors AND counselors! Dr. Josh Cohen and Dr. Parag Mehta and the entire executive committee could not have been a more resourceful team. And this year’s MSSNY council was among the most thoughtful, deliberative and productive in memory. Thanks too to Past Board chair Drs. Scher and Ostuni, current chair Dr. Hamlin and the entire BOT for enabling and guiding our activities this year. And so many more on the MSSNY team.

What did I learn? We can always rely on the decency and humanity of doctors. We all seem to have innate curiosity; we are welcoming and we never seem to stop thinking and creating.

Thank you for letting me share the glory of being a physician!

Charles Rothberg, MD
MSSNY President

Please send your comments to comments@mssny.org


Capital Update


Assembly, Senate Advance Budget Proposals with April 1 Deadline In Sight
This week the Assembly and the Senate each advanced their respective “one-House” Budget proposals in reaction to the Governor’s proposed Budget.  These proposals will set the stage for intense negotiations as the Governor and the Legislature seek to finalize a State Budget by April 1.  In fact, the early arrival of Easter and Passover this year places additional incentive to reach Budget passage by Thursday, March 29.

Assembly One-House Budget

The Assembly Budget proposal deleted nearly all of the initiatives contained in the Governor’s Budget proposal that were opposed by MSSNY.  Among the proposals rejected by the Assembly:

  • Independent practice authority for CRNAs
  • Authorization for corporate-owned retail clinics
  • Authorization for patient drug management protocols between Nurse Practitioners and pharmacists
  • Steep Cuts to the Patient-Centered Medical Home program
  • Authorizations for EMTs to provide non-emergency care in patient homes without any express coordination requirement with that patient’s treating physician
  • Elimination of “Prescriber prevails” protections for Medicaid prescriptions
  • Significant expansion of the DOH’s Commissioner’s power to investigate physician misconduct, including provisions that would have a) greatly reduced the time to respond to document requests and b) expanded the power to search and seize records and equipment.  However, it included a provision to permit the Commissioner to summarily suspend a physician who is both been charged with a felony crime and believed to be an imminent danger to the public as determined by the Commissioner.

The Assembly Budget proposal also included aspects of the Governor’s proposal supported by MSSNY including maintaining the historical funding level for the Excess Medical Malpractice Insurance Program, and taxing e-cigarettes in the same manner as tobacco cigarettes. 

Click here to read MSSNY President Dr. Charles Rothberg’s comments on the Assembly Budget proposal. 

Senate One-House Budget

The Senate one-House Budget proposal also rejected a number of Executive Budget proposals opposed by MSSNY including:

  • Independent practice authority for CRNAs
  • Steep Cuts to the Patient-Centered Medical Home program
  • Elimination of “Prescriber prevails” protections for Medicaid prescriptions
  • Significant expansion of the DOH Commissioner’s power to investigate physician misconduct
  • Authorization for patient drug management protocols between Nurse Practitioners and pharmacists.

The Senate Budget proposal also contains important adds, including a new $150,000 appropriation for MSSNY’s Veterans Mental Health Initiative, and a continuation of MSSNY’s Committee for Physicians Health for an additional 5-year period, including an extension of the programs goals to address physician burnout.  The Senate Budget proposal also maintained the historical funding level for the Excess Medical Malpractice Insurance Program.

However, the Senate included language opposed by MSSNY to permit corporate-owned retail clinics, though its proposal has significant differences from the Governor’s proposal.

Moreover, the Senate Budget proposal contained a comprehensive proposal to address opioid abuse, which contains a number of important public health improvement initiatives but also several items of concern to place new restrictions on opioid prescribing (see attached article).

Click here to read MSSNY President Dr. Charles Rothberg’s comments on the Senate Budget proposal.                                                                                                                  (DIVISION OF GOVERNMENTAL AFFAIRS)

March Madness Also Begins in Albany
As both the New York State Assembly and Senate have released their “one-House” Budget proposals this week in reaction to the Governor’s proposed Budget, it sets the stage for round the clock negotiations as the Governor, Assembly and Senate seek to finalize a Budget by April 1, just two weeks away.

This is the time when physicians must be engaged in extensive grassroots communications with their legislators.   In this regard, physicians are urged to continue to contact their legislators, and make phone calls, Facebook and Twitter updates, e-mail blasts and other forms of activism on the following issues that will be on the table in the next 2 weeks: 

  • Oppose Expanding scope of practice for certified nurse anesthetists (CRNAs)

This provision would allow Certified Registered Nurse Anesthetists (CRNAs) to administer anesthesia without the supervision of a physician anesthesiologist or surgeon.  To urge your legislators to protect safe anesthesia care for patients please click here.

  • Oppose Authorizing Health Services Offered In Big Box Stores

This provision authorizes the delivery of health services in a retail setting such as a pharmacy, grocery store, or shopping mall.  Sponsors could include a business corporation.   With the recently announced proposal of drugstore chain giant and PBM operator CVS to purchase health insurance giant Aetna, this could result in an explosion of retail clinics at the expense of community physician practices. To urge your legislators to reject corporate owned retail clinics, please click here.

  • Oppose Overbroad Prescribing Restrictions (see related article)

While the Senate Budget proposal contains a number of important initiatives to respond to the heroin and opioid abuse epidemic, it also contains a number of proposals to place new restrictions on the clinical decision making authority of physicians to prescribe medications that may be needed by their patients to alleviate pain.  To urge your legislator to oppose overbroad prescribing restrictions, please click here.

  • Oppose Patient-Centered Medical Home cuts

This proposal would slash the Patient-Centered Medical Home (PCMH) add-on Medicaid payment that many primary care practices receive to help manage and coordinate needed patient care services.  Moreover, it would potentially require all PCMH primary care practices to have a Level 1 Value-Based payment contract on July 1, 2018, or face further steep cuts in PMPM payments. To send a letter click here.

  • Oppose Comprehensive Medication Management Protocols

This proposal allows nurse practitioners and pharmacists to provide comprehensive medication management to patients with a chronic disease or diseases who have not met clinical goals of therapy and are at risk for hospitalization.  Urge your legislators to reject this inappropriate scope of practice expansion.  Click here to send a letter to your legislator.

  • Oppose Repealing “Prescriber prevails” protections that currently exist in Medicaid and Medicaid Managed Care, forcing physicians to go through even more burdensome prior authorization requirements
  • Oppose Overbroad Authority to Investigate Alleged Physician Misconduct that would authorize the Commissioner of Health to obtain a warrant that would allow DOH to search and seize documents, computers and electronic devices where relevant, as well as shorten from 30 to 10 days the time allowed to respond to the Commissioner’s request for relevant information.

 (DIVISION OF GOVERNMENTAL AFFAIRS) 

Physicians Urged to Contact Legislators on the Senate’s Proposal to Further Limit Opioid Prescribing
There is a comprehensive proposal in the Senate one-House Budget to address the heroin and opioid abuse epidemic in New York.  While there are important initiatives contained within this proposal including removal of barriers to patients receiving needed treatment and an expanded drug “take back” program,  the Medical Society is concerned that this proposal may also have the effect of discouraging physicians from addressing their patients’ legitimate pain needs.

It would further limit the prescribing of an opioid medication from 7 to 3 days for an initial prescription for acute pain, require parental consent for the prescribing of an opioid to a minor and would also require a detailed written treatment plan for coverage by Medicaid and commercial payors when opioids are used for longer than 30 days.

The Medial Society is concerned that the “law of unintended consequences” could follow with further restricting what was already an arbitrary 7-day limitation on patients’ ability to receive necessary medications, such as a situation where a patient has surgery and is unable to easily return to the physician’s office or hospital if additional pain medications are necessary.  These concerns are even more magnified by reducing this 7-day limitation to three days, when many patients post-surgical pain will not have not yet abated.  Requiring parental consent for a minor to receive an opioid could also impact  on patients’ ability to receive necessary medications.  This could also set a precedent for requiring parental consent for minors for certain procedures where our laws do not require receiving such consent.  The provision to require a written treatment plan when use of opioids will be longer than 30 days significantly differs from the CDC Guidelines for the treatment of chronic pain which recommends a written treatment plan for use more than 90 days or past the time of normal tissue healing.  Physicians are encouraged to send a letter to their legislators. (CLANCY)



Register NOW for MSSNY House of Delegates Live CME Seminars on Thursday March 22nd and Friday March 23rd
The Medical Society of the State of New York will conduct three live seminars at its House of Delegates meeting on March 22nd and 23rd.  The programs are opened to all physicians in the western New York area and will be held at the Adam’s Mark Hotel, 120 Church Street, Buffalo, NY 14202.  Pre-registration is strongly suggested.  The following programs will be offered: 

Medical Matters: Disaster Medicine: Every Physician’s Second Specialty

Thursday, March 22nd, 1:00-2:00pm

Register HERE.

Faculty: Lorraine Giordano, MD, FACEP, FAADM

* Must attend in person at the House of Delegates.

Educational Objectives:

  • Identify core preparedness competencies every physician should know
  • Explore essential elements of preparedness plans for staff, patients, and family
  • Describe available courses, resources and organizations to obtain disaster preparedness education and training

Bending the Diabetes Curve

Thursday, March 22nd, 2:00-3:00pm

Register HERE.

Faculty: Geoffrey Moore, MD & Sarah Nosal, MD

* Must attend in person at the House of Delegates.

Educational Objectives:

  • Describe the trends in Type 2 diabetes and implications for clinical practice
  • Review evidence that supports referring patients with prediabetes to lifestyle change program
  • Outline the considerations for implementing a diabetes prevention initiative in a physician practice
  • Describe NYS specific incidents of prediabetes and diabetes in adult population
  • Understand the reimbursements mechanisms for DPP

Current Concepts in Concussion for Pediatric and Adult Patients

Friday, March 23rd, 1:00-2:00pm

Register HERE.

Faculty: Deborah Light, MD & John Pugh, MD, PhD

* Must attend in person at the House of Delegates.

Educational Objectives:

  • Identify signs and symptoms indicative of concussion as well as red flags that indicate alternate or more severe pathology;
  • Outline an appropriate management plan for a patient presenting with concussion including a return to “normal life” protocol;
  • Describe methods for the primary and secondary prevention of concussion;
  • Identify patients who would benefit from referral to a concussion specialist                                                                                                 (HOFFMAN)


Tickborne Diseases: An update on trends, diagnostics, and emerging infections to be presented at the MSSNY House of Delegates on March 22nd
The New York State’s Department of Health Commissioner’s Grand Rounds session titled “Tickborne Diseases” will be presented as a live seminar at the MSSNY House of Delegates on Thursday, March 22, 2018 from 3-4:30 p.m. at the Adam’s Mark Hotel, 120 Church Street, Buffalo, NY 14202.  The purpose of this presentation is to describe the epidemiology of tickborne diseases in NYS, review diagnostic approaches to tickborne diseases, and provide an update on emerging tickborne infections.

Host for the afternoon session will be NYS Health Commissioner Howard A Zucker, MD, JD.  Faculty will include C. Ben Beard, MS, PhD,  Deputy Director Division of Vector-Borne Diseases. Centers for Disease Control and Prevention; Philip Molloy, MD, Rheumatologist, Nantucket Cottage Hospital, Medical Director for Tickborne Diseases, Imugen Inc.; Michael Ryan, PhD, Director, Division of Laboratory Quality Certification, Wadsworth Center, New York State Department of Health; P. Bryon Backenson, MS, Deputy Director, Bureau of Communicable Disease Control, New York State Department of Health, Assistant Professor, Department of Epidemiology and Biostatistics, University at Albany School of Public Health.

The Grand Rounds session is offered free to all health care providers and advance registration is required.  For additional information and to register for this event please see the flyer here.

Continuing Medical Education Credits will be issued by The School of Public Health, University at Albany which is accredited by the Medical Society of the State of New York (MSSNY) to provide continuing medical education for physicians. The School of Public Health, University at Albany designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.                                                              (CLANCY)

DOH To Host Buprenorphine Training in Syracuse
The NYSDOH AIDS Institute and Onondaga County Health Department are hosting a Free Buprenorphine Waiver Eligibility Training for Clinical Providers on Saturday, April 21st, 2018 from 8:00AM to 1:00PM at the SUNY Upstate Medical University, 762 Irving Ave, Setnor Hall, Room 3509-3510, Syracuse, NY 13210.

Information is available by clicking on the following links:  location, online registration.   Further information will be sent out to confirmed attendees.  Registration closes on April 18th at 12pm.

Trainers for the event are:

Ross Sullivan, MD, SUNY Upstate Medical/Upstate University Hospital, Syracuse, NY 

Laura Martin, DO, ACR Health & MyCare Syracuse Family Practice, Syracuse, NY

Please Note: CME Credits will be made available.  This is the first half of the minimum required 8 hours of training, and the second half must be completed online after attendance to the live training.  Currently NPs & PAs are required to take an additional 16 hours of online training which is available on the PCSS-MAT website (Part 2).

Upcoming NYSDOH Spring/Summer Waiver Trainings (contact DOH for more info):
April 28th – Schenectady County
May 5th – Columbia County
June 2nd – Sullivan County
June 23rd – Dutchess County
Dates TBD – Westchester County, Broome County, Long Island

For more information about the Clinical Education Initiative and their opioid resources, please visit https://ceitraining.org/resources/opioid. For more information about NYSDOH buprenorphine related trainings, mentoring, coaching, technical assistance and more, please contact us at buprenorphine@health.ny.gov or 1-800-692-8528.            (CLANCY)


For more information relating to any of the above articles, please contact the appropriate contributing staff member at the following email addresses:

pschuh@mssny.org   mauster@mssny.org  pclancy@mssny.org  

eNews

Physician Advocacy Institute Study: 42% of Physicians Are Employed by Hospitals
On March 14, the Physicians Advocacy Institute (PAI), of which MSSNY is a charter member and a member of the Board of Directors, released a report that updates a previously-released study conducted by Avalere Health that examined the continued growth in hospital acquisitions of physician practices and the trend toward physician employment. The new study adds an additional year of data to the earlier study, which reviewed the period from mid-2012 to mid-2015.

Avalere researchers found that by mid-2016, hospitals acquired an additional 5,000 medical practices, and physician employment grew 11% from a year prior.  By 2016, 42% of physicians were employed, as compared to just one in four in 2012.  In a regional analysis, researchers found growth in hospital acquisitions of medical practices in every region of the country, ranging from 83% to 205% over the four-year period.  PAI is studying these trends as part of an ongoing research collaboration with Avalere Health in order to better understand how physician employment and consolidation in the health care system affects the practice of medicine and impacts spending by payers and patients.

Invitation to MSSNYPAC Network Reception
Charles Rothberg, MD and the MSSNYPAC Executive Committee cordially invite you to attend the MSSNYPAC & Physician Advocacy Liasion Network Reception.

When:           Friday, March 23, 2018 at 3:30-5pm
Where:         Adam’s Mark Hotel Buffalo Grand Ballroom E
Admission:   FREE Open Bar * Lite Fare * Business Attire

We ask all attendees to bring a colleague to the reception (physician, resident or medical student).

Join us for a candid discussion with physicians from around the state about the PAL Network we are building, collective political action and state-wide grassroots activities.   We will explore the relationship of advocacy to patient care and how engaging with policymakers to assure patients continue to receive the care they expect and deserve is a vital aspect of the practice of medicine.

To learn more visit www.mssnypac.org/PAL

View the invitation here. RSVP to mssnypac@mssny.org or send a text to 914-933-7722 

Residency Match Is Largest Ever Per National Resident Matching Program (NRMP)
NRMP announced today that the 2018 Main Residency Match is the largest yet, with a record 37,103 US and international applicants listing program choices for 33,167 positions. The number of first-year (PGY-1) positions increased by 1383 from last year and now stands at 30,232.Of those 30,232 positions, nearly half (14,695) were in primary care: family medicine; internal medicine; internal medicine–pediatrics; internal medicine–primary; and pediatrics. Within the primary care slots, 14,333 (97.5%) were filled, and 7104 (48.3%) were filled by US allopathic seniors. Since 2014, the number of primary care positions has grown by 1713, or 13.2%. The following is the breakdown of primary care highlights from 2018.

NYT Prints Letter to Editor from MSSNY Past President Robert Goldberg

To the Editor:

The Price They Pay (Science Times, March 6) puts a face on “Why Your Pharmacist Can’t Tell You That $20 Prescription Could Cost Only $8 (news article, Feb. 25).

Anyone watching the effort by CVS to buy Aetna should be alarmed by the prospect of a future filled with medication denials and cost shifts to the sickest in our midst.

Imagine the power and conflict in having Aetna determine the tier of a drug and letting CVS bill at least a third of the list price to the patient to save Aetna money.

Worse, a person examined by a nurse in a CVS walk-in clinic may be prescribed a drug that might have a cheaper alternative. Unbeknown to the patient, the pharmacist is prohibited from revealing that.

New York State prevents doctors from owning a pharmacy, to avoid a scenario of having their patients exit through it as through a museum gift shop. The cost of drugs, the proposed merger and the gag orders translate to staggering human suffering.

ROBERT GOLDBERG
MORRISTOWN, N.J.

The writer is a past president of the Medical Society of New York State.

REGISTER NOW for MLMIC’s Free Risk Management Conference in Buffalo

When: March 22, 2018 at 9:30am
Where: Adams Mark Hotel – Buffalo, NY 

MLMIC is pleased to invite you to attend its Risk Management Conference on Thursday, March 22, 2018, at the Adams Mark Hotel in Buffalo, New York (The morning of the MSSNY House of Delegates). The program will run from 9:30 a.m. to 12:30 p.m. During this year’s event, which qualifies physicians for CME credit, experts will examine current risk management issues facing all specialties.

Topics will include:

  • Effective Coordination of Care: The Role of the Hospitalist
  • The Physician-Patient Relationship: A Closer Look
  • 2018 Healthcare Law Review

Attendance at this complimentary educational event will enable physicians to earn a maximum of 3.0 AMA PRA Category 1 Credits™
Click on the link below to register at www.mlmic.com/2018risk; or REGISTER BY E-MAIL
Forward this e-mail with your full name to pjorge@mlmic.com

To REGISTER BY FAX: Print and Fax this e-mail with your full name to 212-300-9406

MLMIC is accredited by the Medical Society of the State of New York to sponsor continuing medical education for physicians. MLMIC designates this live activity for a maximum of 3.0 AMA PRA Category 1 CME Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the program.

AGENDA 

9:00-9:30 a.m.             Registration and Continental Breakfast 

9:30-10:30 a.m.           Effective Coordination of Care: The Role of the Hospitalist

                                      John Krisa, MD

                                      Hospitalist and Physician Advisor for Acute Care Troy

                                      St. Peter’s Health Partners 

10:30-11:30 a.m.        The Physician-Patient Relationship: A Closer Look

                                     Carol S. Doty, Esq. – Partner

                                     Jonathan D. Rubin, Esq. – Senior Partner

                                     Kaufman Borgeest & Ryan, LLP

 11:30-12:30 p.m        2018 Healthcare Law Review

                                     Nancy May-Skinner, Esq.

                                     Managing Attorney

                                     Fager Amsler Keller & Schoppmann, LLP 

The Legal Pitfalls of HIT Technology: Mitigating the Risks on Sat., April 28
Join the Medical Society of the County of Kings for an informative program entitled “The Legal Pitfalls of EHR Technology: Mitigating the Risks. The program is supported by both MSSNY and Medical Liability Insurance Company (MLMIC).

Topics will include the legal pitfalls of Cut and Paste, Copy Forward, Metadata, Burnout, Privacy and Security and will be presented by physicians and attorneys who are national experts in the field. There is no charge for NY physicians, NPs, PAs and invited guests. Breakfast and lunch will be provided.

When: Saturday, April 28, 2018, 8:30am-3pm
Where: Brooklyn Borough Hall, 209 Joralemon Street, Brooklyn, NY 11201

Click here for the flyer. Or contact Liz Harrison, Executive Director of the Medical Society of the County of Kings at liz@MSCK.org or 718.745.5800.

“Wave of Mergers” Leaves Long Island With Only One Independent Hospital Left
Newsday (NY) (3/15) reports there is only one independent hospital left on Long Island following “a wave of mergers.” Hospitals have merged “with larger health systems” for many reasons including access to services, funding, and increased negotiating power.

Higher Prices, Not Higher Use
The United States spends nearly twice as much on health care as 10 other wealthy nations, according to a study published on March 13 in JAMA. The study suggests that the United States does not spend more because U.S. residents use more services, but because U.S. residents pay more for procedures and treatments. 

Gun Violence: APHA Offers Free Access to Gun Violence and Public Health
The American Public Health Association is offering free access to its archive of peer-reviewed, published research on gun violence and public health. “With the Centers for Disease Control and Prevention functionally barred from conducting meaningful research on firearm violence by Congress, the public health community is stepping up to fill the knowledge gap,” said Dr. Alfredo Morabia, editor-in-chief of AJPH, in a statement. 

MIPS, NGS, CMS

MIPS Filing Deadline
By now, you should know that the deadline for filing MIPS claims data is MARCH 31. MSSNY has been working with The Physicians’ Advocacy Institute (PAI).  PAI’s MACRA resource center is here.

We have also been in contact with CMS and IPRO.  IPRO’s web page is here.  You can also contact IPRO by phone at 1-866-333-4702 or send IPRO an email.

For those of you who need help in submitting your 2017 MIPS data, we suggest that you call the MACRA Help Group at IPRO IPRO; 518-320-3508. Or complete details and the latest information, visit the CMS QPP website here. For questions, contact the QPP Service Center by phone at (866) 288-8292 or by email at QPP@cms.hhs.gov.

Revised: Important Notice Re Handwriting on Claims Submitted to Medicare
On Monday, 7/10/2017, NGS began returning paper claims submitted with handwriting on the face of the claim that is not a signature field, (i.e., Items 12, 13, or 31). A notice will be attached to the front of the returned claim and a new claim will need to be submitted.
NGS has been rolling out the return of handwritten paper claims on a state/locality basis and by June 2018, all handwritten paper claims with handwriting other than in the signature field will be returned to the provider.

NGS has published an informative article titled, “Revised: Important Notice Regarding Handwriting on Claims Submitted to Medicare.” Please click on the link to review the schedule of implementation dates and nonpaper claim submission alternatives we offer.

Classified

RENTAL/LEASING SPACE


Medical Office to Sublet – Sheepshead Bay, Brooklyn
Sublet available 2-3 days per week. Features 3 exam rooms, consultation room, x-ray and waiting room. Reasonable rent. Call 917-971-1691


 For Rent – Medical Office 715 W 170 Street New York
Ground floor just completed build out 4 exam rooms with sinks and wall cabinets
Waiting and reception areas, windows throughout.
Street and private entrances, two bathrooms and storage/lab/staff room.
One block to bus and two blocks to Presbyterian Medical Center and subway.
$1900-$7900/ month for one to 4 exam rooms.
Drdese@gmail.com or 917.8618273


For Share – Plastic Surgeon’s Office Facing Central Park Ground Floor Lobby Entrance/Private exit
One to three exam rooms, consult/private office and procedure room for full or part time use.
Elegant, modern and spacious secretarial, waiting and two exam rooms.
Accredited operating rooms and recovery rooms on site.
One block to bus and 20 feet to subways.
$1275-$3750/day monthly for one to three exam rooms.
Drdese@gmail.com or 917.861.8273


Office Space – Sutton Place
Newly renovated medical office. Windows in every room looks out to a park like setting on the plaza level. 2-4 exam rooms/offices available, possible procedure room or gym. Separate reception and waiting area, use of 3
bathrooms and a shower. Central air and wireless. All specialties welcome. Public transportation nearby. Please call 212-772-6011 or e-mail: advocate@medicalpassport.org


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.  


PHYSICIAN OPPORTUNITIES

General or Vascular Surgeon Needed
Busy Vein Center in Brooklyn and Staten Island, NY is looking for a General or Vascular Surgeon,Previous experience in vein procedures is helpful but not necessary. Full-time or part-time  schedules available. For additional information please Call Muhammad Shoaib at 718-435-1777 or send resumes to shoaib@varicosecenter.com info@varicosecenter.com varicosecenter.com


Patient Navigation and Patient Advocacy Services for Your Patients
Barbara A. Brody & Associates, LTD., founded in 1992, is a private “Value–Added” resource for practices and patients. Barbara A. Brody, MPA analyses medical insurance policies, long–term care policies, and insurance billing (physicians, healthcare facilities and pharmaceutical plans). We provide an understanding of the details of Medicare, Group and Individual policies to your patients and, in return, to you and your staff.  We can help your patients with long–term claim filing and medical financial management too.  We help your patients figure out their insurance so you don’t have to.  Contact us at (212) 517–5100 or www.barbarabrody.com


Family Practice Physician – Schenectady/Amsterdam, NY
Hometown Health Centers is a Federally Qualified Community Health Center in the Upstate, Schenectady and Amsterdam, NY areas. Bi-lingual in English/Spanish is a plus.  Excellent total compensation package.  No hospital rounding. Flexible and part-time schedules available.  Sign-on bonus. For additional information please send inquiries or resumes to jobs@hhchc.org. www.hometownhealthcenters.org

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


 

Council March 25, 2018

 

 AGENDA
 MSSNY Council Meeting
Tuesday, March 25, 2018
Adam’s Mark Hotel
Buffalo, NY      

A. Call to Order and Roll Call

B. Approval of the Council Minutes of March 6, 2018 (pgs. 1-9)

C. New Business (All New Action & Informational Items) 

1.  President’s Report
Please welcome our MSSNY Officers, Councilors, Trustees, County Execs, Guests and MSSNY Staff and the following:

Bonnie L. Litvack, MD – New Vice-President
Gregory Pinto, MD – New Fourth District Councilor
Stephen F. Coccaro, MD – New OMSS Councilor
Breyen Coffin – New Medical Student Section Councilor

 a. APPROVAL of the 2018/2019 Meeting Schedule (pg. 10)
 b. APPROVAL of the 2018/2019 Committee Appointments (pgs. 11-17)

D. Report of the Executive Vice President, Philip Schuh, CPA, MS

  1. Membership Dues Revenue Schedule (pg. 18)
  2. Group Institutional Dues Schedule (pg. 19)

E. Reports of Councilors

1.  Nassau County Report – Paul A. Pipia, MD  (pg. 20)
2.  Suffolk County Report – Maria A. Basile, MD, MBA (pg. 21)
3.  Kings and Richmond Report – Parag H. Mehta, MD (pg. 22)

F. MESF Report  – To be presented by Dr. Malcolm Reid  (pg. 23-25)

 

Statement of MSSNY President Dr. Charles Rothberg in response to NYS Senate Budget Proposal


MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release
March 14, 2018

Statement of MSSNY President Dr. Charles Rothberg in response to
NYS Senate Budget Proposal

“We thank Senators Flanagan and Klein and the Senate Republican and Independent Democratic conferences for their support of a number of important measures in their one-House Budget proposal.  These include continued support for the Excess Medical Malpractice Insurance Program, additional support for Veterans’ Health care needs, and support for the continuation of the critically important services being provided through the Committee for Physician’s Health program.  We also thank them for opposing several problematic proposals in the Executive Budget that would reduce the ability of patients to continue to receive needed care from their physicians, including provisions that would expand burdensome  pre-authorization requirements for medications needed by patients covered by Medicaid, impose steep cuts for physicians participating in the Patient Centered Medical Home program, and inappropriately expand independent practice authority for nurse anesthetists.

We agree about the continuing need for aggressive efforts to address our heroin and opioid abuse epidemic.  New York physician leaders have been extensively involved in efforts to respond to this public health crisis.  At the same time, it is essential that as measures are developed there is a proper balance struck between efforts to address and prevent opioid abuse and assuring that prescribers do not face undue barriers so that their patients can receive the medications they need.  We look forward to continued discussions on all these issues as the Senate, Assembly and Governor seek to finalize a State Budget over the next 2 weeks.”

# # #

Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

 

Media Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
516.488.6100
rraia@mssny.org

 

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