March 25, 2016 – E-Prescribing Has Gone Into Effect

drmaldonado PRESIDENT’S  MESSAGE
 Dr. Joseph R.  Maldonado
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March 25,  2016
Volume 16, Number 11

Dear Colleagues:

Instead of my usual introduction, today this space is being used for very important information regarding the E-prescribing mandate that goes into effect this Sunday, March 27. Please share it with your colleagues.

E-PRESCRIBING OF ALL SUBSTANCES TAKES EFFECT ON SUNDAY MARCH 27, 2016
New York State’s e-prescribing requirements for non-controlled and controlled substances will go into effect on Sunday, March 27, 2016.According to the NYS Department of Health’s Bureau of Narcotic Enforcement, more than 70,000 prescribers are already e-prescribing and other prescribers are continuing to register their certified software for controlled substances with the New State Department of Health.     Practitioners should continue their efforts to become compliant with the law, including working with their software vendors to implement the additional security requirements needed for e-prescribing of controlled substances (EPCS), and registering their certified software applications with the Bureau of Narcotic Enforcement.For physicians who prescribe controlled substances, there are additional steps to complete in order to electronically prescribe controlled substances.  These include the following:

  • First, the software you currently use must meet all the federal security requirements for EPCS, which can be found on the Drug Enforcement Agency’s (DEA) web page. http://www.deadiversion.usdoj.gov/ecomm/e_rx/

Note that federal security requirements include a third party audit or DEA certification of the software.

  • Second, you must complete the identity proofing process as defined in the federal requirements.
  • Third, you must obtain a two-factor authentication as defined in the federal requirements.
  • Fourth, you must register your DEA certified EPCS software with the Bureau of Narcotic Enforcement (BNE). Registration instructions are included in the FAQs.

A copy of the BNE’s Frequently Asked Questions (FAQs) can be found here.

E-prescribing of non-controlled substances is also required under the law; however, registering of this system with the state is not necessary. 

Exceptions to the E-Prescribing Requirement:
The law currently allows for a list of exceptions from the requirement to electronically prescribe and they are:

  • Prescriptions issued in circumstances where electronic prescribing is not available due to temporary technological or electrical failure
  • Prescriptions issued by a practitioner under circumstances where the practitioner reasonably determines that it would be impractical for the patient to obtain substances prescribed by electronic prescription in a timely manner, and such delay would adversely impact the patient’s medical condition. In addition to these circumstances, the quantity of controlled substances cannot exceed a five day supply if supply if the controlled substance were used in accordance with the directions for use.
  • Prescriptions issued by a practitioner to be dispensed by a pharmacy located outside the state.
  • Practitioners who have received a waiver or a renewal thereof for a specified period determined by the commissioner, from the requirement to use electronic prescribing.

However, each time a prescriber uses the power or electrical failure exception they must file information about the issuance of the paper prescription electronically to the Department of Health within 72 hours and 48 hours when a prescriber uses the exception where the practitioner reasonably determines that that it would be impractical for the patient to obtain substances prescribed by electronic prescription in a timely manner, and such delay would adversely impact the patient’s medical condition or when the prescription will be dispensed by a pharmacy located out of state. MSSNY was informed yesterday by the DOH Bureau of Narcotic Enforcement that the information about “the issuance of the paper prescription” pursuant to one of these exceptions must include

  • That this is the notification required by PHL Section 281 (4) or 5
  • Physician’s name
  • License number
  • Telephone number
  • Work email address
  • Work address
  • Patient’s initials
  • The reason for invoking the exception including the citation to PHL Section 281 (3) technological or power failure, (d) patient harm or (e) out of state dispensing 

Notably absent from this list is the number on the paper prescriptions written.

Notification to the Department of Health should be sent to:  erx@health.ny.us

Additionally, MSSNY strongly recommends that use of the exceptions be included in the patient’s medical record.

And, on March 16, 2016, NYS Health Commissioner Howard  Zucker, MD issued a statement providing for 12 additional exemptions to the e-prescribing mandate.     Those exceptions are as follows:

  1. Any practitioner prescribing a controlled or non-controlled substance, containing two (2) or more products, which is compounded by a pharmacist;
  2. Any practitioner prescribing a controlled or non-controlled substance to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion;
  3. Any practitioner prescribing a controlled or non-controlled substance that contains long or complicated directions;
  4. any practitioner prescribing a controlled or non-controlled substance that requires a prescription to contain certain elements required by the federal Food and Drug Administration (FDA) that are not able to be accomplished with electronic prescribing;
  5. any practitioner prescribing a controlled or non-controlled substance under approved protocols under expedited partner therapy, collaborative drug management or in response to a public health emergency that would allow a non-patient specific prescription;
  6. Any practitioner prescribing an opioid antagonist that would allow a non-patient specific prescription;
  7. Any practitioner prescribing a controlled or non-controlled substance under a research protocol;
  8. a practitioner prescribing a controlled or non-controlled substance either through an Official New York State Prescription form or an oral prescription communicated to a pharmacist serving as a vendor of pharmaceutical services, by an agent who is a health care practitioner, for patients in nursing homes and residential health care facilities as defined in section twenty-eight hundred one of the public health law.
  9. A pharmacist dispensing controlled and non-controlled substance compounded prescriptions, prescriptions containing long or complicated directions, and prescriptions containing certain elements required by the FDA or any other governmental agency that are not able to be accomplished with electronic prescribing;
  10. A pharmacist dispensing prescriptions issued under a research protocol, or under approved protocols for expedited partner therapy, or for collaborative drug management;
  11. A pharmacist dispensing non-patient specific prescriptions, including opioid antagonists, or prescriptions issued in response to a public health emergency issued; and
  12. A pharmacist serving as a vendor of pharmaceutical services dispensing a controlled or non-controlled substance through an Official New York State Prescription form or an oral prescription communicated by an agent who is a health care practitioner, for patients in nursing homes and residential health care facilities as defined in section twenty-eight hundred one of the public health law.

The above-listed exceptional circumstances will be effective until March 26, 2017. According to an email that MSSNY received on March 17, 2016 from the NYS Bureau of Narcotics Enforcement, use of these exceptions does not require physicians to notify the Department of Health that they are using the exception.  

A copy of the Commissioner’s letter can be found here.


Waivers from e-prescribing requirement
NYS Department of Health has issued over 2,600 one year waivers to prescribers.   The law provides that physicians may apply for a waiver of the e-prescribing requirement for a) economic hardship b) technological limitations that are not reasonably within the control of the physician, or c) other exceptional circumstances.

Once a physician has received a waiver, they may issue the prescription on a paper script.   According to the NYS Department of Health Bureau of Narcotic Enforcement, there is nothing in the law that says a physician must notify the pharmacy that they have received a waiver; however, physicians can place their waiver number on the script should they want to do so.  Pharmacies should dispense medication whether the script has been e-prescribed or presented on the official NYS Prescription paper form.

Information on obtaining a one year wavier is available here.

The ISTOP legislation enacted in 2012 required e-prescribing of ALL substances. Regulations pertaining to the E-prescribing requirements were adopted on March 27, 2013.   The Medical Society of the State of New York was successful in obtaining a one year delay in the implementation of the e-prescribing mandate due to the fact that the vendors were not in compliance with the DEA rules for EPCS.  A copy of the regulations can be found here.

Additional information regarding e-prescribing may be accessed at the following links:
http://www.health.ny.gov/professionals/narcotic/electronic_prescribing/
http://www.op.nysed.gov/prof/pharm/pharmelectrans.htm

 

Joseph Maldonado, M.D, MSc, MBA, DipEBHC
MSSNY President

Please send your comments to comments@mssny.org


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Budget Negotiations Will Continue Through the Weekend; No Resolution on Issues of Concern to Physicians; Physicians Must Contact Their Elected Senators and Assemblymembers
The Legislature may have adjourned and will not return until Monday, March 28th, but serious budget negotiations will continue throughout the weekend with a view toward completing the passage of the budget by April 1st.

This being said, there has been no resolution on the many issues of concern to physicians. We ask that you take time over the weekend to reach out to your elected representatives to urge them to take steps to meaningfully address our issues of concern.  

Excess

First and foremost, while each House added $25M in their one House budget bills to restore funding for the Excess program, the Governor continues to resist these efforts.  Physicians should thank their elected officials for proposing to restore this funding and continue to urge identification of monies needed to restore this cut so that all physicians can remain eligible for this needed coverage.  If the cuts were to go through, over 13,000 physicians would lose this coverage! Go to the this link for a letter you can send to your elected representatives:.

Health Republic

While we are pleased that both Houses articulated desire that “funding or settlement funds be identified in  addition  to  remaining  assets  to   reimburse   hospitals, physicians and producers pro-rata for losses associated with the demise of Health  Republic  upon  completion  of  the  formal liquidation process” (Senate language) and , several key legislators (Senators Hannon, Rivera,  and Valesky and Assemblymembers Cahill and Walter) articulated this goal in the first meeting of the Health Budget Conference Committee this issue has not been finalized.  However, many legislators have expressed concerns that there may not be sufficient public monies to pay for a fund.  ALL PHYSICIANS SHOULD IMMEDIATELY GO TO THE FOLLOWING LINK TO CONTACT THEIR ELECTED REPRESENTATIVES TO URGE THE INDENTIFICATION OF A POOL OF MONIES TO REIMBURSE HEALTHCARE PROVIDERS FOR THE SERVICES RENDERED TO PATIENTS PREVIOUSLY INSURED BY HEALTH REPUBLIC.
http://cqrcengage.com/mssny/app/onestep-write-a-letter?10&engagementId=151313

Workers Compensation

Also, we are pleased that neither House included any of the workers’ compensation language we opposed. While this is a very positive development, the Governor continues to push this proposal.  Therefore, we must keep the pressure on by reaching out to your elected representatives if you haven’t yet done so by sending letters found at the following links:

Workers Comp proposal to remove critical role played by county medical societies

Workers Comp proposal to expand use of non-physicians:.

E-Prescribing

We continue to be pleased that the Senate bill included legislation in their one House budget bill strongly supported by MSSNY which would exempt low volume providers from the eRx mandate and allow prescribers invoking an exception to the mandate to make a notation in the patient’s medical record instead of contacting DOH (currently required by law). And we know that the Assembly is also urging adoption of this language.  However, the Attorney General has strongly opposed these changes.

In response MSSNY issued a press statement highlighting the need for flexibility in the implementation of the e-Prescribing law.

We urge you to contact your elected representatives to urge that these changes be enacted into law. 

Dual Eligibles

While we are pleased that the Senate one House repeals action taken in last year’s budget to eliminate Medicaid reimbursement for services provided to patients dually eligible for Medicaid and Medicare thereby restoring the 20% of the co-insurance, there is little money in the budget to do so. Please take action now to encourage your elected representatives to work to restore this appropriation.  Please send a letter in support here. 

Retail Clinics

We remain extremely concerned that the Legislature will allow publicly traded corporations to own and operate limited service clinics in retail space they own without regard for public need. While the Senate incorporated the Governor’s proposal in their one House budget bill, the Assembly advanced language which would, importantly, not allow publicly traded corporations to own and operate retail clinics but which seeks to regulate practices that rent space in retail establishments by, among other things, requiring them to be accredited; limit the type of services which can be provided and prohibit them from delivering care to children under the age of two. The corporately owned retail clinic language remains in play. Go to the this link to send a letter of opposition to this proposal to your legislators.                                                                                        (DIVISION OF GOVERNMENTAL AFFAIRS)


MSSNY’S Adult Immunization Podcasts Now Available
MSSNY’s Preventive Medicine and Family Health and Infectious Disease Committees have recorded nine podcasts on adult immunizations.  Each of these brief podcasts offers insightful commentary from committee members (all experts in their fields) on the importance of continuing vaccinations into adulthood.

The topics discussed are:

  • Hepatitis B
  • Human Papillomavirus (HPV)
  • Influenza
  • Measles, Mumps and Rubella (MMR)
  • Meningococcal Disease
  • Pneumococcal
  • Tetanus, Diphtheria and Pertussis (TD & Tdap)
  • Young Adults
  • Zoster

Listen to all nine podcasts here.
Please share this link with your patients!
(Hoffman, Clancy)


View Zika Webinar; Program Archived on MSSNY’s CME Site
You can now view the Medical Matters program, entitled “Zika Virus—An Evolving Story”.  The webinar was conducted by MSSNY and the New York State Department of Health and featured Dr. William Valenti, chair of MSSNY’s Infectious Disease Committee and member of the MSSNY’s Emergency Preparedness and Disaster/Terrorism Response Committee and Dr. Elizabeth Dufort, medical director, Division of Epidemiology from the New York State Department of Health.   This program has been archived to the MSSNY CME website and physicians and other health care providers can view this program free of charge by logging into http://cme.mssny.org.

The MSSNY CME site requires new users to register, but once registered physicians and other health care providers will have a personalized training page to take them to this webinar and other course work located on the site.   New registrants to the site will create a username and password, which should be retained and be used for continued access to the site. Once registered and logged into the site, physicians will be taken to an instruction page.   Click on the tool bar menu located at the top of the page and click on “My training” to view and take the various courses.  MSSNY has over 50 programs at this site and physicians are able to earn continuing medical education credits for each course.

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 online program has various programs with the number of continuing medical education credits, but the majority of the programs are for 1.0 AMA/PRA Category 1 credit™.

Further information on all these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org                          (Clancy, Hoffman) 


PTSD and TBI in Returning Veterans:  April – June Webinars and Live Program
MSSNY will be holding a series of CME webinars on PTSD and TBI in returning veterans on sx dates listed below from March through June. As part of a joint program with NYSPA, MSSNY will also be hosting a live presentation of the program at the Upsky Hotel in Hauppauge, Long Island. The faculty presenters will be Frank Dowling, MD and Joshua Cohen, MD.

Course objectives:

  • Explore the two most prevalent mental disorders facing American veterans today, their causes, symptoms, and comorbidities
  • Outline treatment options including evidence-based psychotherapy and pharmacotherapy
  • Discuss barriers to treatment, including those unique to military culture, and how to overcome them
  • Outline the process of recovery and post-traumatic grow (ELPERIN, DEARS)

To register for this program, click on a date below and fill out the registration form

Thursday, April 7, 6-7 PM
Tuesday, April 12, 7:30-8:30 AM
Friday, April 15, 8-9 AM live at the Upsky Hotel in Hauppauge, Long Island
Thursday, May 5, 6-7 PM
Thursday, May 19, 7:30-8:30 AM
Thursday, June 2, 6-7 PM
Thursday, June 9, 7:30-8:30 AM

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 ldears@mssny.org      mauster@mssny.org  
pclancy@mssny.org jmcpartlon@mssny.org    

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Socio-Med: Be Aware of the Law if You No Longer Want to Accept WC patients
As a reminder, a physician who is authorized to treat Workers’ Compensation (WC) patients in NYS is not at liberty to pick and choose who to treat under NYS WC Law.

Please read the following:

  • NEW YORK CODES, RULES AND REGULATIONS, NYCRR 325-1.21 provides in part that a physician, “shall accept and treat such injured employees in a manner corresponding to that accorded other patients in his or her practice, without discriminating against such injured employees because they are or may be covered by the provisions of the Workers’ Compensation Law”.  The full text of NYCRR 325.21 is included below.

Section 325-1.21 Failure to treat.

A physician, podiatrist, chiropractor, psychologist, operator of a medical bureau or laboratory authorized by the chair to render treatment and care to injured employees under the Workers’ Compensation Law:

(a) shall accept and treat such injured employees in a manner corresponding to that accorded other patients in his or her practice, without discriminating against such injured employees because they are or may be covered by the provisions of the Workers’ Compensation Law; and

(b) shall not refuse to provide treatment and care to such injured

employees on the basis of a fee request greater than that set forth in the applicable prescribed fee schedule, but shall submit to arbitration such fee dispute in accordance with the provisions of the Workers’ Compensation Law, nor shall such treatment and care be denied to such injured employees because the source or manner of payment for such treatment and care is pursuant to the provisions of the Workers’ Compensation Law.

Nothing contained in this section shall prevent a voluntary payment by the employer or carrier of an amount higher than the fees and charges found in the fee schedule where agreed to by the employer or carrier. An authorized physician, podiatrist, chiropractor, psychologist, operator of a medical bureau or laboratory whose actions violate or are inconsistent with the provisions of this section shall be charged with misconduct, and his or her authorization to treat workers’ compensation cases shall be subject to suspension or revocation by the chair in accordance with the procedures set forth in the Workers’ Compensation Law.

In addition, I am providing you with the following Q&A:

  1. What is the consequence of Failure to Treat? 
  2. A provider can be removed from the list of authorized providers.
  3. If a physician can’t take on any new WC claimants, would the WCB consider this reportable misconduct?
  4. If a provider is removed from the list of authorized providers, it is reportable to DOH/OPMC.
  5. QWhat if the practice cannot financially sustain any more WC claimants?
  6. As the regulation states, “shall accept and treat such injured employees in a manner corresponding to that accorded other patients in his or her practice, without discriminating against such injured employees because they are or may be covered by the provisions of the Workers’ Compensation Law.”
  7. As an example, under managed care, doctors may feel they need to close their panel since it is not economically sustainable to take on new plan patients.
  8. The only acceptable reason not to take on new WC patients is if the practice is not taking on ANY new patients.
  9. What is the alternative if a physician feels h/she cannot sustain the financial viability of the practice without limiting the number of WC claimants?
  10. The physician may have to turn in their authorization to treat WC patients and cease treating all WC patients.
  11. Are you saying that the physician has no discretion to limit the number of WC claimants?
  12. Their discretion is limited only to the extent that they may refuse a new WC patient if the practice is not accepting ANY new patients.

If a physician makes an independent business decision to no longer treat WC patients, the physician needs to notify the WCB of the intent to voluntarily resign from the WC Program.  If a physician chooses to resign from WC, he/she must send a letter to the WCB at the address below indicating that he/she is voluntarily surrendering his/her WCB authorization as a treating provider: New York State Workers’ Compensation Board, Medical Director’s Office, 100 Broadway-Menands, Albany, NY  12241

Physicians who resign from WC can tell patients to search the WCB website at www.wcb.ny.gov  to find a physician under the section for WORKERS.  Or, patients can call the WCB for help:  Advocate for Injured Workers at 1-800-580-6665 or by e-mail to: advinjwkr@wcb.ny.gov

If you have any additional questions, please call Socio-Med VP Regina McNally at 516-488-6100 ext. 332.


MSSNY in the News
Associated Press – 03/19/16
As NY Demands Paperless Prescribing, Doctors are Mixed
(MSSNY President, Dr. Joseph Maldonado  and New York County Medical Society President Dr. Michael T. Goldstein, quoted)

Also appeared in:

ABC News
ABC – 13WHAM
Auburn Pub
The Columbian
CBS News
Claims Journal
Fox News
Indiana Gazette
Kansas City Star
KBET 790 Talk Now
Lockport Journal
NBC New York
NBC News 2 South Carolina
Oneida Daily Dispatch
Pittsburgh Tribune Review
Rocket News
Rutland Herald
Salina Journal
The Sentinel (PA)
Troy Record
Tribtown.com (Seymour, IN)

LoHud.com  -03/20/16
Concerns as N.Y. switches to e-scripts
(MSSNY President, Dr. Joseph Maldonado quoted)

Modern Readers – 03/20/16
As New York Prepares for Paperless Prescriptions, Docs Still Want Answers
(MSSNY President, Dr. Joseph Maldonado quoted)

Tech Times – 03/20/16
New York Mandates Paperless Prescriptions – Why Are Doctors Wary Of E-scripts?
(MSSNY President, Dr. Joseph Maldonado quoted)

Democrat & Chronicle – 03/19/16
Paperless prescribing to start March 27 in NY
(MSSNY President, Dr. Joseph Maldonado quoted)
The Buffalo News -03/19/16
Dr. John Radford wants to treat you over the web
(MSSNY Vice President, Dr. Thomas Madejski quoted)
Also ran in Pharmacy Choice

Finger Lakes Daily News –  03/21/16
Opposition to New Prescription Regulations
(MSSNY President, Dr. Joseph Maldonado comments)

Maine News Online – 03/21/16
Days of doctors handwriting prescriptions that patients then take to pharmacy coming to end
(MSSNY President, Dr. Joseph Maldonado quoted)

Syracuse.com – 03/21/16
Company news: Samuel Saleeb joined St. Joseph’s Health
(MSSNY member Dr. Samuel Saleeb mentioned) 

Pharmacy Choice  – 03/23/16
AAAASF Appoints New Vice President of Standards and Enters 36th Year of Promoting Patient Safety
(MSSNY member Dr. William B. Rosenblatt mentioned)
Also ran in StamfordAdvocate.com 

Becker’s Review

Medscape – 03/24/16
New York e-Prescribing Law Goes Into Effect This Sunday
(MSSNY President, Dr. Joseph Maldonado quoted)

If You Or Your Staff Receive a Yellow Envelope From Medicare And It Says “Revalidation” Please Take Heed
|It is very important that physicians submit a complete revalidation application by your due date and respond to all development requests from your MAC to avoid a hold on your Medicare payments and possible deactivation of your Medicare billing privileges.  If your application is received after the due date, or if you provide additional requested information after the due date your provider enrollment record may be deactivated.  Providers/suppliers deactivated will be required to submit a new full and complete application in order to reestablish their provider enrollment record and related Medicare billing privileges.   The provider/supplier will maintain their original PTAN; however, an interruption in billing will occur during the period of deactivation.  This will result in a gap in coverage.

NOTE:  The reactivation date after a period of deactivation will be based on the receipt date of the new full and complete application. Retroactive billing privileges back to the period of deactivation will not be granted.  

In addition, Medicare has said that if deactivation occurs, patients cannot be billed.  Services provided to Medicare patients during the period between deactivation and reactivation are the provider’s liability.  So if your practice relies on Medicare payment, please do NOT let a deactivation happen to you.  PLEASE share this vital information with your colleagues who bill Medicare but might not use email!


U of Buffalo Med School 628,000 S.F. Facility to Be Completed in 2017
On March 22, Governor Andrew M. Cuomo celebrated the milestone “Topping Off” at the University at Buffalo’s Jacobs School of Medicine and Biomedical Sciences. The Governor signed a steel beam that was raised and placed atop the eight-story, 628,000-square-foot facility which is expected to be completed in 2017. The project marks the largest such medical education building currently under construction in the nation. Upon completion, the new medical campus will bring more than 2,000 students, faculty and staff to the heart of downtown Buffalo.

The new building will allow UB to expand its medical school class size from 140 to 180 students and add 100 new physician-scientists to the UB faculty.


New York City’s Public Hospital System Facing “Unprecedented Threat”
The New York Daily News (3/21, Durkin) reports that New York City’s “public hospital system faces ‘unprecedented threats to our survival,’ its president said” yesterday. Speaking before the City Council, NYC Health + Hospitals (formerly the Health and Hospitals Corp.) president Ram Raju “said Obamacare, despite ‘all its positive impact,’ has dealt a financial blow to the already cash-strapped system, which runs 11 hospitals.” Not only is Health and Hospitals “losing Medicaid funds,” but it also “faces a $1.2 billion budget gap next fiscal year.” Furthermore, Federal aid to hospitals caring for uninsured patients could be cut “$300 million next year, and grow to $460 million a year after that.”


Now Available: 2016 PQRS Educational Materials
CMS is pleased to announce the posting of several 2016 PQRS educational materials. Some highlights include:

  • The “2016 Implementation Guide,” available on the PQRS How To Get Started webpage, contains information for individual eligible professionals and PQRS group practices participating in 2016 PQRS.The 2016 PQRS measures documents, for those reporting via the claims and registry reporting mechanism, are located on the PQRS Measures Codes webpage.
  • The 2016 group practice reporting option (GPRO) Web Interface measures documentation is available on the PQRS GPRO Web Interface webpage.
  • The PQRS Spotlight webpage contains a list of all recent documents and resources. Please check this page regularly for updates.

Be sure to look at the reporting mechanism-specific pages for “Made Simple” documents as well as other 2016 PQRS information. 2015 PQRS resources will be transferred to a separate webpage following the 2015 submission period.

For questions regarding 2016 PQRS reporting, please contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) from 7:00 a.m. to 7:00 p.m. Central Time Monday through Friday, or via e-mail at qnetsupport@hcqis.org.


We Need More Email Addresses to Reach More Physicians

There are over 70,000 licensed physicians in NYS.  If we had more emails on file, two thing could happen:

  • More physicians would be made aware of the vital information we publish such as the article about the potential of losing their Medicare cash flow by not heeding the revalidation request; and
  • More physicians might consider joining us since we are organized to help them with these medical practice business issues.

Please share this e-news with your colleagues and ask them to send us their email addresses. Send address to:jvecchione@mssny.org


ZIKA Update: Three-in-One Test Approved by FDA
A new three-in-one laboratory test for Zika and a pair of other dangerous viruses has received emergency approval from the Food and Drug Administration and will be distributed soon, according to the Centers for Disease Control and Prevention. The test, which could speed the diagnosis of Zika, will be shipped to qualified labs across the country over the next two weeks, the agency said on March 18.

The test will allow doctors to determine in a single test whether an individual is currently infected with Zika, chikungunya or dengue. Currently, three tests are required.

The CDC said it will distribute the test to facilities in the Laboratory Response Network, a network of domestic and international laboratories that respond to public health emergencies. The test, called the Trioplex Real-time RT-PCR Assay, will not be available in hospitals or other primary care settings.

According to the CDC’s latest tally, at least 258 Americans have contracted Zika while traveling abroad. Eighteen of those cases have been diagnosed in pregnant women. 


CLASSIFIED

Physician Opportunities

Family & Internal Medicine Opportunity Just 50 miles North of NYC
Top $$ AND potential partnership with large multi-specialty physicians’ group + the balance of work & personal life you have been seeking. Perfect suburban area just 50 miles north of NYC. This is a growth position with the right person moving into a partnership opportunity within two to three years. You will enjoy a salary of $175K+ as well as:
• A monthly bonus potential
• Health, Dental, Vision and prescription insurance
• 3 weeks’ paid vacation time off annually
• 6 federal Holidays off with pay
• A $2500 CME reimbursement
• A 401K plan with company match
• Company pays 75% of a single premium life insurance policy at twice your annual salary
• Paid malpractice insurance, plus paid DEA and license renewals
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
• Active NYS license
• Current DEA #
• Experienced as well as New Grads welcome to apply
**Relocating physicians are welcome and relocation assistance will be offered to the right candidate!**
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.

Neurologist & Pain Management Physician Needed
A growing multi-specialty group in Orange County is looking for both a Neurologist and Pain Management Physician to join their group. This position will work with the headache center Neurologist/Pain Management Specialist. All subspecialties are welcome.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
   • Experience in procedures and utilizing an integrated comprehensive approach to pain management.
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.


OB/GYN Opportunity in the Hudson Valley
Are you looking for a great work/life balance? We are looking for an OB/GYN to join the team. We are looking for a provider to provide comprehensive primary health care to a select population of essentially healthy women, participate in the care of women with complications & responsible for providing a full range of agency approved antepartum, intrapartum, postpartum, gynecological and family planning service.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
       • Active NYS license
       • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review
.


Pediatrician Opportunity in Orange County, New York
A prestigious multi-specialty physicians’ group seeks a family driven
Pediatrician to join their group.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review. 
.


Psychiatry Opportunity in New York’s Beautiful Hudson Valley
Our client, a prestigious multi-specialty physicians’ group who has been recognized as a Patient-Centered Medical Home by the National Committee for Quality Assurance, seeks a Psychiatrist to join their group.
The ideal candidate will possess the following:
• BE/C in Psychiatry
   • Active NYS license preferred
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.



Join Well Established Solo Female OB/GYN Physician Practice in New York City
Quality oriented, looking for MD for long term career opportunity. New graduates welcome to apply. Affiliated with Lenox Hill Hospital. The current office has a AAAA certified operating room and an AIUM accredited ultrasound service. Looking to establish another location. Great opportunity to balance personalized practice with quality lifestyle. Please summit CV to obgynpractice130@gmail.com



L.I. PSYCHIATRIC PRACTICE FOR SALE
                    Huntington, NY
Currently 20 hrs./wk – no evenings or weekends.
$100K/yr. gross. Low overhead.
Office available for rent or move to your location.
Details on request: 631-784-7704


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

 

 

 

 

 

 

 

 

 

 

 

 

 

March 18, 2016 – DOH’s Exceptions to E-Prescribing

drmaldonado PRESIDENT’S  MESSAGE
 Dr. Joseph R.  Maldonado
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March 18,  2016
Volume 16, Number 10

Dear Colleagues:

In lieu of my weekly introduction, New York State Commissioner of Health Dr. Howard Zucker issued a very important letter on March 15th outlining “12 Exceptions” to the E-Prescribing Law that is looming over us and goes into effect in 10 days.

“This letter is to inform you of a blanket waiver with respect to the electronic prescribing requirements, pursuant to Public Health Law (PHL) § 281 and Education Law § 6810, that goes into effect on March 27, 2016, for exceptional circumstances in which electronic prescribing… Read More

Joseph Maldonado, M.D, MSc, MBA, DipEBHC
MSSNY President

Please send your comments to comments@mssny.org


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Legislature Puts in One House Budget Bills; Negotiations to Begin in Earnest
The Senate and Assembly one house bills were posted over the weekend. While DGA staff continues to analyze the provisions of the bills, below are highlights of what we have read thus far.

  1. After strenuous advocacy by MSSNY and other advocacy groups, each House added $25M in their one House budget bills to restore funding for the Excess program. In addition they included language to continue the Excess program as is and to continue the Superintendent’s authority to set medical malpractice rates. Physicians should thank their elected officials for proposing to restore this funding and continue to urge restoration of this cut as the final Budget is being negotiated. Go to the this link for a letter you can send to your elected representatives.
  1. After proactive advocacy by MSSNY and other advocacy groups, both Houses articulated a desire that “funding or settlement funds be identified in  addition  to  remaining  assets  to   reimburse   hospitals, physicians and producers pro-rata for losses associated with the demise of Health  Republic  upon  completion  of  the  formal liquidation process” (Senate language). Importantly, several key legislators (Senators Hannon, Rivera, and Valesky and Assemblymembers Cahill and Walter) articulated this goal in the first meting of the Health Budget Conference Committee this week.  In addition, the Senate bill would eliminate the requirement for prior approval of health insurance premium rates and would establish a requirement that within thirty days deeming an insurer insolvent, the superintendent must apply for a liquidation order.

ALL PHYSICIANS SHOULD IMMEDIATELY GO TO THE FOLLOWING LINK TO CONTACT THEIR ELECTED REPRESENTATIVES TO URGE THE INDENTIFICATION OF A POOL OF MONIES TO REIMBURSE HEALTHCARE PROVIDERS FOR THE SERVICES RENDERED TO PATIENTS PREVIOUSLY INSURED BY HEALTH REPUBLIC.  http://cqrcengage.com/mssny/app/onestep-write-a-letter?5&engagementId=151313

  1. The Senate included the Governor’s retail clinic language which would allow publicly traded corporations to own and operate limited service clinics in retail space they own without regard for public need. The Assembly advanced language which would, importantly, not allow publicly traded corporations to own and operate retail clinics but which seeks to regulate practices that rent space in retail establishments by, among other things, requiring them to be accredited; limit the type of services which can be provided and prohibit them from delivering care to children under the age of two. The corporately owned retail clinic language remains in play.  Go to the this link to send a letter of opposition to this proposal to your legislators.
  1. After strenuous advocacy by MSSNY and other advocacy groups, neither House included any of the workers’ compensation language we opposed. While this is a very positive development, we must keep the pressure on by reaching out to your elected representatives if you haven’t yet done so by sending a letter found at this site.
  1. The Senate bill includes language to require the commissioner of health to develop an elder abuse screening tool. Physicians, PAs and NPs are permitted (not required) to use the tool to identify abuse or maltreatment of their patients. The language also calls for the establishment of an interagency clearinghouse for reported cases involving physical abuse, sexual abuse, emotional abuse, active, passive or self-neglect, financial exploitation or other hazardous situations which could jeopardize the health and wellbeing of an individual and calls for the creation of multidisciplinary teams for the purpose of investigating reports of suspected elder abuse. The proposal would also authorize a financial institution to disallow a transaction if it believes that financial exploitation of a vulnerable adult is occurring.
  1. The Senate bill included legislation strongly supported by MSSNY which would exempt low volume providers from the eRx mandate and allow prescribers invoking an exception to the mandate to make a notation in the patient’s medical record instead of calling DOH (currently required by law).  Please send in support letter here:
  1. Senate bill sets aside an additional $12M in new funding for 100 new loan forgiveness/practice support slots as part of the Doctors Across New York. The bill would reduce from five to three the number of years of service associated with the support and would allow for $40,000 in loan forgiveness/practice support each year up to $120,000 for each new recipient.
  1. Each House would restore existing ”prescriber prevails” protections in the Medicaid and Medicaid Managed Care program.
  1. Each House devotes a significant amount of new money ($26M (Senate) and $32M (Assembly)) to address substance abuse with significant money flowing for prevention and treatment services, recovery support services and recovery community centers. In addition, the Assembly would require OASAS to: develop educational materials for schools and require schools to make Substance Use Disorder (SUD) treatment referrals; develop materials for pharmacies to distribute regarding drug addiction, treatment and disposal of drugs; develop SBIRT materials; develop SUD materials for physicians for voluntary distribution to patients and require hospitals to establish policies regarding referral of individuals in need of SUD treatment.
  1. The Senate included language in its one House bill that MSSNY opposes that would allow chiropractors and physicians to partner in LLPs/LLCs.
  1. Importantly, the Senate one House repeals action taken in last year’s budget to eliminate Medicaid reimbursement for services provided to patients dually eligible for Medicaid and Medicare thereby restoring the 20% of the co-insurance. Please send a letter in support here.

The conference committees are expected to continue meeting next week.

We will keep you informed of discussions which ensue throughout the next couple of weeks.

Best Regards,
Liz. Moe, Pat and James

NYS DOH Commissioner Issues 12 Additional Exemptions to the E-Prescribing Requirment
NYS Health Commissioner Howard Zucker, MD issued a statement this week providing 12 exemptions to the e-Prescribing mandate going in effect March 27th.   In a March 16th letter, the Commissioner said that exceptional circumstances existed in which electronic prescribing cannot be performed due to limitations in software functionality.   In a letter to prescribers, the Commissioner listed the 12 additional exceptions to the e-prescribing requirement.   Those exceptions are as follows:

  • any practitioner prescribing a controlled or non-controlled substance, containing two (2) or more products, which is compounded by a pharmacist;
  • any practitioner prescribing a controlled or non-controlled substance to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion;
  • any practitioner prescribing a controlled or non-controlled substance that contains long or complicated directions;
  • any practitioner prescribing a controlled or non-controlled substance that requires a prescription to contain certain elements required by the federal Food and Drug Administration (FDA) that are not able to be accomplished with electronic prescribing;
  • any practitioner prescribing a controlled or non-controlled substance under approved protocols under expedited partner therapy, collaborative drug management or in response to a public health emergency that would allow a non-patient specific prescription;
  • any practitioner prescribing an opioid antagonist that would allow a non-patient specific prescription;
  • any practitioner prescribing a controlled or non-controlled substance under a research protocol;
  • a practitioner prescribing a controlled or non-controlled substance either through an Official New York State Prescription form or an oral prescription communicated to a pharmacist serving as a vendor of pharmaceutical services, by an agent who is a health care practitioner, for patients in nursing homes and residential health care facilities as defined in section twenty-eight hundred one of the public health law. The Assembly and Senate have passed similar legislation (A.9334/S6778)
  • a pharmacist dispensing controlled and non-controlled substance compounded prescriptions, prescriptions containing long or complicated directions, and prescriptions containing certain elements required by the FDA or any other governmental agency that are not able to be accomplished with electronic prescribing;
  • a pharmacist dispensing prescriptions issued under a research protocol, or under approved protocols for expedited partner therapy, or for collaborative drug management;
  • a pharmacist dispensing non-patient specific prescriptions, including opioid antagonists, or prescriptions issued in response to a public health emergency issued; and
  • a pharmacist serving as a vendor of pharmaceutical services dispensing a controlled or non-controlled substance through an Official New York State Prescription form or an oral prescription communicated by an agent who is a health care practitioner, for patients in nursing homes and residential health care facilities as defined in section twenty-eight hundred one of the public health law.

The the above-listed exceptional circumstances will be effective until March 26, 2017. According to an email that MSSNY received on March 17, 2016 from the NYS Bureau of Narcotics Enforcement, any use of these the exceptions does not require physicians to notify the Department of Health that they are using the exception.

Additionally, on March 17, 2016, Governor Cuomo issued a press statement about e-prescribing, noting that the “requirement is a key component of New York’s I-STOP initiative that is focused on helping curb the abuse of prescription medication throughout the state”.   He reminds prescribers that e-prescribing will become effective on March 27, 2016.   A copy of the Governor’s press release is here.

A copy of the Commissioner’s letter can be found here.                                (CLANCY, DEARS)

Continue to Urge your Legislators to Reduce Liability Insurance Costs, Not Raise Them!
Last week physicians and medical students from across New York State came to Albany to remind their legislators that, in light of the huge financial pressures threatening the viability of physician practices and our health care delivery system, no further liability increases can be tolerated.  Please continue to urge  your legislators (http://cqrcengage.com/mssny/app/write-a-letter?4&engagementId=105729) to oppose legislation (A.285-A, Weinstein/S.6596, DeFrancisco) that could drastically increase New York’s already exorbitantly high medical liability premiums by changing the medical liability Statute of limitations to a “Date of Discovery” rule.

MLMIC’s estimate is that this bill could increase physician liability premiums by nearly 15%!   New York physicians continue to pay liability premiums that are among the very highest in the country.  By way of example, a neurosurgeon practicing on Long Island must pay an astounding $338,252 for just one year of insurance coverage and an OB/GYN practicing in the Bronx or Staten Island must pay $186,639.   New York far surpasses all other states in terms of total medical liability payouts, per capita payments, and medical liability awards above $1 million.

MSSNY joined the Greater New York Hospital Association (GNYHA) and Healthcare Association of New York State (HANYS) in an ad in the Albany Times-Union and City & State calling for reduction in these exorbitant costs.

To make matters even worse, trial lawyers are aggressively pushing the Legislature to consider additional liability expansion bills such as legislation that would eliminate the statutory limitation on contingency fees in medical liability actions, legislation that MLMIC has estimated could have the effect of raising your premiums by over 10%.   Please tell your legislators to enact comprehensive liability reform to bring down these costs, not legislation that increases them!                                                                                                  (AUSTER, DEARS)

MSSNY Joins Many Other Group in Expressing Strong Concerns with Changes to Payment for Medicare Part B Drugs
MSSNY joined numerous patient advocacy groups, specialty societies and state medical societies in a letter to HHS, CMS and Congressional leaders expressing strong concerns with proposed changes to the methodology for paying for medications covered under Medicare Part B, such as chemotherapy and ophthalmological medications.   CMS is proposing to change the reimbursement methodology of Part B drugs from the current 6% add-on to the “Average Sales Price (ASP)” to 2.5% plus a flat fee.  CMS also proposed a second phase that would implement value-based purchasing tools similar to those employed by commercial health plans, pharmacy benefit managers, hospitals, and other entities that manage health benefits and drug utilization. 

Broad concerns with this proposal were expressed by several groups and members of Congress in a New York Times article last week.  The American Society of Clinical Oncology released a statement condemning the proposal noting that “it is inappropriate for CMS to manipulate choice of treatment for cancer patients using heavy-handed reimbursement techniques…..Physicians did not create the problem of drug pricing and its solution should not be on their backs.”  More here.

To read the CMS press release and other materials describing CMS’ proposal, click here.                                                                                                            (AUSTER)


Assembly Passes Stand-Alone Ethics Reform Bill
On Tuesday, March 15th, the Assembly passed a bill (A.9535) that was introduced by Speaker Heastie and includes over 85 assembly sponsors. The bill proposes to limit outside earned income, close the LLC loophole, place restrictions on legislator-lawyers, and prohibit ownership interests in any company with matters before the state. The bill would limit outside earned income of legislators to no greater than 40% of the annual salary of the state justices of the New York State Supreme Court. And it places restrictions on legislator-lawyers by prohibiting the sharing of legal fees between legislator-lawyers and other lawyers who are not a member of the same law firm, unless the legislator-lawyer actually performs legal work, and the fee is in proportion to the services performed.

Legislators, without a legislative ethics commission written opinion, would be prevented from earning income from ownership interests in any firm, corporation, LLC, or partnership engaged in any lobbying activity (directly or indirectly), representing litigants against the state, contracting with the state, or appearing to have matters before the state. Within 30 days of taking offices, legislators would also be required to submit records of all ownership interests in any company to the legislative ethics commission.                                              (MCPARTLON)


PTSD and TBI in Returning Veterans:  March – June Webinars
MSSNY will be holding a series of CME webinars on PTSD and TBI in returning veterans on seven dates listed below from March through June. The faculty presenters will be Frank Dowling, MD and Joshua Cohen, MD.

Course objectives:

  • Explore the two most prevalent mental disorders facing American veterans today, their causes, symptoms, and comorbidities
  • Outline treatment options including evidence-based psychotherapy and pharmacotherapy
  • Discuss barriers to treatment, including those unique to military culture, and how to overcome them
  • Outline the process of recovery and post-traumatic grow

To register for this webinar, click on a date below and fill out the registration form

Tuesday, March 22, 6-7 PM
Thursday, April 7, 6-7 PM
Tuesday, April 12, 7:30-8:30 AM
Thursday, May 5, 6-7 PM
Thursday, May 19, 7:30-8:30 AM
Thursday, June 2, 6-7 PM
Thursday, June 9, 7:30-8:30 AM                                                                                   (DEARS, ELPERIN)

298 Participants View Zika Webinar; Program Archived on MSSNY’s CME Site
Nearly 300 physicians and other healthcare providers participated in this month’s MSSNY Medical Matters program, entitled “Zika—An Evolving Story”.    The webinar was conducted by MSSNY and the New York State Department of Health and featured Dr. William Valenti, chair of MSSNY’s Infectious Disease Committee and member of the MSSNY’s Emergency Preparedness and Disaster/Terrorism Response Committee and Dr. Elizabeth Dufort,  medical director, Division of Epidemiology from the New York State Department of Health.   This program has been archived to the MSSNY CME website and physicians and other health care providers can view this program free of charge by logging into the MSSNY CME Website.

The MSSNY CME site requires new users to register, but once registered physicians and other health care providers will have a personalized training page to take them to this webinar and other course work located on the site.   New registrants to the site will create a username and password, which should be retained and be used for continued access to the site. Once registered and logged into the site, physicians will be taken to an instruction page.   Click on the tool bar menu located at the top of the page and click on “My training” to view and take the various courses.     MSSNY has over 50 programs at this site and physicians are able to earn continuing medical education credits for each course. 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 online programs have varying numbers of continuing medical education credits, but the majority of the programs are for 1.0 AMA/PRA Category 1 credit™.  Further information on all these programs may be obtained by contacting Pat Clancy at pclancy@mssny.org.
(CLANCY)

Live Seminar on Ebola at MSSNY House of Delegates; Physicians Can Also Participate by Web
The April session of Medical Matters will take place at the MSSNY House of Delegates and is entitled,

“Ebola: A Perspective from the Field”.  The program will be held on Thursday, April 14, 2016 at 2:00pm. Physicians may attend the session at the Westchester Marriott, 670 White Plains Road, Tarrytown, NY 10591 or by webinar.  Registration is limited at the Tarrytown, so physicians are encouraged to register for the live session as soon as possible.   Registration for the live session or by webinar is now open here. Click on the upcoming tab and select the program.

The program will be conducted by Dario Gonzalez, MD, FACEP, Associate Medical Director, Fire Department City of New York/Office of Medical Affairs.  Dr. Gonzalez was deployed for nine weeks by Americares to Liberia, West Africa as part of the US response to the Ebola epidemic.  The educational objective is: Offer perspective and lessons learned from an individual who treated Ebola patients firsthand.

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.

Further information or assistance in registering for any of these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.
(CLANCY, HOFFMAN)

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 ldears@mssny.org      mauster@mssny.org  
pclancy@mssny.org jmcpartlon@mssny.org    

 

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JAMA: Physicians’ EHR-Inboxes Are Overloaded
A research letter published online March 14 in JAMA Internal Medicine suggest “some physicians receive more than 100 notifications per day via electronic health record (EHR)-based inboxes, and dealing with this electronic burden requires more than an hour every day.” Researchers arrived at these conclusions after evaluating “the electronic logs of 276,207 notifications received from January 1 through June 30, 2015, by 92 physicians at three large practices (one multispecialty and two primary care practices) in Texas.

“Information overload is of emerging concern because new types of notifications and “FYI” (for your information) messages can be easily created in the EHR (vs in a paper-based system). Furthermore, the additional workload to read and process these messages remains uncompensated in an environment of reduced reimbursements for office-based care. Conversely, EHRs make it easier to measure the amount of information received. We quantified the notifications that physicians received via inboxes of commercial EHRs to estimate their burden.”


THIS WEEK: MSSNY in the News
New York Times – 03/14/16
The End of Prescriptions as We Know Them in New York
(MSSNY President Dr. Joseph Maldonado quoted)
Also picked up in:
Times Union – 03/14/16

State rewrites medical practice
(MSSNY President, Dr. Joseph Maldonado quoted)

The Buffalo News – 03/14/16
In New York, paper prescriptions out, computers in
(MSSNY President, Dr. Joseph Maldonado quoted

 

The Oneida Daily Dispatch (AP) – 3/13/16
NY mulls legalizing doctor-assisted suicide
(MSSNY mentioned)

The Daily Freeman(AP)  03/13/16
NY Legislature mulling doctor-assisted suicide bills
(MSSNY mentioned)

The Troy Record (AP) 03/13/16
New York lawmakers eye assisted suicide law
(MSSNY mentioned)

The Saratogian (AP) – 03/13/16
New York lawmakers eye assisted suicide law
(MSSNY mentioned)

Private Officer Breaking News – 03/14/16
New York to Discard Prescription Pads, and Doctors’ Handwriting, in Digital Shift
(MSSNY President Dr. Joseph Maldonado quoted)

Utica Observer – 03/15/16
E-scripts: Is everyone ready?
(MSSNY President Dr. Joseph Maldonado quoted)

New York State Osteopathetic Medical Society – 3/15/2016
NYSOMS joins MSSNY in Powerful Day of Advocacy
(MSSNY mentioned)

Thefix.com – – 03-17/16
New York State Is Doing Away With Paper Prescriptions
(MSSNY President Dr. Joseph Maldonado quoted)

Crain’s Health Pulse – 03/18/16
As e-prescribing deadline looms, DOH issues waivers
(Elizabeth Dears, MSSNY’s senior vice president for legislative and regulatory affairs quoted)


Are You a Pre-residency IMG looking for Experience?  Are You a Physician Who Can Help?
MSSNY’s IMG Committee, through its Clearinghouse of Opportunities Program, seeks to place IMG candidates seeking externship and internship opportunities.

Contact us if you are an IMG looking for a meaningful experience to help you become familiar with the US healthcare system and help prepare you for residency training. Past participants have worked as scribes, entering notes into electronic medical records; performed chart audits for preventive care as a quality improvement measure; educated patients; coordinated with insurance and healthcare providers; helped with research and special projects, etc.

If you are looking for a way to stay connected to medical practice as you pursue residency training, or if you have a position to offer an unlicensed medical graduate, please contact Ruzanna Arsenian (rarsenian@mssny.org). Graduates should include a CV, and those with previous experience in their home countries as faculty members, practicing physicians, or researchers, should be sure to mention that.  Let us know where you are located, how far you would be able to travel, and whether or not you require a paid position or if you could accept a role as a volunteer.

Physicians who are willing to help familiarize an unlicensed medical graduate with medical practice in the US are asked to describe the role they would ask the graduate to fill and include any specific requirements in terms of hours or duties.  Please indicate if the position will include observership experience with a formal evaluation leading to a possible letter of recommendation, or will offer payment for office work performed.


Commit to Pursuing Your Leadership Potential
Join the American Association for Physician Leadership from April 13-15 in Washington, D.C. for the 2016 Spring Institute and engage with health care’s influencers to find solutions to today’s toughest challenges. Register today for leadership courses from the American Association for Physician Leadership®, formerly ACPE, and earn up to 35 CME credits.

Recommended courses:

  • Physician in Management Series (35 CME/Credits)
    Gain a solid foundation to succeed in your new leadership role.
  • Managing Physician Performance (24 CME/Credits)
    Learn to effectively hire, engage and manage physicians within your organization.
  • Election 2016 and Health Policy for Physician Leaders (11 CME/Credits)
    Get insight from health policy experts and learn how to communicate with policymakers.

Register today for leadership courses from the American Association for Physician Leadership®, formerly ACPE, and earn up to 35 CME credits.
View All Courses
Hurry! Hotel group rate expires March 28. 


Zika Virus Update from NYSDOH
New York officials announced a new plan to combat Zika on Thursday. The state of New York plans to “monitor and target a type of mosquito that officials fear could spread the Zika virus,” in addition to distributing “prevention kits to pregnant women.” Thus far the state has reported 49 cases of Zika, all from people who have recently traveled to affected areas, the AP says. Gov. Andrew Cuomo said Thursday that officials “expect that number to go up” but are unsure “how high.”

Health Advisory: Expansion of Zika Virus Testing to Pregnant Women Who Had Unprotected Sex With A Partner Who Traveled to An Area With Active Mosquito-borne Transmission of Zika Virus – March 10, 2016


NYU Med Offerings: Dietary Strategies in Cardiovascular Risk Reduction
Thursday, May 19, 2016, 12:30 PM – 5:30 PM
To Register and for more information: http://www.med.nyu.edu/cme/diet_cardiovascular
The NYU Post-Graduate Medical School designates this live activity for a maximum of 4.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ​

The course will cover topics such as the Mediterranean Diet, the Vascular Biology of Eating, Plant Based Nutrition and explore the evidence and controversies surrounding saturated fat, cholesterol, sugar and salt.  Attendees will also be instructed in dietary assessment and dietary counseling with the latest innovations in counseling—motivation/technology. The course will also offer a unique lecture on the link between the human microbiome and cardiovascular disease.

Advances in Cardiovascular Risk Reduction
Friday, May 20, 2016, 8:30 AM – 3:45 PM
To register and for more information: http://www.med.nyu.edu/cme/cardiovascular
The NYU Post-Graduate Medical School designates this live activity for a maximum of 7.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This one-day course will cover state-of-the-art management of patients with cardiovascular risk factors, with a focus on prevention. This year’s program focuses on recent clinical trial results with implications in the management of cardiovascular disease risk factors, such as diabetes, hypertension and ischemia. Additional topics include new developments in PCSK9 treatments for familial hypercholesterolemia, the use of aspirin in cardiac prevention and weight loss surgery insights.


CLASSIFIED

Physician Opportunities

Family & Internal Medicine Opportunity Just 50 miles North of NYC
Top $$ AND potential partnership with large multi-specialty physicians’ group + the balance of work & personal life you have been seeking. Perfect suburban area just 50 miles north of NYC. This is a growth position with the right person moving into a partnership opportunity within two to three years. You will enjoy a salary of $175K+ as well as:
• A monthly bonus potential
• Health, Dental, Vision and prescription insurance
• 3 weeks’ paid vacation time off annually
• 6 federal Holidays off with pay
• A $2500 CME reimbursement
• A 401K plan with company match
• Company pays 75% of a single premium life insurance policy at twice your annual salary
• Paid malpractice insurance, plus paid DEA and license renewals
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
• Active NYS license
• Current DEA #
• Experienced as well as New Grads welcome to apply
**Relocating physicians are welcome and relocation assistance will be offered to the right candidate!**
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.

Neurologist & Pain Management Physician Needed
A growing multi-specialty group in Orange County is looking for both a Neurologist and Pain Management Physician to join their group. This position will work with the headache center Neurologist/Pain Management Specialist. All subspecialties are welcome.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
   • Experience in procedures and utilizing an integrated comprehensive approach to pain management.
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.


OB/GYN Opportunity in the Hudson Valley
Are you looking for a great work/life balance? We are looking for an OB/GYN to join the team. We are looking for a provider to provide comprehensive primary health care to a select population of essentially healthy women, participate in the care of women with complications & responsible for providing a full range of agency approved antepartum, intrapartum, postpartum, gynecological and family planning service.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
       • Active NYS license
       • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review
.


Pediatrician Opportunity in Orange County, New York
A prestigious multi-specialty physicians’ group seeks a family driven
Pediatrician to join their group.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review. 
.


Psychiatry Opportunity in New York’s Beautiful Hudson Valley
Our client, a prestigious multi-specialty physicians’ group who has been recognized as a Patient-Centered Medical Home by the National Committee for Quality Assurance, seeks a Psychiatrist to join their group.
The ideal candidate will possess the following:
• BE/C in Psychiatry
   • Active NYS license preferred
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.



Join Well Established Solo Female OB/GYN Physician Practice in New York City
Quality oriented, looking for MD for long term career opportunity. New graduates welcome to apply. Affiliated with Lenox Hill Hospital. The current office has a AAAA certified operating room and an AIUM accredited ultrasound service. Looking to establish another location. Great opportunity to balance personalized practice with quality lifestyle. Please summit CV to obgynpractice130@gmail.com


Jerome I. Sager – Attorney at Law
The health care law experts representing medical professionals for more than 25 years.  See us for Professional Medical Conduct Defense, Medicaid and Medicare Fraud Cases, DEA and Controlled Substance Issues, Third party insurance issues. We can handle most legal matters. Call us for a free consultation. 212-685-2333 / 917-312-6631, jeromesager@cs.com

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

 

 

 

 

 

 

 

 

 

 

 

 

 

March 11, 2016 – Opting Out of What Is Being Sold to Us

drmaldonado PRESIDENT’S  MESSAGE
 Dr. Joseph R.  Maldonado
asset.find.us.on.facebook.lgTwitter_logo_blue1

March 11,  2016
Volume 16, Number 9

Dear Colleagues: 

Opting Out of the Pipe Dream Floated to Most Doctors

The latest mantra being floated by the purveyors of the next iteration to transform healthcare in America is Value Based Payments.  Doctors are told that they will have to adjust to a new reimbursement methodology that changes from fee for service to value based payments.  Those preaching the virtues of this new gospel aim to convince physicians that this new reimbursement methodology rewards them for what they do best.  They extol the virtues of it and label those aspects of the payment methodologies that carry the greatest financial risk, “premium” level engagement.  Surely, those touting such “premium” level methodologies cannot possibly be serious given the just published CMS outcomes for the Value Modifier Program for quality and cost effectiveness measures.  One has to ask whether the failure to attain meaningful positive improvements in physician compensation for value based services is a reflection of Bent Flyvbjerg’s notions of “optimism bias” or simply “strategic misrepresentation.”

Abysmal Misrepresentation

This year’s results indicate that only 1.5% of entities which participated in the CMS’ Value Modifier Program were able to attain a positive adjustment to their reimbursements for 2016.  The prior year’s review indicated that only 0.86% of entities were able to gain a positive adjustment for 2015.  I await the spin that there has been a 50% improvement in physician capability to garner upward adjustment in reimbursement for their stellar quality and cost effectiveness performance.  These numbers clearly show the abysmal misrepresentation that participation in these quality programs offer a real opportunity for physicians to improve their reimbursements.  Consider the investments in time, energy and monies of the 8,395 practices representing 98.5% of those eligible for the touted, but missed, upward adjustments.

The “Game” Is rigged

These dreadful results make it clear to me that participation in these value base payment schemes is a pipe dream for most physician practices.  It is the promise held out by the claw machines for prizes in game arcades.  The prizes are real.  The likelihood of grabbing the prize is low.  The game is rigged.  With no firm guaranty of physicians being made whole in the Health Republic debacle, it is perplexing to me why anyone would believe the promise of a value based payment scheme that offers anything better than the abysmal outcomes reported by the CMS Value Modifier Program in the past two years or the chances with the claw machines in the gaming arcade.

I’ve opted out of this game.  Stop the optimism bias.  Stop the strategic misrepresentation.

Joseph Maldonado, M.D, MSc, MBA, DipEBHC
MSSNY President

Please send your comments to comments@mssny.org


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By All Accounts MSSNY’s Lobby Day A Success – MSSNY Thanks All Who Participated
MSSNY’s “Physician Advocacy Day” was held in Albany earlier this week on March 8th. More than 300 physicians, medical students, residents, alliance members and friends of medicine participated in the event. By all accounts, the Lobby Day was a real success! 

The March 8th program has been archived and is available for viewing here.

A full slate of legislators and top Administration officials participated including Donna Frescatore, Executive Director, NYS Health Benefit Exchange; Jason Helgerson, Medicaid Director, NYS Department of Health; Troy Oechsner, Executive Deputy Superintendent, Department of Financial Services; Senate Health Chair Kemp Hannon; Assembly Health Chair Richard Gottfried; Senate Insurance Chair James Seward; Assembly Insurance Chair Kevin Cahill.

In addition, Assembly Majority Leader Joe Morelle and Senate Majority Leader John Flanagan also addressed the physician advocates in  the morning proceedings. A brief informal luncheon in which members of each House also attended and spoke with their constituents followed the morning program.  In the afternoon participants met with their elected representatives and/or their staff to discuss the organized medicine’s priority issues.

MSSNY’s leadership including its President, Joseph Maldonado, MD, President-Elect, Malcolm Reid, MD, Vice-President, Charlie Rothberg, Immediate Past Presient, Andrew Kleinman, MD, HOD Speaker Kira Geraci-Ciardullo, MD and Legislative Committee Chair Paul Pipia, MD led discussion which ensued with the speakers on important issues including restoration of funding to the Excess program, a Guaranty Fund for failed health insurers like Health Republic, identification of funding to reimburse physicians for care provided to the now defunct Health Republic, and defeat of the retail clinic and workers compensation proposal.

MSSNY would like to thank all county medical society executive directors, the leadership of the NYS Osteopathic Medical Society, the leadership of several specialty medical societies including, in particular, ACOG and David Welch, MD for bringing more than 100 medical students, residents and aspiring High School students to participate in this event.

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Dr. Robert Goldberg with Touro medical students at MSSNY’s Lobby Day
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(left to right) Senator Kemp Hannon, Chair, Senate Health Committee; Assemblyman Kevin Cahill , Chair, Assembly Insurance Committee; Senator James Seward, Chair, Senate Insurance Committee
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Senate Majority Leader John Flanagan addresses physicians at MSSNY’s Lobby Day

(DIVISION OF GOVERNMENTAL AFFAIRS)


Physicians Urged to Oppose Huge Cuts To Excess Medical Liability Insurance Program
While many leaders and staff in the Assembly and Senate have indicated strong concerns with the proposal in the Executive Budget to cut funding for the Excess Medical Malpractice Insurance Program by $25 million, physicians must continue to contact their legislators to urge that they continue to fight to assure this funding is restored in the final State Budget.

The proposal would result in 55% of physicians who currently receive this additional coverage being dropped from the program.  Across much of upstate New York, only neurosurgeons, bariatric surgeons and OB-GYNs would keep this coverage.   And downstate, many primary care physicians, ophthalmologists, otolaryngologists, pathologists, dermatologists and allergists would be dropped.

The Excess Medical Liability Insurance Program provides an additional layer of $1M of coverage to physicians with hospital privileges who maintain primary coverage at the $1.3 million/$3.9 million level.  The program was created over 30 years ago as a result of the liability insurance crisis of the mid-1980’s to address concerns among physicians that their liability exposure far exceeded available coverage limitations.  Absent meaningful liability reform, with verdicts and physician liability premiums continuing to be far out of proportion compared to the rest of the country, full funding for the Excess program is absolutely essential in today’s very challenging practice environment.

At a time when the state is seeking to attract and retain physicians, this proposal deters physicians from wanting to practice in New York State for fear of putting themselves and their families in financial jeopardy for judgements and settlements exceeding the limits of their primary coverage.  Please urge your legislators to restore full funding for the program!                                                                 (AUSTER, DEARS)


Urge Your Legislators to Reduce Liability Insurance Costs, Not Raise Them!
This week, physicians and students from across New York State came to Albany to remind their legislators that, in light of the huge financial pressures threatening the viability of physician practices and our health care delivery system, no further liability increases can be tolerated.  Please join your colleagues by contacting your legislators (http://cqrcengage.com/mssny/app/write-a-letter?4&engagementId=105729) to urge that they oppose legislation (A.285-A, Weinstein/S.6596, DeFrancisco) that could drastically increase New York’s already exorbitantly high medical liability premiums by changing the medical liability Statute of limitations to a “Date of Discovery” rule.   

MLMIC’s estimate is that this bill could increase physician liability premiums by nearly 15%!   New York physicians continue to pay liability premiums that are among the very highest in the country.  By way of example, a neurosurgeon practicing on Long Island must pay an astounding $338,252 for just one year of insurance coverage and an OB/GYN practicing in the Bronx or Staten Island must pay $186,639.   New York far surpasses all other states in terms of total medical liability payouts, per capita payments, and medical liability awards above $1 million.

MSSNY has joined the Greater New York Hospital Association (GNYHA) and Healthcare Association of New York State (HANYS) in an ad in the Albany Times-Union and City & State calling for reduction in these exorbitant costs.

To make matters even worse, trial lawyers are aggressively pushing the Legislature to consider additional liability expansion bills such as legislation that would eliminate the statutory limitation on contingency fees in medical liability actions, legislation that MLMIC has estimated could have the effect of raising your premiums by over 10%.   Please tell your legislators to enact comprehensive liability reform to bring down these costs, not legislation that increases them!
(AUSTER, DEARS)
 


Physicians Urged to Contact Their Representatives to Urge Defeat of the Retail Clinic Proposal
Physicians are urged to contact their elected representatives to urge rejection of the retail clinic proposal included in the Governor’s budget which would  permit public corporations to own and operate retail clinics, or “limited service clinics”, throughout New York State. Go to the following link to send a letter to your legislators.

While various versions of this legislation exist, each seeks to allow publicly traded corporations to establish health clinics without need for certificate of need for review—for the first time in New York State. By permitting this practice, NYS will infringe upon the independence of medical decision-making and the integrity of the doctor-patient relationship. Furthermore, corporately owned and operated retail clinics will open the floodgates to conflicts of interest posed to exist as retail clinics directly profit from the very prescriptions they write, and treatments they recommend—all under the very same roof.

At a time when we in NYS are working hard to ensure and expand primary care and medical home capacity, retail clinics threaten the very viability of primary care physician’s practices. Contact your legislator today, and urge them to oppose the expansion of Retail Clinics in New York State.
(McPARTLON, DEARS)
 


Urge the Inclusion of Monies to Pay Health Republic Claims in the State Budget
This week numerous key legislative leaders articulated their awareness that failure to pay outstanding Health Republic claims will have a seriously destabilizing impact on regional health care delivery systems across the State.  Therefore, as the Assembly, Senate and Governor’s office begin in-depth negotiations on the State Budget, it is imperative that physicians continue to contact their legislators to urge that a Guarantee Fund or other allocation of monies be included in the State Budget to assure these claims are paid.  To send a letter, click here.

So far, 35 Assemblymembers have joined Assembly Health Committee Chair Richard Gottfried and Assemblyman Charles Lavine (D-Nassau County) in co-sponsoring legislation (A.9311) to establish a Guarantee Fund to help to assure the payment of the hundreds of millions that Health Republic owes physicians and hospitals across New York State, as well as to protect consumers and health care providers from future health plan insolvencies.  To view the list of co-sponsors, click here.

Identical legislation (S.6667, Valesky, also with several co-sponsors – see here) has been introduced in the State Senate.

You must remind your legislators that, with physicians facing so many other challenges in seeking to keep their doors open to deliver patient care, including high liability costs, expensive electronic medical record equipment, employee costs, insurance companies dropping physicians from their networks and declining payments from insurers, failure to assure payment for these claims would have serious negative consequences for patient care and employment in your community.
(AUSTER, DEARS)


Payment of Health Republic Claims, Restoring Excess Insurance Cuts, Listed as Priorties of Senate Democratic Conference
The New York State Senate Democratic Conference this week released a 17-page letter outlining its Budget priorities as the Assembly and Senate Majority conferences were planning to advance its own suggested modifications to the Governor’s proposed Budget.  Of note, Senate Democratic Leader Andrea Stewart-Cousins’ letter to Senate Majority Leader Flanagan included the following items consistent with MSSNY’s Budget advocacy:

  • Restoring the $25 million cut to the Excess Medical Malpractice Insurance Program, and extending the program for 3 years;
  • Establish a Health Care Guarantee Fund “to reimburse providers for uncompensated care as a result of the collapse of health insurance companies such as Health Republic”;
  • Rejecting the proposed Workers Compensation reforms;
  • Rejecting the proposal to permit the establishment of limited service (retail) clinics;
  • Rejecting the proposal to eliminate “prescriber prevails” in fee for service Medicaid and Medicaid managed care.
    (AUSTER, DEARS)


Physicians Must Continue to Let Their Legislators Know of Concerns With Adverse Workers’ Compensation Budget Proposal
While leaders and staff in both the Assembly and Senate have articulated significant concerns with the sweeping Workers Compensation reform proposals contained in the Executive Budget, all physicians must continue to contact their local legislators to urge that these proposals be rejected as in-depth negotiations towards a final Budget commence.

MSSNY staff continues to meet with key legislative leaders and staff to voice its very serious concerns with Budget proposals that would:

  • Expands the list of non-physicians who can treat and be paid directly for care to injured workers without any clarity as to how these non-physicians will coordinate care delivery when specialized care is needed;
  • Expand the circumstances when a physician or other health care provider can have their authorization removed and empowers the Board to impose significant fines on a physician or any other Board-authorized health care provider for violating a Workers Compensation rule;
  • Remove the authority of county medical societies to recommend physicians to serve as treating providers or independent medical examiners under Workers Compensation.
  • Reduce choice for injured workers by expanding the circumstances when an injured worker must seek care within a PPO network;
  • Remove the requirement for a referral by a physician for an injured worker as a pre-condition to receive psychological care; and
  • Remove the ability of professional associations, such as MSSNY, to recommend arbitrators to resolve medical fee disputes between health care providers and carriers.

Working closely with MSSNY, county medical society leaders from across the State have been writing to, and meeting with, their local Senators and Assemblymembers to request that these proposals be jettisoned from the Budget. Moreover, many of these proposals are being opposed by other stakeholders, including the NYS AFL-CIO, the NYS Trial Lawyers Association, the Injured Workers Bar Association and the New York Insurance Association.
(AUSTER, DEARS)                                                                             

Legislation to Make Changes to the ERx Law to Exempt Low Volume Prescribers Passes NYS Senate; Amendments Introduced in The Assembly
Legislation (S.6779, Hannon) which would completely exempt low volume prescribers from the e-prescribing mandate passed the Senate this week. Amendments were made to the Assembly counterpart (A.9335, Gottfried) to clarify that when a low volume prescriber terminates his/her low volume status because they intend to issue more than twenty five prescriptions in a year the validity of the first twenty five prescriptions remain intact.  The amendments also make clear that a provider who certifies to the Department that he/she is a low volume prescriber must make a notation in the patient’s medical record that the reason a paper script was issued is that the prescriber is certified as low volume. This will obviate the need to contact the Department each time he/she issues a paper script.

MSSNY is aware that physicians who are low volume prescribers (those who write less than 25 prescriptions a year) are receiving waivers from the mandate; but those waivers are only good for one year requiring low volume physicians to reapply each year. This measure would eliminate the need for them to re-apply for a waiver each year.

The bill would also amend the eRx law by eliminating existing provisions which require prescribers who invoke one or more of the exemptions to the eRx mandate to contact the department when they exercise an exemption. Instead, the bill would require a prescriber to make a notation in the patient’s record that the exercise of the exemption was utilized.

It is anticipated that the Senate will recall and amend S.6779 to incorporate the amendments thereby making it the same as the Assembly version and will re-pass it as soon as possible.                       (DEARS, AUSTER) 


Legislation to Enable Nurses in LTC Facilities to Act as Agent for the Physician Passes NYS Senate
Legislation (A.9334, Gottfried/S.6778, Hannon), supported by MSSNY, passed the Senate this week and was advanced to the floor of the Assembly. Specifically this proposal would allow prescriptions for non-controlled substances for nursing home residents to be made orally rather than electronically.  For decades, nurses, acting as the agent to the physician, have been authorized to take oral orders from the physician for non-controlled medications through the nursing home medication administration system to deliver medications to residents safely and without delay. In this long-standing system, the physician then routinely signs the oral orders within 48 hours.

Physicians are not physically present in nursing homes 24 hours a day. Nurses serve a vital role ensuring proper medication administration in nursing homes. This bill is necessary to assure that physicians’ orders are timely filled to protect the health and well-being for each resident in a safe and secure method.
(DEARS, AUSTER)


CMS Proposes Huge Changes to Payment for Medicare Part B Drugs; Prompts Negative Reaction From Physician Groups and Pharma
This week CMS proposed testing a new model for covering drugs under Medicare Part B, such as chemotherapy medications, which immediately prompted concerns from several groups and members of Congress, as was noted in the New York Times.  CMS is proposing to change the reimbursement methodology of Part B drugs from the current 6% add-on to the “Average Sales Price (ASP)” to 2.5% plus a flat fee.  CMS also proposed a second phase that would implement value-based purchasing tools similar to those employed by commercial health plans, pharmacy benefit managers, hospitals, and other entities that manage health benefits and drug utilization.

The American Society of Clinical Oncology released a statement condemning the proposal noting that “it is inappropriate for CMS to manipulate choice of treatment for cancer patients using heavy-handed reimbursement techniques…..Physicians did not create the problem of drug pricing and its solution should not be on their backs.”

To read the CMS press release and other materials describing CMS’ proposal, click here.                                                                                                             (AUSTER)

Clinical Update for Primary Care Providers on Pre-Exposure Prophylaxis (Prep)
The New York State (NYS) Department of Health AIDS Institute Clinical Education Initiative (CEI) and Mount Sinai Institute for Advanced Medicine will be offering an educational program on the Treatment for Hepatitis C: New Tests, New Drugs & New Recommendations on Thursday, March 31, 2016, 9:00am – 12:00pm at St. Mary’s Healthcare, Amsterdam – Carondelet Pavilion Auditorium, 380 Guy Park Ave, Amsterdam, New York 12010. 

RegistrationOn-line registration is required as space will be limited.

This free event will focus on the current epidemiological trends, updates on prevention and care best practices, and NYSDOH guidance on HIV & HCV, as well as therapeutic regimens and monitoring plans.

This event is open to New York State clinical providers, such as physicians, physician assistants, nurses, nurse practitioners, and pharmacists.  The New York State (NYS) Department of Health AIDS Institute Clinical Education Initiative (CEI) is designed to enhance the capacity of New York’s diverse health care workforce to deliver clinical services to improve health outcomes related to HIV, sexually transmitted diseases (STDs) and hepatitis C (HCV). The aims of the CEI are fourfold:

  • provide progressive HIV, HCV and STD education to clinicians;
  • disseminate AIDS Institute clinical practice guidelines;
  • expand the base of providers able to diagnose and care for HIV, HCV and STD patients; and
  • foster partnerships between community-based providers and HIV, HCV and STD specialists.

Mount Sinai serves as The HIV/HCV Center and provides free education and training for medical providers in NYS. Clinicians are updated on the latest NYS guidelines to enhance the capacity to deliver clinical services to improve health outcomes related to HIV/HCV.  Further information is available by contacting Robert Walsh at 212-636-1315 or at rwalsh@chpnet.org.
(CLANCY) 


Learn about MOLST  and eMOLST Dr. Pat Bomba VP and Medical Director, Geriatrics, Excellus BlueCross Blue Shield

When: Tuesday, March 15, 2016 @  12:30-1:30 PM

WHAT:

  • Learn about the MOLST and eMOLST form and how it should be used with patients.
  • Describe how the NYS eMOLST: Improves Quality & Patient Safety and Reduces Harm
  • Learn about the 8 step MOLST protocol and how it can be used effectively
  • Describe how eMOLST aligns with move toward Value Based Payment

Additional information can be found here.

To register for this CME webinar:  Click here and fill out registration form.

For additional information, contact Miriam Hardin at: mhardin@mssny.org or (518) 465-8085

Accreditation Statement: 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.

Disclosure Statement: The Medical Society of The State of New York relies upon planners and faculty participants in its CME activities to provide educational information that is objective and free of bias. In this spirit and in accordance with the guidelines of MSSNY and the ACCME, all speakers and planners for CME activities must disclose any relevant financial relationships with commercial interests whose products, devices or services may be discussed in the content of a CME activity, that might be perceived as a real or apparent conflict of interest.

Any discussion of investigational or unlabeled uses of a product will be identified.


MSSNY to Conduct Medical Matters Webinar on Zika Virus on March 16, April Session on Ebola
The Medical Society, in conjunction with the New York State Department of Health will conduct a Medical Matters webinar on the  “Zika Virus: An Evolving Story” on March 16th at 7:30 a.m.   Registration for this program is now open.  Click on the upcoming tab and select the programs.

The educational objectives for this program are: 1) Describe the epidemiology of Zika Virus infection;

2) Understand the modes of transmission; 3) Understand how to advise patients; and 4) Learn methods for prevention of infection.  William Valenti, MD, chair of MSSNY’s Infectious Disease Committee, and Elizabeth Dufort, MD,  Medical Director, Division of Epidemiology from the New York State Department of Health will conduct this presentation.

The April session of Medical Matters will take place at the MSSNY House of Delegates and is entitled, “Ebola: A Perspective from the Field”.  The program will be conducted by Dario Gonzalez, MD, FACEP. Associate Medical Director,  Fire Department City of New York/Office of Medical Affairs.  Dr. Gonzalez was deployed for nine weeks by Americares to Liberia, West Africa as part of the US response to the Ebola epidemic.  The program will be held on Thursday, April 14, 2016 at 2:00pm. Physicians may attend the session at the Westchester Marriott, 670 White Plains Road, Tarrytown, NY 10591 or by webinar.  Registration is now open. Click on the upcoming tab and select the program.

The educational objective is: Offer perspective and lessons learned from an individual who treated Ebola patients firsthand.

The May session will be “Radiological Emergencies”, this session will be held on May 18, 2016 at 7:30 AM. (Please note that this session was originally scheduled for March 16, 2016) Faculty for this session will be Cham Dallas, PhD.  Dr. Dallas is a professor in the Department of Health Policy and Management at the College of Public Health, University of Georgia.  He is also the Director of the Institute for Disaster Management at the University of Georgia and a Board Member of the National Disaster Life Support Foundation (NDLSF).  Dr. Dallas has a national/international reputation in toxicology and emergency preparedness and response, including over 30 years of experience.

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.

Further information or assistance in registering for any of these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.
(CLANCY, HOFFMAN) 


MSSNY’s Opioid Webinars are Now Available Through Its CME Online Site
The Medical Society has archived its opioid webinar series on its continuing medical education website at http://cme.mssny.org/   The webinars that are currently on the site are:  Webinar 1 Pain Management at the Crossroads:  A Tale of Two Public Health Problems and Webinar 2   Rational Opioid Prescribing:  Is this Possible for Chronic Pain?  Physicians and other prescribers can earn up to one hour of continuing medical credits by viewing this webinar and completing the test.    The reminder of the webinars will be placed on line in the very near future. 

The MSSNY CME site requires new users to register, but once registered physicians and other health care providers will have a personalized training page to take the webinars and other course work located on the site.   New registrants to the site will create a username and password, which should be retained and be used for continued access to the site. Once registered and logged into the site, physicians will be taken to an instruction page.   Click on the tool bar menu located at the top of the page and click on “My training” to view and take the various courses.     MSSNY has over 50 programs at this site and physicians are able to earn continuing medical education credits for each course. 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 online program has various programs with the number of continuing medical education credits, but the majority of the programs are for 1.0 AMA/PRA Category 1 credit™.  Further information on all these programs may be obtained by contacting Pat Clancy at pclancy@mssny.org.                  (CLANCY) 


PTSD And TBI in Returning Veterans:  March – June Webinars
MSSNY will be holding a series of CME webinars on PTSD and TBI in returning veterans on seven dates listed below from March through June. The faculty presenters will be Frank Dowling, MD and Joshua Cohen, MD.

Course objectives:

  • Explore the two most prevalent mental disorders facing American veterans today, their causes, symptoms, and comorbidities
  • Outline treatment options including evidence-based psychotherapy and pharmacotherapy
  • Discuss barriers to treatment, including those unique to military culture, and how to overcome them
  • Outline the process of recovery and post-traumatic grow

To register for this webinar, click on a date below and fill out the registration form.

Tuesday, March 22, 6-7 PM
Thursday, April 7, 6-7 PM
Tuesday, April 12, 7:30-8:30 AM
Thursday, May 5, 6-7 PM
Thursday, May 19, 7:30-8:30 AM
Thursday, June 2, 6-7 PM
Thursday, June 9, 7:30-8:30 AM
(ELPERIN, DEARS)

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 ldears@mssny.org      mauster@mssny.org  
pclancy@mssny.org jmcpartlon@mssny.org    

 

 


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Council Notes

At the March 8 meeting in Albany, Council approved the following items:

  • MSSNY should seek supplemental funding sources other than Medicare funding to increase the number of residency training positions in New York State, and should take the lead in bringing together the various parties to devise a supplemental funding source to meet the medical educational and workforce needs of New York State. This should involve State officials responsible for health and medical education, leaders of academic medical centers, and businesses that are thriving economically and that benefit from the work of the medical profession. Medicare should not bear major responsibility for GME funding. Strong arguments can be made that health insurers, pharmaceutical companies and device manufacturers should also contribute to the cost of graduate medical education.
  • The MSSNY president may decide if a non-MSSNY physician group (such as the Out-of-Network Preservation Work Group) warrants creation of its own special committee within MSSNY. Each President-Elect of MSSNY shall continue to analyze on an annual basis MSSNY’s committee structure with an intention to eliminate any committee not felt to be contributing directly to MSSNY’s mission, and combining committees wherever possible to reduce duplication, confusion and cost.  MSSNY may sign on to letters with non-MSSNY groups when consistent with existing MSSNY policy and at the discretion of the President.


State Awards $112.3 to Long Island Hospitals
The state has awarded $112.3 million to Long Island hospitals and clinics for projects ranging from repairs at Nassau University Medical Center to building an emergency department in East Hampton.

The 16 grants, part of $1.5 billion statewide announced March 4, are intended to help health care providers involved in New York’s Delivery System Reform Incentive Program, or DSRIP.

Under the program, up to $6.42 billion will go to safety-net or public hospitals and their community collaborators statewide if they cut avoidable hospital use among Medicaid recipients by 25 percent by the end of 2019. To do that, hospitals and community organizations must work together to improve access and coordination of patients’ care. These grants — an addition to the $6.42 billion — are meant to assist with that.

REMINDER:  All Prescriptions Must Be Sent Electronically Beginning March 27th
Tell your patients NOW that you will NOT be issuing papers scripts as of March 27. With the e-prescribing mandate quickly approaching, we at MSSNY are concerned about the lack of preparedness expressed by New York doctors.  Our recent survey showed that more than 40% of responding physicians are not yet prepared to meet the e-prescribing mandate.
We DO NOT expect an extension of the deadline, and urge you to ACT NOW to ensure you are compliant with the law.


From Socio-Med: 38,000 Doctors Will Have to Revalidate with CMS
I have been told that NGS Medicare is required by CMS to initiate the REVALIDATION process for 38,000 NYS practitioners. Please be on the LOOK OUT for a yellow envelope.  The official letter will be mailed from National Government Services in a yellow envelope: J6/JK Provider Enrollment Sample Yellow Envelope

If you rely on Medicare payments, you do not want your cash flow disrupted.  Please be sure that you and your staff are aware of the vital mailing.  In addition, please share this information with your colleagues, especially those who might not use email. The yellow envelope for NGS Medicare should not be overlooked.


Expansion to Include Pregnant Women with Sex Partner Who Traveled To a Country with Zika Virus Transmission
On March 9, the NYSDOH was directed by Gov. Cuomo to expand free Zika virus testing to pregnant women who engaged in unprotected sex with a partner who had recently traveled to a country where Zika is present.  Meanwhile, the city is ramping up its efforts in preparation for mosquito season to protect against transmission of the virus in New York. Health Commissioner Mary Bassett said the city is increasing the number of mosquito traps around the city by 20% to 50%.

To date, NYSDOH’s Wadsworth Center has conducted tests on samples from more than 1,400 patients and 40 have been found to be positive. With the exception of the one possible case of sexual transmission, all of the infected patients have been returning travelers from countries where Zika virus is ongoing.

NYSDOH also already offers testing to pregnant women who themselves have traveled to an area with ongoing Zika virus transmission during their pregnancy, as well as to non-pregnant women, men or children who developed symptoms of Zika virus within 4 weeks of travel to an area with active Zika virus transmission.


CDC: NYS has High Rate of Childhood Flu Vaccination
The New York State DOH is being honored, for the second year in a row, by the CDC for having high rates of childhood influenza vaccine coverage. During the 2014-15 flu season, 67 percent of New York children (outside of NYC) 6 months to 17 years of age received the flu vaccine, well above the national average of 59 percent. Childhood influenza vaccination coverage rates in other states ranged from 45.3 percent to 78.6 percent.


CMS Mulling New Payment Models For Some Medicare Part D Prescription Drugs
On March 8, Medicare proposed new models to determine the best “ways to pay for drugs administered in a doctor’s office, including many cancer treatments.” Dr. Patrick Conway, acting principal deputy administrator and chief medical officer of CMS, explained that the Federal government will not decide which drugs physicians can prescribe, but the objective “is to address financial incentives in the current payment system that can encourage the use of a more expensive drug, when a cheaper medication is just as effective.” According to Conway, “‘Perverse incentives’ in the current rules do not benefit patients or Medicare.”

The NY Times http://nyti.ms/1P46uDU reports CMS plans to “test new ways to pay for prescription drugs in an effort to slow the growth of Medicare spending on medicines while encouraging doctors to choose the most effective treatments for their patients.” Dr. Conway said the government was not infringing on the discretion or authority of doctors. “Physicians and clinicians will make the prescribing decisions,” he said. “Nothing limits the ability of physicians to prescribe the most appropriate medications.” Data indicate CMS “spent $20 billion last year under Part B of Medicare for prescription drugs administered in doctors’ offices and hospital outpatient departments.” 


The Age of Compliance and the Impact on Your Healthcare Revenue Cycle
The arrival of the Consumer Financial Protection Bureau (CFPB) and associated increased legislation in the area of Healthcare Debt Collection has made the job of Healthcare Revenue Cycle Professionals more challenging than ever before.

Listen as IC System’s Vice President of Healthcare discusses these issues in detail, and shares tips and tactics to help insure that your Healthcare Business Office stays efficient, effective and compliant.

Please click on this link  to register for the LIVE presentation.


Pediatrics Group Issues New Recommendations to Screen for Poverty
The American Academy of Pediatrics has issued a policy statement at  http://bit.ly/1p89Tfv recommending that “with nearly half of American children living in poverty or close to that line, pediatricians need to broach another health-related matter with mom or dad: Are you having trouble making ends meet?”

THE AAP announced the “new recommendations to screen for poverty in a bid to reduce its health effects.” In its policy statement, “the group highlights what it calls the ‘lifelong hardship’ faced by kids who grow up in poverty.”


Ithaca Mayor Wants to Create Heroin Injection Sites to Stop Overdoses
In a more than 1,450-word article, the Washington Post reports Svante Myrick, the mayor of Ithaca, New York, is pushing to create “supervised injection sites where addicts can use” heroin “under the watch of medical professionals” who are available to administer naloxone if overdoses occur. While Myrick will struggle to convince state and Federal officials, the Post states his “proposal nonetheless marks the latest departure from the zero-tolerance orthodoxy that has for years governed the drug war.” The article explains that success stories in Germany, Switzerland, the Netherlands, and Canada “sold Myrick on the idea.”


CLASSIFIED

Physician Opportunities

Family & Internal Medicine Opportunity Just 50 miles North of NYC
Top $$ AND potential partnership with large multi-specialty physicians’ group + the balance of work & personal life you have been seeking. Perfect suburban area just 50 miles north of NYC. This is a growth position with the right person moving into a partnership opportunity within two to three years. You will enjoy a salary of $175K+ as well as:
• A monthly bonus potential
• Health, Dental, Vision and prescription insurance
• 3 weeks’ paid vacation time off annually
• 6 federal Holidays off with pay
• A $2500 CME reimbursement
• A 401K plan with company match
• Company pays 75% of a single premium life insurance policy at twice your annual salary
• Paid malpractice insurance, plus paid DEA and license renewals
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
• Active NYS license
• Current DEA #
• Experienced as well as New Grads welcome to apply
**Relocating physicians are welcome and relocation assistance will be offered to the right candidate!**
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.

Neurologist & Pain Management Physician Needed
A growing multi-specialty group in Orange County is looking for both a Neurologist and Pain Management Physician to join their group. This position will work with the headache center Neurologist/Pain Management Specialist. All subspecialties are welcome.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
   • Experience in procedures and utilizing an integrated comprehensive approach to pain management.
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.


OB/GYN Opportunity in the Hudson Valley
Are you looking for a great work/life balance? We are looking for an OB/GYN to join the team. We are looking for a provider to provide comprehensive primary health care to a select population of essentially healthy women, participate in the care of women with complications & responsible for providing a full range of agency approved antepartum, intrapartum, postpartum, gynecological and family planning service.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
       • Active NYS license
       • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review
.


Pediatrician Opportunity in Orange County, New York
A prestigious multi-specialty physicians’ group seeks a family driven
Pediatrician to join their group.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review. 
.


Psychiatry Opportunity in New York’s Beautiful Hudson Valley
Our client, a prestigious multi-specialty physicians’ group who has been recognized as a Patient-Centered Medical Home by the National Committee for Quality Assurance, seeks a Psychiatrist to join their group.
The ideal candidate will possess the following:
• BE/C in Psychiatry
   • Active NYS license preferred
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.



Join Well Established Solo Female OB/GYN Physician Practice in New York City
Quality oriented, looking for MD for long term career opportunity. New graduates welcome to apply. Affiliated with Lenox Hill Hospital. The current office has a AAAA certified operating room and an AIUM accredited ultrasound service. Looking to establish another location. Great opportunity to balance personalized practice with quality lifestyle. Please summit CV to obgynpractice130@gmail.com


Want to Sublease Your Clinic Space or Rent Space to Expand Your Practice? List with Clineeds 
Clineeds is an online platform designed to help physicians find and sublease clinic space. Listing is completely FREE! Sign up today at http://clineeds.com/signup We take care of the rest!


Jerome I. Sager – Attorney at Law
The health care law experts representing medical professionals for more than 25 years.  See us for Professional Medical Conduct Defense, Medicaid and Medicare Fraud Cases, DEA and Controlled Substance Issues, Third party insurance issues. We can handle most legal matters. Call us for a free consultation. 212-685-2333 / 917-312-6631, jeromesager@cs.com

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

 

 

 

 

 

 

 

 

 

 

 

 

 

March 4, 2016 – Physicians Shaping the Discourse

drmaldonado PRESIDENT’S  MESSAGE
 Dr. Joseph R.  Maldonado
asset.find.us.on.facebook.lgTwitter_logo_blue1

March 4,  2016
Volume 16, Number 9

Dear Colleagues:

This is the key issue that you should drive home with your legislator on Tuesday: Click Here.

Joseph Maldonado, M.D, MSc, MBA, DipEBHC
MSSNY President

Please send your comments to comments@mssny.org


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MSSNY Lobby Day Scheduled For March 8th – Physicians Urged to Attend and Wear Your White Lab Coats
MSSNY’s “Physician Advocacy Day” will be held on March 8th in the Lewis Swyer Theatre in the Egg located at the Empire State Plaza in Albany, New York.  If you plan to attend, please register here.

A full slate of legislators and top Administration officials will attend and dialogue with Advocacy Day participants including:

  • Donna Frescatore, Executive Director, NYS Health Benefit Exchange;
  • Jason Helgerson, Medicaid Director, NYS Department of Health;
  • Troy Oechsner, Executive Deputy Superintendent, Department of Financial Services;
  • Legislative Panel: Senate Health Chair Kemp Hannon; Assembly Health Chair Richard Gottfried; Senate Insurance Chair James Seward; Assembly Insurance Chair Kevin Cahill.

In addition, Assembly Majority Leader Joe Morelle and Senate Majority Leader John Flanagan have also agreed to attend the morning proceedings. A brief informal luncheon to which members of each House are invited to speak with their constituents will follow the morning program.   County Medical Societies will be scheduling appointments for physicians to meet with their elected representatives.

For those unable to attend in person, this event will be webcast LIVE. You can access the webcast by going to the following link: http://totalwebcasting.com/live/mssny

PHYSICIANS ARE ENCOURAGED TO IMMEDIATELY REGISTER THROUGH THE LINK BELOW TO ATTEND THE MARCH 8TH LOBBY DAY IN ALBANY. http://goo.gl/forms/Mw7CX8JfzL
(DIVISION OF GOVERNMENTAL AFFAIRS)


Senate Health Committee Chair, Senator Kemp Hannon will be Guest for Fireside Chat With MSSNY President Dr. Joseph Maldonado.
On March 7th, the evening before MSSNY’s Lobby Day, Joseph Maldonado, Jr., MD, MSc, MBA, will conduct a “fireside chat” with Senator Kemp Hannon, Chairman of the Senate Health Committee.

This is a relaxed and fluid format in which Dr. Maldonado and Senator Hannon can discuss issues of concern to the medical community (network adequacy, action taken by Emblem Health to narrow its network,  the collapse of Health Republic, etc). Physicians are invited to be physically present at this event in the DGA offices located at Ste 408, One Commerce Building, in Albany or can engage in real time by submitting their questions during the LIVE webcast of the event through this link.

The program will run for one hour from 5:30-6:30PM on March 7th.  To register to attend the event, click onto the this link.  
(DIVISION OF GOVERNMENTAL AFFAIRS)
 


Physicians Urged To Oppose Huge Cuts to Excess Medical Liability Insurance Program
Physicians are urged to continue to contact their legislators to object to a provision in the Executive Budget that would cause more than half of physicians to lose their Excess Medical Malpractice Insurance coverage.     

Specifically, the proposal would cut funding for the Excess program by $25 million, which would result in 55% of physicians who currently receive this additional coverage being dropped from the program.  Across much of upstate New York, only neurosurgeons, bariatric surgeons and OB-GYNs would keep this coverage.  That means that in the Capital District, in Northern New York, in Central New York, in western New York and in the Southern Tier every family physician, internist, pediatrician, ophthalmologist, emergency room physician, vascular surgeon, cardiologist, radiologist, pathologist, otolaryngologist, dermatologist and allergist would be automatically dropped.  And downstate, many primary care physicians, ophthalmologists, otolaryngologists, pathologists, dermatologists and allergists would be dropped.

The Excess Medical Liability Insurance Program provides an additional layer of $1M of coverage to physicians with hospital privileges who maintain primary coverage at the $1.3 million/$3.9 million level.  The program was created over 30 years ago as a result of the liability insurance crisis of the mid-1980’s to address concerns among physicians that their liability exposure far exceeded available coverage limitations.  Absent meaningful liability reform, with verdicts and physician liability premiums continuing to be far out of proportion compared to the rest of the country, full funding for the Excess program is absolutely essential in today’s very challenging practice environment.

At a time when the state is seeking to attract and retain physicians, this proposal deters physicians from wanting to practice in New York State for fear of putting themselves and their families in financial jeopardy for judgments and settlements exceeding the limits of their primary coverage.  Please urge your legislators to restore full funding for the program!                                                                       (AUSTER, DEARS) 

Urge Your Legislators to Reduce Liability Insurance Costs, Not Raise Them!
All physicians must continue to contact their legislators to urge that they oppose legislation (A.285-A, Weinstein/S.6596, DeFrancisco) that could drastically increase New York’s already exorbitantly high medical liability premiums by changing the medical liability Statute of limitations to a “Date of Discovery” rule.

You need to tell your legislators that no liability increases can be tolerated.  MLMIC’s estimate is that this bill could increase physician liability premiums by nearly 15%!   New York physicians continue to pay liability premiums that are among the very highest in the country.  By way of example, a neurosurgeon practicing on Long Island must pay an astounding $338,252 for just one year of insurance coverage and an OB/GYN practicing in the Bronx or Staten Island must pay $186,639.   New York far surpasses all other states in terms of total medical liability payouts, per capita payments, and medical liability awards above $1 million.

Last week, MSSNY joined the Greater New York Hospital Association (GNYHA) and Healthcare Association of New York State (HANYS) in an ad in the Albany Times-Union calling for reduction in these exorbitant costs.

To make matters even worse, trial lawyers are aggressively pushing the Legislature to consider additional liability expansion bills such as legislation that would eliminate the statutory limitation on contingency fees in medical liability actions, legislation that MLMIC has estimated could have the effect of raising your premiums by over 10%.   Please tell your legislators to enact comprehensive liability reform to bring down these costs, not legislation that increases them!                                                                                                       (AUSTER, DEARS)


Nearly 30 Assemblymembers Affirm Support for Health Republic Guarantee Fund Legislation (S.6667/A.9311)
27 Assemblymembers have joined Assembly Health Committee Chair Richard Gottfried and Assemblyman Charles Lavine (D-Nassau County) in introducing legislation (A.9311) to establish a Guarantee Fund to help to assure the payment of the hundreds of millions that Health Republic owes physicians and hospitals across New York State, as well as to protect consumers and health care providers from future health plan insolvencies.  To view the list of co-sponsors, click here.

Identical legislation (S.6667, Valesky, also with several co-sponsors (see here) has been introduced in the State Senate.  Right now, New York is the only state in the country that does not have such a Guarantee Fund.

With the health insurance industry in strong opposition to this proposal, it is imperative that you urge your Senators and Assemblymembers to support this bill and include it as part of the State Budget currently under negotiation by sending a letter from here. The template letter urges support for the legislation or the use of other monies, such as the hundreds of millions in dollars accruing to the State as a result of settlements with financial institutions, to help pay these outstanding claims.

You must remind your legislators that, with physicians facing so many other challenges in seeking to keep their doors open to deliver patient care, including high liability costs, expensive electronic medical record equipment, employee costs, insurance companies dropping physicians from their networks and declining payments from insurers, failure to assure payment for these claims would have serious negative consequences for patient care and employment in your community.
(AUSTER, DEARS)


Physicians Must Continue to Let Their Legislators Know of Concerns with Adverse Workers’ Compensation Budget Proposal
All physicians must continue to contact their State Senators and Assemblymembers to express their strong opposition to sweeping Workers’ Compensation reform proposals contained in the Executive Budget.

MSSNY staff continues to meet with key legislative leaders and staff to voice its very serious concerns with Budget proposals that would:

  • Expand the list of non-physicians who can treat and be paid directly for care to injured workers without any clarity as to how these non-physicians will coordinate care delivery when specialized care is needed;
  • Expand the circumstances when a physician or other health care provider can have their authorization removed and empowers the Board to impose significant fines on a physician or any other Board-authorized health care provider for violating a Workers Compensation rule;
  • Remove the authority of county medical societies to recommend physicians to serve as treating providers or independent medical examiners under Workers Compensation.
  • Reduce choice for injured workers by expanding the circumstances when an injured worker must seek care within a PPO network; and
  • Remove the requirement for a referral by a physician for an injured worker as a pre-condition to receive psychological care;

In the 30-day Executive Budget amendments, the proposal was made even more adverse by a) requiring physicians and other currently authorized WC providers to execute an “authorization agreement” with the Board (as of now, it is unclear what would be contained within such “authorization agreement”) within 12 months of the effective date of the proposal, if it were to be enacted; and b) removing the ability of professional associations, such as MSSNY, to recommend arbitrators to resolve medical fee disputes between health care providers and carriers.

Working closely with MSSNY, county medical society leaders from across the State have been writing to, and meeting with, their local Senators and Assemblymembers to request that these proposals be jettisoned from the Budget. Moreover, many of these proposals are being opposed by other stakeholders, including the NYS AFL-CIO, the NYS Trial Lawyers Association, the Injured Workers Bar Association and the New York Insurance Association.
(AUSTER, DEARS)


Legislation To Make Changes to The Erx Law to Exempt Low Volume Prescribers and to Enable Nurses in Ltc Facilities to Act as Agent for the Physician Reported by Senate Health Committee
Legislation (A. 9335, Gottfried/ S.6779, Hannon) which would exempt low volume prescribers from the e-prescribing mandate entirely was reported from the Senate Health Committee to the floor of the Senate this week. MSSNY is aware that physicians who are low volume prescribers (those who write less than 25 prescriptions a year) are receiving waivers from the mandate; but those waivers are only good for one year requiring low volume physicians to reapply each year. This measure would eliminate the need for them to re-apply for a waiver each year.

The bill would also amend the eRx law by eliminating existing provisions which require prescribers who invoke one or more of the exemptions to the eRx mandate to contact the department when they exercise an exemption. Instead, the bill would require a prescriber to make a notation in the patient’s record that the exercise of the exemption was utilized.

A second proposal (A.9334, Gottfried/S.6778, Hannon), also supported by MSSNY, was also reported by the Senate Health Committee this week to the Senate floor. Specifically this proposal would allow prescriptions for non-controlled substances for nursing home residents to be made orally rather than electronically.  For decades, nurses, acting as the agent to the physician, have been authorized to take oral orders from the physician for non-controlled medications through the nursing home medication administration system to deliver medications to residents safely and without delay. In this long-standing system, the physician then routinely signs the oral orders within 48 hours.

Physicians are not physically present in nursing homes 24 hours a day. Nurses serve a vital role ensuring proper medication administration in nursing homes. This bill is necessary to assure that physicians’ orders are timely filled to protect the health and well-being for each resident in a safe and secure method.(DEARS,AUSTER)


Endo Enters Into Settlement With NY AG to Limit Marketing of Opana
Attorney General Eric T. Schneiderman announced an agreement with Endo Pharmaceuticals this week which requires Endo to cease all misrepresentations regarding the properties of Opana ER, to describe accurately the risk of addiction to Opana ER, and to summarize studies regarding Opana ER on its website.  To read the AG’s full press release, click here.

Specifically, the settlement requires Endo to:

  • Provide truthful and complete information regarding addiction risks associated with Opana ER;
  • Stop improperly marketing Opana ER as being crush resistant;
  • Create an Abuse and Diversion Detection Program that requires Endo’s sales representatives to report to the company health care providers it suspects of engaging in abuse and illegal diversion of opioids, and for Endo to cease marketing opioids to certain prescribers;
  • Post results of clinical studies on Endo’s website;
  • Encourage health care providers to seek training on appropriate opioid prescribing practices; and
  • Provide health care providers with information about addiction treatment resources for their patients.

Furthermore, the Attorney General also imposed a $200,000 penalty on Endo.
(AUSTER) 


NY AG Investigates Health Insurers Over Hep C Coverage
New York Attorney General Eric Schneiderman has asked 16 health insurance companies for information regarding their coverage rules for patients with hepatitis C, requesting documents explaining how they make decisions on who to cover or not, according to several media reports.  As is noted in these articles (see here), the companies being investigated include Anthem, Aetna and Emblem.  (AUSTER)


Physicians Now Have Until July 1 to Apply For 2015 EHR Meaningful Use Hardship Waiver
CMS announced late last week that physicians will now have until July 1to apply for a “hardship exemption” from the electronic health record (EHR) meaningful use financial penalties for the 2015 program year.   Without obtaining such “hardship exemption”, physicians could face up to a 3% cut in their Medicare payments in 2017.  In its statement announcing the delay, CMS noted that it “is extending the deadline so providers have sufficient time to submit their applications to avoid adjustments to their Medicare payments in 2017.”

The AMA has advised that all physicians should apply for the exemption since  CMS has said that submitting an application for a hardship exemption will not prevent those who qualify from receiving an incentive payment.

To obtain the application, click here. The AMA has developed step-by-step instructions to help simplify the submission process. Physicians do not need to include documentation of their circumstances with their application, but should hold onto it for their own records.

Moreover, new this year, individuals can apply on behalf of a group of physicians, an important change enacted by Congress at the end of 2015 as a result of the combined advocacy of MSSNY, the AMA and many medical and specialty societies from across the country.
(AUSTER)


PTSB and TBI in Returning Veterans:  March – June Webinars
MSSNY will be holding a series of CME webinars on PTSD and TBI in returning veterans on eight dates listed below from March through June. The faculty presenters will be Frank Dowling, MD and Joshua Cohen, MD.

Course objectives:

  • Explore the two most prevalent mental disorders facing American veterans today, their causes, symptoms, and comorbidities;
  • Outline treatment options including evidence-based psychotherapy and pharmacotherapy;
  • Discuss barriers to treatment, including those unique to military culture, and how to overcome them;
  • Outline the process of recovery and post-traumatic grow. 

To register for this webinar, click on a date below and fill out the registration form

Wednesday, March 9, 7:30-8:30 AM
Tuesday, Mach 22, 6-7 PM
Thursday, April 7, 6-7 PM
Tuesday, April 12, 7:30-8:30 AM
Thursday, May 5, 6-7 PM
Thursday, May 19, 7:30-8:30 AM
Thursday, June 2, 6-7 PM
Thursday, June 9, 7:30-8:30 AM
(ELPERIN)


Clinical Update for Primary Care Providers on Pre-Exposure Prophylaxis (Prep)
The New York State (NYS) Department of Health AIDS Institute Clinical Education Initiative (CEI) and Mount Sinai Institute for Advanced Medicine will be offering an educational program on the Treatment for Hepatitis C: New Tests, New Drugs & New Recommendations on Thursday, March 31, 2016, 9:00am – 12:00pm at St. Mary’s Healthcare, Amsterdam – Carondelet Pavilion Auditorium, 380 Guy Park Ave. Amsterdam, New York 12010. 

Registration:   On-line registration is required as space will be limited.

This free event will focus on the current epidemiological trends, updates on prevention and care best practices, and NYSDOH guidance on HIV & HCV, as well as therapeutic regimens and monitoring plans.

This event is open to New York State clinical providers, such as physicians, physician assistants, nurses, nurse practitioners, and pharmacists.  The New York State (NYS) Department of Health AIDS Institute Clinical Education Initiative (CEI) is designed to enhance the capacity of New York’s diverse health care workforce to deliver clinical services to improve health outcomes related to HIV, sexually transmitted diseases (STDs) and hepatitis C (HCV). The aims of the CEI are fourfold:

  • provide progressive HIV, HCV and STD education to clinicians
  • disseminate AIDS Institute clinical practice guidelines
  • expand the base of providers able to diagnose and care for HIV, HCV and STD patients
  • foster partnerships between community-based providers and HIV, HCV and STD specialists

Mount Sinai serves as The HIV/HCV Center and provides free education and training for medical providers in NYS. Clinicians are updated on the latest NYS guidelines to enhance the capacity to deliver clinical services to improve health outcomes related to HIV/HCV.  Further information is available by contacting Robert Walsh at 212-636-1315 or at rwalsh@chpnet.org.
(CLANCY) 


MSSNY Joins New York Kicks Butts Campaign
The Medical Society of the State of New York has joined the “New York Kicks Butts” campaign which is a week-long citywide effort to encourage all smokers in New York City to quit smoking.   Smoking Cessation Week will be held May 31-June 6, 2016 and will encourage smokers in the New York City area to seeking assistance from physicians and other health care professionals to learn about the tools and support available to assist them to quit smoking.  MSSNY has joined with American Cancer Society, Cancer Action Network, NYC Smoke-Free, the American Lung Association, the Campaign for Tobacco Free Kids and other health groups in this campaign.  Further information on this campaign will be available shortly from MSSNY and through the campaign’s website(CLANCY)


 MSSNY-HCA Collaborate on Legislation to Address Health Care Disparities
Following MSSNY’s most recent Health Care Disparities Committee meeting, the Home Care Association of New York State (HCA) and MSSNY have joined forces to address health care disparities. After circulating the idea among members of the Black, Puerto Rican, Hispanic and Asian Legislative Caucus and receiving positive feedback—next week, MSSNY and HCA will present legislation and a grant proposal to all 50 members of the Caucus. Our proposal will allow physicians, home care agencies and hospitals to collaborate, by applying individually or collectively to the DOH for grant funding for programs to address a wide array of health care disparities. MSSNY hopes that the legislation will not only allow for spirited, localized programs specific to community needs, but also provide funding for: continuing medical education programs on health care disparities issues and educational outreach initiatives to attract adolescent members of minority population to the profession of medicine.                                                                                 
(MCPARTLON)
 


President Obama Lauds Affordable Care Act Achievements
On Thursday, March 03, 2016, President Obama announced that since the passage of the Affordable Care Act, more than 20 million have gained health insurance and the country has the lowest uninsured rate ever recorded. The President also announced that as of January 16th more than 30 percent of Medicare Part A and B payments are tied to alternative payment models (nearly a year ahead of schedule.)  In a press release issued by the Center for Medicare & Medicaid Services (CMS), it stated it was proud to achieve such a timely result and shift to quality and value of care. More information and CMS’ press release can be found here.(MCPARTLON) 


Governor Cuomo Continues Push for 12 Week Paid Family Leave
With One-House Budget bills only days away, Governor Cuomo renewed his call for paid family leave in two Op-Ed pieces, one published by Newsday and the other by the Buffalo News. In Newsday, striving to appeal to small business owners worried about their bottom-line, the Governor reiterated its zero cost to business owners as an employee-funded benefit that will reduce turnover and strengthen the state-wide labor force.  In the Buffalo News, Governor Cuomo delivered an appeal for New Yorkers to spend time with their loved ones when they need it most. Both articles can be found here (Newsday / Buffalo News ).
(MCPARTLON) 


Final Opioid Prescribing Webinar on March 10th;  Registration is Now Open
The fourth and final webinar in the opioid series will be held on Thursday, March 10th at 7:30 a.m. Title of the program is “Treatment of Opioid Use Disorders”.   Physicians and other prescribers are encouraged to register this for this webinar  at the this link.

Click on the upcoming tab and select the programs.

Physicians and other prescribers are allowed to register up to ½ hour before the webinar.

The Medical Society of the State of New York, the New York State Office for Alcoholism and Substance Abuse Service and the NYS Department of Health’s Bureau of Narcotic Enforcement, are jointly providing this free, four part webinar series on opioid prescribing. 

Entitled,) “Revisiting the Role of Opioid Analgesics for Simple and Complex Patients with Chronic Pain”, faculty for the session will be Charles Argoff, MD and Charles Morgan, MD, FASAM, FAAFP, DABAM.   The educational objectives are:    Recommend tools to assist in the management of patients for whom opioids are indicated and prescribed; discuss strategies to reduce risk of treating pain in patients with substance use disorders.

Physicians and other prescribers can take one or all of the webinars. 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.

Please contact Pat Clancy at pclancy@mssny.org or Terri Holmes at tholmes@mssny.org for further information.                                        (CLANCY, DEARS) 


MSSNY’s Opioid Webinars are Now Available Through Its Cme Online Site
The Medical Society has archived its opioid webinar series on its continuing medical education website at http://cme.mssny.org/   The webinars that are currently on the site are:  Webinar 1 Pain Management at the Crossroads:  A Tale of Two Public Health Problems and Webinar 2   Rational Opioid Prescribing:  Is this Possible for Chronic Pain?  Physicians and other prescribers can earn up to one hour of continuing medical credits by viewing this webinar and completing the test.    The reminder of the webinars will be placed on line in the very near future. 

The MSSNY CME site requires new users to register, but once registered physicians and other health care providers will have a personalized training page to take the webinars and other course work located on the site.   New registrants to the site will create a username and password, which should be retained and be used for continued access to the site.

Once registered and logged into the site, physicians will be taken to an instruction page.   Click on the tool bar menu located at the top of the page and click on “My training” to view and take the various courses.     MSSNY has over 50 programs at this site and physicians are able to earn continuing medical education credits for each course. 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 online program has various programs with the number of continuing medical education credits, but the majority of the programs are for 1.0 AMA/PRA Category 1 credit™.  Further information on all these programs may be obtained by contacting Pat Clancy at pclancy@mssny.org.
(CLANCY) 


MSSNY to Conduct Medical Matters Webinar on Zika Virus on March 16, April Session on Ebola
The Medical Society, in conjunction with the New York State Department of Health will conduct a Medical Matters webinar on the  “Zika Virus: An Evolving Story” on March 16th at 7:30 a.m.   Registration for this program is now open. Click on the ‘Upcoming’ tab and select the ‘Programs’.

The educational objectives for this program are: 1) Describe the epidemiology of Zika Virus infection;

2) Understand the modes of transmission; 3) Understand how to advise patients; and 4) Learn methods for prevention of infection.  William Valenti, MD, chair of MSSNY’s Infectious Disease Committee, and Elizabeth Dufort, MD,  Medical Director, Division of Epidemiology from the New York State Department of Health will conduct this presentation.

The April session of Medical Matters will take place at the MSSNY House of Delegates and is entitled, “Ebola: A Perspective from the Field”.  The program will be conducted by Dario Gonzalez, MD, FACEP. Associate Medical Director,  Fire Department City of New York/Office of Medical Affairs.  Dr. Gonzalez was deployed for nine weeks by Americares to Liberia, West Africa as part of the US response to the Ebola epidemic.  The program will be held on Thursday, April 14, 2016 at 2:00pm. Physicians may attend the session at the Westchester Marriott, 670 White Plains Road, Tarrytown, NY 10591 or by webinar.  Registration is now open. Click on the ‘Upcoming’ tab and select the ‘Programs’.

The educational objective is: Offer perspective and lessons learned from an individual who treated Ebola patients firsthand.

The May session will be “Radiological Emergencies”, this session will be held on May 18, 2016 at 7:30 AM. (Please note that this session was originally scheduled for March 16, 2016) Faculty for this session will be Cham Dallas, PhD.  Dr. Dallas is a professor in the Department of Health Policy and Management at the College of Public Health, University of Georgia.  He is also the Director of the Institute for Disaster Management at the University of Georgia and a Board Member of the National Disaster Life Support Foundation (NDLSF).  Dr. Dallas has a national/international reputation in toxicology and emergency preparedness and response, including over 30 years of experience.

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.

Further information or assistance in registering for any of these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.
(CLANCY, HOFFMAN)

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 ldears@mssny.org            mauster@mssny.org  
pclancy@mssny.org jMcPartlon@mssny.org    

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Michael J. Schoppmann Joins MLMIC’s Service Company
MLMIC announces the appointment of Michael J. Schoppmann, Esq. as President of our service company subsidiary. In this role, Schoppmann will work closely with Edward J. Amsler, CEO of the service company, to serve the needs of MLMIC policyholders.

Schoppmann’s long history of protecting doctors in New York State will contribute to the superior protection, sound defense and active risk management we offer all of our insureds.

Michael J. Schoppmann’s legal career spans 30 years, and his tenure defending healthcare professionals has earned him national regard. Prior to joining MLMIC, Schoppmann was the managing principal partner in a private firm (Kern, Augustine, Conroy & Schoppmann) where he dedicated more than two decades of his career to providing counsel to physicians and other health care providers. His background, reputation and drive will be extremely valuable to MLMIC as we continue to serve policyholders in an increasingly competitive environment. 


Endoscope Maker Olympus to Pay Record $623 Million to Settle Kickback Allegations
The nation’s largest endoscope distributor will pay $623.2 million to resolve civil and criminal allegations that it paid kickbacks to hospitals and doctors in exchange for purchasing its devices, the Justice Department announced Tuesday.

Olympus Corporation of the Americas has agreed to pay a record-setting $310.8 million to settle civil claims that it violated the False Claims Act because its claims were tainted by illegal kickbacks. The sum is the largest ever paid by a medical-device company over violations related to the federal anti-kickback law, according to the government. Olympus will also pay a $312.4 million criminal penalty over the allegations. The company admitted to paying doctors and hospitals in the form of consulting payments, travel, meals, grants and free endoscopes in exchange for their business, according to the Justice Department.

The company admitted, for example, to paying for three doctors’ trips to Japan in 2007 in exchange for their hospital’s decision to use Olympus. The company gave another doctor who had a major role in his medical center’s buying decisions free of use of $400,000 in equipment.

Nacho Abia, CEO of Olympus Corporation of the Americas, said in a statement, said “Olympus is committed to complying with all laws and regulations and to adhering to our own rigorous code of conduct which guides our business processes, decisions and behavior.”Abia also noted that the company’s past actions didn’t affect patient health or care. He said the settlements will not affect the company’s ability to offer its products and services.

According to the Justice Department, the kickbacks helped the company make more than $600 million in sales and gross profits of more than $230 million. The company entered into a deferred prosecution agreement that will allow it to avoid conviction if it follows certain requirements.


The NYeC PQRS Registry is Open for Business and Ready to Support You
If you are a Medicare provider, but still haven’t selected a registry to submit your PQRS measurements and want to avoid payment penalties, NYeC as a CMS qualified Registry can help you control your reporting process. Remember this is a time sensitive program, and your data needs to be received by NYeC by March 17th to ensure your submission meets the CMS deadline of March 31, 2016.

Learn more about our full service PQRS Registry at http://bit.do/nyecpqrsportal. You can also email us at supportpqrs@nyehealth.org or call 646-619-6485.

Join them for a FREE informational webinar about their full service CMS qualified registry.

Webinar dates:

  • Monday, March 7, 2016, 10:00 am EST

REGISTER NOW

Topics to be covered:

  • Review of Eligible Professionals required to participate in the PQRS Program
  • How to avoid negative payment adjustments
  • Participation informs quality ratings that compare providers to their peers
  • Overview of New York eHealth Collaborative’s Registry Services
  • Review of reporting methodologies Registration, fees, support, and critical deadlines

The webinar should be for total of 45 minutes (30 min informational and 15 min Q&A).


The Medicare EHR Incentive Program Hardship Application Deadline for All Providers is Now July 1, 2016
This week, CMS is extending the application deadline for the Medicare EHR Incentive Program hardship exception process that reduces burden on clinicians, hospitals, and critical access hospitals (CAHs). The new deadline for Eligible Professionals, Eligible Hospitals and Critical Access Hospitals is July 1, 2016. CMS is extending the deadline so providers have sufficient time to submit their applications to avoid adjustments to their Medicare payments in 2017.

In January, CMS posted new, streamlined hardship exception application forms that reduce the amount of information that eligible professionals (EPs), eligible hospitals, and CAHs must submit to apply for an exception. The new applications and instructions for providers seeking a hardship exception are available here.


Reminder: Time for Physicians and Teaching Hospitals to Complete Open Payments System Registration
As a reminder, the Open Payments system is available for Physician and Teaching Hospital registration. The review and dispute period for physicians and teaching hospitals is targeted to start in April 2016. Just a reminder, only information that has been submitted in the current program year is eligible for review and dispute.

Registering in the Open Payments system is voluntary for physicians and teaching hospitals. However, registering is required if a physician or teaching hospital wants the opportunity to review and dispute data. The data is submitted by applicable manufacturers and applicable group purchasing organizations (GPOs) prior to public posting on June 30, 2016. If a physician or teaching hospital registered last year, they are not required to register again this year.

However, if it has been over 180 days since a physician or teaching hospital has logged onto the Enterprise Identity Management System (EIDM), the account has been deactivated for security purposes. If an account has been deactivated, contact the Help Desk. The Help Desk hours are from 8:30 a.m. – 7:30 p.m. (EST). For new users, the quick reference guide on the EIDM system can be found here. In addition, the quick reference guides on teaching hospital registration can be found here, and the guide for physician registration can be found here.

CMS plans to publish the 2015 payment data and make any applicable updates to the 2013 and 2014 data in June 2016. More information about Open Payments is available at www.cms.gov/openpayments.


FLU View

The most recent FluView report shows increasing flu activity in the United States. Ongoing flu activity is expected for several weeks. (NY is Region 2)

CDC reports this season’s flu vaccine is nearly 60 percent effective against all circulating viruses. It is not too late to get your flu vaccine this season.


CDC Interim Recommendations re Olympics and Zika Virus in Pregnancy
Because Zika virus infection in a pregnant woman is linked to a serious birth defect of the brain called microcephaly and miscarriage, CDC recommends special precautions for the following groups:

  • Women who are pregnant (in any trimester): Consider not going to the Olympics; if you have a male partner who goes to the Olympics, either use condoms or abstain from sex for the duration of your pregnancy. If you must go, talk to your doctor or other health care provider first; you and your partner should strictly follow steps to prevent mosquito bites and use condoms or abstain from sex.
  • Women who are trying to become pregnant: Before you travel, talk to your doctor or other health care provider about your plans to become pregnant and the risk of Zika virus infection. You and your male partner should strictly follow steps.
  • Men with pregnant partners should use condoms or abstain from vaginal, anal, or oral sex for the duration of the pregnancy.

Specific areas where Zika virus transmission is ongoing are often difficult to determine and are likely to change over time. As more information becomes available, this travel notice will be updated. Please check back frequently for the most up-to-date recommendations.


Onondaga County Holds Annual Legislative Roundtable
Onondaga County Legislative Roundtable
The Onondaga County Medical Society held its annual Legislative Breakfast and Roundtable discussion with area federal and state legislators on February 27. The following elected representatives were in attendance:  Congressman John Katko, Sen. John DeFrancisco, Sen. David Valesky, Assemblywoman Pamela Hunter, and Assemblyman Albert Stirpe.  Director Jennifer Cook represented Assemblyman Will Barclay, Special Assistant Pamela Kirkwood represented Assemblyman Gary Finch and Craig Swyecki represented Assemblyman William Magnarelli.

This annual event gives interested physician members and our governing body the opportunity to talk with local federal and state representatives about issues of concern. Physicians in attendance were: Drs. Beers, Abdulky, Nave, Halleran, Semeran, Sneider, Hart, Huang, Walsh, and Practice Manager Anne Zecchio of Nephrology Associates.


 


CLASSIFIED

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Jerome I. Sager – Attorney at Law
The health care law experts representing medical professionals for more than 25 years.  See us for Professional Medical Conduct Defense, Medicaid and Medicare Fraud Cases, DEA and Controlled Substance Issues, Third party insurance issues. We can handle most legal matters. Call us for a free consultation. 212-685-2333 / 917-312-6631, jeromesager@cs.com



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

 

 

 

 

 

 

 

 

 

 

 

 

 

Council – March 7, 2015

AGENDA
Council Meeting
March 7, 2016, 1:00 pm
Renaissance Hotel, 144 State Street
Albany, NY 12207

A.Call to Order and Roll Call

B. Approval of the Council Minutes of January 21, 2016

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

1. President’s Report

a. Presentation to the Albion Bernstein Award Recipient, William M. Valenti, MD
Dr. Valenti is an internist/infectious diseases specialist and a native of Rochester, NY. He is a co-founder of Community Health Network, a not-for-profit medical clinic caring for 700 people with HIV/AIDS in Rochester, NY, now Trillium Health. Dr. Valenti is a graduate of the Medical College of Wisconsin, did his infectious diseases training at the University of Rochester and is Clinical Associate Professor of Medicine at the University Of Rochester School Of Medicine. He has been involved in HIV treatment, research and policy in the United States since the early 1980’s and is chair of the Medical Society’s Infectious Diseases Committee. He is also a member of the Medical Society’s Committee on Emergency Preparedness and Disaster/Terrorism Response. Dr. Valenti serves as faculty for the Medical Society’s various educational programs and has authored several programs.

b. ACTION ITEM – A Resolution submitted by Kira Geraci-Ciardullo, MD, MPH
Nominations from the Floor

c. ACTION ITEMS – Submitted by the Council Work Group to develop Guidelines for Collaborating With Non-MSSNY Physician Groups Seeking MSSNY Engagement

d. ACTION ITEMSRecommendations from the Task Force on the Shortage of Residency Positions

e. ACTION ITEM – Recommendation from the Task Force on Independent Practice

2. Secretary’s Report – Nominations for Life Membership & Dues Remissions

3. Board of Trustees Report – Dr. Latreille will present the report (handout at Council)

4. MSSNYPAC Report – Dr. Sellers will present the report (handout at Council)

5. MLMIC Update – Mr. Ed Amsler will present a verbal report

6. AMA Delegation Update – Dr. Kennedy will present a verbal update

7. MESF Update – Dr. Kleinman or Tom Donoghue will present a verbal report

8. Commissioners (All Action Items)
No reports submitted

9. Councilors & Presidents (All Action Items from County Medical Societies)
No reports submitted

D. Reports of Officers (Informational)
1. Office of the President – Joseph R. Maldonado, MD
2. Office of the President-Elect – Malcolm D. Reid, MD
3. Office of the Vice President – Charles Rothberg, MD
4. Office of the Treasurer – Thomas J. Madejski, MD Financial                     statement for the for the period 1/1/15 to 12/31/15
5. Office of the Speaker – Kira A. Geraci-Ciradullo, MD

E. Reports of Councilors (Informational)
1. Kings & Richmond Report – Parag H. Mehta, MD
2. Manhattan/Bronx Report – Joshua M. Cohen, MD, MPH
3. Nassau County Report – Paul A. Pipia, MD
4. Queens County Report – Saulius J. Skeivys, MD
5. Suffolk County Report – Frank G. Dowling, MD
6. Third District Branch Report – Harold M. Sokol, MD
7. Fourth District Branch Report – John J. Kennedy, MD
8. Fifth District Branch Report –Howard H. Huang, MD
9. Sixth District Branch Report – Robert A. Hesson, MD
10. Seventh District Branch Report – Mark J. Adams, MD
11. Eighth District Branch Report – Edward Kelly Bartels, MD
12. Ninth District Branch Report – Thomas T. Lee, MD
13. Medical Student Section Report – Charles A. Kenworthy –                        no written report submitted
14. Resident & Fellow Section Report – Robert A. Viviano, DO
15. Young Physician Section Report – L. Carlos Zapata, MD –                          no written report submitted

F. Commissioners (All Committee & Sub-Committee Informational      Reports/Minutes) No reports submitted

G. Report of the Executive Vice President
Membership Dues Revenue Schedule

H. Report of the General Counsel
Proposal to Amend Bylaws

I. Report of the Alliance
Alliance Report

J. Other Information/Announcements
1. Prescription Drug Monitoring Programs (PDMP)
Sign-On Letter
to Congress
2. Minutes from the Physician Foundation Meeting
3. AMA Foundation –
Dr. Duane & Joyce Cady Honor Fund  Update

4. Physicians Advocacy Institute Site of Service Study

K. Adjournment

L. Executive Session – Discussion re Membership Survey