April 29, 2016 – MOC Opposition Is Strong!

 

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
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April 29,  2016
Volume 16, Number 16

Dear Colleagues:

In the good old days, physicians took one board examination in their specialty and they were “grandfathered” for life.

Over a period time since 1990, the various ABMS boards changed the rules and physicians have had to recertify every 10 years. MOC additionally requires practice assessment and patient-safety activities every two years. Now, the whole recertification process has become a big business that we have to feed. The exams are expensive and time consuming. In 2014, ABIM declared that physicians who did not participate would be identified as “not meeting MOC requirements.” The main physician complaints are that these specialty boards control who can practice and they misuse their muscle to force compliance by charging exorbitant fees.  Now, boards are threatening to link test results to hospital employment.

According to Dr. Paul Tierstein’s JAMA article (1/8/2015), his frustration in fulfilling requirement led him to create a web-based petition that has more than 20,000 signatures against MOC requirements www.nomoc.org.

Internists and Internal Medicine subspecialists have been the most ardent critics saying that the MOC program of the ABIM is a waste of time and money and does nothing to contribute to better patient care.

Many physicians across the country report that the examinations are forcing some of their colleagues into early retirement.

In two 2015 studies, JAMA evaluated quality and medical costs who were certified before 1990 and those who certified just after 1990. The studies showed that patient outcomes were no better and costs were only marginally lower in the recertifying group. However, a 2.5 percent decrease in Medicare billings by the group who recertified.

This past week, Oklahoma enacted a law aimed to remove MOC as a requirement for physicians to obtain a license or secure admitting privileges. A few days earlier, Kentucky signed a measure that prohibits making MOC a condition of licensure. Michigan is considering a measure that forbids hospitals from denying privileges solely on the basis of MOC.

What the AMA Says

At the 2014 AMA Interim Meeting in Dallas, physicians voted to update the AMA’s policy on maintenance of certification (MOC) during. The adopted policy outlines principles that emphasize the need for an evidence-based process that is evaluated regularly to ensure physician needs are being met and activities are relevant to clinical practice.

The MOC principles include:

  • MOC should be based on evidence and designed to identify performance gaps and unmet needs, providing direction and guidance for improvement in physician performance and delivery of care.
  • The MOC process should be evaluated periodically to measure physician satisfaction, knowledge uptake, and intent to maintain or change practice.
  • MOC should be used as a tool for continuous improvement.
  • The MOC program should not be a mandated requirement for licensure, credentialing, payment, network participation or employment.
  • Actively practicing physicians should be well-represented on specialty boards developing MOC.
  • MOC activities and measurement should be relevant to clinical practice.
  • The MOC process should not be cost-prohibitive or present barriers to patient care.

MSSNY Actively Pursuing Actions to Protect Physicians

MSSNY is very active in opposing any certification linkage to employment and at the 2016 House of Delegates, the following resolutions were voted upon:

  • MSSNY will continue to work with the appropriate organizations to ensure the MOC process does not disrupt physician practice or reduce the capacity of the overall physician workforce.
  • MSSNY will oppose any effort by NYS to require certification by any medical specialty board as a condition of obtaining or renewing the registration of a medical license in New York.
  • MSSNY should ask the AMA to reaffirm the AMA’s policy regarding Maintenance of Certification and Maintenance of Licensure programs and provide an amicus brief or other support when the opportunity arises to defend physicians against any attempt to use recertification of Maintenance of Certification as a condition of employment, licensure or reimbursement.
  • MSSNY should file an amicus brief in support of the American Association of Physicians and Surgeons lawsuit regarding board certification requirements as antitrust and MSSNY should take this resolution to the 2016 Annual meeting of the American Medical Association House of Delegates.

Malcolm Reid, MD, MPP
MSSNY President

Please send your comments to comments@mssny.org

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Physicians – Let Your Legislators Know that Legislation to Substantially Increase Your Liability Risk Could Be Detrimental to Patient Access to Care!
All physicians must continue to contact their legislators to urge them 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.    The letter can be sent from here. If enacted, this legislation could increase your premiums by nearly 15%.  In light of the huge financial pressures prompted by excessive government mandates and abusive insurer practices that are already threatening the viability of physician practices, it is essential that you express to your elected representatives that “stand-alone” legislation driving further liability increases cannot be tolerated and could seriously impact access to care for patients. 

We anticipate the Trial Lawyers and their allied front groups will be making an out all out push to enact this legislation when the Legislature returns to Albany on May 3 for the final 7 weeks of the Legislative Session.  It is imperative that you make these contacts to your legislators NOW!

In response to this threat, MSSNY and other groups have publicly highlighted the huge and unsustainable liability burden already assumed by New York physicians, and the threat this legislation poses to the already precarious stability of many New York hospitals and medical liability insurers.  MSSNY together with numerous other specialty medical societies have joined the Greater New York Hospital Association (GNYHA) and Healthcare Association of New York State (HANYS) in an ad campaign highlighting the disastrous consequences to our healthcare system should such a large expansion in the right to sue be permitted by the State Legislature.  An ad will be in the upcoming May 2 City & State.   Earlier this year, MSSNY joined GNYHA and HANYS in ads in the Albany Times-Union and City & State calling for reduction in these exorbitant costs. (AUSTER, DEARS)

DFS Commences Health Republic Liquidation Process
The New York State Department of Financial Services (DFS) announced that it has commenced a liquidation proceeding for Health Republic in the New York State Supreme Court.

The DFS announcement notes that “Providers should continue to submit any outstanding claims against Health Republic in accordance with the procedures and deadlines set forth in the contracts that governed their provision of care to Health Republic members. Claims previously submitted in this manner do not need to be re-submitted. Information for consumers who paid for covered services out-of-pocket and are owed money by Health Republic can be found at www.HealthRepublicNY.org.

The press release also notes that “the amount of assets available to satisfy the outstanding claims against Health Republic will not be known for some time given claims that the Liquidator may have against third parties, including as to the “3R” payments Health Republic had expected to receive from the federal government. The 3R programs – risk adjustment, reinsurance and risk corridors – were established by the federal government specifically to help protect health insurance companies, like Health Republic, from larger-than-expected losses during the first few years of operation. In addition, the Liquidator will pursue, under the supervision of the Court, any available third party claims and legal actions that may be warranted in order to maximize the assets available for distribution.”

Initiation of liquidation proceedings is an important first step towards providing some clarity to physicians and hospitals regarding any assets Health Republic will have to pay claims.  Filing of liquidation is also a necessary step towards defining the monies that will be needed to be allocated to the “Health Republic Insurance of New York Fund” that MSSNY and others advocated to be created in the recently enacted State Budget to pay outstanding HR claims that cannot be paid out of HR’s remaining assets. MSSNY will continue to monitor the liquidation process and will provide updates to physicians as they develop.       
(AUSTER, DEARS)


CMS Releases Proposed Regulations to Implement Medicare Value-Based Payment Initiatives
The US Department of Health and Human Services this week formally proposed a regulation to implement the value-based payment programs contained in the MACRA legislation enacted by Congress in 2015 that repealed the Medicare SGR methodolgy.  While payment adjustments under the Merit Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) are not applied until 2019, it will be based upon care delivered to Medicare patients in 2017.  The regulation has a 60-day comment period.

To read the HHS summary, click here.

To read AMA comments, click here.  AMA President Dr. Steven Stack stated in an AMA Viewpoints post that “While we have not yet digested the entire 962-page regulation, it appears on our initial review that CMS Acting Administrator Andy Slavitt and his senior management team have listened.”

Under MIPS, Medicare payments could be adjusted up or down by 4% beginning in 2019, and up to +/ – 9% by 2022, with additionial bonus payments possible.  Among other issues, the proposed rule addresses questions about elements of MIPS, including:

  • Quality: In this category, clinicians would choose to report 6 measures, rather than the current requirement of 9 measures, from among a range of options that accommodate differences among specialties and practice settings.
  • Advancing care information: For this category, clinicians would choose to report customizable measures that reflect how they use technology in their day-to-day practice. Importantly, unlike the existing EHR meaningful use program, this category would not require all-or-nothing EHR measurement or redundant quality reporting.
  • Clinical practice improvement activities: This category would reward physicians for clinical practice improvements, such as activities focused on care coordination, patient engagement and patient safety. Clinicians would select activities that match their practices’ goals from a list of more than 90 options.

The AMA noted that, since MACRA was passed in 2015, it has been providing extensive physician feedback on what should be included in the regulations under development. This has included numerous comment letters on specific aspects of MACRA implementation, as well as 10 overall principles that the AMA many other medical associations urged the agency to follow.  The post also noted that the AMA had also responded to CMS’ requests for information that provided advice on the agency’s proposal for a quality measure development plan and episode groups. Other activities have included hosting listening sessions with CMS for different medical specialties and other stakeholders.  MSSNY will be reviewing the proposed regulation and working with the AMA and other state medical and specialty associations on developing comments in response.                                                                                                                                    (AUSTER)


Health Care Organizations Urge Inclusion of E-Cigarettes in Clean Indoor Air Act—Advocacy Day to Be Held May 24th
A group of health care organizations, including the Medical Society of the State of New York, have come together to advocate for the placement of E-Cigarettes under the New York State Clean Indoor Air Act. The group, comprised of national and state organizations includes the American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, Roswell Park Cancer Institute, New York State Association of County Health Officials, Campaign for Tobacco-Free Kids, New York State Public Health Association, and the Medical Society of the State of New York, among others.

Despite containing carcinogens and toxic chemicals, including those found in anti-freeze, E-Cigarettes are currently unregulated by the FDA, and are not subject to tobacco laws as they do not contain tobacco. While New York State has prohibited the sale of E-Cigarettes to minors under the age of 18, indoor use of E-Cigarettes in public places is still permitted. MSSNY supports legislation and urges its members to support legislation (A.5955, Rosenthal/S.2202, Hannon) to place E-Cigarettes under the New York State’s Clean Indoor Air Act.
(CLANCY, MCPARTLON)


New York Kicks Butts Campaign To Be Held May 31-June 6tH
The Medical Society of the State of New York has joined with the American Cancer Society, the American Lung Association, and Tobacco Free Kids and a variety of other affiliated health organizations and businesses to encourage New York City residents to quit smoking.  The New York Kick Butts campaign will be held May 31-June 6th and New York City physicians are asked to discuss with patients smoking cessation treatment options.  By offering medication and counseling, physicians can help patients to double their quit rates.     Helpful tools can be found on line at PlanMy Quit.com/NYC or by calling the New York State Smokers’ Quitline at 1-866-NY-QUITS (697-8487) or by just dialing 311.   Additional resources can also be found at NYSmokeFree.com.  Physicians can find an information flyer here or patient information here.                       (CLANCY)


Urge Passage of Legislation to Enable Override of Insurer “Fail First” Medication Policies
Concerned about health insurer policies that require your patients to “fail first” on certain prescription medications before they are able to take the medication that you believe is most medically appropriate to improve their health?  MSSNY is working together with a number of patient advocacy groups in support of legislation (A.2834-A, Titone/S.3419-B, Young) to provide physicians with an expeditious manner to override an insurer “fail first” policy when it is in the best interest of their patients’ health.  To send a letter in support of this legislation click here.

We strongly encourage physicians concerned about this issue to participate in an upcoming May 23 Albany advocacy day in support of this legislation.  If you are interested in participating please e-mail mauster@mssny.org.  MSSNY representatives will be participating along with many other patient advocacy groups.                          (AUSTER, DEARS)


DFS Reminds Insurers Of Requirements To Cover Screening For Maternal Depression
Governor Cuomo announced this week that the Department of Financial Services issued guidance to remind health insurers of their responsibility to provide health insurance coverage for maternal depression screenings. The guidance follows the United States Preventive Services Taskforce recommendations made earlier this year that group health plans and insurers offering group or individual health coverage must provide, with no copayment, coinsurance or deductible, preventative services such as depression screenings in pregnant and postpartum women.

“We took this action to make sure that all pregnant and postpartum women can receive the full treatment services to which they are entitled,” said Governor Cuomo. “Health insurers have an obligation to cover charges for essential preventative services, and our administration will not hesitate to hold them accountable to that responsibility. This will help mothers and newborn New Yorkers across the state lead safe, healthy lives.”

To read the Circular Letter sent by DFS to insurers, click here.(AUSTER)


Scores of Members of Congress Urge CMS to Put The Brakes on Damaging Part B Medication Reimbursement Proposal
Hundreds of members of Congress have signed varying joint letters to CMS urging that they put on hold a proposal to revise (and reduce) the payment methodology for in-office use medications covered through Medicare Part B.  As reported last week, MSSNY joined several other organizations in a letter to the New York Congressional delegation (urging that they urge CMS to withdraw this damaging proposal.  The AMA also sent a similar letter to Congressional leaders.

The Republican members of the Senate Finance Committee sent a letter calling on CMS to “immediately” withdraw the proposal, noting that they are “perplexed” by the “unprecedented scope” of the proposal, as it could decrease the quality of beneficiary care, increase Medicare costs, and further hospital-physician practice consolidation. The Members also state their “dismay” that CMS did not indicate how it will assess the Part B Payment Model’s impact on the quality of beneficiary care, stating that this “glaring omission” deprives stakeholders from providing meaningful comments.

The Democratic members of the US Senate Finance Committee, including New York Senator Chuck Schumer, also sent a letter to CMS expressing concerns with the proposal.  The letter notes that “any proposed changes to the Part B program must be carefully considered to prevent any disruptions in care for Medicare beneficiaries, particularly those with serious and complex conditions”.   Moreover, the letter noted that it was essential that CMS engage with the impacted community, including directly with impacted patients.  Specifically, the letter requested that CMS resolve the following issues before moving forward with any proposal:

  • Beneficiaries access to Part B medications, particularly in response to concerns raised by many that the combined effect of the proposal and sequestration cuts could result in some physicians facing acquisition costs that exceed the Medicare reimbursement;
  • Potential impact on site of service, because community-based physicians could respond to this proposed cut by referring patients to Hospital outpatient departments, which according to the letter “would result in higher overall costs for both beneficiaries and the Medicare program”
  • Interaction with existing delivery and payment reform models, given other programs such as the Oncology Care Model and payment reforms enacted under MACRA.

In the House, over 170 GOP members, including New York representatives Chris Collins (Western NY), Dan Donovan (Staten Island), John Katko (Central NY), Tom Reed (Southern Tier) and Lee Zeldin (Suffolk County) have signed a letter to CMS initiated by Rep. Dr. Tom Price (GA), Rep. Dr. Charles Boustany (LA), and Rep. John Shimkus (IL), asking that CMS withdraw the proposed regulation.  A House Democrat letter initiated by Rep, Neal (MA) is also circulating that, so far, Rep. Paul Tonko (Capital District) has signed.
(AUSTER)


HHS Issues Final Rules on Medicaid Managed Care-Potentially Opening The Door for More Telemedicine
On April 25, 2016, the US Department of Health and Human Services (HHS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP); the first overhaul of its kind in more than ten years. The final rules will be implemented in phases over the next three years, beginning on July 1, 2017.

To read the HHS summary, click here.

Notable changes in the final rules include passing to the states the duty to establish “network adequacy standards”. In the past, federal standards required in-person access. The change leaves open the question for individual states to decide whether telemedine access is adequately appropriate.  In the Federal Register, CMS commented that the change, “encourages states to consider how current and future technological solutions could impact their network adequacy standards. Therefore, we agree with adding these criteria to the list of elements that states should consider when developing network adequacy standards.” Included in the list of elements states must consider is the “availability of triage lines or screening systems, as well as the use of telemedicine, e-visits, and/or other evolving and innovative technological solutions.”

The final rules, in their entirely, are designed  to: (1) support states’ efforts to advance delivery system reform and improvements in quality of care for Medicaid and CHIP beneficiaries; (2) strengthen the consumer experience of care and key consumer projections; (3) strengthening program integrity by improving accountability and transparency; and (4) align rules across health insurance coverage programs to improve efficiency and help consumers who are transitioning between sources of coverage.

To read all 1,425 pages of the final rules, click here.
(MCPARTLON)


Workers Comp Board Gives Update on Implementation of Medical Portal
The New York State Workers Compensation Board recently released an Update regarding several aspects of its Business Process Re-engineering (BPR) program designed to reduce delays in the processing of Workers Compensation claims.  In particular, the Update reported that the much-anticipated medical portal will go live later this year, which will reduce administrative hassles by enabling physicians to submit medical authorization and variance requests (C-4Auth, MG-1 and MG-2) electronically directly to the payer for review.   The Update further notes that the WCB held 20 WebEx sessions this past winter to demonstrate the portal’s functionality which   cumulatively had over 1,000 attendees.  The presentation can be viewed here.
(AUSTER)


Radiological Emergencies CME Webinar to Be Held May 18th; Registration Now Open
Registration is now open for MSSNY’s Medical Matters webinar on  “Radiological Emergencies” to be held May 18, 2016 at 7:30 AM.  Physicians and other health care providers may register here.

Click on the upcoming tab and select the webinar.

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)


Capital District Regional Health Emergency Preparedness Coalition to Host Pediatric Emergency Preparedness Training Seminar On May 24th
The Capital District Regional Health Emergency Preparedness Coalition will host a pediatric training seminar on May 24, 2016 from 9-4 at the University at Albany East Campus, 1 University Place. Rensselaer, NY 12144.  The one day emergency preparedness training seminar will provide a broad overview of potential care needs for the pediatric patient involved in an emergency/disaster situation.  The training seminar will include information for medical, trauma, and crisis response specific to the most vulnerable population in any emergency—children.

Registration is available through the NYS DOH learning management system at: www.nylearnsph.com

Search: CDR Pediatric Training Seminar 2016 under calendar.             (CLANCY)


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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Seven New York Health Insurers Required to Expand Coverage Of Hepatitis C Treatments
Under agreements made with New York State Attorney General Eric Schneiderman’s office, seven New York health insurers, including Affinity Health Plan, Empire BlueCross BlueShield, Excellus BlueCross BlueShield, HealthNow New York Inc., Independent Health Association Inc., Oxford Health Plans, and MVP Health Care, will be required to provide coverage for Hepatitis C medicines for almost all patients with this disease, not just for those in more advanced stages. The insurers also cannot deny treatment to patients with a history of substance or alcohol use. According to Schneiderman’s office, now nearly all commercial health insurance plans in the state also won’t deny coverage for those who use alcohol or drugs or whose authorizing physician isn’t a specialist.  New drugs can cost more than $83,000, but drug makers have maintained that their medicines offer good value because they lower the potential for long-term costs of liver disease, liver cancer and transplantations.  To read the Attorney General’s press release, visit http://www.ag.ny.gov/press-release/ag-schneiderman-announces-major-agreement-seven-insurers-expand-coverage-chronic

How to Register for the 2016 PQRS Group Practice Reporting Option Call
Wednesday, May 4 from 3 to 4:30 pm ET
To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

This call gives a walkthrough of the Physician Value – Physician Quality Reporting System (PV-PQRS) Registration System, an application that serves the PQRS and Value-Based Payment Modifier (Value Modifier) programs. Learn how to meet the satisfactory reporting criteria through the PQRS group practice reporting option (GPRO), avoid the CY 2018 PQRS negative payment adjustment, and CY 2018 Value Modifier automatic downward payment adjustment. A question and answer session follows the presentation.

The PV-PQRS Registration System is open through June 30 for groups to select a GPRO reporting mechanism. See the PQRS GPRO Registration webpage for more information.

Agenda:

  • PQRS and Value Modifier: Incentives and adjustments for CY 2018
  • 2016 PQRS reporting criteria for group practices reporting via the GPRO, including the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS survey
  • How to obtain an Enterprise Identity Management (EIDM) account
  • How to register for the PQRS GPRO in the PV-PQRS Registration System
  • Where to call for help and resources
  • Target Audience: Physicians, Medicare individual eligible professionals and group practices, therapists, medical group practices, practice managers, medical and specialty societies, payers, and insurers.
  • This MLN Connects Call is being evaluated by CMS for CME and CEU continuing education credit (CE). Refer to the call detail page for more information.


CMS Eliminates the Two-Midnight Rule: What is the Impact and When Will it Take Effect?
CMS recently announced that it will be dropping the much maligned two-midnight rule.  The rule, which was introduced in 2014, allowed for a hospital to receive inpatient payment under Medicare Part A only if the patient’s hospital stay was expected to span two midnights. If the patient’s stay was expected to be less than two midnights, the care was to be billed as outpatient services. Originally, CMS anticipated that the two-midnight rule would actually lead to an increase in reimbursements; therefore the final rule implemented a 0.2 percent cut to hospital inpatient reimbursements, which resulted in a national reduction of approximately $220 million.

The new proposed rule, which would go into effect in 2017, will permanently eliminate the 0.2 percent payment reduction. Additionally, CMS proposed to increase 2017 payments by 0.8 percent in order to offset the two-midnight rule payment cuts experienced by hospitals in 2014, 2015, and 2016. CMS estimates that this increase will result in an additional $539 million in payments in 2017 to acute care hospitals.

In a statement accompanying the announcement of the new rule, the CMS defended its 0.2 percent cuts and reiterated the decision to cut payment was reasonable when made.  Industry experts note that the CMS was no doubt strongly motivated after the order issued by the District Court for the District of Columbia in Shands Jacksonville Medical Center v. Burwell, which instructed CMS to reconsider and address the 0.2 percent cuts.

If you have any questions, please contact Kern Augustine Conroy & Schoppmann, P.C. at 1-800-445-0954 or via email at info@DrLaw.com.


Bank of America Announces Enhancement  to Affinity Card Program
Bank of America will be adding a new bonus earn category that will provide customers 2% bonus earn on Wholesale Club purchases (along with the current 2% on groceries and 3% on gas).  In addition, the quarterly bonus earn cap will be increased from $1,500 to $2,500 in combined gas/grocery/wholesale club purchases. The target implementation date is June 1st, which will be around the time that Visa cards will begin to be accepted at Costco.  With these enhancements, customers will enjoy bonus earn at all Wholesale Club merchants, including BJ’s Wholesale and Sam’s Club, as well.


CLASSIFIED


Spacious, Newly Renovated Medical Office to Sublet Near the United Nations
Handicapped accessible, Wi-Fi ready, separate reception area 1 to 3 rooms rooms available, 1 to 7 days per week Ideal for ophthalmologist/optometrist with onsite optical dispensary Could easily suit other specialties Excellent value, long-term lease available if desired Contact Dr. Scott Weissman email scott.weissmanmd@gmail.com  cell 914 772-5581

Commercial Co-op For Sale Lynbrook $129,000
Corner Of Hempstead Ave And Peninsula Blvd
880 sq ft Ground Floor Fully Renovated
Perfect For Doctor’s Office, Health Care, Accountant, Attorney,
Insurance, Real Estate, And General Office
AC, Parking Lot For Employees And Patients
3 Offices, Kitchen, Bath, Receptionist & Waiting Area
(516) 362-1828 | Leatherman Homes

Office Rental 30 Central Park South 
Two fully equipped exam rooms, two certified operating rooms, bathrooms and consultation room. Shared secretarial and waiting rooms. Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1300 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com


Medical Office For Rent – 715 West 170 Street
Two to five examination rooms available plus Reception,secretarial areas. Two bathrooms and entrances. Ethernet and cable ready. $4000 – $9500/ month. 917.861.8273 drdese@gmail.com Can build to suit including accredited O.R.s

Central Park South Medical Office Available to Share
Central Park South medical office, next to Plaza Hotel. Gorgeous Central Park view. Recent beautiful high–end renovation. Share part time with cosmetic dermatologist. Fully equipped for in–office surgery. Two exam rooms for you, shared waiting room and personal office. Free WiFi. Available part time, full or half days. Suits plastic/cosmetic surgeons/ENT/OBGYN etc. Contact Judith Hellman, MD, at jhderm@gmail.com or (212) 755–5482


NORTHERN WESTCHESTER – Psychiatric Opportunities
Part-time Psychiatrist (BC/BE/Child very desirable) wanted, to work in North Salem, N.Y., Suboxone DEA license helpful. Fax qualifications and availability to 914 669-6051 or call 914 669-5526 with questions..

Practice for Sale; North Salem, N.Y.
This is an excellent opportunity for someone wanting to purchase an established, growing practice. North Salem is a semi-rural suburban area 30 minutes north of White Plains; close to I-84, and I-684. This is an excellent place to live and practice, with excellent schools, close to malls and shopping. We treat patients of all ages, and there is a substantial Suboxone component integrated into the practice. Staffing includes several part-time psychiatrists, therapists. Patients come from Northern Westchester, nearby Putnam County and the Ridgefield-Danbury area and include children, adolescents, adults, families, Geriatric patients. Reliable office staff assist in patient and insurer management. Call 914 669-5526.


Physician Opportunities

Unique Private Pediatric Practice Opportunity
Summerwood Pediatrics is a very progressive, large community-based private practice in the Syracuse area. We provide care for over 25,000 children from birth to 21. The practice also has a satellite office in Camillus, NY. Additionally, the practice operates adjacent to an independent outpatient infusion practice, which is alsoowned and operated by our medical director. We are looking to employ a bright, energetic and enthusiastic general pediatric or subspecialty-trained physician. Presently the practice employs seven physicians, two pediatric NPs and one PA . All providers share on-call responsibilities on a one-day per week basis. Weekend coverage and office hours are performed on a rotational basis by the physicians. Our offices encompass over 28,0000sq. ft. of state-of-the- art clinical space;on-site lab services. The position, either full or part-time, includes applicable benefits inclusive of health care, malpractice insurance, CME expenditures and retirement plan. To discuss this opportunity further, contact either Dr. Robert A. Dracker or Mr. Warren Ford at 315-457-9914…9-5 EST.

Medical Director at CDPHP: Voted NYS “Best Company” by Our Employees!
CDPHP is more than a health insurer. We are a not-for-profit health value organization leading the way toward better, more affordable health care. CDPHP represents progress and innovation for more than 425,000 members throughout New York. A physician-founded and guided plan, our primary focus is the health and well-being of those we serve. While other insurers strive to create value for their shareholders, our efforts are centered on creating value for members, in part by providing employers with innovative solutions for managing health care. The Medical Director will assist the Vice President, Senior Medical Director and the SVP of Medical Affairs with the implementation of the Plan’s Medical Management, Quality Improvement and Resource Management initiatives in accordance with regulatory, accreditation, and corporate policies and strategic plan. The Medical Director will participate in the medical advisory committees, provide leadership to, and serve as a liaison between the physician community and the Plan’s management.

The ideal candidate will possess the following:

  • Licensed physician with current, unrestricted license (preferably New York State); Board Certified to practice a medical specialty; ABMS specialty is required.
  • If not licensed in New York State, eligibility for New York State licensure is required.
  • Additional advanced degree(s) preferred.
  • Minimum three to five (3-5) years clinical practice experience is required.
  • Minimum of three (3) years managed care or practice management is preferred.

Please email nicole.harrington@cdphp.comEqual Opportunity Employer, females, minorities, disabled, veterans



Relieve Physician Burnout through Yoga Science (30 CMEs)
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Change your perspective––change your experience. The 8th annual
American Meditation Institute Heart and Science of Yoga conference
is uniquely designed to offer you a refreshingly new, clearer and kinder
perspective on yourself and every personal and professional responsibility you face. This comprehensive training in Yoga Science as Holistic Mind/Body Medicine will provide easy-to-use, practical tools to prevent and reverse the debilitating causes and effects of physician burnout. Topics include: mantra meditation, diaphragmatic breathing, easy-gentle yoga, Yoga psychology, neuroplasticity, PTSD, trauma, resilience, the chakra system as a diagnostic tool, epigenomics, mind function optimization, Ayurveda, nutrition, functional medicine, and lymph system detoxification. Through engaging lectures by an accomplished faculty, instructive practicums and ongoing Q&A, you’ll gain experiential knowledge that will integrate Yoga Science into a dynamic self-care program. As a result of attending this conference, you’ll return home with a set of practical tools that can empower you to make conscious, discriminating and reliable choices to enhance your creativity, well-being, happiness and success. Regardless of how
challenging your circumstances might feel today, Yoga Science can help. Delicious gourmet vegetarian food(always including special dietary needs).
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CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355

 

 

 

 

 

 

 

 

 

 

 

 

 

April 22, 2016 – Let’s Build New Alliances Together

 

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
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April 22,  2016
Volume 16, Number 15

Dear Colleagues:

I became an active member of MSSNY soon after I graduated from medical school in 1987. I became engaged in organized medicine at the national level by going to the AMA on my own when I was a resident. Many of the issues that plagued us then are the ones we have now. We beat them back, and like crabgrass and weeds, they come back every year no matter how many times we try to kill them.

The perennial issues of tort reform, malpractice rates and frivolous lawsuits and regressive liability are still with us. Insurance company abuses, insurance giants taking over lesser giants, unfunded mandates, and regulatory interference in the practice of medicine are on MSSNY agenda in Albany every year.

All these issues, vexing as they are, have not killed us yet. While there is much wrong with the state of medicine today, there is also much that is right with medicine. We still have the joy of healing patients and we have more and more patients than ever to treat.

If physicians can rise above their denial, anger and lethargy and join together to fight for their profession and their patients, we can overcome these challenges. We must be at the table when decisions are being made, not after we have been forced to swallow the outcome. Clearly, to avoid being victims, we must arm ourselves with numbers—data, a larger membership and more funding.

As our very effective Government Affairs Division tells us, they can only do so much. Legislators want to hear directly from the doctors. They really do want to talk to you, especially in your own districts. You are not just a voter but you are also a business owner, employer, community leader and patient advocate. Legislators will listen.

The truth is that we have had many tort reform victories. I believe that we can obtain collective negotiation and meaningful tort reform and I will work toward those goals. We will hammer away at the big issues. We need to be out in front of the issues and bring the fight to them, and not just punch wildly when we are on the ropes.

On the Agenda

With their help and yours, here are some of the other things I hope to accomplish:

  • Improve the outreach to MSSNY members, non-members, patients and government
  • Increase membership and income of MSSNY. I challenge each of you to bring in at least ONE new member. (I have had many mentors to whom I gave tribute at my inauguration—you can and should mentor a fellow physician, too.)
  • Increase our PAC funding and focus support on our allies.
  • We have to unite specialties, collaborate with other professions, hospitals and insurance companies whenever possible.
  • We must build new alliances and help physicians in private practice.

Physicians have to give more to our PAC. We have to turn words into action. We have to turn conflict into collaboration and self-interest into mutual cooperation. Unity of purpose will strengthen all of us.

Whether you are a new physician, mid-career or retiring, we need you and you need us.

The message for you and your colleagues—Get active and stay active in MSSNY.

Malcolm Reid, MD, MPP
MSSNY President

Please send your comments to comments@mssny.org

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Physicians – Let Your Legislators Know that Legislation to Increase Your Liability Risk Could Be Detrimental to Patient Access to Care!
All physicians must contact their legislators to urge them to oppose legislation (A.285-A, Weinstein/S.6956, 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.   The letter can be sent from here.

If enacted, this legislation could increase your premiums by nearly 15%.  In light of the huge financial pressures prompted by excessive government mandates and abusive insurer practices that already are threatening the viability of physician practices, it is essential that you express to your elected representatives  that “stand-alone” legislation driving further liability increases cannot be tolerated and could seriously impact access to care for patients. 

We anticipate the Trial Lawyers and their allied front groups will be making an out all out push to enact this legislation when the Legislature returns to Albany on March 3 for the final 7 weeks of the Legislative Session.  It is imperative that you make these contacts to your legislators NOW!

In response to this threat, MSSNY and other groups have publicly highlighted the huge liability burden already assumed by New York physicians.  Recently, the Lawsuit Reform Alliance of NY wrote to the Syracuse Post Standard in support of badly needed medical liability reform to preserve access to specialized physician care.  And 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.
(AUSTER, DEARS)


Physicians Must Send Letter to Their Elected Representatives to Urge Elimination of Requirement to Electronically Inform DOH Concerning the Issuance of a Paper Script
Physicians are encouraged to send a letter accessible through MSSNY’s grassroots action center to urge that they support legislation (S.6779, Hannon/A. 9335A, Gottfried) to ease the onerous reporting burden on physicians every single time that they need to issue a paper prescription.

The Bureau of Narcotics Enforcement announced that when a physician invokes one of the three statutory exceptions and write a paper script because:  their technology or power has failed; the prescription will be filled outside of New York; or it would be impractical for the patient to obtain medications in a timely manner, they must electronically submit to the department an onerous amount of information about the issuance of the paper prescription.  DOH asks that each time a paper prescription is written, the prescriber must electronically inform the DOH of their name, address, phone number, email address, license number, patient’s initials and reason for the issuance of the paper prescription (referencing the appropriate section of law.)   This creates an onerous burden for all physicians, particularly in situations where there is a protracted technological failure, and the physician needs to report dozens upon dozens of paper prescriptions. In fact, Surescripts has stated publicly that there is a 3-6% e-prescription transmission failure rate. This means that in the state of New York anywhere between 7.6M to 15M e-prescriptions will fail every year and each prescriber involved with these failures who subsequently write a paper prescription will need to file this information with the state.     In some small communities, even the patient’s initials can convey information that will enable others who access this information to identify the patient who will receive the medication.

A much more preferable alternative is to allow physicians and other prescribers to make a notation in the patient’s chart indicating that they have invoked one of the three statutory exceptions.   It is important to know that the 12 exceptions released by the DOH Commissioner 10 days before e-prescribing went into effect, do not require reporting to the DOH.   The same should hold true for the issuance of paper prescriptions when one of the three statutory exemptions apply.  This legislation has passed the Senate twice and remains stalled in the Assembly Codes Committee. In order to re-invigorate legislative interest in this proposal physicians must send the letter located on the MSSNY grassroots action center.                        (DEARS, AUSTER)


Urge Passage of Legislation to Enable Override of Insurer “Fail First” Medication Policies
Concerned about health insurer policies that require your patients to “fail first” on certain prescription medications before they are able to take the medication that you believe is most medically appropriate to improve their health?  MSSNY is working together with a number of patient advocacy groups in support of legislation (A.2834-A, Titone/S.3419-B, Young) to provide physicians with an expeditious manner to override an insurer “fail first” policy when it is in the best interest of their patients’ health.  To send a letter in support of this legislation click here.

We strongly encourage physicians concerned about this issue to participate in an upcoming May 23 Albany Advocacy Day in support of this legislation.  MSSNY representatives will be participating along with many other patient advocacy groups.  Moreover, MSSNY Immediate Past-President Dr. Joseph Maldonado recently appeared on the YNN Statewide news program Capital Tonight along with National Alliance on Mental Illness’ Matthew Shapiro to discuss the importance of the legislation.  To watch the broadcast, click here.      (AUSTER, DEARS)


Health Care Organizations Urge Inclusion of E-Cigarettes In Clean Indoor Air Act—Advocacy Day to Be Held May 24th
A group of health care organizations, including the Medical Society of the State of New York, have come together to advocate for the placement of E-Cigarettes under the New York State Clean Indoor Air Act. The group, comprised of national and state organizations includes the American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, Roswell Park Cancer Institute, New York State Association of County Health Officials, Campaign for Tobacco-Free Kids, New York State Public Health Association, and the Medical Society of the State of New York, among others.

Despite containing carcinogens and toxic chemicals, including those found in anti-freeze, E-Cigarettes are currently unregulated by the FDA, and are not subject to tobacco laws as they do not contain tobacco. While New York State has prohibited the sale of E-Cigarettes to minors under the age of 18, indoor use of E-Cigarettes in public places is still permitted. MSSNY supports legislation and urges its members to support legislation (A.5955, Rosenthal/S.2202, Hannon) to place E-Cigarettes under the New York State’s Clean Indoor Air Act.                                                                                                                (CLANCY, MCPARTLON)

Physicians Invited to Particpate In Medical Specialties Lobby Day – May 17, 2016
Physicians from all localities will join forces in the State Capital on May 17th to advocate for their patients and profession during the annual Medical Specialties Lobby Day. Collectively, MSSNY and the specialty societies participation in this event represent physicians in specialty practices across New York State and together we stand committed to battling inappropriate allied health provider expansion legislation and advancing bills of importance to all of medicine.

The day will kick off with a breakfast, legislative briefing and Q&A session in the Empire State Plaza. Immediately following, physicians will meet with their elected representatives in the Senate and Assembly.

Attendees will be paired with physicians of other specialties and provided with easy to understand talking points so they can effectively present their arguments and positions.

We hope that you will reaffirm your commitment to your colleagues, your profession and your patients by joining us in Albany on May 17. To register here. 

All registrants will be emailed a confirmation and additional details closer to the event.


NYS Medical Specialties Lobby Day Organizations
Medical Society of the State of NY — NYS Ophthalmological Society — NYS Society of Physical Medicine and Rehabilitation — NYS Society of Plastic Surgeons — NYS Society of Orthopaedic Surgeons — NYS Society of Otolaryngology – Head and Neck Surgery — American College of Surgeons of NYS — NYS Psychiatric Association — NYS Society of Anesthesiologists
(MCPARTLON)


MSSNY AMA Urge Congress to Push CMS to Withdraw Proposed Revisions to Part B Medications Payment
MSSNY together with 20 other health advocacy organizations have written to the entire New York Congressional delegation urging that they request CMS to withdraw a proposed rule that would implement a new Medicare Part B medication payment model.  The proposal would 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.

The letter to the New York Congressional delegation highlights that these proposed payment changes could have a serious adverse impact on the care and treatment of New York Medicare patients with complex conditions, such as cancer, macular degeneration, hypertension, rheumatoid arthritis, Crohn’s disease and ulcerative colitis, and primary immunodeficiency diseases.   The American Medical Association has also written a detailed letter to Congressional leadership urging that they request CMS to withdraw the proposed rule, noting in particular that “the proposal could threaten Medicare beneficiaries’ continued access to care in their local community and lower cost delivery sites depending on where they live”.   The proposal has also generated strong opposition from the American Society of Clinical Oncology.      (AUSTER)


PTSD and TBI in Returning Veterans: May – June Webinars
MSSNY will be holding a series of CME webinars on PTSD and TBI in returning veterans on five dates listed below from April 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 growth.

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

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)


NYS DOH To Conduct Zika Virus Webinar: An Update on Microcephaly for Healthcare Providers on April 27th
The New York State Department of Health will conduct a Zika Virus webinar on April 27, 2016 from 12-1 p.m. to discuss the relationship between prenatal Zika virus infection and microcephaly and other serious brain abnormality.  Registration is required. Physicians are strongly encouraged to participate.

Presenters will be Deborah Campbell, MD, FAAP, Professor of Clinical    Pediatrics, Albert Einstein College of Medicine, Chief, Division of Neonatology, Children’s Hospital at Montefiore and Deborah Fox, MPH, Director, Congenital Malformations Registry, New York State Department of Health. The  webinar will discuss other factors that can cause microcephaly in a fetus, describe how to determine if a fetus or newborn is microcephalic, and describe how your efforts and reporting to the NYSDOH’s Congenital Malformations Registry will help to accurately document the prevalence of microcephaly in New York State and Zika virus infection’s contribution to it.
(CLANCY)


MSSNY’s Opioid Webinars Are Now Available On 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 are:  Webinar 1 Pain Management at the Crossroads:  A Tale of Two Public Health Problems; Webinar 2 Rational Opioid Prescribing:  Is this Possible for Chronic Pain?; Webinar 3 Treatment of Opioid Use Disorders and Webinar 4 Pain Patients w/Substance Use Disorders  

Physicians and other prescribers can earn up to one hour of continuing medical credits by viewing this webinar and completing the test.    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.  MSSNY’s online continuing medical education sites has numerous programs of varying length, 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)


View Zika Webinar; Program Archived on MSSNY’s CME Site
The Medical Matters program, entitled “Zika Virus—An Evolving Story” is now 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 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.

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) 


Please Join Us – MSSNY to Have Team at the 2016 CDPHP Workforce Race
For the first time, MSSNY will have a team at the CDPHP Workforce Team Challenge!  May 6 is the deadline to register for the 2016 CDPHP Workforce Team Challenge.  This year’s 3.5-mile race is on Thursday, May 19, 2016, and both runners and walkers are highly encouraged to participate.   The race begins at 6:25 PM at Empire State Plaza in Albany.  MSSNY members who would like to join the team are invited to sign up at http://www.cdphpwtc.com/; please choose “Medical Society of the State of New York” from the team drop-down list.  Registration is $22.00, and a portion of the registration fees go to this year’s “Charities of Choice,” Girls on the Run and Schenectady ARC.  For more information, please contact Miriam Hardin (mhardin@mssny.org).
(HARDIN)

 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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CMS Publishes Data for 2015 Open Payments
Since 2013, CMS Open Payments program (also known as the Sunshine Act) has collected data from drug and device manufacturers and group purchasing organizations (GPOs) about payments they make to physicians and teaching hospitals. The program also collects information about ownership and investment interests of physicians and their immediate family members in drug and device manufacturers and GPOs. CMS publishes this data on its website, so it is important for physicians and teaching hospitals to check and confirm the accuracy of the financial transactions reported about them.

Last June, CMS published payments and ownership records for more than 607,000 physicians and 1,122 teaching hospitals valued at $6.45 billion for 2014.  Payments were attributed to medical research, conference travel and lodging, gifts and consulting. CMS has collected data for all of Calendar Year 2015 and will publish it on its website on June 30, 2016.

To review any payments attributed to them, physicians—including doctors of medicine or osteopathy, dentists, chiropractors, optometrists and podiatrists—and teaching hospitals need to register on the Open Payments website.

CMS encourages physicians to review data reported about them so applicable manufacturers and GPOs can resolve any disputes before the data is published. There are instructions and quick reference guides located on the Resources Page to help. The review period for the June 30, 2016 publication opened on April 1, 2016, and will end May 15, 2016. 

CMS Launches Largest-Ever Multi-Payer Initiative for Primary Care
          New Affordable Care Act initiative, designed to improve quality
and cost
This week, CMS announced its largest-ever initiative to transform and improve how primary care is delivered and paid for in America. The effort, the Comprehensive Primary Care Plus (CPC+) model, will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which would encompass more than 20,000 doctors and clinicians and the 25 million people they serve. The initiative is designed to provide doctors the freedom to care for their patients the way they think will deliver the best outcomes and to pay them for achieving results and improving care.

“Strengthening primary care is critical to an effective health care system,” said Dr. Patrick Conway, CMS deputy administrator and chief medical officer. “By supporting primary care doctors and clinicians to spend time with patients, serve patients’ needs outside of the office visit, and better coordinate care with specialists we can continue to build a health care system that results in healthier people and smarter spending of our health care dollars. The Comprehensive Primary Care Plus model represents the future of health care that we’re striving towards.”

Building on the Comprehensive Primary Care initiative launched in late 2012, the five-year CPC+ model will benefit patients by helping primary care practices:

  • Support patients with serious or chronic diseases to achieve their health goals
  • Give patients 24-hour access to care and health information
  • Deliver preventive care
  • Engage patients and their families in their own care
  • Work together with hospitals and other clinicians, including specialists, to provide better coordinated care

Primary care practices will participate in one of two tracks. Both tracks will require practices to perform the functions and meet the criteria listed above, but practices in Track 2 will also provide more comprehensive services for patients with complex medical and behavioral health needs, including, as appropriate, a systematic assessment of their psychosocial needs and an inventory of resources and supports to meet those needs.

CPC+ will help practices move away from one-size-fits-all, fee-for-service health care to a new system that will give doctors the freedom to deliver the care that best meets the needs of their patients. In Track 1, CMS will pay practices a monthly care management fee in addition to the fee-for-service payments under the Medicare Physician Fee Schedule for activities. In Track 2, practices will also receive a monthly care management fee and, instead of full Medicare fee-for-service payments for Evaluation and Management services, will receive a hybrid of reduced Medicare fee-for-service payments and up-front comprehensive primary care payments for those services. This hybrid payment design will allow greater flexibility in how practices deliver care outside of the traditional face-to-face encounter.

To promote high-quality and high-value care, practices in both tracks will receive up-front incentive payments that they will either keep or repay based on their performance on quality and utilization metrics. The payments under this model encourage doctors to focus on health outcomes rather than the volume of visits or tests.

Practices in both tracks also will receive data on cost and utilization. Optimal use of Health IT and a robust learning system will support them in making the necessary care delivery changes and using the data to improve their care of patients. Track 2 practices’ vendors will sign a Memorandum of Understanding (MOU) with CMS that outlines their commitment to supporting practices’ enhancement of health IT capabilities. These partnerships will be vital to practices’ success in the care delivery work and align with the Office of the National Coordinator for Health IT priority to ensure electronic health information is available when and where it matters to consumers and clinicians.

Under the CPC+ model, Medicare will partner with commercial and state health insurance plans to support primary care practices in delivering advanced primary care. Advanced primary care is a model of care with five key components:

  • Services are accessible, responsive to an individual’s preference, and patients can take advantage of enhanced in-person hours and 24/7 telephone or electronic access.
  • Patients at highest risk receive proactive, relationship-based care management services to improve outcomes.
  • Care is comprehensive and practices can meet the majority of each individual’s physical and mental health care needs, including prevention. Care is also coordinated across the health care system, including specialty care and community services, and patients receive timely follow-up after emergency room or hospital visits.
  • It is patient-centered, recognizing that patients and family members are core members of the care team, and actively engages patients to design care that best meets their needs.
  • Quality and utilization of services are measured, and data is analyzed to identify opportunities for improvements in care and to develop new capabilities.

CMS will select regions for CPC+ where there is sufficient interest from multiple payers to support practices’ participation in the initiative. CMS will enter into a Memorandum of Understanding (MOU) with selected payer partners to document a shared commitment to align on payment, data sharing, and quality metrics in CPC+.

CMS will accept payer proposals to partner in CPC+ from April 15 through June 1, 2016. CMS will accept practice applications in the determined regions from July 15 through September 1, 2016.

In March 2016, the Administration estimated that it met the ambitious goal – eleven months ahead of schedule – of tying 30 percent of Medicare payments to quality and value through alternative payment models by 2016. The Administration’s next goal is tying 50 percent of Medicare payments to alternative payment models by 2018. The Health Care Payment Learning and Action Network established in 2015 continues to align efforts between government, private sector payers, employers, providers, and consumers to broadly scale these gains in better care, smarter spending, and healthier people.

For more information about the CPC+ model, including a fact sheet, please click here.

How to Apply

Payer solicitation and practice applications will be a staggered process. First, CMS will solicit payer proposals to partner with Medicare in CPC+ (April 15-June 1, 2016). The choice of up to 20 CPC+ regions will be informed by the geographic reach of selected payers.

Next, CMS will publicize the CPC+ regions, and solicit applications from practices within these regions (July 15-September 1, 2016). Practices will apply directly to the track for which they believe they are ready; however, CMS reserves the right to offer practice entrance into Track 1 if they apply to, but do not meet the eligibility requirements for Track 2.

Practices applying to Track 2 will need to submit a letter of support from their Health IT vendor(s) that outlines vendors’ commitment to supporting the practice with advanced health IT capabilities. CMS will sign a Memorandum of Understanding with those health IT vendors supporting Track 2 practices selected to participate in CPC+.


CMS releases Medicare Advantage Quality Data for Racial and Ethnic Minorities
CMS Office of Minority Health released data detailing the quality of care received by people with Medicare Advantage by racial or ethnic group.

The database presents HEDIS and CAHPS scores for different racial and ethnic groups at the level of individual Medicare contracts and is intended to be used to improve quality and accountability. The information provided by this database is not used to evaluate care through the star ratings program Medicare Advantage and Part D Star Ratings program nor is not it used for payment purposes.

A report summarizing the data accompanied the release. Analysis of the quality of care delivered to beneficiaries showed that Asians and Pacific Islanders typically received care that is similar to or better than the care received by Whites, whereas African Americans and Hispanics typically received care that is similar to or worse than the care received by Whites. African Americans and Hispanics also reported their health care experiences as being similar to or worse than the experiences reported by Whites. This data help to highlight the racial and ethnic disparities that occur within healthcare.

The data and summary report can be viewed here.


MSK Reports $28M Health Republic Debt
Memorial Sloan Kettering reported $169.2 million in operating income last year, but still 30.3% less than it earned in 2014. MSK attributed the lower profit in part to bad debt related to the failure of Health Republic Insurance of New York, as well as to rising drug costs. The hospital wrote off $28.3 million in bad debt from patients who were insured by Health Republic, and said it would “continue to pursue collection for these charges.” That bad debt contributed to an 11.4% increase in operating expenses, to $3.5 billion. (Crains, 4/15)


CAQH CORE National Education Event
Save Time and Money using EFT/ERA Transactions – CAQH CORE and AMA Guidance on Implementing the Phase III CAQH CORE Operating Rules

Thursday, April 28, 2016 | 2:00 – 3:00 pm ET

Register for this event HERE for free

Are you interested in faster payment and remittance advice processing? Reductions in phone calls to health plans? Want to eliminate lost or stolen checks? The answer to all these questions is undoubtedly yes and the easiest way to do it is to switch from paper checks and EOBs to healthcare electronic funds transfers (EFT) and electronic remittance advice (ERA). CAQH CORE and the American Medical Association (AMA) will discuss the benefits of going paperless in healthcare financial transactions, highlighting available resources to help your organization with implementation efforts. The webinar will also showcase a real-world case study from the largest integrated healthcare system in the U.S., the Veteran’s Health Administration, and how they have benefitted from moving to electronic payments and remits.


Please Take Physicians Foundation Survey—MSSNY is a Charter Member
Merritt Hawkins, on behalf of The Physicians Foundation, biennially conducts one of the largest and most widely referenced physician surveys undertaken in the United States. The survey is intended to provide a “state of the union” of the medical profession and to give physicians a voice with policy makers and the public. Much of the information gathered in the past will be shared with your members during our presentation in May.

Take the survey here.

At this time, we only have 284 responses from New York. By encouraging more physicians from the state to complete the survey, we will acquire better insights into the practice patterns and perspectives of New York physicians, which we will be able to pass along to you. Also, a $5,000 grant will go to the state medical society with the most responses.


Bank of America Announces Enhancement  to Affinity Card Program
Bank of America will be adding a new bonus earn category that will provide customers 2% bonus earn on Wholesale Club purchases (along with the current 2% on groceries and 3% on gas).  In addition, the quarterly bonus earn cap will be increased from $1,500 to $2,500 in combined gas/grocery/wholesale club purchases. The target implementation date is June 1st, which will be around the time that Visa cards will begin to be accepted at Costco.  With these enhancements, customers will enjoy bonus earn at all Wholesale Club merchants, including BJ’s Wholesale and Sam’s Club, as well. 


AG Lawsuit Accuses CDPHP of Unlawfully Denying Coverage of HepC Treatment
This week, Attorney General Eric T. Schneiderman announced a lawsuit against CDPHP. The insurer has approximately 450,000 members in New York State and provides service to 24 counties throughout the Capital Region, North Country, Hudson Valley, Central New York, and the Southern Tier.  The lawsuit, filed in New York Supreme Court, alleges that CDPHP unlawfully restricted coverage of treatment for chronic Hepatitis C infection, a potentially life threatening condition. Several medications are currently available that can completely cure Hepatitis C. The lawsuit alleges that CDPHP denied coverage for such treatment unless the member demonstrated advanced disease – such as moderate to severe liver scarring. Members diagnosed with early-stage chronic Hepatitis C infection must monitor their disease and wait until they develop liver scarring or other advanced disease before their treatment will be covered by CDPHP.

“When consumers purchase health insurance, they rightfully expect that if they are diagnosed with a serious, potentially life threatening disease like Hepatitis C, treatment will be considered ‘medically necessary’ and covered by their insurance,” said Attorney General Schneiderman. “Forcing patients to wait for care, risking internal organ damage, is unconscionable and, as we allege in our lawsuit, violates the law and the company’s own policies.”

Effective January 1, 2014, New York State has required medical providers to offer Hepatitis C screening to patients born between 1945 and 1965 and to provide or make a referral for follow-up health care to patients with a positive test result.

While the Food and Drug Administration has approved several medications to cure Hepatitis C, CDPHP has limited coverage of those medications to only those members with an advanced stage of the disease. This approach is, and has been, inconsistent with the prevailing treatment guidelines, which recommend treatment of nearly all individuals diagnosed with chronic Hepatitis C.

According to the lawsuit, CDPHP restricted coverage of Hepatitis C treatment, including but not limited to requiring advanced liver scarring, in a manner that is inconsistent with its own policies. The Complaint further alleges that CDPHP may have restricted coverage of Hepatitis C treatment because of the potential expense to CDPHP, yet its plan documents never disclosed to current or potential members that it considered cost when deciding whether treatment for a disease would be covered by the plan  By failing to disclose that cost is a consideration in making determinations as to whether and when treatment is deemed “medically necessary,” and by failing to cover treatment for Hepatitis C even when it meets the plans’ definitions of “medically necessary,” the lawsuit alleges that CDPHP is misleading its members about the scope of their coverage. The lawsuit further alleges that by failing to fully disclose the definition of “medically necessary” used in determining when benefits will be covered, CDPHP is violating the New York State Insurance Law and Public Health Law.

The lawsuit is part of a continuing investigation into numerous health insurers for improperly restricting coverage of Hepatitis C treatments and misleading their members about the scope of their coverage.


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Medical Office For Rent – 715 West 170 Street
Two to five examination rooms available plus Reception,secretarial areas. Two bathrooms and entrances. Ethernet and cable ready. $4000 – $9500/ month. 917.861.8273 drdese@gmail.com Can build to suit including accredited O.R.s


Central Park South Medical Office Available to Share
Central Park South medical office, next to Plaza Hotel. Gorgeous Central Park view. Recent beautiful high–end renovation. Share part time with cosmetic dermatologist. Fully equipped for in–office surgery. Two exam rooms for you, shared waiting room and personal office. Free WiFi. Available part time, full or half days. Suits plastic/cosmetic surgeons/ENT/OBGYN etc. Contact Judith Hellman, MD, at jhderm@gmail.com or (212) 755–5482

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

Physician Opportunities

Unique Private Pediatric Practice Opportunity
Summerwood Pediatrics is a very progressive, large community-based private practice in the Syracuse area. We provide care for over 25,000 children from birth to 21. The practice also has a satellite office in Camillus, NY. Additionally, the practice operates adjacent to an independent outpatient infusion practice, which is alsoowned and operated by our medical director. We are looking to employ a bright, energetic and enthusiastic general pediatric or subspecialty-trained physician. Presently the practice employs seven physicians, two pediatric NPs and one PA . All providers share on-call responsibilities on a one-day per week basis. Weekend coverage and office hours are performed on a rotational basis by the physicians. Our offices encompass over 28,0000sq. ft. of state-of-the- art clinical space;on-site lab services. The position, either full or part-time, includes applicable benefits inclusive of health care, malpractice insurance, CME expenditures and retirement plan. To discuss this opportunity further, contact either Dr. Robert A. Dracker or Mr. Warren Ford at 315-457-9914…9-5 EST.


NORTHERN WESTCHESTER – Psychiatric Opportunities Part-time Psychiatrist (BC/BE/Child very desirable) wanted, to work in North Salem, N.Y., Suboxone DEA license helpful. Fax qualifications and availability to 914 669-6051 or call 914 669-5526 with questions..


Practice for Sale; North Salem, N.Y. This is an excellent opportunity for someone wanting to purchase an established, growing practice. North Salem is a semi-rural suburban area 30 minutes north of White Plains; close to I-84, and I-684. This is an excellent place to live and practice, with excellent schools, close to malls and shopping. We treat patients of all ages, and there is a substantial Suboxone component integrated into the practice. Staffing includes several part-time psychiatrists, therapists. Patients come from Northern Westchester, nearby Putnam County and the Ridgefield-Danbury area and include children, adolescents, adults, families, Geriatric patients. Reliable office staff assist in patient and insurer management. Call 914 669-5526.

Medical Director at CDPHP: Voted NYS “Best Company” by Our Employees!
CDPHP is more than a health insurer. We are a not-for-profit health value organization leading the way toward better, more affordable health care. CDPHP represents progress and innovation for more than 425,000 members throughout New York. A physician-founded and guided plan, our primary focus is the health and well-being of those we serve. While other insurers strive to create value for their shareholders, our efforts are centered on creating value for members, in part by providing employers with innovative solutions for managing health care. The Medical Director will assist the Vice President, Senior Medical Director and the SVP of Medical Affairs with the implementation of the Plan’s Medical Management, Quality Improvement and Resource Management initiatives in accordance with regulatory, accreditation, and corporate policies and strategic plan. The Medical Director will participate in the medical advisory committees, provide leadership to, and serve as a liaison between the physician community and the Plan’s management.

The ideal candidate will possess the following:

  • Licensed physician with current, unrestricted license (preferably New York State); Board Certified to practice a medical specialty; ABMS specialty is required.
  • If not licensed in New York State, eligibility for New York State licensure is required.
  • Additional advanced degree(s) preferred.
  • Minimum three to five (3-5) years clinical practice experience is required.
  • Minimum of three (3) years managed care or practice management is preferred.

Please email nicole.harrington@cdphp.comEqual Opportunity Employer, females, minorities, disabled, veterans



Relieve Physician Burnout through Yoga Science (30 CMEs)
Layout 1
Change your perspective––change your experience. The 8th annual
American Meditation Institute Heart and Science of Yoga conference
is uniquely designed to offer you a refreshingly new, clearer and kinder
perspective on yourself and every personal and professional responsibility you face. This comprehensive training in Yoga Science as Holistic Mind/Body Medicine will provide easy-to-use, practical tools to prevent and reverse the debilitating causes and effects of physician burnout. Topics include: mantra meditation, diaphragmatic breathing, easy-gentle yoga, Yoga psychology, neuroplasticity, PTSD, trauma, resilience, the chakra system as a diagnostic tool, epigenomics, mind function optimization, Ayurveda, nutrition, functional medicine, and lymph system detoxification. Through engaging lectures by an accomplished faculty, instructive practicums and ongoing Q&A, you’ll gain experiential knowledge that will integrate Yoga Science into a dynamic self-care program. As a result of attending this conference, you’ll return home with a set of practical tools that can empower you to make conscious, discriminating and reliable choices to enhance your creativity, well-being, happiness and success. Regardless of how
challenging your circumstances might feel today, Yoga Science can help. Delicious gourmet vegetarian food(always including special dietary needs).
americanmeditation.org/cme
.

 


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

 

 

 

 

 

 

 

 

 

 

 

 

 

April 17, 2016 – Council

 AGENDA
Council Meeting – HOD
Sunday, April 17, 2016
Westchester Marriott, Tarrytown, NY

A. Call to Order and Roll Call

B. APPROVAL of the Council Minutes of March 7, 2016

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

1. President’s Report:

Dr. Reid – Please welcome our MSSNY Officers, Councilors,  Trustees, County Execs, MSSNY Staff and the following new  MSSNY Councilors:

Maria A. Basile, MD, MBA, Suffolk County Medical
Society  Councilor
Brian P. Murray, MD, Third District Branch Councilor
Richard A. Ritter, MD, Organized Medical Staff Section Councilor
Christina E. Kratschmer, Medical Student Section Councilor

 

a. APPROVAL – 2016/2017 New MSSNY Meeting Schedule
b. APPROVAL – 2016/2017 New Committee Selections 
c. APPROVAL – MSSNY’s Recommendations to improve EHR satisfaction: Based on findings from New York Physician’s survey on EHR


2. Board of Trustees Report
– No report – Board meets after Council

D. Commissioners (All Committee & Sub-Committee Informational
Reports/Minutes

  1. Commissioner of Governmental Relations, Gregory Pinto, MD
    a. HIT Committee Minutes, March 29, 2016
    b. AD HOC Subcommittee on EHR Functionality Minutes, March 15, 201
  1. Commissioner of Socio Medical Economics, Howard H. Huang, MD
    a. Interspecialty Committee Minutes, February 25, 2016
  1. Commissioner of Science and Public Health, Frank G. Dowling, MD
    a. Addiction and Psychiatric Medicine Committee Minutes, January 22, 2016
    b. Bio Ethics Committee Minutes, February 5, 2016
    c. Bio Ethics Committee Minutes, April 1, 2016
    d. Eliminate Health Care Disparities Committee Minutes, February 19, 2016
    e. Heart, Lung Cancer Committee Minutes, January 27, 2016
    f. Infectious Diseases Committee Minutes, January 14, 2016
    g. Infectious Diseases Committee Minutes, October 27, 2016
    h. Preventive Medicine and Family Health Committee Minutes, February 11, 2016

E. Reports of Officers (Verbal Reports)

  1. Office of the President – Malcolm D. Reid, MD, MPP
  2. Office of the President-Elect – Charles Rothberg, MD
  3. Office of the Vice President – Thomas J. Madejski, MD, FACP
  4. Office of the Treasurer – Joseph R. Sellers, MD, FAAP, FACP – Financial Statement for the period  1/1/16 to 02/29/16
  5. Office of the Secretary – Arthur C. Fougner, MD
  6. Office of the Speaker – Kira A. Geraci-Ciardullo, MD, MPH

F. Reports of Councilors (Informational)

1.Manhattan/Bronx Report – Joshua M. Cohen, MD, MPH
2. Third District Branch Report – Brian P. Murry, MD
3. Fifth District Branch Report – Howard H. Huang, MD
4. Seventh District Branch Report – Mark J. Adams, MD
5. Ninth District Branch Report – Thomas T. Lee, MD
6. Queens County Report – Saulius J. Skeivys, MD
7. Kings / Richmond Report – Parag H. Mehta, MD


G. Report of the Executive Vice President

 1. Membership Revenue Schedule

H. Other Information/Announcements
1. Part B Drugs Sign-On Letter
2
Testimony of Joseph Sellers, MD – NYS Assembly Health and Insurance
Committees

I. Adjournment

April 8, 2016 – It’s Been a Great Year!

 

drmaldonado PRESIDENT’S  MESSAGE
 Dr. Joseph R.  Maldonado
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April 8,  2016
Volume 16, Number 14

Dear Colleagues:

We are one week away from MSSNY’s Annual House of Delegates Meeting.  The experience and honor of serving as your President and representing the interests of physicians and their patients will end shortly for me.  I have put 50,000+ miles on my car in the course of fulfilling my duties and can only wonder how the time flew by so apparently quickly.  But it didn’t.  It is no different than when we look at our busy lives as physicians and ask how is it that it only seemed like yesterday we graduated from medical school.

The year under my tenure was marked by significant changes in the practice of medicine.  These included the implementation of electronic prescribing and ICD10 as well as the exchange of the SGR for and equally— if not worse— Medicare reimbursement formulation.  We have experienced the dropping of physicians from Emblem and United Healthcare and the debacle of Health Republic.  The State has continued in its reformulation of how healthcare services are delivered in the state via its DSRIP, SHIP, PHIP and SHINY initiatives.

We succeeded in maintaining coverage for excess liability while defeating the efforts towards the corporate practice of medicine via retail clinics.  We were able to insure that a discussion of changes to the Statute of limitations for medical liability would be carried out in a wider context of tort reform initiatives.  For the first time in several decades, MSSNY GREW MEMBERSHIP thanks to the efforts of many doctors over several years working on group memberships.  Our Society has continued to operate a balanced budget and insure a healthy financial future.   But our work is not over.

Next week, I pass the Presidential gavel to our current President Elect, Dr. Malcolm Reid.  Dr. Reid has been a member of this Society for several decades and an able, wise and astute leader.  The task that remains ahead for him is arduous.  Trying to balance the task of representing the interests of ALL OF NEW YORK’s physicians is not easy.  Trying to do this while fighting the efforts of others who seek to harm us and burden us further is a tough task.  Fortunately for our Society, his experience and knowledge will aid him tremendously and I pass on the baton with confidence in him and our organization.

I thank all of you, the Board, Council, County Society officers and Executives as well as the entire staff of MSSNY and our partners at Kern Augustine and MLMIC for their support of my efforts in advocating effectively for physicians and their patients.

G-d bless the physicians and residents of this state and our Medical Society of the State of New York.

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

Please send your comments to comments@mssny.org

MLMIC_011916_Enews_550x150


Capital_Update_Banner

Urge Your Legislators to Reduce Liability Insurance Costs, Not Raise Them!
Now that the State Budget for FY 2016-17 has been finalized, the focus of policymakers will be on unresolved issues including legislation that would create a date of discovery statute of limitations which threatens to increase your liability premiums by 15%. In light of the huge financial pressures threatening the viability of physician practices and our health care delivery system, it is essential that you weigh in with your elected representatives to urge that no further liability increases can be tolerated.  Please join your colleagues by contacting your 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.

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%.

In response, MSSNY and other group have highlighted the huge liability burden already assumed by New York physicians.  This week, there was an op-ed by the Lawsuit Reform Alliance of NY in the Syracuse Post Standard in support of badly needed medical liability reform to preserve access to specialized physician care.  And 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.


Please tell your legislators to enact comprehensive liability reform to bring down these costs, not legislation that increases them!   (AUSTER, DEARS)


Physicians Must Send Letter to Legislators Urging Relief from Burdensome Reporting Requirement
NYS Public Health Law requires that all practitioners that use one of three statutory exceptions to the e-prescribing mandate (to be dispensed out of state, power or internet failure, fear of patient harm)  report the use of this exception to the Department of Health each time an exception is used.

The Bureau of Narcotics Enforcement (BNE) has stated that the practitioner’s e-mail notification sent to erx@health.ny.gov, a url maintained by the Department of Health, must include the following:

  • That it is a notification to the Department pursuant to Public Health Law Section 281(4) or (5);
  • Practitioner’s name;
  • Practitioner’s license number;
  • Practitioner’s telephone number;
  • Practitioner’s preferred work e-mail address;
  • Practitioner’s work address;
  • Patient initials only (the Department does not want patient confidential information to be sent); and
  • The reason(s) for the exception(s), including the citation(s) to PHL Section(s) 281(3) (b) for power or internet failure, (d) fear of patient harm, and (e) for prescriptions that will be dispensed outside the state. 

MSSNY is advocating for legislation to enable physicians to maintain this information in their medical records in lieu of reporting to the state.

Please go to this link to contact your elected officials to urge that they eliminate this onerous reporting requirement!                                   (Dears, Clancy)


Legislation to Limit Health Insurance Extrapolation Audits Passes Assembly
Legislation (A.1193, Lavine) passed the Assembly this week to impose some criteria on health insurance companies when they use extrapolation tactics in auditing physicians and other health care providers.  As the bill would set forth some modest positive steps to protect physicians against health insurer audit abuses, MSSNY has expressed support for the legislation.   The bill would increase physician due process rights when extrapolation is used in an audit, including the ability to request an independent evaluation and greater specificity regarding the sampling methodology used by the plan.  At the same time, MSSNY has argued that the State Legislature needs to take far greater steps to address health insurer auditing abuses to protect against health plans disrupting the ability of community physicians to continue to deliver care to their patients.  Identical legislation (S.2303, Hannon) is before the Senate Insurance Committee.
(AUSTER)


MSSNY Testifies at Assembly Hearing Examining Adequacy of New York Health Insurance Coverage
Cobleskill internist/pediatrician and MSSNY Assistant Treasurer Dr. Joseph Sellers this week delivered testimony at a joint Assembly Insurance-Health Committees hearing examining what changes should be made to the State’s Essential Health Benefit structure for insurance coverage offered in the Exchange.  Dr. Sellers highlighted several policies adopted at the MSSNY House of Delegates in recent years to enhance patients’ health insurance coverage that should be considered “Essential”, including assuring required coverage for:

  • testing and treatment of Hepatitis C;
  • testing for HIV;
  • enhanced screening for autism and other developmental disabilities;
  • ADD medications at the lowest cost sharing tier when a patient is stabilized on a particular medication; and
  • Follow up care for women who receive a report of dense breast tissue.

Equally important, Dr. Sellers highlighted the need to address the many insurance barriers that stand in the way of patients receiving services even if they are designated as “Essential”, such as exorbitantly high deductibles, inadequate physician networks, lack of out of network coverage, and prior authorization hassles.  He noted and urged action on the several bills before the State Legislature that would address these issues.

Much of the hearing was a back and forth discussion between the Committee chairs and representatives of the New York State of Health and Department of Financial Services regarding how best to make changes to the Essential Health Benefits coverage structure.  To view a full recording of the nearly 4-hour hearing, click here.  Dr. Sellers’ testimony begins at about the 3:13 mark.                                             (AUSTER)

Medical Specialties Lobby Day to Be Held May 17, 2016
Physicians from all localities will join forces in the State Capital on May 17th to advocate for their patients and profession during our annual Medical Specialties Lobby Day. Collectively, our organizations represent physicians in specialty practice across New York State, and together we stand committed to battling inappropriate allied health provider expansion legislation and advancing bills of importance to all of medicine.

The day will kick off with a breakfast, legislative briefing and Q&A session in the Empire State Plaza. Immediately following, physicians will meet with their elected representatives in the Senate and Assembly. Attendees will be paired with physicians of other specialties and provided with easy to understand talking points so they can effectively present their arguments and positions.

We hope that you will reaffirm your commitment to your colleagues, your profession and your patients by joining us in Albany on May 17. To register, click here. 

All registrants will be emailed a confirmation and additional details closer to the event.

NYS MEDICAL SPECIALTIES LOBBY DAY PARTICIPATING ORGANIZATIONS:  Medical Society of the State of NY — NYS Ophthalmological Society — NYS Society of Physical Medicine and Rehabilitation — NYS Society of Plastic Surgeons — NYS Society of Orthopaedic Surgeons — NYS Society of Otolaryngology – Head and Neck Surgery — American College of Surgeons of NYS — NYS Psychiatric Association — NYS Society of Anesthesiologist.s
(MCPARTLON)


Open Payments Review and Dispute Period Began April 1
CMS announced last week  that the “Review and dispute” period for the June 30, 2016 Open Payments data publication began on April 1 and will last for 45 days. CMS will publish the 2015 payment data and updates to the 2013 and 2014 data on June 30, 2016. In order for any disputes to be addressed before the June 30th publication, physicians and teaching hospitals must initiate their disputes during the 45-day review period, and industry must resolve the dispute before the publication deadline.  The CMS releases notes that Review and dispute is voluntary, but strongly encouraged. The opportunity for physicians and teaching hospitals to review and dispute the data submitted about them expires at the end of the year that the record is published.   

The reporting is required as a result of the Sunshine Act passed by Congress in 2010 which requires CMS to collect and display information reported about the payments and other transfers of value these organizations have made to physicians and teaching hospitals.  

For more information from CMS about this issue, click here .  For assistance from the AMA, click here.                                                                         (AUSTER)


Physicians Urged to Register for April 14th House of Delegates Live Cme Seminar or for Statewide Remote Webinar on Ebola
The Medical Society will conduct a Medical Matters LIVE seminar and concurrent webinar titled Ebola: A Perspective from the Field on April 14th at 2:00pm.  The live seminar will take place at the Westchester Marriott in Tarrytown, NY and the webinar will also be broadcast statewide via Webex.  Register for this program here.  Click on the ‘Upcoming’ tab and select the ‘Programs’.

Dario Gonzalez, MD, F.A.C.E.P. – Associate Medical Director Fire Department City of New York/Office of Medical Affairs is the faculty.  Dr. Gonzalez was deployed for nine weeks by Americares to Liberia, West Africa as part of the US response to the Ebola epidemic.  He managed and directed an Ebola Treatment Unit in Buchanan, Liberia.  Dr. Gonzalez developed the treatment and management guidelines.  He cared for suspected and confirmed Ebola patients, and was subsequently involved in NYC hospital Ebola preparedness with the NYC Fire Department and Office of Emergency Management. The educational objective for the program is to: 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 this program may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.
(CLANCY, HOFFMAN)


Physicians Urged to Register for April 15th House of Delegates Quality Conference on MIPS APMS and Value Based Payment; What Will the Future Bring for Physician Practice?
The Medical Society’s Quality Improvement and Patient Safety Committee will present its ninth Annual Quality Conference from 1-3PM on April 15th at the Westchester Marriott entitled MIPS, APMs and Value Based Payment; What Will The Future Bring For Physician Practice? Please register for the Conference by clicking onto this link.

Conference Presenters include the following:

Jason Helgerson, Medicaid Director, NYS Department of Health

Delivery System Reform Incentive Program (DSRIP) and Value Based Payment (VBP); how greater care collaboration and integration within the healthcare delivery system will be achieved?

Jean Moody Williams, Deputy Director for the Center for Clinical Standards & Quality

The Intricacies of the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APM).

John Rugge, MD, Chief Executive Officer, Hudson Headwaters Health Network (HHHN) and Deepak Kapoor, MD, Chairman and Chief Executive Officer, Integrated Medical Professionals (IMP)

Lessons Learned from the perspective of physicians who have already embraced the transition to PCMH/IPAs/ACOs; How to prepare for Value Based Payment.

Andrew Gettinger, MD, Chief Medical Information Officer,Acting Director, Office of Clinical Quality and Safety, Office of the National Coordinator for Health Information Technology

Update on the Work of ONC With Regard To EHR Functionality and Interoperability 

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.

Accreditation Statement: The Medical Society of the State of New York (MSSNY) 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 2.5 AMA PRA Category 1 Credits™.

Further information or assistance in registering for this program may be obtained by contacting Miriam Hardin at mhardin@mssny.org.
(DEARS, HARDIN)

MSSNY’S Political Action Committee to Hold Forum at House of Delegates
MSSNY’s Political Action Committee (MSSNYPAC) will hold a forum on Thursday, April 14, 2016 at the House of Delegates, Westchester Marriott, 670 White Plains Road, Tarrytown, NY 10591, Grand Ballroom D & E.  The forum entitled,  “How Policy & Advocacy Can Address Health Care Needs of Marginalized Populations” will be conducted by Milton O.C. Haynes, MD and M. Monica Sweeny, MD, MPH, FACP and New York State Senator Gustavo Rivera.

Lunch will be served and physicians can register here.

A copy of the flyer can be found here. 

Further information and/or to register may be obtained by contacting Jennifer Wilks at jwilks@mssny.org or by calling 518-465-8085.         
(WILKS, MCPARTLON)


MSSNY’s Opioid Webinars Are Now Avaialbe on 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 are:  Webinar 1 Pain Management at the Crossroads:  A Tale of Two Public Health Problems; Webinar 2 Rational Opioid Prescribing:  Is this Possible for Chronic Pain?; Webinar 3 Treatment of Opioid Use Disorders and Webinar 4 Pain Patients w/Substance Use Disorders  

Physicians and other prescribers can earn up to one hour of continuing medical credits by viewing this webinar and completing the test.    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)


E-Prescribing of All Substances in Effect for All Prescribers
While MSSNY advocacy resulted in physicians who write less than 25 prescriptions per year being waived from New York State’s e-prescribing requirements if they certify so to DOH, the general requirement to e-prescribe all non-controlled and controlled substances went into effect 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.

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:

In adition to a physician certifying that they are a low volume prescriber, 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. The DOH Bureau of Narcotic Enforcement has indicated 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 serial number on the paper prescriptions written. 

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

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, any use of these the exceptions does not require physicians to notify the Department of Health that they are using the exception.


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.  Low-volume prescribers should apply for a waiver.

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.

BNE — Pharmacists Must Dispense When a Waiver/Exception Used
On April 1, 2016 the Bureau of Narcotic Enforcement issued a state to pharmacies that they must dispense when a paper prescription is used.  A copy of the letter that was sent to pharmacies is here.


ISTOP Law
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                (CLANCY, DEARS, AUSTER, MCPARTLON)


MSSNY Announces Zika Podcast with DOH; Physicians Can Listen Now
MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response conducted an audio podcast with Dr. William Valenti and Dr. Elizabeth Dufort to discuss the Zika Virus.  The podcast discusses the epidemiology of Zika virus.  It also provides information on disease transmittal, diagnosis and the measures that the New York State Department of Health has taken to guide and protect all New Yorkers.  Listen to this timely and important podcast here.

Panelists:

William Valenti, MD, Chair MSSNY Infectious Disease Committee,
Elizabeth Dufort, MD, F.A.A.C.P., Medical Director, Division of Epidemiology, New York State Department of Health                           (CLANCY, HOFFMAN)


View Zika Webinar; Program Archived on MSSNY’s CME Site
The Medical Matters program, entitled “Zika Virus—An Evolving Story” is now 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 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.

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 five dates listed below from April 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 growth

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

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    

enews large

Survey: 44% Of MSSNY Physician Members Not Ready For EPCS
Healthcare Informatics (4/8)reports that last month “in March 27, a New York state that law that requires the electronic prescribing of all controlled and non-scheduled drugs went into effect.” But, “to process electronic prescriptions for controlled substances (EPCS), a prescriber must select and use a certified electronic prescribing computer application that meets all federal requirements.” A December, 2015 study by the Medical Society of the State of New York (MSSNY) found that 44 percent of the 900 MSSNY physician members who were surveyed said they were not ready for EPCS.”

Court of Appeals Revives Suit of Dying Man Who Was Filmed
The New York Court of Appeals revived a lawsuit filed by the family of a man whose death was filmed without permission and then broadcast on a popular medical show.” The lawsuit claims New York-Presbyterian Hospital and the former chief surgical resident violated the rights of the patient by not receiving consent to film him. The New York State Department of Health found that the hospital’s conduct violated the patient’s rights and its own policies, and that the family also has a complaint against the hospital and doctor with HHS’ Office for Civil Rights.

The patient’s family’s complaint against the hospital and the doctor remain pending with the Office for Civil Rights of the U.S. Department of Health and Human Services, the regulatory agency that enforces the federal patient privacy law known as HIPAA. The agency has previously declined to discuss its investigation because it is ongoing.


Mayor’s Disparity Report Finds Differential Treatment Feeds Disparities
The “Disparity Report,” created by a branch of the Deputy Mayor for Health and Human Services’ office, and originally intended to help inform the work of the Young Men’s Initiative, compares young Asian, black and Hispanic New Yorkers to their white peers in areas like graduating from high school in four years, rates of teen pregnancy, and rates of school suspensions.

For example, while teen pregnancy rates citywide have dropped drastically since 2002 among women of all races, black and Hispanic women are still far more likely than white teens to become pregnant, while Asian women are less likely to have a teen pregnancy than white women.

The report was developed as part of the Young Men’s Initiative, a city program intended to help young boys and men of color. The city initiative officially partnered in 2015 with a national one started by President Barack Obama called “My Brother’s Keeper,” aimed at improving economic, health and social outcomes for young men of color.

Generally, the report found that white and Asian young men and women fare similarly across the spectrum, while black and Hispanic youth fare worse.

The report said those outcomes are likely influenced by systemic racism.
“Existing racial biases—both at the individual level and through structural forces—limit the opportunities available to young men and women of color through differential treatment. For example, decisions about school suspensions have been found to be impacted by implicit racial bias. Black and Hispanic students are suspended more often and receive harsher punishments for similar behaviors than their White peers,” the report’s authors said.


Op-Ed: Legal Reforms Needed To Attract More Doctors To New York
In the Syracuse (NY) Post-Standard (4/6), Adam Morey, government affair specialists for the Lawsuit Reform Alliance of New York, opines that New York’s high medical liability costs “drive away medical professionals, reduce competition and weaken access to medical care for New Yorkers.” He points out that about 20 percent of all the medical liability payouts in the US are paid in New York. He blames the “dominance of the trial lawyers lobby” that “pour millions into the campaign offers of the state’s elected officials,” including convicted former Assembly Speaker Sheldon Silver. Morey calls for reforms of some of the state’s “lawyer-friendly legal protections that keep medical liability insurance rates and payout costs so high.”

Doctors Without Borders LIVE Recruitment Webinar
The members and communities of Medical Society of New York are invited to participate in Doctors Without Borders recruitment information webinar to learn more about the organization and how to become involved in our field work.  This is a great opportunity to explore career options and professional growth.  Doctors Without Borders recruits both medical AND non-medical professionals.  The webinar will take place on: Thursday, April 21, 2016  @ 7PM EST

Register here.

Human Resources Officers will discuss requirements and the recruitment process, a Doctors Without Borders aid worker will talk about life in the field, and participants will be able to ask questions.
SPACE IS LIMITED.  PLEASE REGISTER.
Click here for more information.



CLASSIFIED


Commercial Co-op For Sale Lynbrook $129,000
Corner Of Hempstead Ave And Peninsula Blvd
880 sq ft Ground Floor Fully Renovated
Perfect For Doctor’s Office, Health Care, Accountant, Attorney,
Insurance, Real Estate, And General Office
AC, Parking Lot For Employees And Patients
3 Offices, Kitchen, Bath, Receptionist & Waiting Area
(516) 362-1828 | Leatherman Homes



Medical Director at CDPHP: Voted NYS “Best Company” by Our Employees!CDPHP is more than a health insurer. We are a not-for-profit health value organization leading the way toward better, more affordable health care. CDPHP represents progress and innovation for more than 425,000 members throughout New York. A physician-founded and guided plan, our primary focus is the health and well-being of those we serve. While other insurers strive to create value for their shareholders, our efforts are centered on creating value for members, in part by providing employers with innovative solutions for managing health care. The Medical Director will assist the Vice President, Senior Medical Director and the SVP of Medical Affairs with the implementation of the Plan’s Medical Management, Quality Improvement and Resource Management initiatives in accordance with regulatory, accreditation, and corporate policies and strategic plan. The Medical Director will participate in the medical advisory committees, provide leadership to, and serve as a liaison between the physician community and the Plan’s management.

The ideal candidate will possess the following:

  • Licensed physician with current, unrestricted license (preferably New York State); Board Certified to practice a medical specialty; ABMS specialty is required.
  • If not licensed in New York State, eligibility for New York State licensure is required.
  • Additional advanced degree(s) preferred.
  • Minimum three to five (3-5) years clinical practice experience is required.
  • Minimum of three (3) years managed care or practice management is preferred.

Please email nicole.harrington@cdphp.com

 

Equal Opportunity Employer, females, minorities, disabled, veterans

Central Park South Medical Office Available to Share
Central Park South medical office, next to Plaza Hotel. Gorgeous Central Park view. Recent beautiful high–end renovation. Share part time with cosmetic dermatologist. Fully equipped for in–office surgery. Two exam rooms for you, shared waiting room and personal office. Free WiFi. Available part time, full or half days. Suits plastic/cosmetic surgeons/ENT/OBGYN etc. Contact Judith Hellman, MD, at jhderm@gmail.com or (212) 755–5482



Relieve Physician Burnout through Yoga Science (30 CMEs)
Layout 1
Change your perspective––change your experience. The 8th annual
American Meditation Institute Heart and Science of Yoga conference
is uniquely designed to offer you a refreshingly new, clearer and kinder
perspective on yourself and every personal and professional responsibility you face. This comprehensive training in Yoga Science as Holistic Mind/Body Medicine will provide easy-to-use, practical tools to prevent and reverse the debilitating causes and effects of physician burnout. Topics include: mantra meditation, diaphragmatic breathing, easy-gentle yoga, Yoga psychology, neuroplasticity, PTSD, trauma, resilience, the chakra system as a diagnostic tool, epigenomics, mind function optimization, Ayurveda, nutrition, functional medicine, and lymph system detoxification. Through engaging lectures by an accomplished faculty, instructive practicums and ongoing Q&A, you’ll gain experiential knowledge that will integrate Yoga Science into a dynamic self-care program. As a result of attending this conference, you’ll return home with a set of practical tools that can empower you to make conscious, discriminating and reliable choices to enhance your creativity, well-being, happiness and success. Regardless of how
challenging your circumstances might feel today, Yoga Science can help. Delicious gourmet vegetarian food(always including special dietary needs).
americanmeditation.org/cme
.


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

 

 

 

 

 

 

 

 

 

 

 

 

 

April 1, 2016 – Telemedicine v. Retail Clinics?

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

April 1,  2016
Volume 16, Number 13

Dear Colleagues:

This week, on a listserv for physicians elsewhere, I read of physician concerns regarding the expansion of urgent cares and retail clinics.  The sentiment was that we might be losing the battle in controlling cost when patients go to these clinics for their urgent medical needs.  The answer to the underlying question “do retail clinics and urgent care clinics raise the cost of healthcare?” is difficult to answer.  If you look at the issue from the perspective of patients who use their health insurance to cover the cost, clinics possibly may provide a lower cost service.  If however, you believe that the inclusion of payment for the services drives patients to over utilize these clinics, then you would say it drives up cost.

Others argue that the use of mid-level practitioners in these settings creates scenarios whereby providers are over-utilizing ancillary services such as imaging and labs as well as over-prescribing. This may increase the cost that might have been mitigated at a primary care physician’s office.  Of course, this overlooks the possibility that the patient might have gone to a hospital facility where the cost would have been greater than one at an urgent care clinic and a PCP’s office combined.  For patients who have high deductible plans (their numbers are increasing), the expenditure is not out of the pockets of the insurer.  Instead, the expenditures are made by the patient until they meet their deductible.

MSSNY Working on Options

MSSNY is working on at least one option that will help both primary and specialty physicians obviate the need for many of these patients to seek care in retail clinics.  If we can create momentum for such a telemedicine platform, many patients who currently seek care in retail clinics might be able to bring their care back into their physician’s care avoiding an unnecessary trip to a clinic.  In this manner, the cost of care is within the aegis of the patient’s doctor and the doctors are getting the reimbursement for the clinical service rather than a Wall Street for-profit retail clinic.  Furthermore, the cost to both the patient and the insurer would be lower than at these clinics.  A move to drive patients to a telemedicine platform with their physicians may render retail clinics an unsustainable model and a new physician- driven telemedicine model more meaningful and efficient.  If the possibility of participating in a telemedicine product that brings your patients back into your practice for care is of interest to you, let us know by sending a comment to this column.

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

Please send your comments to comments@mssny.org

MLMIC_011916_Enews_550x150


Capital_Update_Banner

State Budget for FY 2016-17 Finalized
Working through Thursday night into Friday, the Legislature was finalizing the passage of a $147 billion budget for the 2016-17 fiscal year. Importantly, it rejected several proposals that had been of great concern to physicians across New York State. Moreover, the final Budget also provides additional opportunities for certain physicians to receive e-prescribing waivers and leaves open the door to further action to address unpaid Health Republic claims.

The Governor’s crowning achievement was the enactment of an increase in the state’s minimum wage and paid family leave proposals. The latter proposal affords New Yorkers 12 weeks of paid family leave  (to be collected through an employee payroll deduction similar to disability benefits) allowing employees to be paid up to two-thirds of their weekly wage or two-thirds of the state average, whichever is lower.

The minimum wage increase differs depending upon the size and location of the business as follows: (1) For workers in New York City employed by large businesses (those with at least 11 employees), the minimum wage would rise to $11 at the end of 2016, then another $2 each year after, reaching $15 on 12/31/2018; (2) For workers in New York City employed by small businesses (those with 10 employees or fewer), the minimum wage would rise to $10.50 by the end of 2016, then another $1.50 each year after, reaching $15 on 12/31/2019; (3) For workers in Nassau, Suffolk and Westchester Counties, the minimum wage would increase to $10 at the end of 2016, then $1 each year after, reaching $15 on 12/31/2021; and (4) For workers in the rest of the state, the minimum wage would increase to $9.70 at the end of 2016, then another .70 each year after until reaching $12.50 on 12/31/2020 – after which it will continue to increase to $15 on an indexed schedule to be set by the Director of the Division of Budget in consultation with the Department of Labor.

The budget also included a significant investment of funding for a massive, multi-year infrastructure investment for airports, roads and bridge construction as well as a strengthening of mass transit systems in the New York City area. This includes over $55 billion of transportation investments statewide, including $27.14 billion for State Department of Transportation and Thruway programs and $27.98 billion for the Metropolitan Transportation Authority programs.

The final budget also included an increase of $1.5 billion in education aid, ­a 6.5% increase from last year.

Also included in the budget was an income tax cut for married couple earning up to $300,000.

Among issues on which MSSNY strongly advocated:

  1. Eligibility for Excess Coverage Preserved. The Legislature rejected the programmatic changes advanced by the Executive which would have resulted in over 13,000 physicians who currently have Excess coverage being dropped from the program. Moreover, the Legislature restored the $25M cut to the appropriation for the Excess program thereby continuing funding for the program at its historical level of $127.4M. Also continued was the authority for the Superintendent to set the rate for medical liability premiums.  MSSNY is thankful to leaders and members of both the Senate and Assembly for strongly supporting the restoration of funding for the Excess program and rejecting proposed programmatic changes that would have resulted in over 13,000 physicians losing Excess coverage.
  2. Retail Clinic proposal defeated; at least for now. The final budget does not include language to enable the establishment of ‘limited service’ clinics in retail stores owned by publicly traded corporations such as CVS, Walmart and Walgreens. MSSNY worked with other primary care and specialty medical societies in the defeat of this proposal. MSSNY will remain vigilant to oppose the proposal should it resurface toward the end of session.
  3. Changes to the Workers Compensation program rejected; role of County Medical Societies preserved! The Legislature rejected the Executive’s proposal to expand the list of providers eligible to deliver (and receive payment directly form the W/C program) to include acupuncturists, nurse practitioners, physician assistants, and social workers. Significantly, the Legislature also rejected the proposal to eliminate county medical society review and assistance for physicians looking to be authorized to deliver care. We thank the many county medical society leaders across New York State who took the time to contact their local Senators and Assembly members to express their concerns with this proposal.
  4. Health Republic. The budget expressly articulated the establishment of a fund to be known as the “health republic insurance of New York fund” which “shall consist  of transfers as authorized by the director of the budget, in his or her  sole  discretion,  between  April first,  two thousand sixteen and March thirty-first, two thousand nineteen, from amounts collected as a result of  a  judgement,  stipulation, decree, agreement to settle, assurance of discontinuance, or other legal instrument  resolving  any  claim  or  cause of action, whether filed or unfiled, actual or potential, and  whether  arising  under  common  law,  equity,  or  any  provision  of  law, and all other monies appropriated, credited, or transferred thereto from any other fund or source  pursuant to law”. Any payments to be made from this fund would be made after distribution of Health Republic’s remaining assets in a liquidation proceeding. We are seeking further clarification regarding which monies could be potentially assigned to this fund, and will continue to work with hospital associations to assure the deposit of sufficient monies to fully reimburse physicians and other providers for care provided to patients covered by the now defunct Health Republic. Despite being proposed in the Senate one-House Budget, the final Budget did not contain any provision to eliminate the DFS prior approval of health insurance rates.   We thank the many State Legislators who fought to assure that the State Budget articulate a dedicated funding stream to assure these claims are paid.
  5. No Regressive Tort Measures Included in Budget. Despite renewed attention on certain regressive tort bills including a date of discovery statute of limitations and repeal of the limitations on attorney contingency fees in medical liability cases, the measures were not included as part of the budget. MSSNY has been working collaboratively with GNYHA, HANYS and MLMIC to oppose these measures in the context of the budget. It is anticipated, however, that discussion on these issues will resume as MSSNY seeks to achieve meaningful tort reforms this legislative session.
  6. Elimination of prescriber prevails rejected. The Legislature rejected proposals that would have eliminated “prescriber prevails” protections for prescribing medications to all patients insured through fee for service Medicaid, as well as for several classes of medications for patients insured under Medicaid managed care. The Executive’s proposal would have eliminated these protections for medications for patients covered in the Medicaid program, except for atypical antipsychotic and anti-depressants.
  7. E-Prescribing Exception for Low Volume Prescribers approved. Eprescribing will not be required of prescribers who issue twenty five prescriptions or less each year provided that they submit a certification to that effect to the Department of Health. A certification may be submitted on or before July 1, 2016 and retroactively apply to March 27, 2016. A prescriber who has made a certification on or before the expiration of the current twelve month period may do so for a maximum of three twelve month certifications. While this is a very positive development for low-volume prescribers, the 3-year limit will require this issue to be revisited by MSSNY and the Legislature in 2019. At the same time, the Legislature considered but ultimately did not include language to address concerns raised by MSSNY regarding the onerous and burdensome requirements for physicians without waivers who issue paper prescriptions through the invocation of one of three statutory exceptions and who must submit their name, contact information, patient initials and the reason for which they issued the appear script to an email address  (erx@health.ny.gov) maintained by the bureau of narcotics enforcement. Many state legislators remain interested in addressing this issue, and MSSNY will continue to strongly advocate to reduce or eliminate altogether the requirement for submission of this information.
  8. Modifications to Doctors Across New York (DANY) Program Approved. Changes to the DANY (physician loan repayment and physician practice support) program were made to equalize awards to up to $40,000 per year, reduce the service commitment from five to three years and to allow recipients to receive one but not both awards. MSSNY has been working with other healthcare stakeholders including HANYS, GNYHA, Iroquois Hospital System and ACP to secure these legislative changes to this important program. Allocations to the program added $1M above the historical $8M to provide 25 new DANY slots at $40,000/year each.
  9. Restoration of Medicaid Benefits 30 days Prior to Release from Prison/Jail. The Legislature authorizes the provision of Medicaid benefits, for ‘high needs” inmates who were on Medicaid prior to incarceration in a state prison or local jail, for the 30 days prior to release to pay for transitional services including medical, prescription, and care  coordination services. This authority is contingent on NY applying for and getting CMS approval for offer federal share Medicaid for such services.
  10. Additional funding ($35M) to combat heroin and opioid epidemic. These funds will continue to support prevention, treatment and recovery programs targeted toward chemical dependency, residential service opportunities, and public awareness and education activities.
  11. Prior Authorization for Medicaid Opioid Prescriptions. The final Budget requires Medicaid managed care plans to impose prior authorization requirements for patients with more than 4 opioid analgesic prescriptions in a 30-day period.
  12. Joint Ownership of LLCs by Chiropractors and MDs defeated. The final budget did not incorporate language that had been advanced by the Senate to allow chiropractors and physicians to jointly own and share revenue from their joint partnerships and businesses.
  13.  New monies allocated to MSSNY programs. MSSNY’s Committee for Physicians’ Health (CPH) was  allocation $990,000 to continue its operations and MSSNY was allocated $150,000 under the Veterans Mental Health Training Initiative through which MSSNY, NYSPA and NASW have offered training initiatives for physicians on the diagnosis and treatment of PTSD and TBI in returning veterans and will offer additional training in the future on substance abuse, suicide prevention and appropriate opioid prescribing and pain management for returning veterans
    (DEARS,AUSTER, CLANCY, MCPARTLON)


Urge Your Legislators to Reduce Liability Insurance Costs, Not Raise Them!
Now that the State Budget for FY 2016-17 has been finalized, the focus of policymakers will be on unresolved issues including legislation that would create a date of discovery statute of limitations which threatens to increase your liability premiums by 15%. In light of the huge financial pressures threatening the viability of physician practices and our health care delivery system, it is essential that you weigh in with your elected representatives to urge that no further liability increases can be tolerated.  Please join your colleagues by contacting your 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.

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)


New United Hospital Fund Report Discuss Potential Impacts of Health Insurance Consolidation
Last week, the United Hospital Fund released a report analyzing the impact of the proposed mergers of health insurance giants Anthem (parent of Empire) and Cigna, as well as Aetna and Humana.  To read the report, click here: http://www.uhfnyc.org/assets/1461.  The UHF report references a report issued by the American Medical Association that highlighted that New York was one of the states where the Anthem–Cigna market concentration “raises significant competitive concerns and often warrants scrutiny,” including that the Long Island MSA was one of the regions across the country where the merger would be “presumed likely to enhance market concentration.”  The UHF report also referenced a letter sent by consumer and labor groups to Acting DFS Superintendent Maria Vullo raising concern about these proposed mergers, noting that (1) they could result in higher costs; and (2) they could result in fewer choices of health care providers and services for consumers.  MSSNY has also written to DFS, and to the New York State Attorney General’s office, to express its opposition to these proposed mergers.
 (AUSTER)


Physicians Urged to Register for April 14th House of Delegates Live CME Seminar or For Statewide Remote Webinar on Ebola
The Medical Society will conduct a Medical Matters LIVE seminar and concurrent webinar titled Ebola: A Perspective from the Field on April 14th at 2:00pm.  The live seminar will take place at the Westchester Marriott in Tarrytown, NY and the webinar will also be broadcast statewide via Webex.  Register for this program here.  Click on the ‘Upcoming’ tab and select the ‘Programs’.

Dario Gonzalez, MD, F.A.C.E.P. – Associate Medical Director Fire Department City of New York/Office of Medical Affairs is the faculty.  Dr. Gonzalez was deployed for nine weeks by Americares to Liberia, West Africa as part of the US response to the Ebola epidemic.  He managed and directed an Ebola Treatment Unit in Buchanan, Liberia.  Dr. Gonzalez developed the treatment and management guidelines.  He cared for suspected and confirmed Ebola patients, and was subsequently involved in NYC hospital Ebola preparedness with the NYC Fire Department and Office of Emergency Management. The educational objective for the program is to: 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 this program may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.                                                                                                 (CLANCY, HOFFMAN)

Physicians Urged to Register For April 15th House of Delegates Quality Conference on MIPS, APMS And Value Based Payment; What Will the Future Bring for Physician Practice?
The Medical Society’s Quality Improvement and Patient Safety Committee will present its ninth Annual Quality Conference from 1-3PM on April 15th at the Westchester Marriott entitled MIPS, APMs and Value Based Payment; What Will The Future Bring For Physician Practice? Please register for the Conference by clicking onto the following this link.

Conference Presenters include the following:
Jason Helgerson, Medicaid Director, NYS Department of Health

Delivery System Reform Incentive Program (DSRIP) and Value Based Payment (VBP); how greater care collaboration and integration within the healthcare delivery system will be achieved?

Jean Moody Williams, Deputy Director for the Center for Clinical Standards & Quality

The Intricacies of the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APM).

John Rugge, MD, Chief Executive Officer, Hudson Headwaters Health Network (HHHN) and Deepak Kapoor, MD, Chairman and Chief Executive Officer, Integrated Medical Professionals (IMP)

Lessons Learned from the perspective of physicians who have already embraced the transition to PCMH/IPAs/ACOs; How to prepare for Value Based Payment.

Andrew Gettinger, MD, Chief Medical Information Officer, Acting Director, Office of Clinical Quality and Safety, Office of the National Coordinator for Health Information Technology

Update on the Work of ONC With Regard To EHR Functionality and Interoperability

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.

Accreditation Statement: The Medical Society of the State of New York (MSSNY) 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 2.5 AMA PRA Category 1 Credits™.

Further information or assistance in registering for this program may be obtained by contacting Miriam Hardin at mhardin@mssny.org.                                                                                                       (DEARS, HARDIN)

MSSNY Announces Zika Podcast With DOH; Physicians Can Listen Now
MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response conducted an audio podcast with Dr. William Valenti and Dr. Elizabeth Dufort to discuss the Zika Virus.  The podcast discusses the epidemiology of Zika virus.  It also provides information on disease transmittal, diagnosis and the measures that the New York State Department of Health has taken to guide and protect all New Yorkers.  Listen to this timely and important podcast here.

Panelists:
William Valenti, MD, Chair MSSNY Infectious Disease Committee,
Elizabeth Dufort, MD, F.A.A.C.P., Medical Director, Division of Epidemiology, New York State Department of Health.                                 (CLANCY, HOFFMAN)

View Zika Webinar; Program Archived On MSSNY’s CME Site
The Medical Matters program, entitled “Zika Virus—An Evolving Story” is now 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 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.

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)


MSSNY’s Opioid Webinars are Now Available on 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 are:  Webinar 1 Pain Management at the Crossroads:  A Tale of Two Public Health Problems; Webinar 2 Rational Opioid Prescribing:  Is this Possible for Chronic Pain?; Webinar 3 Treatment of Opioid Use Disorders ; and Webinar 4 Pain Patients w/Substance Use Disorders .  The webinars series was jointly sponsored by the NYS Office of Alcoholism and Substance Abuse Services and the New York State Department of Health’s Bureau of Narcotics Enforcement.

Physicians and other prescribers can earn up to one hour of continuing medical credits by viewing this webinar and completing the test.    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:  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

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
(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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Dr. Maldonado Says Liability Insurance, E-Prescribing Mandate   Contribute To Poor Environment For NY Physicians
The LI Business News reported that finance website WalletHub.com has ranked New York as the worst state for physicians, due to a “wide range” of factors including “high malpractice payouts, wages adjusted for the cost of living and competition.”  Dr. Joseph Maldonado said that New York’s “exorbitant medical liability insurance costs, overwhelming government mandates, now including an e-prescribing mandate, and abusive health insurance tactics make it a very difficult state to remain in practice to deliver patient care.” 


Physicians Foundation’s 650,000 Fourth Annual Physician Survey
Physicians Foundation, of which MSSNY is a charter member, is a non-profit organization that seeks to empower physicians to lead in the delivery of high-quality, cost-efficient healthcare, is launching its fourth national Survey of America’s Physicians, one of the largest physician surveys ever undertaken in the United States.

The survey is being conducted by Merritt Hawkins, and will be emailed to more than 650,000 physicians across the country from March-May of 2016. The survey will take approximately 10-12 minutes to complete and will allow physicians to share their thoughts on health reform, electronic medical records, new methods of physician reimbursement, ICD-10, and a variety of other topics. A full copy of the final survey report will be emailed to all physicians who participate, and participants will also be entered to win one of five $500 Amazon gift cards and one $5,000 Amazon gift card.

Physicians can access the survey via this link.


Zika Virus Structure Revealed, New Maps Show Reach of Aedes Mosquitoes

Researchers have revealed a “near-atomic level map” of the Zika virus. Published in Science, the three-dimensional image shows that Zika’s structure is similar to that of other flaviviruses, with one key exception: a variation in the E glycoprotein surface protein. This variation, according to an NIH news release, “could explain the ability of the virus to attack nerve cells, as well as the associations of Zika virus infection with birth defects and … Guillain-Barré syndrome. “Elsewhere, the CDC has published maps showing the potential range of Aedes mosquitos in the U.S.

ZIKA HOTLINE:

The city Health Department set up a call center for health care providers requesting Zika virus testing for New York City residents: (866) 692-3641.  Additional Zika testing information is online here.
CDC mosquito mapsNEJM Zika website http://bit.ly/1SFMFaR


NYSHealth Funding Opportunity: 2016 Special Projects Fund
The New York State Health Foundation (NYSHealth) is currently accepting request for proposals (RFP) for its 2016 Special Projects Fund. Applicants must submit an online inquiry form to determine whether a proposed project fits the funding criteria. The deadline for the online inquiry is April 7, 2016. Selected organizations will be invited to submit full applications, which will be reviewed on a rolling basis with a deadline of May 25, 2016.

NYSHealth Special Projects Fund awards are one-time, nonrenewable funding opportunities consistent with the Foundation’s mission to improve the health of all New Yorkers but outside of its main priority areas. Read details on the 2016 Special Projects Fund RFP and frequently asked questions.


Physicians Called On To Do More to Combat Opioid Epidemic
In an editorial, (Bloomberg 3/31) writes, “A lasting solution to America’s opioid epidemic depends mostly on a meaningful change in physicians’ attitudes about treating addiction.” Bloomberg urges physicians to reduce the number of opioid prescriptions and increase the number of doctors who provide buprenorphine, the leading anti-addiction medication. Citing the American Medical Association’s recent acknowledgement “this week that physicians need to do more,” Bloomberg concludes that, for the opioid epidemic to end, more physicians must “put aside their unease or lack of interest in treating addicts.”


CDC Report: One in Every 68 US Kids Has Autism Spectrum Disorder
On April 31, the Centers for Disease Control and Prevention released a surveillance summary showing “no change in how common autism is among US children.” Currently, approximately one “in 68 school-aged children” appears to “have autism or related disorders,” the same figure “as it was when health officials checked two years earlier,” the report published April 1 in the Morbidity and Mortality Weekly Report reveals. It is “too soon,” however, to determine if “the number is stabilizing, said Daisy Christensen,” PhD, the report’s lead author.

Study: Long-Term Antibiotic Therapy Ineffective At Alleviating Chronic Symptoms of Lyme Disease
In a 280-patient study published March 31 in the New England Journal of Medicine. 12 weeks of therapy with antibiotics appeared to be ineffective at alleviating chronic symptoms of Lyme disease. The study’s primary researcher “said it’s still an open question why some patients are cured of Lyme disease and others experience symptoms for years.” Currently, he “is working on prospective studies of patients suffering from Lyme disease to try to answer this question.” 


MSSNY in the News



CLASSIFIED


Commercial Co-op For Sale Lynbrook $129,000
Corner Of Hempstead Ave And Peninsula Blvd
880 sq ft Ground Floor Newly Renovated
Perfect For Health Care, Accountant, Attorney,
Insurance, Real Estate, And General Office
AC, Parking Lot For Employees And Patients
3 Offices, Kitchen, Bath, Receptionist & Waiting Area
(516) 362-1828 | Leatherman Homes


Central Park South Medical Office Available to Share
Central Park South medical office, next to Plaza Hotel. Gorgeous Central Park view. Recent beautiful high–end renovation. Share part time with cosmetic dermatologist. Fully equipped for in–office surgery. Two exam rooms for you, shared waiting room and personal office. Free WiFi. Available part time, full or half days. Suits plastic/cosmetic surgeons/ENT/OBGYN etc. Contact Judith Hellman, MD, at jhderm@gmail.com or (212) 755–5482



Relieve Physician Burnout through Yoga Science (30 CMEs)
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Change your perspective––change your experience. The 8th annual
American Meditation Institute Heart and Science of Yoga conference
is uniquely designed to offer you a refreshingly new, clearer and kinder
perspective on yourself and every personal and professional responsibility you face. This comprehensive training in Yoga Science as Holistic Mind/Body Medicine will provide easy-to-use, practical tools to prevent and reverse the debilitating causes and effects of physician burnout. Topics include: mantra meditation, diaphragmatic breathing, easy-gentle yoga, Yoga psychology, neuroplasticity, PTSD, trauma, resilience, the chakra system as a diagnostic tool, epigenomics, mind function optimization, Ayurveda, nutrition, functional medicine, and lymph system detoxification. Through engaging lectures by an accomplished faculty, instructive practicums and ongoing Q&A, you’ll gain experiential knowledge that will integrate Yoga Science into a dynamic self-care program. As a result of attending this conference, you’ll return home with a set of practical tools that can empower you to make conscious, discriminating and reliable choices to enhance your creativity, well-being, happiness and success. Regardless of how
challenging your circumstances might feel today, Yoga Science can help. Delicious gourmet vegetarian food(always including special dietary needs).
americanmeditation.org/cme
.


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