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

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

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
October 26, 2018
Volume 20  Number 40

MSSNYPAC

Colleagues:

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

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

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

Tuesday

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

Wednesday

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

Thursday

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

Friday

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

Saturday

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

Physician Wellness

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

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

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

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

Excelsior!


Thomas J. Madejski, MD
MSSNY President

 


MLMIC Insurance Banner


eNews

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


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

REGISTER HERE

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

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

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

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

By the conclusion you will know:

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

REGISTER HERE

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


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

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

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

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

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

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

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

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


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

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

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

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

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

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

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

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

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


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



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

Here are four things to know:

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

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

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

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

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

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


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

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

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


Medical Society of NY Classifieds


CME

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

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

Educational objectives are:

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

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

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

CMS

Reminder: Register Today for the Physician Compare National Provider Call
CMS will host a MLN Connects® National Provider Call about Physician Compare on October 30, 2018 at 1:30 – 3:00 PM ET. Learn more about Physician Compare and the public reporting of 2017 Quality Payment Program performance information. The Physician Compare preview period allows clinicians and groups to review their performance information before it is publicly reported on the Physician Compare website.

This webinar will describe:

  • What to expect during the upcoming 30-day preview period and
  • How to navigate previewing your performance information

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

Register today

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

 


Join MSSNY


Classified

RENTAL/LEASING SPACE


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


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

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

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

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

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Magnificent Medical Suites for Lease 184 East 70th St. New York, NY
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital, Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A: one consultation room plus 2 exam rooms. $6000 per month
Space B: One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharing For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.comnyc nyc room2

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

West 57th St. Office West 57th Doctors Office

West 57th St Doctors Lobby


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

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


PHYSICIAN OPPORTUNITIES

Internal Medicine Physician and Nurse Practitioner Wanted – Syracuse Area
Syracuse primary care practice recruiting for a highly motivated Internal Medicine Physician and Nurse Practitioner. Candidates should be interested in working closely with patients, care teams, and

community partners, Send resume to neurosciencesgroup@gmail.com


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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Council – November 1, 2018

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

A. Call to Order and Roll Call

C. New Business (All Informational/Action Items)

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

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

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

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

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

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

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

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

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

D. Reports of Officers
1. Office of the President  – Thomas J. Madejski, MD
2. Office of the President Elect – Arthur C. Fougner, MD
3. Office of the Vice President –  Bonnie L. Litvack, MD
4. Office of the Treasurer – Joseph R. Sellers, MD
    Financial Statement for the period 1/1/18 – 9/30/18
5. Office of the Secretary – Frank G. Dowling, MD,
AMA Letters expressing  concerns regarding the new Walmart corporate policy on Opioid prescriptions
6. Office of the Speaker – Kira A. Geraci-Ciradullo, MD

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

F.  Commissioners (Committee Informational Items)
1. Commissioner of Communications, Maria A. Basile, MD, MBA
    a. Report from the Division of Communications

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

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

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

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

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

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

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

K. Adjournment

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

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

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
October 19, 2018
Volume 20  Number 39

MSSNYPAC

Colleagues:

Last week, the US Department of Justice announced it had given preliminary approval to the proposal of CVS to purchase Aetna for $69 billion, with the condition that Aetna divest itself of its Part D prescription drug plan. MSSNY as well as the AMA and other physician advocacy organizations spoke in strong opposition to the merger of health care behemoths on many occasions.

Of particular concern is the clear financial incentive of the merged entity to steer patients to their own sites rather than other community-based health care providers, including physician-led medical homes. The premise behind this consolidation is that CVS – using their retail clinics and their stores – is going to make health care more accessible.  However, there’s really not much data to support that. They may be able to make it more accessible, but that really has not translated to any improvement in outcomes nor to better patient care. And, actually, there are some studies that show that retail clinics actually cost more without any improvement in care.

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

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

MLMIC and Berkshire Hathaway

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

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

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

Please contact me at comments@mssny.org.


Thomas J. Madejski, MD
MSSNY President

 


MLMIC Insurance


eNews

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

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

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

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

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

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


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

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

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

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


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

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

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


ASC Symposium BannerMedical Society State of New York Members Receive Discounted Rate
Why should you attend?

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

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

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

Who is eligible for the discounted rate?
As the Medical Society State of New York General Counsel, Garfunkel Wild is offering members of the chapter a discounted conference registration rate of $285. Use couponcode: NYM18MS during registration at https://www.nymetroasc.com/register-now

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


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

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

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

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

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


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

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

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


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

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


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


Medical Society of NY Classifieds


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


Worker’s Compansation

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

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

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

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

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

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

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

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


CMS

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

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

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


 

CME Courses

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

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

Educational objectives are:

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

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

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


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

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

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

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

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

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

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

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


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

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

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


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RENTAL/LEASING SPACE


All-Inclusive Medical Office Space for Rent-5 Locations: Elmhurst, Ozone Park, Lawrence, Lindenhurst & East Setauket
Starting up, slowing down or growing your practice? Interested in trying out
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MedPlex is an all-inclusive medical office rental company dedicated to the medial
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We are open 24/7 and offer individual rooms or private suites to rent, with
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For more information please log on to www.MedPlexLLC.com, Loop-Net/Co-Star, or call Carla Scalici, Operations manager, @ 516-797-7735, cscalici@MedPlexLLC.com

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Magnificent Medical Suites for Lease 184 East 70th St. New York, NY
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital, Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A: one consultation room plus 2 exam rooms. $6000 per month
Space B: One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharing For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.comnyc nyc room2

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

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

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


PHYSICIAN OPPORTUNITIES

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


Physicians Wanted to Help Shape the Future of Primary Care
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Interested? Learn more and apply today at www.98point6.com/pcc

 


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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oct. 12, 2018 – MSSNY Says NO to Legal Marijuana

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

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
October 12, 2018
Volume 20  Number 38

MSSNYPAC Seal

Colleagues:

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

Legalization of Marijuana

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

Execs Meeting

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

Personal Note

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

Excelsior!

Please contact me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President



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eNews

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

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

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

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

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

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

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


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


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


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


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


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


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


Continuing Medical Education

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

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

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

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

Our conference is science-based & clinically relevant

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

       CONTINUING MEDICAL EDUCATION (CME) CREDITS   

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

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

Look forward to seeing you at the conference!

Conference Organizing Committee:

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


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

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

Educational objectives are:

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

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

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


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

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

Educational objectives are:

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

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

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


EHR Incentive

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

Topics covered include:

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

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

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


HRSA GRANTS

HRSA Funding Opportunities

Join MSSNY Banner


 

Classified

RENTAL/LEASING SPACE


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

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

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

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

Rental Space Long Island Main Area Rental Space Long Island Office

Rental Space Long Island Common Area


Magnificent Medical Suites for Lease 184 East 70th St. New York, NY
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital, Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A: one consultation room plus 2 exam rooms. $6000 per month
Space B: One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharing For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.comRental Space East 74th St. NYC Waiting Room Rental Space East 74th St. NYC Nurses Station

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


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

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

West 57th St. NYC Window View


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

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

 


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


PHYSICIAN OPPORTUNITIES

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


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

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

 


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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oct. 5, 2018 – Workplace Sex Harassment and YOU

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

Thomas J. Madejski, MD
MSSNY President


MSSNY eNews
October 5, 2018
Volume 20  Number 37

MSSNYPAC

Colleagues:

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

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

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

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

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

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

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

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

Please contact me at comments@mssny.org.


Thomas J. Madejski, MD 
MSSNY President



MLMIC


eNews

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

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

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

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

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

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

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

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


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

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

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

http://conversation.mlmic.com/register


Garfunkel Ad


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

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

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

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


Abentity Ad


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

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

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

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

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

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

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


Medical Society of NY Classifieds


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

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


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


CPH Banner
Continuing Medical Education

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

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

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

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

Our conference is science-based & clinically relevant

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

       CONTINUING MEDICAL EDUCATION (CME) CREDITS   

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

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

Look forward to seeing you at the conference!

Conference Organizing Committee:

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


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

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

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

Educational objectives are:

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

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

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


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

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

Educational objectives are:

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

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

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



Join MSSNY


SYMPOSIUM

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

Why should you attend?

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

Who is eligible for the discounted rate?

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

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

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

About Garfunkel Wild:

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


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

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


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

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

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

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


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

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

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

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

Pediatrics article  Screening tool


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

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

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

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


CMS, MEDICARE & MEDICAID

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

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

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

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


10-Day Deadline to Submit a MIPS Targeted Review Request

You Have 10 days to Submit a Targeted Review Request!

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

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

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

When to Request a Targeted Review

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

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

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

How to Request a Targeted Review

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

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

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


 

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RENTAL/LEASING SPACE


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Space C: one consultation plus one exam $4500. other combination may work as well. Available for sharing For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.com 


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


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


 


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