Medical Society Supports March of Dimes Vaccination Efforts


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

 

For Immediate Release
June 4, 2019 

Medical Society Supports March of Dimes Vaccination Efforts 

Statement attributable to:
Arthur Fougner, MD
President, Medical Society of the State of New York

“More than 60 years ago, the March of Dimes pioneered the vaccine research leading to the eradication of polio. The organization has been a leader in the fight for the health and well-being of mothers and children and has stood firm in their efforts to encourage every individual to be vaccinated.

“The Medical Society of the State of New York is pleased to support the March of Dimes’ efforts to ensure that medical exemptions are the only exemptions that exist in New York State. The health of our patients depends on proper vaccinations. Vaccines are, in fact, the very cornerstone of public health. We must preserve community immunity in order to protect society—especially our most vulnerable: newborn babies, pregnant women, the immune-compromised and those with cancer.

# # #

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

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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State Medical Societies Demand Legislators “Say No” to Recreational Marijuana Legalization


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

 

For Immediate Release

State Medical Societies Demand Legislators “Say No” to Recreational
Marijuana Legalization

Group comprises seven State Medical Associations with more than 180,000 physician and student members

May 31, 2019, Westbury, NY— With pressure mounting on state legislatures across the country to legalize recreational marijuana, a group of seven state Medical Societies is calling for cooler heads to prevail.“

This is a public health issue, not a tax issue,” said Thomas Madejski, MD, immediate past president of the Medical Society of the State of New York. “It’s ludicrous to prioritize increased state revenue against increased hospital visits. The health of our citizens is at stake here.

”Indeed, data from states that have legalized recreational marijuana shows an increase in car accidents and an increase in teen use.

The American Medical Association (AMA) stands with the states in expressing concern about legalization of cannabis for recreational use. James Madara, MD, executive vice president and CEO of the AMA recently sent a letter to New York State Assembly Speaker Carl Heastie and New York State Senate Majority Leader Andrea Stewart-Cousins urging them to “delay initiating the legalization of cannabis for recreational (non-medicinal) use until further research is completed on the public health, medical, economic and social consequences of its use.”

The group is urging Congress to re-classify marijuana from Schedule I to Schedule II so that necessary research can be performed to better inform states considering these proposals. As a Schedule II drug, government funding can be sought for necessary research that clearly defines the positive and negative elements of marijuana use.

“One of our chief concerns is the lack of sufficient research and clinical study upon which legislators and voters are approaching this issue,” said Dr. Madejski. “A major contributing factor is that marijuana continues to have a schedule I classification by the federal government, which significantly limits the comprehensive research that can be performed to inform physician and consumer decision-making.”

A final concern involves the worsening of the current mental health and substance abuse crisis enveloping the country.

“We have seen a relentless push by wealthy Wall Street Venture Capitalists to create a new addiction industry to extract profits from all our communities but especially those already experiencing socioeconomic challenges,” said Dr. Madejski. “They are particularly devious in hiding their true intentions with legitimate arguments to redress inequities in social justice and health care disparities. Redressing these inequities does not require expanding use of a substance with well documented harms to our vulnerable populations, particularly with regards to accidental deaths, substance abuse disorders and severe mental health issues.”

# # #

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

The state medical societies in the group are New York, New Jersey, Connecticut, Delaware, New Hampshire, Pennsylvania and Ohio.

 

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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MSSNY eNews – May 31, 2019 – WHO YOU GONNA CALL? MSSNY!

Arthur Fougner MSSNY Presiident

PRESIDENT’S MESSAGE<
Arthur Fougner, MD
MSSNY President

MSSNY eNews
May 31, 2019

Vol. 22  Number 21


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Colleagues:

We get asked all the time: “Why MSSNY”? Or perhaps, “What does MSSNY do for me?” For two Bronx physicians, that answer is resoundingly clear— “MSSNY saved our practice.”

Two Bronx doctors received notification from their largest carrier that because of an issue with their Maintenance of Certification (this will be the subject of a future piece), they were about to be dropped from participation. These physicians do not practice in the trendy Hamptons or on the tony Upper West Side. They do primary care for patients of modest means and, I must say, do it well.

So they reached out to us with a cry for help. Right away, our in-house ombudsman Regina McNally contacted the carrier for more information. We also suggested they reach out to Bronx State Senator Gustavo Rivera who now chairs the Health Committee about the problem. We also did the same.

Lo and behold, the physicians received a follow-up letter from the carrier apologizing for a “mistake,” assuring them that they would remain an integral part of their network.

Funny how that works, right?

So the next time anyone asks “Why MSSNY?,” invite them to pull up a chair and tell them the story of the two Bronx physicians.

As a postscript, the following week, I met up with Sen. Rivera at an event and he told me that after speaking with those same doctors, he was introducing legislation on this whole “MOC business.”

Stay tuned.

Get up, Stand up. Stand up for your right.
Get up, Stand up. Don’t give up the fight.

Bob Marley

Arthur Fougner, MD
MSSNY President 

Comments? comments@mssny.org; @mssnytweet; @sonodoc99


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Podcast SymbolThis Week’s Podcast of MSSNY’s Legislative Priorities


 

Capital Update


Wrongful Death Bill Reported Out of Judiciary Committees
All physicians are urged to contact their legislators to oppose a bill that would cause enormous increases in medical liability premiums by expanding damages awarded in wrongful death actions. Senator Hoylman and Assemblyman Weinstein’s S.4006/A.5612, which was reported out of the Senate and Assembly Judiciary Committees on Thursday,  which will now be considered in the Senate Finance and Assembly Codes committees, would expand the possible award in a wrongful death action to include compensation for grief or anguish, the loss of love and companionship, loss of services and support and the loss of nurture and guidance.

Current law allows the family and/or estate of a decedent to sue for both economic damages and for pain and suffering that the decedent may have experienced prior to death. They also may sue for economic loss incurred due to the death. This bill would greatly expand the permissible compensation and would likely lead to drastic increases in already outrageously high liability insurance premiums.  An Actuarial estimate released by the NY Lawsuit Reform Alliance indicated that passage of this legislation could increase premiums by nearly 50%!!

With New York consistently being ranked as the worst state in the country in which to practice medicine, in large part due to its overwhelming liability exposure as compared to other states in the country, passage of this legislation would likely exacerbate these issues, making the practice environment even worse. Physicians are urged to contact their legislators and let them know how harmful this bill would be by going here.  (AVELLA) 


NYS Has 845 Confirmed Measles Cases—Physicians Urged to Call Legislators to Demand Action on this Public Health Epidemic
As of May 24, 2019, there are 940 confirmed cases of measles nationally—with 845 of them here in New York State.   Physicians throughout the state are encouraged to call their legislators and urge action on a bill that would allow only medical exemptions for immunizations.  The measure, A.2371/S.2994A, is in the Assembly & Senate Health Committees.   The Medical Society of the State of New York has joined 29 other medical organizations, patient advocacy groups and public health organizations, meeting with members of the Legislature to advocate for passage of this measure.

Advocates against mandatory vaccinations continue to call and meet with legislators and were in Albany again this week.  It is vitally important that physicians call or send messages to their legislators urging action on this measure.  You can help by following these steps:

  • Physicians are strongly urged to contact members of the Assembly Health Committee. Please call at 518-455-4100 and ask for the following Assemblymembers: Gottfried, Schimminger, Galef, Dinowitz, Cahill, Paulin, Cymbrowitz, Gunther, L. Rosenthal, Hevesi, Jaffee, Steck, Abinanti, Braunstein, Kim, Solages, Bichotte, Barron, Sayegh,Raia, McDonough, Ra, Garbarino, Byrne, Byrnes, Ashby.  Tell them that you support passage of A.2371/S.2994, which would repeal the religious exemption, ensuring that the only allowable exemption to vaccination will be for medical reasons.
  • Please send a letter to your legislator via the MSSNY Grassroots Action Center (GAC).  Please click here !
  • Physicians are encouraged to work with their local county medical society to schedule a local legislative meeting with your with local legislators! Please call your State Senator and Assembly Member’s office to voice your support of this legislation. There is strength in numbers! Please click here

The Medical Society of the State of New York’s Memo in support of A.2371/S.2994A can be found here and a copy of the memo produced by physician and public health organizations and parent and patient advocacy groups’ memo is available here.

Senate Majority Leader Andrea Stewart-Cousins has indicated that she has enough votes to pass this measure in the Senate and Governor Andrew Cuomo has publicly stated that he will sign the bill if it comes to his desk.  The question is whether there will be enough votes in support in the New York State Assembly Health Committee.

Joining the Medical Society in support of repealing religious exemptions are the following groups:  American Academy of Pediatrics, NYS District II, Chapters 1, 2 & 3, American Nurses Association – New York (ANA-NY),  Associated Medical Schools of New York, Autism Science Foundation, Citizen Committee for Children of New York, Inc., Children’s Defense Fund-New York, Erie County Department of Health, Ithaca Is Immunized, Kimberly Coffey Foundation, Nurses Who Vaccinate, March of Dimes, Meningitis B Action Project,  Nurse Practitioner Association New York State, New York American College of Emergency Physicians, New York State Society of Dermatology and Dermatologic Surgery, NY Chapter American College of Physicians, NYS Academy of Family Physicians, NYS Association of County Health Officials (NYSACHO), NY Occupational and Environmental Medical Association (NYOEMA), NY State Neurological Society, NY State Neurosurgical Society, NYS Ophthalmological Society, NYS Society of Otolaryngology-Head and Neck Surgery, NYS Public Health Association, New York State Society of Anesthesiologists, Inc., The New York State Radiological Society, Schuyler Center For Analysis and Advocacy, The Children’s Agenda, Tompkins County Department of Health and the Tompkins Board of Health.(CLANCY)


Rural Health Care Hearing Highlights Roots of Rural Access Issues
On Friday the Assembly Health Committee held a hearing to discuss issues surrounding access to care in rural communities. The committee heard testimony from a wide array of individuals, including those representing physicians, hospitals, home care organizations and other providers. The theme was consistent as those testifying spoke to the need to increase reimbursement to rural areas.

Dr. Chris Kjolhede, a pediatrician from Cooperstown and MSSNY delegate, testified on behalf of MSSNY and addressed the variety of issues challenging communities in rural areas. These include the need for more adequate reimbursement for services provided to Medicaid members; enhanced ability to incentivize physicians to practice in rural areas through increased funding for programs like Doctors Across New York (DANY); innovation through a carefully planned and quality-controlled telemedicine system; understanding how social determinants of health impact communities in order to craft localized solutions; and supporting evidence-based public health measures. Dr. Kjolhede and others also stressed the strong willingness on the behalf of physicians and other stakeholders to work together to improve access to quality care in rural areas.   (AVELLA)



Physician Advocacy Needed in End of Session Push for Insurance Reforms
With only three weeks remaining until the scheduled end of session, strong advocacy is needed on a variety of insurance related bills that MSSNY is supporting in order to bring about positive reforms to the health insurance system in New York. Physicians are urged to help advocate for the advancement of these reforms and emphasize how important these bills are. 

Collective negotiationsNegotiating with insurance companies is extremely difficult, especially when monolithic payers control a huge portion (or all) of the market that you practice in. The fact that you are barred from banding together with your colleagues is unfair, so MSSNY strongly supports legislation introduced by Senator Rivera and Assemblymember Gottfried (S.3462/A.2393) that would allow physicians to collectively negotiate patient care terms with insurance companies such as prior authorizations and network participation rules. Insurance companies have been fighting against this fiercely so we must ensure strong grassroots support for this legislation that would put physicians on more even footing with insurers.

The bill has been reported out of the Assembly Health and Codes Committees and awaits a vote in Ways & Means. Its Senate companion is currently in in the Senate Health Committee. Please urge your Assemblymember and Senator to join on as a co-sponsor and support the bill click here. 

Mid-year formulary changesSurprisingly, current law does not restrict insurance companies from making substantial changes to their formularies mid-year. This is an egregious practice when you consider the fact that your patients choose insurance plans based on the coverage presented to them – and they generally are not able to switch plans mid-year. Senator Breslin and Assemblymember Peoples-Stokes have introduced legislation (S.2849/A.2969) that would prevent mid-year formulary changes so that patients do not experience removal of a drug or changes in tiering when there is no similarly effective option.

The bill is currently on the Senate calendar eligible for a vote and has been reported out of the Assembly Insurance Committee; it currently awaits a vote in the Assembly Codes Committee. Please urge your Assemblymember and Senator to join on as a co-sponsor and support the bill click here.

Prior authorizationsPrior authorizations continue to be a major roadblock to care and cause endless hassles for you and your staff. The burdens caused by excessive and often unjustified prior authorization requirements take away from the time that you should be spending with your patients and lead to far too many hours being spent on paperwork. Senator Breslin and Assemblymember Gottfried have introduced an “omnibus bill” (S.2847/A.3038) that would help physicians in a variety of ways, including reducing prior authorization burdens, updating UR standards and patient protections for prescription drug coverage continuity.

The bill is has been reported out of the Senate Insurance Committee and is on the floor calendar eligible for a vote. Its Assembly companion awaits consideration in the insurance committee. Please urge your Assemblymember and Senator to join on as a co-sponsor and support the bill click here.

Network due processThere is currently a glaring loophole in New York’s laws that allow insurance companies to terminate physicians from their networks by non-renewal without cause or recourse. While they are required to notify physicians when contracts are terminated and physicians are then afforded the opportunity for a hearing, these protections don’t extend to non-renewal. Senator Rivera’s and Assemblymember Lavine’s bill (S.3463/A.2835) would provide physicians with proper due process upon non-renewal and would enhance the current hearing process by allowing the subject of the hearing (the physician) to choose one of the three members of the panel.

The bill is currently eligible for a vote on the Senate Floor. It was recently reported out of the Assembly Codes Committee and will be eligible for a vote in the Assembly next week.  (AVELLA)


MSSNY Testifies at Single Payor Hearing
MSSNY President Dr. Art Fougner testified at a 13-hour long Assembly-Senate hearing this week (click here) examining legislation (S.3577, Rivera/A.5248, Gottfried) that would create a single payor system in New York State.  Dr. Fougner’s testimony praised the sponsors for their efforts to ensure New Yorkers have coverage for the care they need, as well as the efforts to revise the legislation to address concerns that physicians have raised with the legislation.   These improvements include provisions to reduce prior authorization requirements and additional mechanisms to help physicians more fairly negotiate with a monolithic bureaucratic structure.  MSSNY has a long-standing position in opposition to a single payor insurance system, though many physicians across the State have expressed support for such a system.

Dr. Fougner noted that while there are aspects of such a system that are appealing, such as the potential for administrative simplification, MSSNY remains concerned that the good intentions of the sponsors of this proposal may not be how the NY Health system will ultimately operate, particularly when they must respond to situations where anticipated tax revenues do not meet spending projections. He also noted that continued promotion and expansion of the varied programs to provide health insurance coverage for New York’s uninsured and underinsured is MSSNY’s preferred approach.

There will be more hearings on this issue later in the year.   (AUSTER)


Efforts to Legalize Recreational Marijuana Continue as Legislature Nears End
Advocates for legalizing the recreational/adult-use of marijuana in New York are strongly pressing members of the New York State Legislature to pass legislation.   A. 1617A/ S 1527A, sponsored by Assembly Majority Leader Crystal Peoples-Stokes and Senator Liz Krueger, which was recently amended, would create the “marijuana regulation and taxation act”.   The amended bill would expunge lower level marijuana convictions reduce the amount of marijuana that can be possessed to three ounces, and tax marijuana at a higher level.  Additionally, the new bill calls for the state to train police to recognize impaired drivers and establishes an Office of Cannabis Management which would oversee the growth, sale and distribution of hemp and medical marijuana as well as recreational/adult-use marijuana.  The Assembly bill is in the Assembly Codes Committee and the Senate bill is in the Senate Finance Committee.  The Medical Society of the State of New York continues to oppose the legalization of recreational marijuana and continues to work with other advocacy groups that oppose this measure.

Also pending in both houses is A.7467/S.5657, sponsored by Assemblymember Richard Gottfried and Senator Diane Savino, which would greatly expand New York State’s medical program for certifying patients for the use of marijuana.   The bill eliminates “serious condition” and replaces it with “condition” and further expands the list of condition eligible for certification.  The measure also expands the list of practitioners who can certify the patient for the use of marijuana and would authorize “smoking” as a modality of treatment.   The bill is pending in the Assembly Codes Committee and the Senate Health Committee.   (CLANCY, AUSTER)


Bill to Assess Ways to Improve Physician Loan Repayment Program Passes Both Houses
Senator Rivera and Assemblymember Gottfried’s S.4269/A.5425 has passed both the Senate and Assembly and will be sent to the Governor for signature. The bill, which was supported by MSSNY, will require an assessment of the impact of requiring individual applicants for grants from the Doctors Across New York physician loan repayment and physician practice support programs to use the New York State Grants Gateway.

Doctors Across New York (DANY) is a successful recruitment and retention tool that helps attract physicians to underserved areas across New York. This is achieved by offering loan forgiveness and practice start-up financial support from the state. This year, the application has been moved from the Department of Health to the New York Grants Gateway. The process to obtain a grants gateway account and the method via which applicants access the RFA is more rigorous and difficult than the previous process and there is some fear that this will reduce the number of physicians that are able to take advantage of this program.  MSSNY has been working with the NY Chapter of ACP in advocating for this legislation.

The workgroup established by this legislation will gather information on the results of the new application process and will work to ensure that the number of applicants is not negatively impacted by the increased administrative steps needed to apply.       (AVELLA)


Varying Proposals to Address Surprise Medical Bills Contain Positive and Concerning Elements
With several US House and Senate leaders releasing bi-partisan proposals to address the issue of “surprise” patient out of network medical bills that could undermine New York’s acclaimed law, physicians are urged to send a letter (please click here) urging their member of Congress to fight for a law that is consistent with New York’s approach, and to oppose legislation that would undermine New York’s proven model.

Importantly, last week Representative Joe Morelle (D-NY) together with Representative Dr. Phil Roe (R-TN) and Dr. Raul Ruiz (D-CA) released a proposal that seeks to mirror New York’s law, which uses a “baseball arbitration” Independent Dispute Resolution (IDR) system to determine payments for out of network medical care, and uses charge data collected by an independently controlled database as a leading benchmark to guide the IDR.  MSSNY Board of Trustees member Dr. Andrew Kleinman also recently participated in a meeting with the House Doctors Caucus to educate legislators about New York’s approach.

However, several proposals have been advanced that would either require an insurer determined in-network based default rate for out of network surprise medical bills, or create a baseball arbitration system that uses an insurer determined in-network rate as a benchmark.   MSSNY has written to New York’s Congressional delegation praising the approach set forth by Representatives Morelle, Roe and Ruiz, and raising strong concerns with other proposals.

Specifically, New York’s letter raised concerns with the insurance industry’s own notorious history establishing benchmarks for out of network payment, and the history of then-Attorney General Cuomo’s investigation which found that by using a flawed and conflicted database to determine reimbursement rates for out-of-network care, insurers were increasing profits at the expense of patients and physicians.   Moreover, it was noted that New York’s law struck a tenuous balance among various health care stakeholders that protected patients from surprise medical bills and assured that hospital emergency departments had access to needed on-call specialty care.

With so much interest in this issue, there will be likely be Congressional action this year, so physician grassroots advocacy is essential.  (AUSTER)


Expansion of Scope of Practice Legislation Pending on Senate Calendar For A Vote
There are several bills that are now on the Senate Calendar and ready for a vote that would expand the scope of practice for many providers.  The Medical Society opposes the following measures:

  • 5395/A.6185, which is sponsored by Senator Robert Jackson and Assemblymember Gary Pretlow, would inappropriately expand the scope of practice of podiatrists the following ways: by reducing certification requirements for podiatrists seeking to have advanced surgical privileges; Removing the requirement that a podiatrist seeking either standard ankle surgery or advanced ankle surgery privileges be directly supervised by a podiatrist with an advanced license from the NYSED or a physician; and enabling podiatrists to treat wounds that are not contiguous with structures of the foot or ankle.
  • 5092/A.3867, sponsored by Senate Health Chair Gustavo Rivera and Assemblymember John McDonald. This would add pharmacists to the list of licensed health care professionals authorized under public health law to perform non-invasive laboratory tests as an adjunct to their professional services, without an order from a physician to provide such services.
  • 5227/A.6511A, sponsored by Senator Rachel May and Assemblymember Amy Paulin. The bill would allow pharmacists to provide ALL immunizations on the Advisory Committee on Immunizations Practices (ACIP) list recommended for adults, this would more than double the number of immunizations pharmacists would be permitted to provide.
  • 4975/A.6486, sponsored by Senator Neil Breslin and Assemblymember John McDonald, would authorize a pharmacist to administer vaccines for hepatitis A, hepatitis B, and human papillomavirus

to adults via a patient or non-patient specific script.

Please urge your legislators to oppose these measures.  Assembly 518-455-4100, and Senate 518-455-2800.    (CLANCY, AUSTER)     


AMA Opioid Task Force Issued 2019 Report
The AMA Opioid Task Force this week issued an updated report containing recommendations focusing on tangible actions that can help to end the opioid epidemic. In 2014-15, the Task Force issued six recommendations focused on ways in which physicians could take specific actions to help reverse the nation’s opioid epidemic. While there has been   demonstrated progress in each of these areas, it is clear that much more work remains, and policymakers have an increasing role to play. The new recommendations:

  1. Remove prior authorization, step therapy and other inappropriate administrative burdens or barriers that delay or deny care for FDA-approved medications used as part of medication-assisted treatment for opioid use disorder.
  2. Support assessment, referral and treatment for co-occurring mental health disorders as well as enforce state and federal laws that require insurance parity for mental health and substance use disorders.
  3. Remove administrative and other barriers to comprehensive, multimodal, multidisciplinary pain care and rehabilitation programs.
  4. Support maternal and child health by increasing access to evidence-based treatment, preserving families, and ensuring that policies are non-punitive.
  5. Support reforms in the civil and criminal justice system that help ensure access to high quality, evidence-based care for opioid use disorder, including medication-assisted treatment.

The task force consists of American Medical Association, American Osteopathic Association, and 25 specialty and state medical societies as well as the American Dental Association.   The Medical Society of the State of New York is a member of the task force.    The original task force recommendations, issued in 2015, focused on actions that physicians could take to help end the epidemic and are now regularly being followed by New York physicians:

  • Register for and use the state prescription drug monitoring program;
  • Enhance education and training on effective, evidence-based treatment;
  • Support comprehensive care for patients in pain and those with a substance use disorder;
  • Remove stigma. Patients with pain and with a substance use disorder deserve comprehensive care and compassion, not judgment;
  • Expand access to naloxone in the community and through co-prescribing; and
  • Encourage safe storage and disposal of opioids and all medications. (CLANCY)

Measles Outbreak in New York State Continues to Spread
Webinar Available at MSSNY CME Website

The number of measles cases in New York State in 2019 has again seen an uptick over the past week.  806 of the 940 confirmed cases nationwide are in New York State. In 2019 there have been 493 confirmed cases in New York City and 313 outside of New York City (254 in Rockland; 37 in Orange; 17 in Westchester; 3 in Sullivan; 1 in Suffolk and 1 in Greene counties) confirmed cases as of May 30th.  MSSNY conducted a just-in-time Medical Matters webinar entitled “The Continued Public Health Threat of Measles 2018” in December, 2018.  This webinar has now been posted to the MSSNY CME website. https://cme.mssny.org/ . You can also view MSSNY’s latest Medical Matters webinar entitled “What’s Your Diagnosis? Infectious Diseases” which involves a patient with a fever and a rash. Please check these out and keep yourself informed about the growing measles outbreak throughout New York State.  You can also listen to MSSNY’s brief podcast on the Measles, Mumps and Rubella vaccine here.          (HOFFMAN, CLANCY)


Registration Now Open for Veterans Matters CME Webinar on June 5th
Register now for MSSNY’s next Veterans Matters webinar June 5th at 7:30am. This webinar is entitled Substance Use Disorders in Veterans.  Register for this program here .

Veterans Matters: Substance Use Disorders in Veterans

When:  Wednesday June 5 2019 at 7:30am – Register here

Faculty: Frank Dowling, MD

Educational Objectives

  1. Define Substance Use Disorders (SUDs), symptoms, warning signs, comorbidities
  2. Explore evidence-based intervention and treatment options for SUDs among veterans
  3. Identify barriers to diagnosis and treatment and methods to overcome them

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


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SURVEY: What are Your Challenges with EHR?
MSSNY, in conjunction with other physician associations, has been working with the New York e-Health Collaborative (NYeC) on ways to reduce the hassles associated with the implementation and use of electric health record (EHR) systems.

To that end, they have developed a survey for physicians to complete gauging the challenges of EHR use, including connecting to and using medical information from your local Regional Health Information Organization (RHIO) to enhance patient care delivery.

Please take just a few minutes to complete the survey here.


Opioids Prescribed in 1 of 6 ED Visits by Young People
One in six emergency department visits by adolescents and young adults resulted in an opioid prescription, according to a Pediatrics study.

Using 2005 to 2015 data from two national health surveys, researchers examined 47,000 visits to emergency departments and 31,000 visits to outpatient clinics among patients aged 13 to 22. Among the findings:

  • Nearly 15% of emergency department visits and 3% of clinic visits resulted in an opioid prescription.
  • Opioid prescriptions in the ED decreased slightly over time.
  • The prescribing rate surpassed 40% for dental problems in all ages and clavicle fracture in adolescents.

A commentator writes: “This study’s findings reflect many of the unique attributes of health care use by young adults. … Young adults seek care for acute conditions and injuries, chronic conditions, and reproductive care and receive a greater proportion of their care at emergency departments than any age group except for the elderly.”

Pediatrics article


MSSNY Council Notes—May 30. 2019

  • MLMIC has filed for a no rate increase and a “claims free” discount with DFS. The decision is expected at the end of June. MLMIC will let MSSNY know immediately when the decision is made and we will inform membership.
  • MLMIC has contributed $50,000 to MSSNY’s Physician Wellness Committee, which is chaired by Dr. Charles Rothberg.
  • On behalf of MSSNYPAC, Dr. Thomas Lee reported very successful fundraising events in Erie County and Staten Island, and encouraged each county in New York to develop a local fundraising effort to bring new members into MSSNYPAC. Contact Jennifer Wilks at jwilks@mssnypac.org or 518.465.8085 to get started.
  • The Medical, Educational and Scientific Foundation of New York (MESF) will run a final Physician Leadership Seminar June 21-22 at the Hyatt Regency in Hauppauge on Long Island. Contact Tom Donohue at tdonoghue@mssny.org for more info.
  • 40 MSSNY Delegates and Alternates will attend the annual AMA meeting June 8-12 in Chicago.
  • Hayden S. Wool, a partner with Garfunkel Wild, presented “Key Considerations in Informing Ancillary Services through a Group.” He provided an overview of the key regulatory compliance issues related to patient referrals and the performance of ancillary services by Group Practice. The presentation focused on an overview of physician consolidation/service expansion; structural changes; and regulatory compliance issues.
  • Onondaga County Medical Society hired Erika Barry as their new executive director.

Westchester Medical Center Locked in Contract Dispute
Empire BlueCross BlueShield has notified its members that Westchester Medical Center Health Network will become out-of-network on June 1 unless the two sides reach an agreement. The health network’s contract with Empire expired April 1, but discussions have continued during a two-month “cooling off” period. “We have a strong desire for Westchester Medical Center to be in-network, but we have to provide affordable products,” Alan Murray, Empire’s CEO, told Crain’s. “That’s a constant balance we’re challenged with.”

The insurer sent a letter describing the potential network changes to members last month; it was obtained this week by The Journal News. The hospitals affected are Westchester Medical Center and Maria Fareri Children’s Hospital in Valhalla; Bon Secours Community Hospital in Port Jervis, Orange County; Good Samaritan Hospital in Suffern, Rockland County; St. Anthony Community Hospital in Warwick, Orange County; and MidHudson Regional Hospital in Poughkeepsie, Dutchess County. The insurer told members that Empire would cover WMCHealth facilities as in-network during emergencies, when services have been previously authorized or where another provider is not within 30 miles of a patient’s home. (Crain’s Health Pulse)


Some Measles Patients Are Asked Not to Travel by Air
Five states, including New York, have advised people who may have measles that public health officials could stop them from boarding airplanes, the Washington Post reports.

State officials can request that the CDC put measles patients on a Do Not Board List that could prevent them from getting on aircraft. All eight people given the warnings by officials in New York, California, Illinois, Oklahoma and Washington State canceled their flights.

The CDC reported 971 cases of measles in the United States so far this year, the highest number in over a quarter-century an increase of 91 cases in the past week. CDC Director Robert Redfield pleaded with hesitant parents to vaccinate their children, reiterating that measles and other vaccines are safe and do not cause autism. Maine and New Mexico have joined the list of 26 states that have confirmed measles. https://www.cdc.gov/measles/travelers.html; CDC measles outbreak surveillance;  NEJM Journal Watch Infectious Diseases coverage of U.S. measles outbreak in 2019


Growing Number of Cancer Patients Are Using Electronic Cigarettes
Findings published in a research letter in JAMA Oncology report that “research shows a growing number of cancer patients are using electronic cigarettes.” Investigators found that “e-cigarette use by cancer patients rose from 8.5% in 2014 to nearly 11% in 2017.” The data indicated that “among patients younger than 50, the rate of use rose from 23% in 2014 to 27% in 2017.”


CDC: Decline of Diagnosed Diabetes in US, Yet Overall Numbers High
Even though “rates of diagnosed diabetes in the United States may finally be declining…overall numbers remain high,” Stephen R. Benoit, MD, and colleagues from the Division of Diabetes Translation, Centers for Disease Control and Prevention (CDC) concluded after analyzing “data for an almost 40-year period (1980-2017) from the National Health Interview Survey.” The findings were published online in BMJ Open Diabetes Research and Care. https://drc.bmj.com/content/7/1/e000657


Weed Killer May Be Linked to Liver Disease, Study Suggests
An article published online in Clinical Gastroenterology and Hepatology reported that research suggests “the popular weed killer Roundup might be linked to liver disease.” Researchers found that “a group of patients suffering from liver disease had elevated urine levels of glyphosate, the primary weed-killing ingredient in Roundup.” Lead researcher Paul Mills said, “We found those patients who had more severe disease had higher levels of [glyphosate] excretion, which means they had higher levels of exposure, presumably through their diet.”


Dr. Madejski Debates Legalization of Recreational Marijuana
Immediate Past President Dr. Tom Madejski debates recreational marijuana with author, screenwriter, former editor-in-chief/Publisher at High Times and convicted drug smuggler Richard Stratton on the podcast Morano Whenever. Highlights of the debate will also air this Sunday morning on AM 970 THE ANSWER, which is broadcast in the New York metropolitan area.


Classified

RENTAL/LEASING SPACE


Medical Office Space for Rent!
Beautiful Newly Renovated Medical Office on the Upper East Side between Madison and Park Avenue! Conveniently located near all public transportation and Mount Sinai Hospital. Consult and Exam room available for rent part time or full time (see pictures). Please call 212-860-0300 or email carnegiehill0062@gmail.com for further information.
Pictures of office space for rent on Madison Ave


Park Avenue Medical Office for Sale
On Park Ave, for sale is a large medical office, in a beautiful full service co-op with two entrances, one of which is an impressive doorman in lobby entrance.The office has high ceilings, easily adaptable to any specialty and priced to sell. Three good size rooms easily converted to five exams, plus consult, bathroom, reception and large waiting room. Outstanding location. A must see. View floorplan http://ow.ly/kKOI30o6MjI. Call Jeff Tanenbaum,  646-234-2226 or email jtanenbaum@halstead.com for showings and more information.


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: https://www.loopnet.com/Listing/517-Route-111-Hauppauge-NY/15298633/


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. 212.371.0468drdese@gmail.com.


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.


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

Multi-Specialty Medical Office Looking To Bring On More Doctors
New York Medicine Doctors Center is a multi-specialty Medical Agency networking some of the best medical professionals and specialists in the New York Tri-State area. Our offices currently serve both Manhattan and Queens, providing a variety of advanced technological on site testing, imaging, and services for the most rapid results.

We are actively looking to bring on board an array of Doctors specializing in Primary Care, Gynecology, Gastroenterology, ENT, Urology, Podiatry, and Dermatology.

As we continue to broaden our medical services in both locations, we also provide individualized on-boarding contracts with health benefits, tailored in-house marketing and advertising, practice management assistance, and in house team of administration dedicated in serving any and all concerns whether it be credentialing or equipment related tasks.

If you are interested in joining our growing network, please do not hesitate to contact us

at 718-360-9550 or 212-931-8533. Our direct email is drshusterman@gmail.com

Primary Contact: Oksana


 

 


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: chunt@mssny.org  Fax: (1-516) 833-4760 Equal Oppty Employer M/F


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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


MSSNY eNews – May 24, 2019 – Memorials and Decorations

Arthur Fougner MSSNY Presiident

PRESIDENT’S MESSAGE<
Arthur Fougner, MD
MSSNY President

MSSNY eNews
May 24, 2019

Vol. 22  Number 20


MSSNYPAC Seal

 


Colleagues:

This is Memorial Day weekend. We celebrate the unofficial beginning of summer with barbecues, sitting in traffic en route to newly opened pools and beaches, or perhaps strolling in lower Manhattan for the Fleet Week celebration. Maybe you take care of that long delayed yard work and sit on the back porch, sipping lemonade or something stronger, enjoying the weather. But really, is this what Memorial Day is about?

Memorial Day began as separate remembrances in 1866 in both the North and the South. In the town of Waterloo, NY, a ceremony was held to honor the local veterans. (This was later recognized by President Lyndon Johnson as the birthplace of Memorial Day.) In 1868, Gen. Logan declared May 30 Decoration Day for the official placing of florals on the graves of the Union War Dead. As America entered World War I, Decoration Day became today’s Memorial Day to honor those who died in all America’s wars.

One of the earliest of those was a physician. Gen. Joseph Warren was a Boston physician who once saved a young John Quincy Adams finger from amputation. A prominent member of the Sons of Liberty, Warren had enlisted Paul Revere and William Dawes to take that famous ride. Though a General, he chose to fight with the enlisted men who stood their ground on Breed’s Hill (Yes, the Battle of Bunker Hill was actually fought on Breed’s Hill.) Dr. Warren gave his all for what would become our United States in the British troops final assault.

We should also remember one of our own – Dr. Ralph Schlossman. Although he did not die in battle, he served our country honorably and was perhaps the first US physician to fly jets. Dr. Schlossman’s cause was and remains our cause – the good of all patients and their doctors.

So as you enjoy that last hot dog, perhaps washing it down with an adult beverage or two, do remember those who served and gave their all for their cause – us.

The torch; be yours to hold it high.
If ye break faith with us who die
We shall not sleep, though poppies grow
In Flanders fields.  – John McCrae, Flanders Fields

Arthur Fougner, MD
MSSNY President 

Comments? comments@mssny.org; @mssnytweet; @sonodoc99


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Capital Update


Physician Action Needed to Help Stop Measles Outbreak, NYS Has 810 Confirmed Cases!
There are 810 confirmed measles cases in New York State and the number continues to grow.  The Medical Society of the State of New York continues to advocate for passage of legislation that would allow only medical exemptions for immunizations.  The measure, A.2371/S.2994A, is in the Assembly & Senate Health Committees.   MSSNY, along with 28 other medical organizations, patient advocacy groups and public health organizations, have been meeting with members of the Legislature to advocate for passage of this measure. The Medical Society of the State of New York’s Memo in support of A.2371/S.2994A can be found here and a copy of the memo  produced by physician and public health organizations, and parent and patient advocacy groups memo is available here.

Physicians are strongly urged to contact members of the Assembly Health Committee.  Please call them at 518-455-4100 and ask for the following Assemblymembers: Gottfried, Schimminger, Galef, Dinowitz, Cahill, Paulin, Cymbrowitz, Gunther, L. Rosenthal, Hevesi, Jaffee, Steck, Abinanti, Braunstein, Kim, Solages, Bichotte, Barron, Sayegh,Raia, McDonough, Ra, Garbarino, Byrne, Byrnes,Ashby.  Tell them that you support passage of A.2371/S.2994, which would repeal the religious exemption, ensuring that the only allowable exemptions to vaccination will be for medical reasons.  Additionally, please send a letter via the MSSNY Grassroots Action Center (GAC) to your legislator!   Please click here..

Physicians are also encouraged to work with local county medical society to schedule a legislative meeting within your area with! Or call your State Senator and Assembly Member’s office to voice your support of this legislation.     There is strength in numbers! Please look them up here: Please click here

MSSNY President Arthur Fougner, MD and M. Monica Sweeney, MD, a member of the MSSNY’s Committee on Infectious Disease and Health Disparities participated in a press conference this week with the bill sponsors, calling upon the NY State Legislature to pass this vital bill.  Joining the Medical Society in support of repealing religious exemptions are the following groups:  American Academy of Pediatrics, NYS District II, Chapters 1, 2 & 3, American Nurses Association – New York (ANA-NY),  Associated Medical Schools of New York, Autism Science Foundation, Citizen Committee for Children of New York, Inc., Children’s Defense Fund-New York, Erie County Department of Health, Ithaca Is Immunized, Kimberly Coffey Foundation, Nurses Who Vaccinate, March of Dimes, Meningitis B Action Project,  Nurse Practitioner Association New York State, New York American College of Emergency Physicians, New York State Society of Dermatology and Dermatologic Surgery, NY Chapter American College of Physicians, NYS Academy of Family Physicians, NYS Association of County Health Officials (NYSACHO), NY Occupational and Environmental Medical Association (NYOEMA), NY State Neurological Society, NY State Neurosurgical Society, NYS Ophthalmological Society, NYS Society of Otolaryngology-Head and Neck Surgery, NYS Public Health Association, New York State Society of Anesthesiologists, Inc., The New York State Radiological Society, Schuyler Center For Analysis and Advocacy, The Children’s Agenda, Tompkins County Department of Health.      (CLANCY)


Wrongful Death Bill on Senate Judiciary Agenda
A bill to authorize additional compensation in wrongful death actions will be considered in the Senate Judiciary Committee on Thursday. Senator Hoylman and Assemblyman Weinstein’s S.4006/A.5612 would expand the possible award in a wrongful death action to include compensation for grief or anguish, the loss of love and companionship, loss of services and support and the loss of nurture and guidance.

Current law allows the family and/or estate of a decedent to sue for both economic damages and for pain and suffering that the decedent may have experienced prior to death. They also may sue for economic loss incurred due to the death. This bill would greatly expand the permissible compensation and would likely lead to drastic increases in already outrageously high liability insurance premiums. Actuarial estimates have indicated that passage of this legislation could increase premiums by over 50%.

With New York consistently being ranked as the worst state in the country in which to practice medicine, in large part due to its overwhelming liability exposure as compared to other states in the country, passage of this legislation would likely exacerbate these issues, making the practice environment even worse. Physicians are urged to contact their legislators and let them know how harmful this bill would be by going here. (AVELLA)



Advocating to Reduce Health Insurer Hassles – Take Action Now!
As we progress toward the end of session, it is vital that physicians let legislators know how they feel about a variety of insurance-related legislative measures that would impact physicians and their patients’ relationships with insurance companies. The following three bills would help patients to be able to receive timelier treatment with greater choice of physician.  Please take action by contacting your legislators and asking them to support these bills. 

Collective negotiations – Negotiating with insurance companies is extremely difficult, especially when monolithic payers control a huge portion (or all) of the market that you practice in. The fact that you are barred from banding together with your colleagues is unfair, so we strongly support legislation introduced by Senator Rivera and Assemblymember Gottfried (S.3462/A.2393) that would allow physicians to collectively negotiate patient care terms with insurance companies in certain situations.

The bill is currently in the Assembly Ways and Means Committee and in the Senate Health Committee. Please urge your Assemblymember and Senator to join on as a co-sponsor please click here

Mid-year formulary changes – Surprisingly, current law does not restrict insurance companies from making substantial changes to their formularies mid-year. This is an egregious practice when you consider the fact that your patients choose insurance plans based on the coverage presented to them – and they generally are not able to switch plans mid-year. Senator Breslin and Assemblymember Peoples-Stokes have introduced legislation (S.2849/A.2969) that would prevent mid-year formulary changes so that patients do not experience removal of a drug or changes in tiering when there is no similarly effective option.

The bill is on the Senate floor, and advanced this week from the Assembly Insurance Committee to Codes Committee.  Please urge your Assemblymember and Senator to join on as a co-sponsor please click here

Prior authorizations – Prior authorizations continue to be a major roadblock to care and cause endless hassles for you and your staff. The burdens caused by excessive and often unjustified prior authorization requirements take away from the time that physicians can spend with their patients and lead to far too many hours being spent on paperwork. Senator Breslin and Assemblymember Gottfried have introduced an “omnibus bill” (S.2847/A.3038) that would reduce the hassles in a variety of ways, including updating UR standards and reducing the need for repeat prior authorizations.

The bill is advanced from the Senate Health Committee to the Senate floor this week, and is in the Assembly Insurance Committee. Please urge your Assemblymember andSenator to join on as a co-sponsor please click here (Avella, Auster)


Varying Proposals to Address Surprise Medical Bills Contain Positive and Concerning Elements
US House and Senate leaders have each released bi-partisan proposals this week to address the issue of “surprise” out of network medical bills received by patients.    While the House and Senate proposals have some similarities to New York’s law, there are also important differences which raise serious concerns.  Physicians are urged to send a letter from here (please click here) urging their member of Congress to fight for a law that is consistent with New York’s approach, and to oppose legislation that would undermine New York’s proven model.

The American Medical Association testified this week at a hearing of the House Ways and Means Committee examining this issue.  Moreover, Representative Joe Morelle (D-NY) together with Representative Van Taylor (R-TX) and Raul Ruiz (D-CA) released a summary of a proposal that seeks to mirror New York’s law, though the actual legislative text has not been released yet.

Last week, a bipartisan working group led by Dr. William Cassidy (R-LA) released a proposal that attempts to address several issues that cause patients to have surprise bills in the first instance, including increasing insurer transparency of patient cost-sharing requirements, of networks for the varying plans offered by a particular insurer, and annual reporting to HHS of the out of network services it has paid in the previous year.  Moreover, for “surprise” medical bills, it preserves state approaches to addressing surprise bills for patients insured in state-regulated plans.

With regard to ERISA regulated plans, it recommends using New York’s “baseball” arbitration approach, but of great concern, the IDR benchmark would be “commercially reasonable rates (which must be based on in-network rates and not charges) for that geographic area” This approach could greatly undermine New York’s law and eliminate any incentive for a health insurer to negotiate fairly with a physician.  To read more, click here: please click here.

Another proposal, from House Energy & Commerce Chair Frank Pallone (D-NJ) and Ranking Member Greg Walden (R-OR) would also prohibit balance billing for all emergency services and patients would only be held responsible for the amount they would have paid in-network.  It also preserves a state’s ability to determine their own payment standards for plans regulated by the state.   But of great concern, it would establish a minimum payment standard set at the median contracted (in-network) rate for the service in the geographic area the service was delivered. Again, this approach could greatly undermine New York’s law and eliminate any incentive for a health insurer to negotiate fairly with a physician. To read more, click here: please click here.

MSSNY has written to the New York Congressional delegation to raise concerns with the Cassidy and Pallone proposals, as well as to highlight approaches such as the Morelle-Ruiz-Taylor proposal that would mirror New York’s law for ERISA plans. Again, physicians are urged to send a letter to their members of Congress urging that they follow NY’s approach.   (AUSTER)                                                   


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Bill Requiring Physicians to Maintain Excessive Documentation of Discussion of Risks of Prescribing Opioids Moves to Senate Floor; Action Needed!
Physicians are urged to contact their legislators in opposition to legislation (S.4277-A/A.7285-A) which would require physicians and health practitioners who prescribe an opioid or other Schedule II Controlled Substance to discuss with patients’ the risks prior to prescribing the medications. The Medical Society is opposed to this measure and encourages physicians to send a letter to their legislator at the MSSNY Grassroots Action Center (GAC) please click here.

The bill is on the Senate floor and can be voted on at any time.  This legislation would require physicians to discuss (and by extension document that such discussions took place) the following: a) the risks of addiction and overdose associated with opioid medications; b) the reason why the prescription is necessary; c) alternative treatments that may be available; and, d) the risks associated with the use of these medications. Moreover, it would require the physician to counsel the patient on the risks of overdose and the availability of an opioid antagonist each year.

While this legislation is well intended, it ignores existing Public Health Law that essentially requires the patient’s informed consent. This means that when a patient needs treatment, their physician must give them information regarding risks so that they can make an informed decision. Additionally, this is duplicative of requirements that currently exist under other laws mandating that after a physician prescribes the medication, the pharmacist is required to again inform the patient about the risks of taking a controlled substance.

Moreover, for their patients who are on opioid medications longer than 90 days, physicians are required to have a written treatment plan that includes discussing with patients the risks of these medications and possible alternatives to these medications.  MSSNY is also concerned that such requirements will further discourage physicians from prescribing pain medications for patients who need them – already a growing concern – and could potentially scare patients who truly need pain medication away from taking this medication. (CLANCY, AUSTER)


MSSNY Raises Substantial Concerns with Legislation to Expand List of Conditions for Medical Marijuana Program and Allows Smoking of Marijuana
Assembly Bill A7467, sponsored by Assemblymember Richard Gottfried, has moved from the Assembly Health Committee to the Codes Committee.  This measure would greatly expand New York State medical program for certifying patients for use of marijuana. The bill would expand the medical program for use of marijuana by eliminating “serious condition” and its definition of debilitating or condition to just “condition” and further expands the list of conditions.

Conditions currently eligible include: cancer,  positive  status  for  human  immunodeficiency virus or acquired immune deficiency syndrome, amyotrophic lateral sclerosis,  Parkinson’s  disease,  multiple  sclerosis, damage to the nervous tissue of the spinal cord  with  objective  neurological  indication  of intractable  spasticity,  epilepsy, inflammatory bowel disease, neuropathies, Huntington’s disease, post-traumatic stress disorder,  pain  that degrades health and functional capability where the use of medical marijuana is  an  alternative  to  opioid  use,  substance  use  disorder.  The bill would add Alzheimer’s, muscular dystrophy, dystonia, rheumatoid arthritis, autism or any other conditions to the list of conditions that the practitioner may certify.

There is a lack of scientific study regarding the use of marijuana to treat many of these conditions and using marijuana has the potential to exacerbate certain medical conditions.  This legislation would also authorize the “smoking” of marijuana as a modality for treatment.   Furthermore, the list of individuals who can certify the patient for use of marijuana would be expanded to include dentists and podiatrists.   It requires that the practitioner undergo a two hour course as determined by the commissioner of health. The Medical Society of the State of New York is opposed to this measure as we have serious concerns about government legitimizing in statute that a particular treatment is suitable without an appropriate level of scientific review.

This is yet another reason why MSSNY supports rescheduling of marijuana at federal level so that necessary research can be done.  While there is increasing evidence that shows marijuana may be a beneficial treatment for some conditions, there are also significant personal and public health risks related to its use.  The measure also encompasses many of the concepts contained in the 2019-20 Executive Budget proposals to legalize recreational marijuana.   This legislation is an attempt to further expand the use of marijuana under the guise of a “medical” program.  Senator Diane Savino is carrying the bill S. 5657 in the Senate and that bill is currently in the Senate Health Committee.      (CLANCY)


Senate Health Committee Approves Allowing Pharmacists to Use CLIA-Waived Tests; Bill On the Senate Calendar For A Vote

  1. 5092/ A. 3867, sponsored by Senate Health Chair Gustavo Rivera and Assemblymember John McDonald, has moved from the Senate Health Committee to the Senate Floor. The measure would add pharmacists to the list of licensed health care professionals authorized under public health law to perform non-invasive laboratory tests as an adjunct to their professional services. The Medical Society of the State of New York is opposed to this measure. This measure runs contrary to the continuum of integrated care that has become essential and is expected in today’s medical practice and would lead to siloed care. The present system recognizes that CLIA-waived testing of patients by pharmacists must occur under an established protocol and the supervision of a physician who can help to interpret the test results, provide needed context and most importantly set forth a care plan for the patient.   MSSNY has serious concerns that this legislation is a back-door attempt to allow for the establishment of retail clinics within pharmacies.  Additionally, there is absolutely no demonstrated need for not continuing the present system of how a CLIA-waived test is conducted in the pharmacy.  Having physician oversight of this process is an important step in protecting the continuum of health care. (CLANCY, AUSTER)

Bill to Expand Pharmacists Immunization Authority on Senate Calendar
A bill to allow pharmacists to administer all vaccines to adults is on the New York State Senate Calendar awaiting a vote.  Sponsored by Senator Rachel May and Assemblymember Amy Paulin, S. 5227/A. 6511-A would allow pharmacists to provide ALL immunizations on the Advisory Committee on Immunizations Practices (ACIP) list recommended for adults.  This bill significantly expands on legislation enacted in 2008 and 2012 which provided pharmacists only very limited ability to administer vaccinations to adults.

The bill would lift the sunset provision enacted in the 2012 legislation and make permanent the pharmacist’s authority to administer vaccinations to adults.  This law would expand a pharmacists’ current authority to provide seven vaccines to 16 vaccines that are on the ACIP schedule. Many of these immunizations are given as a series with specific time parameters, and calling back a patient within a physician’s office, where contact information available, is at times difficult.  Calling back an individual to a pharmacy to get the additional immunizations may be beyond the capability of that pharmacy.

More importantly, this legislation prevents a review by the NY Legislature as to whether pharmacists should be performing any additional immunizations that may be recommended by ACIP in the future as ACIP reviews newer vaccines.    The measure is currently pending in the Assembly Higher Education Committee.  The Medical Society opposes this bill and urges physicians to call their legislator regarding this measure.   (CLANCY)


Partial Fill Legislation on Senate Health Committee
Senate Bill S1813, sponsored by Senator Gustavo Rivera, is on the Senate Health Committee next week.   This measure allows a prescriber to issue a prescription to a patient for a Controlled Substance II, III or IV that can be filled partially.  It also allows them to prescribe up to a 30-day supply of Controlled Schedule II, III, and IV with a notation to the pharmacist that he/she should only dispense the agreed to amount. Each partial filling would be dispensed and recorded in the same manner as a refilling (i.e., date refilled, amount dispensed, initials of dispensing pharmacist, etc.).

The total quantity dispensed in all partial fillings may not exceed the total quantity prescribed. Partial fills of prescriptions for Controlled Substance II are allowable under federal law but are currently prohibited in New York State. Its companion measure, Assembly Bill 3918, sponsored by Assemblymember John McDonald, has passed the NYS Assembly.  The Medical Society of the State of New York supports this measure.    (CLANCY)


AMA Urges Delay in Marijuana Legalization Efforts
With the New York State Legislature still actively considering legislation to legalize “recreational” or “adult use” marijuana, the American Medical Association this week sent letters to Governor Cuomo, Senate Majority Leader Stewart-Cousins and Assembly Speaker Heastie urging New York State “to delay initiating the legalization of cannabis for recreational (non-medicinal) use until further research is completed on the public health, medical, economic and social consequences of its use.”

Specifically, the AMA letters raised concerns regarding “the effect of recreational cannabis legalization on public health, as well as the impact of its use particularly in high-risk populations such as youth, pregnant women and women who are breastfeeding.”  The letter also noted that “Early data from jurisdictions that have legalized cannabis demonstrate concerns particularly around unintentional pediatric exposures resulting in increased calls to poison control centers and emergency department visits, as well as an increase in traffic deaths due to cannabis-related impaired driving.”  The AMA also raised concerns that “experiences with other legal drugs (i.e., alcohol and tobacco) suggest that for-profit corporations will attempt to weaken regulations intended to protect health in order to maximize profits—resulting in significant public health harms.”

Recognizing that the State Legislature is also looking at proposals to expand the medical marijuana program for various health conditions without adequate scientific justification, the letter noted that importance of facilitating ongoing research to assure health care providers and legislators make informed decisions.  Specifically, the letter noted “the AMA believes that scientifically valid and well-controlled clinical trials conducted under federal investigational new drug applications are necessary to assess the safety and effectiveness of all new drugs, including potential cannabis products for medical use. The AMA supports efforts to ease current barriers to research by encouraging valid scientific and clinical research, expanding sources of research-grade cannabis and facilitating the commercial production of FDA-approved cannabinoid-based drugs.”  (AUSTER, CLANCY)


MSSNY and Specialties Oppose Change to Podiatric Scope of Practice
MSSNY working together with the New York State Society of Orthopedic Surgeons (NYSSOS) and other specialty societies are opposing legislation (S.5395, Jackson) that would inappropriately expand the scope of podiatrists.  The legislation advanced this week from the Senate Higher Education Committee to the Senate floor, with several Senators, including Senators Amedore, Breslin, LaValle and Robach voting without recommendation.  While purporting to be a “technical” correction of the podiatry scope statute, there are several substantive and concerning changes this legislation would make including:

  • Reducing certification requirements for podiatrists seeking to have advanced surgical privileges
  • Removing the requirement that a podiatrist seeking either standard ankle surgery or advanced ankle surgery privileges be directly supervised by a podiatrist with an advanced license from the NYSED or a physician; and
  • Would enable the treatment of wounds that are not contiguous with structures of the foot or ankle

Identical legislation (A.6185, Pretlow) remains in the Assembly Higher Education Committee.  Physicians are urged to contact their legislators to express their opposition to this proposed scope change.                                                         (AUSTER)


Veterans Matters: Military Culture: Everything Physicians Need to Know About Veterans as Patients Live Seminar in Saratoga

When: Tuesday May 28 2019 at 6:45pm (Reception at 6:00pm)

Where: Jacob & Anthony’s « 38 High Rock Road « Saratoga, NY  12866

Faculty: Lt. Col Lance Allen Wang (Ret)

Educational Objectives

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

For more information, contact Gregory Pinto, MD at Gregory685@aol.com or call (518) 587-0772 ext. 12

* Note: There is no charge for MSSNY members and their spouses, but there will be a $40.00 dinner charge for non-MSSNY members

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.


Registration Now Open for Veterans Matters CME Webinar on June 5th
Register now for MSSNY’s next Veterans Matters webinar June 5th at 7:30am. This webinar is entitled Substance Use Disorders in Veterans.  Register for this program here .

Veterans Matters: Substance Use Disorders in Veterans

When:  Wednesday June 5 2019 at 7:30am – Register here

Faculty: Frank Dowling, MD

Educational Objectives

  1. Define Substance Use Disorders (SUDs), symptoms, warning signs, comorbidities
  2. Explore evidence-based intervention and treatment options for SUDs among veterans
  3. Identify barriers to diagnosis and treatment and methods to overcome them

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


pschuh@mssny.org mauster@mssny.org  pclancy@mssny.org  mavella@mssny.org
charring@mssny.org

eNews

Garfunkel Ad


Bloomberg Editorial Board: A Wise Pause on Marijuana Legalization
Bloomberg’s Editorial Board wrote a strong opinion (5/19) on the slick road to marijuana legalization pointing out the downsides in Colorado—spiking of emergency room visits and rise of fatal car accidents. MSSNY’s Immediate Past President, Dr. Tom Madejski, has led the charge to have marijuana moved from Schedule I to Schedule II so it can receive funded research on its negative and positive effects. The piece asks for more research on the long and short term effects of marijuana before rushing to legalize it.


New Yorkers Spend Less on Health Care than Other Americans
New York families with employer-sponsored coverage had the second-lowest annual spending on health insurance premiums and out-of-pocket costs among workers in the 50 states and the District of Columbia, according to a new analysis from the Commonwealth Fund.

The median New York family with a job-based plan spent a combined $2,320 on premiums and out-of-pocket costs. The median in the nation was $3,700. The data come from the two most recent editions of the Current Population Survey, which is produced by the U.S. Census Bureau. The analysis covers information reported based on insurance costs in 2016 and 2017. When isolating premiums and out-of-pocket costs, the median New York family contributed $1,300 to their plan’s premiums and spent $500 on out-of-pocket costs, such as copays and deductible payments. That compares with $2,200 and $800, respectively, nationwide. There were also a smaller percentage of families in New York for whom premium contributions represented at least 10% of household income—9.6% compared with 11.6% nationally.

The data present a vastly different picture from a December analysis by the Commonwealth Fund of employers’ benefit plans. That report noted that employer-sponsored plans in New York had some of the highest premiums in the country and fast-growing deductibles.


NY Nursing Homes’ Report Cards Average 3.19 of 5.0
The scores of New York’s nursing homes dipped to an average of 3.19 out of 5 stars in the federal government’s latest Nursing Home Compare report card, down from 3.33 in January.

However, the national average dropped even further, from 3.35 stars to 3.06. New York’s standing improved from 31st to 27th among the 50 states.

The New York City area, with 300 nursing homes rated, had the best regional average at 3.82. The 31 rated homes in the North Country had the lowest regional average at 2.16.

New York’s middling statewide performance comes in spite of high costs. The median price of a semi-private room, at $141,000 per year, was the fifth highest in the country, according to a 2018 survey by the long-term insurance firm Genworth.

The state’s per capita spending on nursing homes was 29 percent above the national average in 2014, according to National Health Expenditures data.

The state’s nursing home industry gets much better grades, as a group, than its hospitals – which collectively ranked 50th out of 50 states in the most recent Hospital Compare report card.

Individual nursing homes can be searched by state, city and ZIP code at Center for Medicare & Medicaid Services’ Nursing Home Compare website. (NY Torch Public Policy)


NYFD Backing Bill Allowing Insurance Reimbursement for Medical Services
The four largest groups representing New York firefighting organizations presented their case to state lawmakers on Monday in favor of a bill, S.3685/A.1778 that would allow fire departments to be paid for medical services by insurers. Currently, “firefighters are prohibited from charging patients for medical care provided through emergency and ambulance services,” which “differs from private ambulance companies and volunteer ambulance corps, which are able to bill patients’ insurers.” The legislation “has met resistance from insurers.” Crain’s New York Business (subscription only) (5/21)


Nassau County Medical Society to Hold Annual Meeting on May 29
Nassau County Medical Society will hold its annual membership meeting at the Westbury Manor on May 29th.  The evening will honor members who have been in the practice of medicine for fifty years and will include presentations on Legal Services: Member Benefits by Jay Silverman, Esq. and An Overview of the NYS Sexual Harassment Law by Nicole Della Ragione, Esq.  Registration and dinner begin at 6:30 pm. Click here for more informationTo reserve a seat, email chris.nassaumed@gmail.com.


CPC® CERTIFICATION PREP COURSE
BECOME A PROFESSIONAL CODING EXPERT (CPC®)
August 10th – December 7th 2019 | 9am – 5:30pm
Exam Date: December 14th, 2019 | 9am -3pm | Book Check at 8am
Includes One Year AAPC Membership (New Enrollments Only)
& Coding Books! REGISTER TODAY


Study: 5.2% of New Cancer Cases in Adults May be Attributable to Poor Diet
Researchers analyzed data from the National Health and Nutrition Examination Survey and concluded that “an estimated 80,110 new cancer cases among adults 20 and older in the United States in 2015 were attributable simply to eating a poor diet.” The study’s first author, Dr. Fang Fang Zhang of Tufts University, said, “This is equivalent to about 5.2% of all invasive cancer cases newly diagnosed among US adults in 2015,” which “is comparable to the proportion of cancer burden attributable to alcohol.” The findings were published in JNCI Cancer Spectrum. https://academic.oup.com/jncics/advance-article/doi/10.1093/jncics/pkz034/5492023


 

CMS

QPP Tip of the Month: Navigating the QPP
With annual updates to the Quality Payment Program (QPP), and especially for the Merit-based Incentive Payment System (MIPS) pathway, it can be difficult for physician practices to track year-to-year changes and integrate them into their MIPS planning. PAI’s MACRA QPP Resource Center has several resources that can help you navigate the QPP for 2019:


Classified

RENTAL/LEASING SPACE


Medical Office Space for Rent!
Beautiful Newly Renovated Medical Office on the Upper East Side between Madison and Park Avenue! Conveniently located near all public transportation and Mount Sinai Hospital. Consult and Exam room available for rent part time or full time (see pictures). Please call 212-860-0300 or email carnegiehill0062@gmail.com for further information.
Pictures of office space for rent on Madison Ave


Park Avenue Medical Office for Sale
On Park Ave, for sale is a large medical office, in a beautiful full service co-op with two entrances, one of which is an impressive doorman in lobby entrance.The office has high ceilings, easily adaptable to any specialty and priced to sell. Three good size rooms easily converted to five exams, plus consult, bathroom, reception and large waiting room. Outstanding location. A must see. View floorplan http://ow.ly/kKOI30o6MjI. Call Jeff Tanenbaum,  646-234-2226 or email jtanenbaum@halstead.com for showings and more information.


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: https://www.loopnet.com/Listing/517-Route-111-Hauppauge-NY/15298633/


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. 212.371.0468drdese@gmail.com.


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.


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

Multi-Specialty Medical Office Looking To Bring On More Doctors
New York Medicine Doctors Center is a multi-specialty Medical Agency networking some of the best medical professionals and specialists in the New York Tri-State area. Our offices currently serve both Manhattan and Queens, providing a variety of advanced technological on site testing, imaging, and services for the most rapid results.

We are actively looking to bring on board an array of Doctors specializing in Primary Care, Gynecology, Gastroenterology, ENT, Urology, Podiatry, and Dermatology.

As we continue to broaden our medical services in both locations, we also provide individualized on-boarding contracts with health benefits, tailored in-house marketing and advertising, practice management assistance, and in house team of administration dedicated in serving any and all concerns whether it be credentialing or equipment related tasks.

If you are interested in joining our growing network, please do not hesitate to contact us

at 718-360-9550 or 212-931-8533. Our direct email is drshusterman@gmail.com

Primary Contact: Oksana


Seeking Executive Director of the Onondaga County Medical Society
Concept:
 An exciting opportunity for the right person to provide leadership for physicians Salary: Commensurate with experience Job Description: Direct day-to-day operations of the Onondaga County Medical Society Some evening meetings, travel required. RequirementsExperience with leading political advocacy; political sophistication. Must know how to interface with government officials. Good networking and communication skills. Conversant with budgets and finance. Excellent media relations skills, including electronic, social media, and written communications. Familiar with medical issues and comfortable discussing them. Education: BA/BS required.  MPH or MBA desirable. We expect innovation and project initiation. The Executive Director will receive a contract that increases remuneration commensurate with membership growth. Application Instructions: Please direct your application to: Dr. Brian Johnson, johnsonb@upstate.edu.


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: chunt@mssny.org  Fax: (1-516) 833-4760 Equal Oppty Employer M/F


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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Council May 30, 2019

AGENDA
MSSNY Council Meeting
Thursday, May 30, 2019, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A. Call to Order and Roll Call

B. APPROVAL of the Council Minutes of Sunday, April 14, 2019 (HOD)

C. New Business (All Action & Informational Items)

1. President’s Report
a. 2019 HOD Resolutions referred to Council (For Council Approval)
b. Presidential Appointments to MSSNY’s Executive Committee of the Council:
 (For Council Approval)
Parag H. Mehta, MD (At-Large-Member)
Gregory L. Pinto, MD (At-Large-Member)

2. Board of Trustees Report –  Dr. Sam Unterricht will present the report                         (handout)

3. Secretary’s Report – Dr. Frank Dowling will present the report

4. MLMIC Update  – Mr. Michael Schoppmann, Esq. will present the report

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

6. MSSNYPAC Report – Dr. Thomas Lee will present the report (handout)

7. MESF Update – Dr. Thomas Madejski will present the report (handout)

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

9. County Federation Report – Aaron Kumar, MD will present the report

10. Councilors’ Action Reports
   (No written reports submitted)

11. PresentationOverview of Stark and the Anti-Markup Rule
             Presented by Hayden Wool, Esq. Partner Director, Garfunkel Wild

D. Reports of Officers (Verbal Reports)   

  1. Office of the President – Arthur C. Fougner, MD
  2. Office of the President Elect – Bonnie L. Litvack, MD
  3. Office of the Vice President – Joseph R. Sellers, MD
  4. Office of the Treasurer – Mark J. Adams, MD
    Financial Statement for the period 1/1/19 – 4/30/19
  5. Office of the Speaker – William R. Latreille, Jr., MD

E. Reports of Councilors (Informational)

  1.   Kings & Richmond Report – Adolph B. Meyer, MD
  2.   Manhattan & Bronx Report – Joshua M. Cohen, MD
  3.   Nassau County Report – Paul A. Pipia, MD
  4.   Queens County Report – Saulius J. Skeivys, MD
  5.   Suffolk County Report – Linda S. Efferen, MD
  6.   Third District Branch Report – Brian P. Murray, MD
  7.   Fourth District Branch Report – Gregory Pinto, MD
    (no written report submitted)
  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
  12. Ninth District Branch Report  – Thomas T. Lee, MD
  13. Medical Student Section Report – Peter Joo
    (no written report submitted)
  14. Organized Medical Staff Section – Stephen F. Coccaro, MD
  15. Resident & Fellow Section Report – Catherine E. Steger, DO
    (no written report submitted)
  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. Collective Negotiation & Integration Minutes, May 17, 2019
             b. Governmental Affairs Report
  3. Commissioner of Membership, Parag H. Mehta, MD
        (No written report submitted)
  4. Commissioner of Science & Public Health, Joshua M. Cohen, MD
    a. Legislation Efforts on Medical Exemptions Due to the Measles Outbreak
    Presented by:
    Patricia Clancy, Vice President for Public Health & Education
    xx
    b. “ The Measles outbreaks in Orthodox Jewish Communities”
    Presented by:
    Dr. Awi Federgruen
    Charles E. Exley Professor of Management, Columbia University
    xx
    Dr. Daniel Berman
    Infectious Disease Specialist, Montefiore Medical Center & a member of          MSSNY
    xx

  5. Commissioner of Socio Medical Economics, Howard H. Huang, MD
    (No written report submitted)

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

  1. Membership Dues Revenue Schedule
  2. Group Institutional Dues Comparison Report 

HReport of the General Counsel, Barry Cepelewicz, MD, Esq.
    Garfunkel Wild, P.C.
    (No written report submitted)

I. Report of the Alliance, Joan Cincotta, Co-President
 1. Alliance Report

JOther Information/Announcements

  1. MSSNY Executive Committee Minutes, April 11, 2019
  2. Sign On Letter – QPP Experience Report & Appendix
  3. PAI Letter – QPP Experience & Report
  4. AMA Letters – Concern about legalization of cannabis for recreational use

K. Adjournment

 

 

 

 

MEDIA ADVISORY – Demand Action to Remove Non-Medical Exemptions for School Attendance 


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

 

For Immediate Release
May 20, 2019

MEDIA ADVISORY

With Nearly 800 Cases of Measles in New York,
Lawmakers, Physicians, Nurses and Public Health Groups to Demand Action on
Bill to Remove Non-Medical Vaccine Exemptions for School Attendance 

When: Tuesday, May 21st 2:00 pm
Where: Assembly Staircase, 3rd Floor Capitol Bldg. outside Assembly chamber

Speakers at the press conference will be:

  • Assemblyman Jeffrey Dinowitz, sponsor of A.2371 and other members of the Assembly Health Committee
  • Senator Brad Hoylman, sponsor of S.2994 and other senators
  • Arthur Fougner, MD, MSSNY President
  • Monica Sweeney, MD, Internal Medicine Physician, Member, MSSNY Infectious Disease Committee
  • Shetal Shah, MD, FAAP, NYS AAP, District II, Vice President of Chapter 2, Chair of the Chapter 2
  • Sarah Ravenhall, MHA, CHES, Executive Director, New York State Association of County Health Officials (NYSACHO)
  • Erin E. Jones, Regional Director of Advocacy and Government Affairs, March of Dimes
  • Other supportive organizations representing physicians, nurses and patient/ public health interests 

Why:  According to the State and City Health Departments there were 772 measles cases in New York alone, as of May 14th.  NY State is seeing sharp increases in diagnoses with each week of inaction, and cases have been diagnosed in Brooklyn and six counties outside NYC.

The time for action is now.  Medical experts, together with state legislators and public health organizations, will call for immediate action to address a major barrier to “herd immunity” in order to begin to stem the tide of this highly contagious disease in the state.

# # #

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

MSSNY Contact:
Pat Clancy
Senior Vice President, Public Health and Education/Managing Director
Medical Society of the State of New York
pclancy@mssny.org 518-465-8085

 

 

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MSSNY Statement re: Surprise Bill Proposal


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

 

For Immediate Release
May 16, 2019

MSSNY Statement re: Surprise Bill Proposal

Statement attributable to:
Arthur Fougner, MD
President, Medical Society of the State of New York

“We appreciate the effort of the various Senators and Representatives who have advanced proposals to protect patients from surprise medical bills.  New York has been an innovator in this effort, and our 2014 law has become a model for the nation.  Indeed, the Georgetown University Health Policy Center released a report earlier this week that highlighted how our law has greatly reduced surprise billing complaints in New York while also being perceived as a fair approach by various health care stakeholders.

“While we are proud that aspects of our law have become a model for the proposal advanced by Senators Cassidy and Hassan, and its protection of state laws, we have serious concerns regarding the legislation’s suggested use of health insurer–dictated in network payments as a federal benchmark for resolving out of network payment disputes. This has serious potential to undermine New York’s law, which sought to achieve a critical balance among physicians, hospitals and health insurers, including assuring the availability of needed on-call specialty care in hospital emergency departments across the State.  When seconds count, this proposal could reduce specialized care availability for patients. Instead of insurer controlled data, New York uses a database for its benchmark for its baseball arbitration program that is independent of health insurer or provider control.

“Moreover, this proposal would even further empower market dominant insurance companies, who already have the power in many markets across the country, to foist ‘take it or leave it’ contracts on physicians that not only impact payments for care, but also many other patient care issues, such excessive prior authorization requirements, minimal prescription medication formularies, and narrow networks—all which limit patients’ timely access to care.

“Patients benefit most when physicians have the ability to fairly negotiate participation terms.   We urge our US Senators and Representatives to revise their surprise bill proposals to make them consistent with New York’s acclaimed approach.”

# # #

 

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

 

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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MSSNY Statement re: Rear Seatbelt Legislation


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

 

For Immediate Release
May 14, 2019

MSSNY Statement re: Rear Seatbelt Legislation

Statement attributable to:
Arthur Fougner, MD
President, Medical Society of the State of New York

“The Medical Society of the State of New York is proud to support the legislation calling for rear seat passengers to buckle up and to be safe.

“According to the insurance Institute for Highway Safety, adult rear-row occupants were less likely to use seat belts.  Only 70 percent of those ages 20 to 54 use restraints, and 86 percent of people 55 and older use them.  The adult rear seat unbuckled passengers are at greater risk for chest injuries and traumatic brain injuries than front seat passengers.”

 

# # #

 

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

 

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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MSSNY eNews – May 14, 2019 – When Anti-Vaxers Attack

Arthur Fougner MSSNY Presiident

PRESIDENT’S MESSAGE<
Arthur Fougner, MD
MSSNY President

MSSNY eNews
May 17, 2019

Vol. 22  Number 19


MSSNYPAC Seal

 


Colleagues:

“If you can trust yourself when all men doubt you,
But make allowance for their doubting too:
If you can wait and not be tired by waiting,
Or, being lied about, don’t deal in lies”
If by Rudyard Kipling

This past Tuesday, the circus came to Albany. Led by Ringmaster RFK Jr., this troupe of not so merry pranksters dropped some anti-science fake knowledge on the capital, stating emphatically that measles is a benign disease and that vaccines are the product of Big Pharma and Big Medicine to hold our citizens hostage by the minions of big government. Mr. Kennedy is so far off the deep end that his own family members have publicly distanced themselves from his position.

Apparently, the only one missing was Theodoric of York. However, there’s nothing funny about this bunch. They have attacked mothers, like Jill Promoli, whose children succumbed to vaccine-preventable illnesses.

They attack physicians online – doctors, like Dr. Todd Wolynn, who’ve posted strong arguments for public health and vaccination. They post fake derogatory reviews on the online rating sites.

Much like the pod-created mob from Invasion of the Body Snatchers, they have even attacked state legislators.

They are clearly formidable opposition, so how do we protect our patients and the public health?

One way is by increasing vaccination through legislation. One bill before the Assembly is A2371 which would ensure that only well-defined medical exemptions to vaccines would be acceptable. On Monday, I called all the members of the Assembly Health Committee. With sufficient votes, this bill would get out of committee and onto the floor and most likely be passed.

Below, in the first item in Capital Update there are three steps to take to secure the passage of this legislation.

Oh and one last thing – Here’s another Kennedy on vaccines. 

Arthur Fougner, MD
MSSNY President 

Comments? comments@mssny.org; @mssnytweet; @sonodoc99


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Capital Update

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This Week’s Podcast of MSSNY’s Legislative Priorities


Physician Action Needed to Help Stop Measles Outbreak
In recognition of the measles epidemic expanding in New York State and across the nation, the Medical Society of the State of New York has been advocating for passage of legislation that would allow only medical exemptions for immunizations.  The measure, A.2371/S.2994, is in the Assembly & Senate Health Committees.

MSSNY President Arthur Fougner, MD will participate in a press conference next week at which he will call upon the NY State Legislature to ensure that the only exemption from immunizations is based on a medical reason.  MSSNY, along with 28 other medical organizations, patient advocacy groups and public health organizations, have been meeting with members of the Legislature to advocate for passage of this measure.

The Medical Society of the State of New York’s Memo in support of A.2371/S.2994 can be found here and a copy of the physician and public health organizations, and parent and patient advocacy memo is available here.

Your help is needed now!   There are action steps that you can do to move the legislation forward:

  • Please call the following members of the Assembly Health Committee and tell them that you support passage of A.2371/S.2994, which would repeal the religious exemption, ensuring that the only allowable exemptions to vaccination will be for medical reasons.  There is an Albany and local office number listed:
  • Send a letter via the MSSNY Grassroots Action Center (GAC) to your          legislator!
  • Work with your local county medical society and schedule a meeting within your area with your legislator! Or call your State Senator and Assembly Member’s office to voice your support of this legislation. There is strength in numbers!
  • Please look them up here.

Joining the Medical Society in support of medical exemptions only are the following groups:

American Academy of Pediatrics, NYS District II, Chapters 1, 2 & 3, American Nurses Association – New York (ANA-NY),  Associated Medical Schools of New York, Autism Science Foundation, Citizen Committee for Children of New York, Inc., Children’s Defense Fund-New York, Erie County Department of Health, Ithaca Is Immunized, Kimberly Coffey Foundation, Nurses Who Vaccinate, March of Dimes, Meningitis B Action ProjectNurse Practitioner Association New York State, New York American College of Emergency Physicians, NY Chapter American College of Physicians, NYS Academy of Family Physicians, NYS Association of County Health Officials (NYSACHO), NY Occupational and Environmental Medical Association (NYOEMA), NY State Neurological Society, NY State Neurosurgical Society, NYS Ophthalmological Society, NYS Society of Otolaryngology-Head and Neck Surgery, NYS Public Health Association, New York State Society of Anesthesiologists, Inc., The New York State Radiological Society, Schuyler Center For Analysis and Advocacy, The Children’s Agenda, Tompkins County Department of Health.   (CLANCY) 


Varying Proposals to Address Surprise Medical Bills Contain Positive and Concerning Elements
US House and Senate leaders each released bi-partisan proposals this week to address the issue of “surprise” out of network medical bills received by patients.  Last week, past MSSNY President Dr. Andrew Kleinman had meetings in DC with the House Doctors Caucus, key health policy staff for several US Senators, and Senator Charles Schumer to share New York’s experience with its acclaimed surprise bill law.

While the House and Senate proposals share some similarities with New York’s law, there are also important differences that raise serious concerns.  MSSNY President Doctor Art Fougner made the following statement raising such concerns. Read that statement here.    Physicians are urged to send a letter from here urging their member of Congress to fight for a law that is consistent with New York’s approach.

The first proposal, developed by a bipartisan working group led by Dr. William Cassidy (R-LA), attempts to address several issues that cause patients to receive surprise bills in the first instance, including increasing insurer transparency of patient cost-sharing requirements and of networks for the varying plans offered by a particular insurer and annual reporting to HHS of the out of network services it has paid in the previous year.  Moreover, for “surprise” medical bills, it preserves state approaches to addressing surprise bills for patients insured in state-regulated plans.

With regard to ERISA regulated plans, it recommends using New York’s “baseball” arbitration approach. However, the IDR benchmark would be “commercially reasonable rates (which must be based on in-network rates and not charges) for that geographic area”, a greatly concerning prospect. This approach could greatly undermine New York’s law and eliminate any incentive for a health insurer to negotiate fairly with a physician.  To read more, click here.

The second proposal, from House Energy & Commerce Chair Frank Pallone (D-NJ) and Ranking Member Greg Walden (R-OR) would also prohibit balance billing for all emergency services; patients would only be held responsible for the amount they would have paid in-network.  It also preserves a state’s ability to determine their own payment standards for plans regulated by the state.

But of great concern, it would establish a minimum payment standard set at the median contracted (in-network) rate for the service in the geographic area in which the service was delivered. Again, this approach could greatly undermine New York’s law, potentially diminishing hospital ED on-call specialty care availability and eliminate any incentive for a health insurer to negotiate fairly with a physician. To read more, click here.

The American Medical Association will be testifying at a hearing of the House Ways & Means Committee next Tuesday, May 21 on this issue.    (AUSTER)



Progressing Toward Insurance Reform: Your Action is Needed!
MSSNY members and staff are working with members of the legislature to advance a measure that would help physicians negotiate fairer contracts with insurance companies. The bill, which is carried by Senator Rivera (S.3462) and Assemblymember Gottfried (A.2393) would allow independently practicing physicians to communicate and negotiate collectively with health care plans in limited instances (when health plans have an undue advantage negotiating the terms of contracts with health care providers).

The bill is currently in the Senate Health Committee and Assembly Ways & Means Committee. Physicians are strongly encouraged to advocate for this bill by contacting their legislators and members of the health committees via phone or via email/letter. To take action, click here.

There are also a handful of other insurance related bills supported by MSSNY that are working their way through the legislature and physicians are encouraged to reach out to their legislators to voice their support for these bills. In order to locate your local legislator, click here.

  • 2849/A.2969 would prevent mid-year formulary changes by insurance companies, helping to ensure that patients are able to access the drugs they need without unexpected cost increases mid-year. It has advanced out of the Senate Insurance committee for the first time this year and has passed the Assembly ever year since 2015. Please urge your legislator to support this bill by clicking here.
  • 2847/A.3038 would implement a variety of prior authorization reforms, including reducing the time that insurance companies have to process prior authorizations, ensuring that authorizations are valid for the duration of treatment, and requiring peer-reviewed criteria for decision-making. The bill is scheduled for a vote next week in the Senate Health Committee and is awaiting action in the Assembly Insurance Committee. Please urge your legislator to support this bill by clicking here.
  • 3463/A2835, which would assure due process protections for physicians whose contracts with insurers are non-renewed. The bill is on the Senate floor and in the Assembly Codes Committee.
  • 4335/A.3077 would require insurance companies to utilize uniform credentialing referral forms to streamline processes and cut down on unnecessary and duplicative paperwork for physicians and their staff. The bill has passed the Assembly and will be eligible for a vote in the Senate next week. (AVELLA/AUSTER)

Bill Requiring Physicians to Maintain Excessive Documentation of Discussion of Risks of Prescribing Opioids Moves to Senate Floor; Action Needed!
Physicians are urged to contact their legislators in opposition to legislation (S.4277-A/A.7285-A) which would require physicians and health practitioners who prescribe an opioid or other Schedule II Controlled Substance to discuss with patients’ the risks prior to prescribing the medications. The Medical Society is opposed to this measure and encourages physicians to send a letter to their legislator at the MSSNY Grassroots Action Center (GAC) here.

The bill is on the Senate floor and can be voted on at any time.  This legislation would require physicians to discuss (and by extension document that such discussions took place) the following: a) the risks of addiction and overdose associated with opioid medications; b) the reason why the prescription is necessary; c) alternative treatments that may be available; and, d) the risks associated with the use of these medications. Moreover, it would require the physician to counsel the patient on the risks of overdose and the availability of an opioid antagonist each year.

While this legislation is well intended, it ignores existing Public Health Law that essentially requires the patient’s informed consent. This means that when a patient needs treatment, their physician must give them information regarding risks so that they can make an informed decision.

Additionally, this is duplicative of requirements that currently exist under other laws mandating that after a physician prescribes the medication, the pharmacist is required to again inform the patient about the risks of taking a controlled substance. Moreover, for their patients who are on opioid medications longer than 90 days, physicians are required to have a written treatment plan that includes discussing with patients the risks of these medications and possible alternatives to these medications.  MSSNY is also concerned that such requirements will further discourage physicians from prescribing pain medications for patients who need them – already a growing concern – and could potentially scare patients who truly need pain medication away from taking this medication.  (CLANCY, AUSTER)


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Partial Fill Legislation Passes NYS Assembly; Awaits Action in Senate Health Committee
Assembly Bill 3918, sponsored by Assemblymember John McDonald, has passed the NYS Assembly.   This measure allows a prescriber to issue a prescription to a patient for a Controlled Substance II, III or IV that can be filled partially.  It also allows them to prescribe up to a 30-day supply of Controlled Schedule II, III, and IV with a notation to the pharmacist that he/she should only dispense the agreed to amount. Each partial filling would be dispensed and recorded in the same manner as a refilling (i.e., date refilled, amount dispensed, initials of dispensing pharmacist, etc.).

The total quantity dispensed in all partial fillings may not exceed the total quantity prescribed. Partial fills of prescriptions for Controlled Substance II are allowable under federal law but are currently prohibited in New York State. Its companion measure, Senate Bill S.1813 is sponsored by Senator Rivera and is in the Senate Health Committee. The Medical Society of the State of New York supports this measure.          (CLANCY)


Legislation to Require Those Over 16 to be Restrained in Back Seat Passes NYS Senate; Vote Pending in Assembly

A measure that would require everyone to buckle up in the rear seat has passed in the Senate and is on the Assembly Calendar for a vote.  The bill, S.4336/A.6163, is sponsored by Senator Carlucci and Assemblymember Mosley.  The MSSNY House of Delegates recently unanimously adopted policy urging that seat belts be required in both front and rear seats.  One of the safest choices drivers and passengers can make is to buckle up and 89.6% of drivers and passengers did so in 2018, saving 14,955 lives.

According to the Insurance Institute for Highway Safety adult rear-row occupants were less likely to use seat belts, with just 70 percent of those age 20 to 54 and 86 percent of those 55 and older using restraints. Per IHS, adult rear seat passengers are at greater risk for chest injuries and traumatic brain injuries than front seat passengers.  MSSNY recently participated in a press conference with the bill’s sponsors in support of this measure. (CLANCY)


Congress Passes Package of Prescription Drug Reforms Supported by AMA
On Thursday, the US House of Representatives passed a package of legislation that includes bills aimed at increasing transparency and expanding competition in the pharmaceutical drug sector. The bills, which are supported by the American Medical Association, seek to achieve the following:

  • Penalize drug manufacturers that withhold samples from their generic rivals, potentially promoting competition by facilitating the timely entry of lower-cost generic and biosimilars.
  • Ban “pay-for-delay” agreements where manufacturers pay each other to delay market entry, potentially removing incentives for generics and biosimilars to delay coming to market.
  • Discourage “parking” of the 180-day exclusivity period by the first generic applicant, potentially allowing quicker market entry for additional generics.                                                                                              (AVELLA)

Measles Outbreak in New York State Continues to Spread
Webinar Available at MSSNY CME Website

The number of measles cases in New York State continues to rise with approximately 772 of the 829 cases confirmed in the U.S. as of May 1st occurring in New York State (495 in New York City, 225 in Rockland, 31 in Orange, 17 in Westchester and 2 in Sullivan; 1 in Suffolk and 1 in Greene counties).  MSSNY conducted a just-in-time Medical Matters webinar entitled “The Continued Public Health Threat of Measles 2018” in December, 2018.

This webinar has now been posted to the MSSNY CME website. You can also view MSSNY’s latest Medical Matters webinar entitled “What’s Your Diagnosis? Infectious Diseases” which involves a patient with a fever and a rash. Please check these out and keep yourself informed about the growing measles outbreak throughout New York State.  You can also listen to MSSNY’s brief podcast on the Measles, Mumps and Rubella vaccine here.              (HOFFMAN, CLANCY)


Registration Now Open for Veterans Matters CME Webinar on June 5th

Register now for MSSNY’s next Veterans Matters webinar. This webinar is entitled Substance Use Disorders in Veterans.  Register below for this program.

Veterans Matters: Substance Use Disorders in Veterans

When:  Wednesday June 5 2019 at 7:30am – Register here

Faculty: Frank Dowling, MD

Educational Objectives

  1. Define Substance Use Disorders (SUDs), symptoms, warning signs, comorbidities
  2. Explore evidence-based intervention and treatment options for SUDs among veterans
  3. Identify barriers to diagnosis and treatment and methods to overcome them

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)


 

pschuh@mssny.org mauster@mssny.org  pclancy@mssny.org  mavella@mssny.org
charring@mssny.org

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MSSNY Seeking Information re NYS Physicians Having Difficulties with Walmart on Prescribing Practices
MSSNY is interested in hearing from physicians who may have received a letter from Walmart in regards to the prescribing practices for controlled substance.   Walmart, Walgreens, and CVS pharmacies have implemented the CDC Guidelines for Prescribing Opioids for Chronic Pain as corporate policy.  MSSNY has learned that Walmart has sent letters to physicians throughout the country about their prescribing practices.   In the letters, Walmart indicated that it will no longer be accepting physicians’ prescriptions for Controlled Substances II-V after Walmart’s review of a physician’s prescribing practice.

MSSNY is extremely concerned about corporate policies that could result in refusal to fill prescriptions above certain doses and to refuse to fill prescriptions from certain physicians based on the corporation’s arbitrary definitions of questionable prescribing patterns.  MSSNY is aware that a few NYS physicians have received this letter and several physicians have been told by Walmart that it will not honor any prescription for Controlled Substance II-V.   MSSNY has brought this matter to the attention of the NYS DOH Bureau of Narcotics and is awaiting further information from them.   Any physician who may have received this letter, please contact Pat Clancy, Sr. Vice President, Public Health and Education/Managing Director, at pclancy@mssny.org or by phone at 518-465-8085.


AMA Hires 1st Chief Equity Officer; Push Came from MSSNY Disparities Committee
The AMA announced the hiring of Aletha Maybank, M.D., M.P.H., as its first ever chief health equity officer. Dr. Maybank joins the AMA after serving as deputy commissioner and founding director of the Center for Heath Equity within New York City’s Public Health Department. Prior to being deputy commissioner, Dr. Maybank was an assistant commissioner at the NYC Health Department 2009-2014. Dr. Frank Dowling commented, “The development of this new center started with a MSSNY resolution from the Healthcare Disparities Committee, then to the AMA HOD two years ago. Erick Eiting and Malcolm Reid were members of the Task Force that issued a report last year calling for the development of a center to address health inequities. It seems that Dr. Maybank may be meeting with the LGBTQ AC at the June AMA Meeting. I hope we will hear more about Dr. Maybank and the plans for the development of this center.”

See link below about the hiring of Dr. Maybank

https://www.ama-assn.org/press-center/press-releases/ama-announces-first-chief-health-equity-officer


AAP and AAFP: New Guidance for Sports Physicals
Several medical groups, including the American Academy of Pediatrics and the American Academy of Family Physicians, have released new guidance on conducting a pre-participation physical evaluation, also known as the sports physical. The update includes new information on seeing female and transgender athletes, as well as evaluating a student’s mental health. Clinicians can address subjects like bullying, drug and alcohol use, and birth control during the sports physical.

The groups recommend doing the evaluation as part of the child’s regular health screening visit.

AAP news release; Background: NEJM Journal Watch Pediatrics and Adolescent Medicine coverage of cardiac screening of adolescent soccer players


Planned Parenthood Offering Transgender Hormone Therapy at Two FL Clinics
The AP (5/15) reports Planned Parenthood is “now offering hormone therapy and other services for transgender patients in Florida, starting with two health centers in Miami this week,” with “plans to expand statewide within the year.” Planned Parenthood Florida President Lillian Tamayo said, “We were hearing from our allies and witnessing the kind of barriers that transgender people experience trying to secure healthcare and that is from just walking into a health facility and being treated with judgment and discrimination.” They have plans to extend offering statewide.


Walmart Worried That CT/MRI Errors Lead to Too Many Employee Surgeries
Walmart Inc. is worried that too many of its workers are having health conditions misdiagnosed, leading to unnecessary surgery and wasted health spending. The issue crystallized for Walmart officials when they discovered about half of the company’s workers who went to the Mayo Clinic and other specialized hospitals for back surgery in the past few years turned out not to need those operations. They were either misdiagnosed by their doctor or needed only non-surgical treatment.

A key issue: Their diagnostic imaging, such as CT scans and MRIs, had high error rates, said Lisa Woods, senior director of benefits design for Walmart. So the company, whose health plans cover 1.1 million U.S. employees and dependents, has recommended since March that workers use one of 800 imaging centers identified as providing high-quality care. That list was developed for Walmart by Covera Health, a New York City-based health analytics company that uses data to help spot facilities likely to provide accurate imaging for a wide variety of conditions, from cancer to torn knee ligaments.

Although Walmart and other large employers in recent years have been steering workers to medical centers with proven track records for specific procedures such as transplants, the retail giant is believed to be the first to prod workers to use specific imaging providers Kaiser Health News, May 15.


New York Rx Card Helps Patients Fill Their Prescriptions
Prescription drugs can be a significant cost for you, your employees, and your patients.  Here are some numbers to bear in mind:

  • Pharmaceuticals account for about 22 percent of the cost of insurance premiums.
  • Prices for popular brand name drugs rose 208 percent from 2008-2016.
  • Buyers are spending over $450 billion annually to treat conditions such as high blood pressure, high cholesterol, diabetes, hepatitis C, multiple sclerosis and several cancers.
  • 40 percent of people couldn’t manage payments and asked their doctor or pharmacist for a cheaper alternative.

New York Rx Card can help relieve the “sticker shock” your patient’s feel each time they pay for a prescription.  New York Rx Card is an Rx savings program you can offer to your patients and save up to 75 percent off the retail price.

This Rx savings program was launched to help uninsured and underinsured residents afford their prescription medications. New York Rx Card can be used by patients that have health insurance coverage with no prescription benefits, which is common in many health savings accounts (HSA) and high deductible health plans. The Rx savings program can also be used by individuals who have prescription coverage but are taking medications not covered by their insurance.

Any physicians who are interested in ordering free cards for their clinic/hospital can email Chez Ciccone, Program Director, at fciccone@nyrxcard.com or 800-931-2297.


NY and 43 States Sue 20 Generic Drug Manufacturers Alleging Price Fixing
Attorney General Letitia James joined 43 states led by Connecticut Attorney General William Tong in announcing a lawsuit against Teva Pharmaceuticals and 19 of the nation’s largest generic drug manufacturers alleging a broad conspiracy to artificially inflate and manipulate prices, reduce competition, and unreasonably restrain trade for more than 100 different generic drugs. The drugs at issue account for billions of dollars of sales in the United States.  The States allege that the Defendants’ conduct artificially increased prices to health insurers, taxpayer-funded healthcare programs like Medicare and Medicaid, and individuals who paid and continue to pay inflated prices for their prescription drugs.

The complaint alleges that Teva, Sandoz, Mylan, Pfizer and 16 other generic drug manufacturers engaged in a broad, coordinated and systematic conspiracy to fix prices, allocate markets, and rig bids for more than 100 different generic drugs. The drugs span all types, including tablets, capsules, suspensions, creams, gels, and ointments; and classes, including statins, ace inhibitors, beta blockers, antibiotics, anti-depressants, contraceptives, non-steroidal anti-inflammatory drugs. They treat a range of diseases and conditions from basic infections to diabetes, cancer, epilepsy, multiple sclerosis, HIV, ADHD, and more. In some instances, the coordinated price increases were over 1,000 percent.

The complaint lays out an interconnected web of industry executives where these competitors who met with each other during industry dinners, lunches, cocktail parties, golf outings and communicated via frequent telephone calls, emails, and text messages sowing the seeds for their illegal agreements. Throughout the complaint, defendants are described as using terms like “fair share,” “playing nice in the sandbox,” and “responsible competitor” to describe how they unlawfully discouraged competition, raised prices, and enforced an ingrained culture of collusion.

The lawsuit, filed in the United States District Court for the District of Connecticut, seeks damages, civil penalties, and equitable relief to restore competition to the generic drug market.  “The evidence shows a multi-year, multi-faceted conspiracy to enrich pharmaceutical companies at the expense of consumers,” said Attorney General Letitia James. “The scope of the conspiracy is breathtaking, affecting generic drugs that people rely on every day to treat acute and chronic conditions, like diabetes and arthritis.  The blatant anticompetitive conduct alleged in the complaint harmed consumers’ health and well-being in multiple way and we intend to hold the wrongdoers accountable.”


CMS

2015 Edition CEHRT Required in Program Year 2019 for All Promoting Interoperability Program Participants
Beginning this year, all Promoting Interoperability Programs participants must use 2015 Edition certified electronic health record technology (CEHRT) to avoid a downward Medicare payment adjustment.

We believe these up-to-date standards and functions of 2015 Edition CEHRT will better support interoperable exchange of health information and improve clinical workflows.

2019 CEHRT Requirements

  • The 2015 Edition CEHRT did not need to be in place by January 1, 2019, but must be used for the entire EHR reporting period of any continuous, self-selected 90-day period.
  • The 2015 Edition CEHRT functionality must be in place by the first day of the EHR reporting period and the product must be certified to the 2015 Edition criteria by the last day of the EHR reporting period.

Attestation Statements

In addition to using the 2015 Edition CEHRT, participants must attest to certain statements to demonstrate that they have not knowingly and willfully taken action to limit or restrict the compatibility or interoperability of their CEHRT. These statements are referred to as the “prevention of information blocking attestation.” For more details on information blocking, review this fact sheet.

For More Information

To learn more about 2015 Edition CEHRT requirements, review this fact sheet. Additional information on 2019 program requirements can be found on the Promoting Interoperability Programs website.


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RENTAL/LEASING SPACE


Medical Office Space for Rent!
Beautiful Newly Renovated Medical Office on the Upper East Side between Madison and Park Avenue! Conveniently located near all public transportation and Mount Sinai Hospital. Consult and Exam room available for rent part time or full time (see pictures). Please call 212-860-0300 or email carnegiehill0062@gmail.com for further information.
Pictures of office space for rent on Madison Ave


Park Avenue Medical Office for Sale
On Park Ave, for sale is a large medical office, in a beautiful full service co-op with two entrances, one of which is an impressive doorman in lobby entrance.The office has high ceilings, easily adaptable to any specialty and priced to sell. Three good size rooms easily converted to five exams, plus consult, bathroom, reception and large waiting room. Outstanding location. A must see. View floorplan http://ow.ly/kKOI30o6MjI. Call Jeff Tanenbaum,  646-234-2226 or email jtanenbaum@halstead.com for showings and more information.


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: https://www.loopnet.com/Listing/517-Route-111-Hauppauge-NY/15298633/


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. 212.371.0468drdese@gmail.com.


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.


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

Multi-Specialty Medical Office Looking To Bring On More Doctors
New York Medicine Doctors Center is a multi-specialty Medical Agency networking some of the best medical professionals and specialists in the New York Tri-State area. Our offices currently serve both Manhattan and Queens, providing a variety of advanced technological on site testing, imaging, and services for the most rapid results.

We are actively looking to bring on board an array of Doctors specializing in Primary Care, Gynecology, Gastroenterology, ENT, Urology, Podiatry, and Dermatology.

As we continue to broaden our medical services in both locations, we also provide individualized on-boarding contracts with health benefits, tailored in-house marketing and advertising, practice management assistance, and in house team of administration dedicated in serving any and all concerns whether it be credentialing or equipment related tasks.

If you are interested in joining our growing network, please do not hesitate to contact us

at 718-360-9550 or 212-931-8533. Our direct email is drshusterman@gmail.com

Primary Contact: Oksana


Seeking Executive Director of the Onondaga County Medical Society
Concept:
 An exciting opportunity for the right person to provide leadership for physicians Salary: Commensurate with experience Job Description: Direct day-to-day operations of the Onondaga County Medical Society Some evening meetings, travel required. RequirementsExperience with leading political advocacy; political sophistication. Must know how to interface with government officials. Good networking and communication skills. Conversant with budgets and finance. Excellent media relations skills, including electronic, social media, and written communications. Familiar with medical issues and comfortable discussing them. Education: BA/BS required.  MPH or MBA desirable. We expect innovation and project initiation. The Executive Director will receive a contract that increases remuneration commensurate with membership growth. Application Instructions: Please direct your application to: Dr. Brian Johnson, johnsonb@upstate.edu.


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: chunt@mssny.org  Fax: (1-516) 833-4760 Equal Oppty Employer M/F


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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Vaccines are the Very Cornerstone of Public Health


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

 

For Immediate Release
May 14, 2019

Vaccines are the Very Cornerstone of Public Health

Statement attributable to:
Arthur Fougner, MD
President, Medical Society of the State of New York

“The health of our patients depends on proper vaccinations. Vaccines are, in fact, the very cornerstone of public health. We must preserve community immunity in order to protect society—especially our most vulnerable, newborn babies, pregnant women, the immune-compromised, and those with cancer.

“Along with 28 other medical and public health organizations and patient advocacy groups,  the Medical Society of the State of New York has called on NYS Legislators to authorize ONLY Medical Exemptions from Vaccination.

“Once declared eliminated in the United States by the CDC, measles are now making a comeback. We must do everything that we can to prevent measles from gaining a permanent foothold in New York and prevent the further spread of disease nationally.

“An important first step is ensuring that medical exemptions are the only exemption allowable.”

# # #

 

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

 

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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