March 8, 2019 – Physicians and Politicians Have Their Say!

Thomas J. Madejski, MD MSSNY President
Thomas J. Madejski, MD
MSSNY President

March 8, 2019
Volume 22  Number 10



Medical students posing at I Love NY sign Medical students at MSSNY Lobby Day event

Wednesday March 6th in Albany was a great day to be a MSSNY member.  I want to thank each and every one of the hundreds of physicians, medical students, and MSSNY, county medical society and specialty society staff who took the time to participate in this week’s Albany Physician Advocacy Day.

Your MSSNY leaders very much understand the challenges with taking a day away from your patients.  I hope your colleagues appreciate your efforts on their behalf.

And please ask them to pencil in March 4, 2020 so they can plan to join you for next year’s Albany Physician Advocacy Day.

MSSNY is the big tent which brings all New York physicians together.  I was honored to have four of our specialty societies join us and participate in our advocacy efforts.  A special thank you to Dr. Vilma Joseph from the New York State Anesthesia  Association, Dr. Louis Snitkoff from the American College of Physicians,  Dr. Iffath Hoskins from ACOG District 2 and  Dr. Michael Delman from NYSAM.  I appreciate very much their updates in specialty-specific concerns that are part of our overall MSSNY program and the attendance of their staff and members to raise our voice on behalf of our patients.

Together we ARE stronger!

Panel of Leaders

I was very impressed by the thoughtful questions raised by our physicians and the detailed responses they received from our Wednesday morning panelists.   The physicians heard from Assembly Health Committee Chair Gottfried, Senate Health Committee Chair Rivera, Assembly Insurance Committee Chair Cahill and Senate Insurance Committee Chair Breslin.  We also heard from Senate Republican leader John Flanagan, and Troy Oechsner, who oversees the regulation of the health insurance industry for the New York Department of Financial Services.

MSSNY leadership and some of our specialty society colleagues subsequently met with new Senate Majority Leader Andrea Stewart Cousins, and the top healthcare policy staff to Assembly Speaker Carl Heastie.  Moreover, many physicians and county society executives held meetings with their local Senators and Assembly members.

While many topics were discussed relative to patient care delivery, the most extensive discussion was regarding the proposed “New York Health Act,” recreational marijuana legalization, and policy responses to the increasing consolidation in the health care and health insurance industries.

Single Payer

Assemblyman Gottfried saluted MSSNY for our discussion and engagement with regards to crafting the New York Health Act.  I thanked him for some of the changes to his single payor bill as a result of concerns raised by MSSNY and the New York County Medical Society.  Assemblyman Cahill and Senator Breslin emphasized the very careful review that is being brought to this legislation because it so far-reaching and disruptive if not done right.  In afternoon meetings we were advised that the Senate would likely be organizing hearings on this legislation in different parts of the State after the Budget was completed.

I was particularly pleased by the strong support among the Committee Chairs for the physician collective negotiation legislation that has been a consistent MSSNY priority.  Assemblyman Gottfried noted that the bill has repeatedly been passed by the Health Committee, but then gets stalled.  While the bill sponsored by Assemblyman Gottfried has 56 co-sponsors including Cahill and Assembly Majority Leader Crystal People-Stokes, it would be helpful to have many more Assemblymembers join as co-sponsors.  And in the Senate, there have not been any co-sponsors listed yet.

We Are All Elements of Change

This is where I need you to be a change agent for your patients and the practice of medicine.  Our Albany Advocacy day is one among many steps physicians can collectively take to achieve our public health goals.  Equally important is your advocacy in the district.  Make phone calls.  Send letters.  Schedule a meeting with your Senators and Assemblymembers.

What to request?

  1. Urge your Senator and Assemblymember to support the collective negotiation legislation and ask them to join on as a co-sponsor.  You can send a letter from here.
  1. Urge them to move very cautiously on any legislation to permit the use of recreational marijuana, including requesting that it be removed from consideration from the State Budget due in a few weeks.  I want to thank Dr. Frank Dowling, MSSNY Secretary, and addiction treatment expert, for participating in a press conference with the group Smart Approaches to Marijuana (SAM) as well as the NYS PTA this week raising concerns with marijuana legalization.  You can send a letter to your legislators here.
  1. Urge them to continue to oppose Medicaid cuts for your dual eligible patients proposed in the Budget, which we estimate to be about $80 per dual eligible patient.  You can send a letter here.

Join PAL

Want to be even more involved?  Join our Physician Advocacy Liaison (PAL) program and commit to working with your local legislators on an ongoing basis. The new Assembly and Senate are still maturing in their organizational structure. Your action now is critical for us to have input into the legislative decisions that affect your patients and your practice.  Join MSSNYPAC and help to elect physician friendly candidates to office and help to develop and expand existing working relationships with key legislators.

Again, I want to thank all who took the time to make our Annual Physician Advocacy Day a success, especially Moe Auster, Pat Clancy and the rest of our outstanding MSSNY staff.  Now let’s keep up the momentum with continued local contact with our legislators, and help New York lead the country in improving the health of our citizens, and the practice of medicine.


Comments?; @mssnytweet; @TomMadejski

Thomas J. Madejski, MD
MSSNY President

P.S. Regarding my patient and the difficulties encountered in obtaining a prior authorization, I finally spoke to the Medical Director of the health plan involved and the issue has been resolved! 

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Capital Update

Physicians Come to Albany To Advocate for Their Patients and Stability in Care Delivery in Their Communities
Over 200 physicians, medical students and other physician advocates converged on Albany this week to participate in MSSNY’s Annual Physician Advocacy Day, and meet with their local legislators.

The assembled physicians heard from the Assembly Health Committee Chair Richard Gottfried, Senate Health Committee Chair Gustavo Rivera, Assembly Insurance Committee Chair Kevin Cahill and Senate Insurance Committee Chair Neil Breslin regarding their priorities for 2019, and to answer questions from physicians.  They also heard from Senate Republican leader John Flanagan, and Troy Oechsner, who oversees the regulation of the health insurance industry for the New York Department of Financial Services.

While many topics were discussed with these legislative leaders relative to patient care delivery, the most extensive discussion centered on the potential benefits and significant concerns with the proposed “New York Health Act”, concerns with legislation to permit “adult use” or “recreational” marijuana use, and the strong support for physician collective negotiation legislation (A.2393, Gottfried/S.3462, Rivera) that would enable physicians to better advocate for their patients in response to the increasing consolidation in the health care and health insurance industries.

Other key issues physicians raised throughout the day included:

  • Support for important public health initiatives contained in the Governor’s Budget including licensing PBMs, raising the tobacco/e-cigarette purchase age from 18-21, creating a Maternal Mortality Review Board, and eliminating pre-authorization for Medication Assisted Treatment (MAT).
  • Opposing the estimated $80/patient cut to deductible payments for patients covered by both Medicare and Medicaid proposed in the Governor’s Budget
  • Opposing the repeal of “prescriber prevails” for Medicaid FFS and certain Medicaid Managed Care prescriptions proposed in the Governor’s Budget
  • Concerns with provisions that would permit Nurse Practitioners and licensed social workers to treat injured workers and be directly reimbursed under Workers Compensation without coordination with a physician, as proposed in the Governor’s Budget.         (DIVISION OF GOVERNMENTAL AFFAIRS)

NYS Assembly Passes Increase in Purchase Age for Tobacco Products
By a margin of 120-26, the NYS Assembly passed legislation that would increase the purchasing age for tobacco products from 18 to 21 years of age.  A.558-A S.2833, sponsored by Assemblymember Linda Rosenthal and Senator Diane Savino, is now before the Senate Finance Committee for its consideration. A March 2015 report by the Institute of Medicine concluded that raising the purchase price to 21 will have a substantial positive impact on public health and will significantly reduce the number of adolescents and young adults who start smoking, reduce smoking-caused deaths, and immediately improve the health of adolescents, young adults and young mothers who should be deterred from smoking.

Working together with other patient advocacy organizations, MSSNY has strongly supported this measure and urges members of the NYS Senate to also pass this bill. (CLANCY)

Senator Rivera Introduces Bill to Exempt Nursing Homes from E-prescription Requirement
Legislation (S.4183, Rivera) is before the Senate Health Committee next week which would exempt nursing homes’ prescription of oral medication from the state requirement that all prescriptions be electronically submitted. It is a “same as” to Assembly bill A1034-A which passed the Assembly on February 28. This bill is of particular interest to MSSNY’s Long-Term Care subcommittee. Nursing homes present unique circumstances that make compliance with the current e-prescription mandate impractical and this legislation would allow for time to rectify the situation. Physicians are not physically present 24 hours a day, so RNs are allowed to take orders for medication safely and without delay for the residents who need them. The physician would then sign the oral order within 48 hours. This legislation would extend to March 2021 an already existing exemption established by the NYS Department of Health that is due to expire on 3/24/19.               (AVELLA)

ONC Proposes Rules to Limit EHR Information Blocking and Promoting Interoperability
The Office of the National Coordinator for Health IT (ONC) released a proposed rule implementing provisions of the 21st Century Cures Act enacted by Congress in 2017 related to electronic health information blocking, interoperability and the ONC Health IT Certification Program.  At the same time, he Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on patient access to data and interoperability.

According to an overview by the American Medical Association (AMA), provisions in these rules regarding information blocking and application program interfaces (APIs) will impact interoperability and the way data is exchanged between patients, health providers, payers, technology developers, health information exchanges, and other health care stakeholders. The proposed rules also promote laudable goals, such as patient access and price transparency.

The AMA summary notes that the proposals are complex and interwoven with an array of newly defined terms. While most of ONC’s focus is on HIT developers, the information blocking proposals significantly impact physicians. There is presumption that all patient information must be shared for a large variety of purposes. The Office of Civil Rights’ (OCR) HIPAA regulation is a permissive rule, meaning that physicians and other covered entities are allowed but not required to share health information with anyone but the patient. The interaction between what must be shared and what can be shared will present a significant challenge for physicians. There is also a lack of discussion around patients’ awareness and understanding of how these rules permit other parties to obtain and use their data.

Among the positive aspects include components to expand the amount of data EHRs must provide to physicians and patients; introduce a vendor information blocking condition of certification; increase ONC’s direct oversight of vendors; limit the fees vendors can charge physicians; require real-world testing of EHRs; adopt modern interoperability standards; remove vendor “gag clauses” that limit physicians from sharing health IT safety concerns; and create exceptions for information blocking rules, such as when disclosing a patient’s information could cause harm or pose a security risk to a health IT system.

However, the AMA also notes that, due to the sheer number and complexity of proposals, physicians may find it difficult to understand many of these rules, and compliance could prove burdensome.

The AMA further notes that the ONC (1) defines key terms, including electronic health information (EHI); (2) provides an illustrative list of activities that would be likely to interfere with access, exchange, or use of EHI; (3) codifies compliance with the information blocking provisions as a Condition of Certification; (4) introduces seven exceptions to the general prohibition on information blocking; and (5) issues a Request for Information on disincentives for health care providers.

The summary further notes that the HHS Office of the Inspector General (OIG)  may issue civil money penalties ($1,000,000 per incident) for information blocking conducted by health IT developers of certified health IT, health information networks, and health information exchanges. The OIG may also investigate health care providers for information blocking for which health care providers could be subject to disincentives. Health care provider penalties will be established in future rulemaking.

Comments on the rules are due on May 3, 2019.   MSSNY will be continuing to review these rules and will be coordinating any response through the AMA and other state medical associations.

For more information from the AMA regarding these new proposed rules, click here: CMS-NPRM-Summary.pdf  and here: ONC-NPRM-Summary.pdf (AUSTER)     

NY SED Working With Physicians To Develop Format on School Health Form; Announces that Schools Should Accept Any Health Form
The NY State Education Department (SED) is working with the Medical Society of the State of New York, the American Academy Pediatrics-NYS Chapter II and other organizations to ensure that the school health exam form completed by physicians is compatible to electronic health records systems commonly used by physician offices. SED has issued a letter to all school districts that until further notice that the school should continue to accept any health exam form received from a provider.  A copy of the letter that was sent to school districts is here: view letter SED will disseminate information in the coming months regarding any of the changes to the health form. (CLANCY)

Legislation to Provide for Transfer of Medicals Records upon Retirement Passes through Assembly Health Committee
Assemblyman Nick Perry recently introduced legislation (A2349) that would require medical practitioners to provide a plan for transferring patient records to another facility at least 30 days prior to closing or transferring ownership. It requires that when a physician closes their office, their patients be notified of the pending closure and their rights regarding the transfer of their medical information. MSSNY had worked with sponsors of previous iterations of this legislation to assure it did not apply to circumstances when the physicians practice is purchased or merged. The bill has passed out of the Health Committee and is on the agenda of the Codes Committee for next week. While the bill is an improvement over the earlier version, concerns include defining which cohort of patients should receive this notice.  MSSNY staff has engaged in dialogue with the Assembly to ensure that if implemented, it is done in a clear sensible manner. (AVELLA) 

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MSSNY Live Webinar Fibromyalgia and Myalgic Encephalomyelitis
The Medical Society of the State of New York will hold a live continuing medical education (CME) webinar entitled Health Matters for Women: Fibromyalgia and Myalgic Encephalomyelitis on Thursday, March 21st, 2019 from 7:30 AM to 8:30 AM for all physicians and other health care providers. Registration for the webinar is now open.

To pre-register, please click here. A copy of the flyer can be accessed from here.

Faculty: Florence Shum, DO

  • Review potential causes of chronic diffused pain and fatigue
  • Discuss how to accurately diagnose fibromyalgia and myalgic encephalomyelitis
  • Discuss treatment options for fibromyalgia and myalgic encephalomyelitis

For assistance in registering or any other questions, please contact Ayse Ulukaya at or call (518) 465-8085.

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 credit TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.                                                                                                                                                   (ULUKAYA)

Registration Now Open for New Veterans Matters CME Webinar March 14th
The Medical Society of the State of New York is proud to announce our newest Veterans Matters webinar scheduled for March 14th at 7:30am. This webinar is entitled Military Culture: Everything Physicians Need to Know About Veterans as Patients.  Register for this program here.

Veterans Matters: Military Culture: Everything Physicians Need to Know About Veterans as Patients

When: Thursday, March 14 2019 at 7:30am – Register here

Faculty: Lt. Col Lance Allen Wang, & Marcelle Leis, CM Sgt. (Ret)

Educational Objectives:

  • Describe the unique aspects of military culture and how they impact patients who are veterans.
  • Explain the Dwyer Peer-to-Peer program as a resource to assist veteran patients re-acclimating from a group to an individual mentality.
  • Review and identify resources to improve physician’s ability to fully treat veterans who are transitioning back into civilian life.

Additional information or assistance with registration can be obtained by contacting Melissa Hoffman at or (518)465-8085.

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 creditsä.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.                                                          (HOFFMAN)

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Register Now for CME Seminars at the 2019 MSSNY House of Delegates
Physicians are encouraged to pre-register for the educational programs offered at the MSSNY House of Delegates.

Medical Matters: What’s Your Diagnosis? Infectious Diseases – Register here

When: Thursday April 11th at 1:00pm
Faculty: William Valenti, MD

Educational Objectives:

Identify the modes of transmission of infectious agents

Discuss presumptive treatment of infectious diseases in advance of diagnostic testing results

Describe two scenarios and review questions and answers

Veterans Matters: The Special Mental Health Needs of Women Veterans – Register here

When: Thursday April 11th at 2:00pm
Faculty: Malene Ingram, MD, Colonel, US Army Reserves

Educational Objectives:

Review how the increased role of women in the military has impacted their mental health.

Describe mental health concerns unique to women veterans and how to identify and treat them.

Identify the barriers that women veterans face in getting the specific care they need.

Health Matters for Women: Fibromyalgia & Myalgic Encephalomyelitis – Register here

When: Friday April 12th at 1:00pm
Faculty: Florence Shum, DO

Educational Objectives:

Review potential causes of chronic diffused pain and fatigue

Discuss how to accurately diagnose fibromyalgia and myalgic encephalomyelitis

Discuss treatment options for fibromyalgia and myalgic encephalomyelitis

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. 

Improving Maternal Mortality Trends in New York State (Live Seminar and Panel Discussion) – Register here

When: Friday April 12th from 2:00-4:00pm

Faculty: Linda Clark, MD, Lisa Eng, MD, Kenyani Davis, MD & Lauren Tobias, Director, Division of Family Health, NYS DOH (Invited)

Educational Objectives:

Review maternal mortality trends in NYS

Examine racial disparities around maternal morbidity and mortality

Identify potential practice models to improve patient outcomes

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 2.0 AMA/PRA Category 1 credits.  Physician should only claim credit commensurate with the extent of their participation in the activity.

Register Now for Veterans Matters: PTSD & TBI in Veterans on
There is a direct connection between traumatic brain injury (TBI) and PTSD.  Learn more about signs and symptoms at MSSNY’s April 4th webinar Veterans Matters: PTSD & TBI in Veterans at 7:30am. Register for this webinar here.

Faculty: Thomas Madejski, MD

Educational Objectives:

Identify signs and symptoms of PTSD & TBI

Examine evidence-based treatment modalities for PTSD & TBI

Explore military culture and methods to overcome unique barriers to treatment intrinsic to military culture

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.                                                                                                                                                                                                           (Hoffman)


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MSSNY Lobby Day. March 6, 2019, Albany 

Moe Auster speaking at Lobby Day event

Update on ZocDoc Pricing Change
MSSNY was instrumental in getting the pricing change delayed from their original implementation in October 2018. 

Updates on our ZocDoc activities have been in our weekly e-News publication.  Our general counsel, Garfunkel Wild, recently met with NYS DOH on this matter.  NYS DOH is reviewing MSSNY’s concerns on behalf of our members and any update will be in a future e-news. 

Council Notes from March 5 Meeting in Albany

  • Representatives from OPMC and the Board of Medicine led a discussion on “Physician Wellness.” Presenters were Arthur Hengerer, MD, Chair, OPMC;  Robert Catalano, MD, MBA, Executive Secretary, OPMC;  Keith Servis, OPMC Director; and Stephen Boese, Executive Secretary, NYS Board of Medicine.  They stressed that the discussion was about burnout, not misconduct, and provided a roadmap to burnout awareness efforts and physician wellness support.  Following a summary of the OPMC Workgroup Discussion on Burnout, they looked at the potential for collaborative efforts with MSSNY going forward and the next steps to address Physician Wellness.
  • Kevin Sabet, Ph.D, president and CEO of Smart Approaches to Marijuana (SAM) presented “Efforts to Stop Legalization of Marijuana in New York State.” He warned of the perils of opening up marijuana shops in the middle of a drug epidemic and stressed that the effort is to prevent another “big tobacco” situation. He also noted that medical use should be determined by science, not popular vote.  Following Dr. Sabet’s presentation, a counterpoint to the discussion was presented by representatives from Governor Cuomo’s office.  Axel Bernabe, Associate Counsel for Health, Office of Governor Cuomo, and Jason Starr, Assistant Counsel, Office of Governor Cuomo, presented “Overview of the Proposal to Legalize Marijuana in New York State.”
  • Council approved the following amended substitute resolution, which was referred by the 2018 House of Delegates: MSSNY will correspond with the state Office of Mental Health, the Office of Alcoholism and Substance Abuse Services and the Department of Health to determine the mechanism for primary care physicians to access records of mental health and substance use disorders to afford those patients the best medical care. MSSNY will educate its members on what options are available and will transmit a copy of the resolution to the AMA to work towards federal regulations on the matter.

AMA, Planned Parenthood File Lawsuit over Abortion “Gag Rule”
The AP (3/5) reports the rule’s requirement that abortion providers not share office space with Title X clinics “would in many cases boost costs for providers like Planned Parenthood that offer abortions and other services, including family planning.” Planned Parenthood previously said it would forgo Title X funding if the rule is not overturned, “forgoing an estimated $60 million in annual funding” and potentially impacting the “1.6 million of the 4 million women who get care through Title X.”

The Washington Post (3/5) reports the American Medical Association and the Planned Parenthood Federation of America have filed a lawsuit over the new rule from HHS that prevents clinics receiving Title X funding from making referrals for abortion, referred to as the “gag rule.” Barbara L. McAneny, the AMA’s president, said in a statement, “Because of the administration’s overreach and interference in health-care decision-making, physicians will be prohibited from having open, frank conversations with their patients about all their health care options.” Meanwhile, HHS maintains the rule will prevent “‘co-mingling’ of funds that are used for abortion and those that are used for other types of reproductive care.” The rule also prevents clinics from sharing physical space and finances with abortion providers.

New York Hospitals Rank 50th in CMS Star Ratings
The Albany (NY) Times Union (3/4, Bump) reports that New York’s “Capital Region hospitals earned mixed reviews in the latest and long-awaited update to the federal government’s controversial star hospital rating system.” CMS “has published hospital ratings since 2005 in an effort to give the public a way to compare hospitals on measures such as patient experience, timely and effective care, complications and death rates, readmission rates and payments, among other things.” Out of “all 50 states, New York hospitals rank 50th in star ratings.”

HHS To Air Secret Hospitals/Physicians Negotiate With Carriers?
On its front page, the Wall Street Journal (3/7) reports HHS is mulling whether to mandate that hospitals, physicians and others in the healthcare industry publicize the prices they negotiate with insurers for services, which could provide more transparency regarding the true cost of care. The department is seeking public input about whether patients are entitled to this information prior to receiving care.

Medical Groups Want Adolescents to Be Able to Meet with Physicians Individually
The Wall Street Journal (3/6) reports physicians and other experts are pushing for teenagers to be able to speak individually with their doctors. The American Academy of Pediatrics and other groups have long advocated for adolescents to be able to spend time alone with their physicians. The article quotes physicians, parents, and adolescents discussing the potential value of such time as well as some of the barriers to it.

CMS Revises Immediate Jeopardy Guidance
Modern Healthcare (3/6) reports that the Centers for Medicare & Medicaid Services Administrator Seema Verma announced in a blog post “revisions to the guidance surveyors use to spot immediate jeopardy, requiring them to fill out a three-question template that describes the incident.” Verma explained that the changes are due to recent media attention focused on harm at facilities, saying, “Despite stringent safeguards, alarming stories continue to be reported about people, including some of our most vulnerable individuals, who have experienced harm in healthcare settings.” CMS also removed “culpability” as one required component of immediate jeopardy,  and adds psychological harm as a component.

Register Today for MLMIC’s Free Risk Management Program
April 11, 2019 at 9:00am
Westchester Marriott Hotel
670 White Plains Road
Tarrytown, NY 10591

MLMIC is pleased to invite you to attend its Risk Management Program on Thursday morning, April 11, 2019, at the Westchester Marriott Hotel in Tarrytown, New York. The program will run from 9:00 a.m. to 12:45 p.m.  This year’s program will address several topics including Top Risks of the Office Practice Setting, Effective Coordination of Hospitalist Care, and High Exposure Liability Cases. 

Attendance at this complimentary educational event will enable physicians to earn 3.75 AMA PRA Category 1 CME Credits™ and provide the opportunity to complete a second component of the program online, at their convenience, to:

Earn additional CME credits; secure a 5% premium credit on their primary insurance policy, and

Qualify for participation in the “free” Section 18 excess medical malpractice insurance program.

There is no charge to attend however, pre-registration is required.


Sexual Harassment “Train the Trainers” Webinar:
The Impact on the Healthcare System and the Medical Profession
When: March 20, 2019
Time: 12:00pm-1:00pm

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.

At this time, Garfunkel Wild will be offering a complimentary “Train the Trainers” webinar on the issue of sexual harassment.  The live webinar will be presented on March 20, 2019, from 12 noon to 1:00pm.  For those individuals who are unable to participate in the webinar at that time, MSSNY will be placing a recorded version of that webinar on the MSSNY website to facilitate access to the webinar for MSSNY members.

By the conclusion of the “Train the Trainers” webinar, you will know how to teach your employees:

  • How to identify the more subtle forms of sexual harassment.
  • 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.
  • How to respond to sexual harassment in the workplace.
  • Guidelines on how to comply with statutory mandates relating to sexual harassment.

Garfunkel Wild offers individual or group training, on-site or off-site training, as well as webinar modules 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



Fully Renovated Office Space for Part-Time Lease in Hauppauge
Available Tuesdays/Fridays, $450 half session, $750 full session. Elegant office space, beautiful waiting room with new stone and granite reception desk, custom molding, large windows, abundant natural light, TV, and refreshment counter.  Four new exam rooms and dictation room.  New stainless and granite kitchenette.  State-of-the-art network infrastructure meets HIPPA & PCI DSS compliance standards.  Digital X-ray room with PACS in each exam room available as an option.  Located in close proximity to LIE, Northern State Pkwy, and Vets Memorial Hwy. Contact us at (631) 486-8855;  Please see our listing:

Office Rental 30 Central Park South.
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms. Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time.

5th Ave Medical Office for Share
Facing Central Park in exclusive building, ground floor, separate entrance.
Perfect for psychiatrist, physiatrist, osteopath, or other.
880 5th Avenue (between 69th and 70th Sts.), New York, N.Y.
Please call 917-715-2464

Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Available Monday, Wednesday, Friday and weekends. 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). Front desk and office management available if needed, 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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Nurse, RN Utilization Review Full-Time-Westbury, NY (In-office position only)
Excellent opportunity for a RN who is seeking a position performing utilization review.  We require 1-2 years recent experience in hospital and/or insurer utilization review and experience using Interqual criteria and/or MCG Guidelines. Data entry/PC skills a plus. Benefits include 401(k), paid vacation and holidays. Send resume and salary requirements to: Empire State Medical Scientific and Educational Foundation, Inc. Human Resource Department e-mail:  Fax: (1-516) 833-4760 Equal Oppty Employer M/F

Pediatrician BC, P/T
Seeking motivated, enthusiastic pediatrician for P/T position in solo practice in Long Island. Coverage will increase over time. Great opportunity for those seeking part time hours in an established practice.   Fax resume to 516-858-2389.

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