March 15, 2019 – Say NO! to Recreational Marijuana NOW

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


MSSNY eNews
March 15, 2019
Volume 22  Number 11

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Colleagues:

MSSNY and our County Societies, along with a coalition of other interested groups have been successful in slowing the expansion of marijuana availability in New York State.  I was told when I came into the Presidency that marijuana was a done deal.  MSSNY and the AMA have excellent policy on a rational approach to dealing with marijuana.

Raising Questions

I asked our County leaders to attend listening sessions across the state this past spring and summer. We often were alone voice against anecdotal reports of the benefit with medicinal and recreational use.  Through those efforts, we have been successful in raising significant questions about the effect of legalization on overall use and significant harms with regards to impaired driving and accidents, creation and worsening of severe mental health issues, and negative impacts on developing minds.  I am very sympathetic to our governmental leaders who are concerned about the effects of legalization in Massachusetts and Canada and the effect on our citizens and potential lost tax revenue.  Having said that, I believe it would be pennywise and pound foolish to follow a path to legalization based on the emerging harms associated with increased use of marijuana in states that have legalized non medicinal use.

Other States Concerned

Our colleagues in New Jersey face similar issues and their situation is accelerating. Seeing the rush by Big Marijuana and Big Tobacco to push their product before it has appropriate vetting,

I have discussed coordinating a campaign to stop the expansion until we have sufficient data on the efficacy and long term implications of use for medicinal marijuana. I have had discussions with leaders from Connecticut, Pennsylvania, and New Jersey about coordinating campaigns to slow the descent towards marijuana induced psychosis. They are reviewing policy and we hope to expand our voice by adding additional physician and community groups who share our concerns.  I look forward to updating you on developments as they occur.

In addition, we have been working proactively with many groups who raised similar concerns, including county health officials, PTAs, school administrators, police, and various think tanks ( i.e. SAM, the Schuyler Center.)

I am quite thankful for the activities of our County Medical Societies in this battle for public health and improvement in the practice of medicine. I am arranging a meeting of the County Presidents and their Executive Staffs with MSSNY to enlist them again in reaching out to their legislators and other decision makers at home to promote the MSSNY prescription for the proper use of marijuana in New York State.

Our three major points are:

  1. To review and address issues with criminal justice, disparate enforcement, and stigmatization associated with low level users.
  2. To reschedule marijuana to Schedule II based on some promising, but still largely anecdotal reports on its utility for certain conditions. If rescheduling can be attained, well-funded research can educate us as to the utility and harms of this complicated product.
  3. To oppose further expansion of non-medical use until the effects of long term use are clarified, States that have legalized should collect data on long term efficacy and side effects. States with legalization can provide further data that develops over the next few years.

You can help. Send a letter to your representatives here. Encourage your colleagues and staff who share our concerns to do likewise.

Cum potestate magna venit magnus responsibilitate

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

Thomas J. Madejski, MD
MSSNY President


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Capital Update

Assembly and Senate Advance Their Own Budget Proposals-Intense Budget Negotiations Underway
This week, the New York State Senate and Assembly each passed their respective “one-House” Budget proposals in response to the Governor’s Executive Budget proposal released in January, and amended in February.  They will now enter a period of intense negotiations to achieve an agreed upon final Budget by April 1, the start of New York’s fiscal year.  Here is a brief summary of the actions taken on key items of concern to physicians and patients that were proposed in the Governor’s Budget, both positive and negative.

MEDICAID – Both the Assembly and Senate rejected the proposed $80/patient Medicaid cut for deductibles for patients covered by Medicare and Medicaid.  Moreover, the Assembly and Senate both rejected the 0.8% across the Board Medicaid payment cut.

Both the Assembly and Senate also rejected the proposed repeal of the “prescriber prevails” protections for prescriptions for patients covered by Medicaid.  The Assembly also included a proposal to have a uniform formulary for Medicaid prescriptions, including for Medicaid Managed Care plans, keeping prescriber prevails protections.

MSSNY President Dr. Thomas Madejski issued a statement praising the Assembly and Senate for taking these actions.  Read his statement here.

Please click here to send a letter to your legislators and the Governor urging that they continue the fight to prevent these cuts.

LEGALIZING RECREATIONAL MARIJUANA – The Assembly and Senate did not include the Governor’s proposal to legalize “adult use” or recreational marijuana in its Budgets, though leadership in both Houses have publicly stated their desire to continue working with the Governor on legislation to enable such use.  Several county Executives announced this week that they would seek to opt their counties out of permitting recreational marijuana use if it is to be legalized in New York.

Please urge your legislators to continue to oppose so-called “adult use” marijuana here.

EXCESS – Both the Assembly and Senate supported the continued historical funding amount for the Excess Medical Malpractice Insurance Program that had been proposed in the Governor’s Budget.

PBMs – The Senate accepted the Governor’s recommendation to license PBMs, and included provisions to enhance penalties for non-compliance.  The Assembly rejected the provision, indicating that it will pursue “stand alone” legislation to regulate PBMs in New York State.

PUBLIC HEALTH – The Senate accepted the Governor’s recommendation to raise the age of tobacco/e-cigarette sales from 18-21 that was supported by MSSNY. The Assembly did not, but because they already passed “stand-alone” legislation on this issue (A.558, Rosenthal).

The Senate accepted the Governor’s recommendation to create a Maternal Mortality Review Board that was supported by MSSNY.  The Assembly did not, but could likely pass their own legislation (both the Assembly and Senate have legislation on the floor of each of their respective Houses-A.3276, Joyner/S.1819, Rivera).

The Senate accepted the Governor’s proposal to remove prior authorization requirements for Medication Assisted Treatment (MAT) that was supported by MSSNY and the AMA.  The Assembly took it out, but is pursuing their own legislation (see related article).

WORKERS’ COMP – The Assembly rejected the Governor’s proposal to significantly expand the use of non-physician use in Workers’ Compensation that has been opposed by MSSNY (due to the lack of provisions regarding how such practitioners would coordinate with physicians to manage the patients’ care and complete the necessary paperwork).  However, the Senate accepted the approach.

Please urge your legislators to continue to oppose this proposal here                 (DIVISION OF GOVERNMENTAL AFFAIRS)


Assembly Advances Legislation to Ensure Better Care for Those Suffering from Mental Health and Substance Abuse Disorders
The Assembly Insurance Committee has advanced two bills that would help to ensure availability of better treatment for mental health and substance abuse disorders. Both have moved on to the Codes Committee for review.

Assemblymember Dan Quart’s A.2904 would prohibit certain insurance policies from requiring prior authorization for buprenorphine products, methadone and long acting injectable naltrexone for detoxification or maintenance treatment of substance use disorders. This bill would allow physicians to better care for those suffering from opioid addiction via easing restrictions on medication-assisted treatment (MAT).

Assemblymember Aileen Gunther’s A.6186A would require insurers and health plans to submit data to the Department of Financial Services which would be used to measure compliance with federal and state mental health and substance abuse parity laws. It provides clarifications to the law enacted last year supported by MSSNY.  While parity laws currently exist both federally and at the state level, in the past few years the NYS Attorney General has reached multiple settlements for noncompliance with behavioral health companies and subcontractors. Greater data collection is clearly needed for proactive monitoring of denial rates and network adequacy, among other standards.

MSSNY supports these bills as they would increase patient access to needed medication and treatment by eliminating barriers and would ensure that treatment may be provided in a timelier manner.  (AVELLA)


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Senator Rivera Introduces Bill to Exempt Nursing Homes from E-prescription Requirement
Senator Gustavo Rivera’s bill S.4183 has passed through the Senate Health Committee and is now eligible for a vote in the Senate. The bill is a companion of Assembly bill A.1034-A which passed the Assembly on February 28. If enacted, this legislation would exempt nursing homes’ prescription of oral medication from the state requirement that all prescriptions be electronically submitted. This bill is of particular interest to MSSNY’s Long-Term Care subcommittee.

Nursing homes present unique circumstances that make compliance with the current e-prescription mandate impractical and this legislation would allow for time to rectify the situation. Physicians are not physically present 24 hours a day, so RNs are allowed to take orders for medication safely and without delay for the residents who need them. The physician would then sign the oral order within 48 hours. This legislation would extend to March 2021 an already existing exemption established by the NYS Department of Health that is due to expire later this year. (AVELLA)


Expedited Partner Therapy Nears Passage
Legislation passed the Senate this week to allow physicians to prescribe antibiotics to the partner of an individual diagnosed with a sexually transmitted infection (STI) without examining the partner.  It has also advanced to the Assembly calendar. Senator Gustavo Rivera’s S.1799 and Assemblymember Rodneyse Bichotte’s A.2998, which is supported by MSSNY, would expand expedited partner therapy from Chlamydia to include other STIs. Expedited partner therapy helps physicians and other health care providers to decrease rates of STI.  While it is not intended to replace face to face interaction with a health care provider, it can help patients who otherwise would not reach out for treatment.    (AVELLA)    


Governor Releases Report on Maternal Mortality
Governor Andrew Cuomo released a report on the status of maternal mortality in NYS this week.  According to the report, “In NYS, the maternal mortality rate for black women was 51.6 deaths per 100,000 live births, compared to 15.9 deaths per 100,000 live births for white women in 2014-2016. Black women are approximately three times more likely to die than white women”.  The task force recommendations include:

  • Establish a statewide maternal mortality board
  • Design and implement a training program for hospitals on implicit racial bias
  • Create Competency-Based Curricula for Providers as well as Medical and Nursing Schools
  • Establish an Educational Loan Forgiveness Program for Providers who are Underrepresented in Medicine (URIM) and who Intend to Practice Women’s Health Care Services
  • Convene Statewide Expert Work Group to Optimize Postpartum Care in NYS
  • Promote Universal Birth Preparedness and Postpartum Continuity of Care

A copy of the report can be found here. (CLANCY)    


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Registration Now Open for Medical Matters: Disaster Medicine: Every Physician’s Second Specialty
The Medical Society of the State of New York will conduct a webinar entitled Disaster Medicine: Every Physician’s Second Specialty on March 27, 2019 at 7:30am.

Medical Matters: Disaster Medicine: Every Physician’s Second Specialty – Register here.

When:  Wednesday, March 27th @ 7:30am
Faculty: Lorraine Giordano, MD, FACEP, FAADM

Educational Objectives:

Identify core preparedness competencies every physician should know

Explore essential elements of preparedness plans for staff, patients, and family

Describe available courses, resources and organizations to obtain disaster preparedness education and training 

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

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


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

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

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

Educational Objectives:

Identify the modes of transmission of infectious agents

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

Describe two scenarios and review questions and answers

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

When: Thursday April 11th at 2:00pm

Faculty: Malene Ingram, MD, Colonel, US Army Reserves

Educational Objectives:

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

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

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

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

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

Educational Objectives:

Review potential causes of chronic diffused pain and fatigue

Discuss how to accurately diagnose fibromyalgia and myalgic encephalomyelitis

Discuss treatment options for fibromyalgia and myalgic encephalomyelitis

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

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

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

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

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

Educational Objectives:

Review maternal mortality trends in NYS

Examine racial disparities around maternal morbidity and mortality

Identify potential practice models to improve patient outcomes

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

The Medical Society of the State of New York designates this live activity for a maximum of 2.0 AMA/PRA Category 1 credits.  Physician should only claim credit commensurate with the extent of their participation in the activity.

Register Now for Veterans Matters: PTSD & TBI in Veterans Webinar

There is a direct connection between traumatic brain injury (TBI) and PTSD.  Learn more about signs and symptoms at MSSNY’s April 4th webinar.

Veterans Matters: PTSD & TBI in Veterans. Register for this webinar here

When:  Thursday, April 4th at 7:30am
Faculty: Thomas Madejski, MD

Educational Objectives:

Identify signs and symptoms of PTSD & TBI

Examine evidence-based treatment modalities for PTSD & TBI

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

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

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

with the extent of their participation in the activity. (HOFFMAN)                                             


MSSNY CME Webinars Registration Now Open
The Medical Society of the State of New York is proud to announce two live continuing medical education (CME) webinars on women’s health topics entitled:

“Health Matters for Women: Fibromyalgia and Myalgic Encephalomyelitis” on Thursday, March 21st, 2019 from 7:30 AM to 8:30 AM and “Health Matters for Women: Endometriosis” on Tuesday, April 23rd, 2019 from 7:30 AM to 8:30 AM for all physicians and other health care providers. Registration for the webinars is now open.

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

When: Thursday, March 21st from 7:30-8:30pm
Faculty: Florence Shum, DO

Educational Objectives:

Review potential causes of chronic diffused pain and fatigue

Discuss how to accurately diagnose fibromyalgia and myalgic encephalomyelitis

Discuss treatment options for fibromyalgia and myalgic encephalomyelitis

Health Matters for Women: Endometriosis – Register here

When:  Tuesday, April 23rd from 7:30-8:30pm
Faculty: Lisa Eng, DO

Educational Objectives:

Review potential causes of pelvic pain and discuss how to identify endometriosis

Discuss the benefits and risks as well as the efficacy and limitations of available medical therapies for long-term treatment of endometriosis

Discuss implementation of individualized endometriosis treatment plans and options

The Medical Society for 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 creditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (ULUKAYA)


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For more information relating to any of the above articles, please contact the appropriate contributing staff member at the following email addresses:

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

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eNews

Update on ZocDoc Pricing Change
As you are aware, MSSNY and its General Counsel are still awaiting clarification from the DOH on a variety of issues being proposed by ZocDoc. We anticipate getting the clarification prior to the ZocDoc roll out in April. MSSNY will advise our members of any changes as we get closer to the implementation date.


Hospitals, Insurers Ready To Resist Medical Service Price Disclosure Mandate
The Wall Street Journal (3/11) reports that hospitals and insurers plan to argue against a Trump Administration proposal that may mandate the public disclosure of medical services’ negotiated prices. Healthcare industry groups are questioning the government’s legal authority to require public disclosure, and asserting that such a requirement would be too complex to carry out.


Fidelis Remains Dominant in New York’s Individual Insurance Market
Fidelis Care maintained its dominance in the state’s individual insurance marketplace, with its market share holding steady in the first open enrollment cycle since it was bought by Centene. Nearly 40 percent of New Yorkers purchasing an individual plan chose Fidelis — virtually unchanged from last year, according to state data released today. The insurer operates in 56 counties, far more than any of its competitors. (Politico 3/15)


AMA Urges Tech Giants to Combat Vaccine Misinformation
As some technology companies have announced steps to combat the spread of vaccine misinformation, the American Medical Association (AMA) issued a letter to the CEOs of six of the country’s leading social media and technology companies urging them to ensure their users have access to accurate, timely, scientifically-sound information on vaccines. The following letter was sent to the CEOs of Amazon, Facebook, Google, Pinterest, Twitter and YouTube.


NYSDOH FLU Report


Sexual Harassment Train the Trainer FREE Webinar on March 20 at 12
March 20, 2019
12:00pm-1:00pm

REGISTER HERE

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

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

The live webinar will be presented on March 20, 2019, from 12 noon to 1:00pm.  For those individuals who are unable to participate in the webinar at that time, MSSNY will be placing a recorded version of that webinar on the MSSNY website to facilitate access to the webinar for MSSNY members.

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

  • How to identify the more subtle forms of sexual harassment.
  • The impact of sexual harassment on the quality of care and the victim.
  • Practical advice on how to diminish and prevent sexual harassment at your practice.
  • How to respond to sexual harassment in the workplace.
  • Guidelines on how to comply with statutory mandates relating to sexual harassment.

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


Continuous Recruitment for NYS DUR Board Membership
Federal legislation requires States to maintain a DUR program and establish a Drug Utilization Review (DUR) Board. The NYS Medicaid DUR Board provides recommendations to the Health Department associated with establishing clinical standards for Medicaid’s pharmacy program. The composition of the DUR Board can be found on pages 1 & 2 of the General Operating Procedures:

Responsibilities of the DURB include:

  • The establishment and implementation of medical standards and criteria for the retrospective and prospective DUR program.
  • The development, selection, application, and assessment of educational interventions for physicians, pharmacists and recipients that improve care.
  • The collaboration with managed care organizations to address drug utilization concerns and to implement consistent management strategies across the fee-for-service and managed care pharmacy benefits.
  • The review of therapeutic classes subject to the Preferred Drug Program.

CVs associated with interest in becoming a DUR Board member are accepted continuously and can be submitted to the DUR Board mail-box at dur@health.ny.gov. If no vacancies exist, CVs will be kept on file for consideration once a position becomes available.

Questions on membership and candidacy can be directed to the DUR Board Member Liaison, Robert Sheehan, at dur@health.ny.gov or 518-486-3209.

For more information about the NYS Medicaid DUR Board please go here.


CME Programs

Two CME Programs at the HOD: Protect Your Patients and Women in Medicine
You don’t want to miss these! REGISTER NOW at sbennett@mssny.org

Thursday, April 11, 2019, 3:00 – 4:00 pm, Grand Ballroom D/E, Westchester Marriott, Tarrytown

Protect Your Patients, Your Practice, and You!*

Join us at the OMSS Annual Meeting for an interactive presentation by Garfunkel Wild on MEDICAL RECORDS, including the impact on records of the controlled substances “epidemic,” what to consider when emailing and texting, dealing with non-compliant patients, additional areas of exposure from EMRs, and what to include in a telemedicine record.

Business meeting to follow, 4:00 – 6:00, Putnam Room

Friday, April 12, 2019, 5:00 – 6:30 pm, Grand Ballroom B, Westchester Marriott, Tarrytown

Women in Medicine: Reaching Your Potential Now!**

A panel presentation at the Women Physicians Caucus on PAY, PROMOTIONS and CAREER ADVANCEMENT in Academic Medicine, Private Practice and Organized Medicine

Gender imbalance in medicine and academic sciences still exists. Hear three women physicians who have achieved significant leadership positions describe their own pathways, provide advice on how to achieve success, and show how to overcome gender bias, gender pay gaps and system-wide barriers to career advancement. Learn how to achieve success in your career!

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

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

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

The Medical Society of the State of New York designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


CMS

2019 MAC Satisfaction Indicator (MSI) Survey – JK Now Available
Evaluate Our Services in Ten Minutes

The MAC Satisfaction Indicator (MSI) Survey is the best way to share your opinions of our service directly with the Centers for Medicare & Medicaid Services (CMS). This survey should only take ten minutes of your time and helps us understand how we can better serve you. To take the survey, click on the URL below:

Jurisdiction K providers may access the survey at 2019 Jurisdiction K MSI Survey.


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RENTAL/LEASING SPACE

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

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


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


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



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