April 1, 2016 – Telemedicine v. Retail Clinics?

drmaldonado PRESIDENT’S  MESSAGE
 Dr. Joseph R.  Maldonado
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April 1,  2016
Volume 16, Number 13

Dear Colleagues:

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

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

MSSNY Working on Options

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

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

Please send your comments to comments@mssny.org

MLMIC_011916_Enews_550x150


Capital_Update_Banner

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

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

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

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

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

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

Among issues on which MSSNY strongly advocated:

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


Urge Your Legislators to Reduce Liability Insurance Costs, Not Raise Them!
Now that the State Budget for FY 2016-17 has been finalized, the focus of policymakers will be on unresolved issues including legislation that would create a date of discovery statute of limitations which threatens to increase your liability premiums by 15%. In light of the huge financial pressures threatening the viability of physician practices and our health care delivery system, it is essential that you weigh in with your elected representatives to urge that no further liability increases can be tolerated.  Please join your colleagues by contacting your legislators to urge that they oppose legislation (A.285-A, Weinstein/S.6596, DeFrancisco) that could drastically increase New York’s already exorbitantly high medical liability premiums by changing the medical liability Statute of limitations to a “Date of Discovery” rule.

MLMIC’s estimate is that this bill could increase physician liability premiums by nearly 15%!   New York physicians continue to pay liability premiums that are among the very highest in the country.  By way of example, a neurosurgeon practicing on Long Island must pay an astounding $338,252 for just one year of insurance coverage and an OB/GYN practicing in the Bronx or Staten Island must pay $186,639.   New York far surpasses all other states in terms of total medical liability payouts, per capita payments, and medical liability awards above $1 million.

MSSNY has joined the Greater New York Hospital Association (GNYHA) and Healthcare Association of New York State (HANYS) in an ad in the Albany Times-Union and City & State calling for reduction in these exorbitant costs.

To make matters even worse, trial lawyers are aggressively pushing the Legislature to consider additional liability expansion bills such as legislation that would eliminate the statutory limitation on contingency fees in medical liability actions, legislation that MLMIC has estimated could have the effect of raising your premiums by over 10%.   Please tell your legislators to enact comprehensive liability reform to bring down these costs, not legislation that increases them!                                                                                                             (AUSTER, DEARS)


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


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

Dario Gonzalez, MD, F.A.C.E.P. – Associate Medical Director Fire Department City of New York/Office of Medical Affairs is the faculty.  Dr. Gonzalez was deployed for nine weeks by Americares to Liberia, West Africa as part of the US response to the Ebola epidemic.  He managed and directed an Ebola Treatment Unit in Buchanan, Liberia.  Dr. Gonzalez developed the treatment and management guidelines.  He cared for suspected and confirmed Ebola patients, and was subsequently involved in NYC hospital Ebola preparedness with the NYC Fire Department and Office of Emergency Management. The educational objective for the program is to: Offer perspective and lessons learned from an individual who treated Ebola patients firsthand.

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

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

Further information or assistance in registering for this program may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.                                                                                                 (CLANCY, HOFFMAN)

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

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

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

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

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

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

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

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

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

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

Accreditation Statement: The Medical Society of the State of New York (MSSNY) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide Continuing Medical Education for physicians. The Medical Society of the State of New York designates this live activity for a maximum of 2.5 AMA PRA Category 1 Credits™.

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

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

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

View Zika Webinar; Program Archived On MSSNY’s CME Site
The Medical Matters program, entitled “Zika Virus—An Evolving Story” is now archived to the MSSNY CME website and physicians and other health care providers can view this program free of charge by logging into http://cme.mssny.org.

The webinar was conducted by MSSNY and the New York State Department of Health and featured Dr. William Valenti, chair of MSSNY’s Infectious Disease Committee and member of the MSSNY’s Emergency Preparedness and Disaster/Terrorism Response Committee and Dr. Elizabeth Dufort, medical director, Division of Epidemiology from the New York State Department of Health.

The MSSNY CME site requires new users to register, but once registered physicians and other health care providers will have a personalized training page to take them to this webinar and other course work located on the site.   New registrants to the site will create a username and password, which should be retained and be used for continued access to the site. Once registered and logged into the site, physicians will be taken to an instruction page.   Click on the tool bar menu located at the top of the page and click on “My training” to view and take the various courses.  MSSNY has over 50 programs at this site and physicians are able to earn continuing medical education credits for each course. The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The online program has various programs with the number of continuing medical education credits, but the majority of the programs are for 1.0 AMA/PRA Category 1 credit™.  Further information on all these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.
(CLANCY, HOFFMAN)


MSSNY’s Opioid Webinars are Now Available on Its CME Online Site
The Medical Society has archived its opioid webinar series on its continuing medical education website at http://cme.mssny.org/  

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

Physicians and other prescribers can earn up to one hour of continuing medical credits by viewing this webinar and completing the test.    The MSSNY CME site requires new users to register, but once registered physicians and other health care providers will have a personalized training page to take the webinars and other course work located on the site.   New registrants to the site will create a username and password, which should be retained and be used for continued access to the site. Once registered and logged into the site, physicians will be taken to an instruction page.   Click on the tool bar menu located at the top of the page and click on “My training” to view and take the various courses.     MSSNY has over 50 programs at this site and physicians are able to earn continuing medical education credits for each course.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The online program has various programs with the number of continuing medical education credits, but the majority of the programs are for 1.0 AMA/PRA Category 1 credit™.  Further information on all these programs may be obtained by contacting Pat Clancy at pclancy@mssny.org.
(CLANCY)


PTSD And TBI in Returning Veterans:  April – June Webinars and Live Program
MSSNY will be holding a series of CME webinars on PTSD and TBI in returning veterans on sx dates listed below from March through June. As part of a joint program with NYSPA, MSSNY will also be hosting a live presentation of the program at the Upsky Hotel in Hauppauge, Long Island. The faculty presenters will be Frank Dowling, MD and Joshua Cohen, MD.

Course objectives:

            • Explore the two most prevalent mental disorders facing American veterans today, their causes, symptoms, and comorbidities
            • Outline treatment options including evidence-based psychotherapy and pharmacotherapy
            • Discuss barriers to treatment, including those unique to military culture, and how to overcome them
            • Outline the process of recovery and post-traumatic grow

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

Thursday, April 7, 6-7 PM
Tuesday, April 12, 7:30-8:30 AM
Friday, April 15, 8-9 AM live at the Upsky Hotel in Hauppauge, Long Island
Thursday, May 5, 6-7 PM
Thursday, May 19, 7:30-8:30 AM
Thursday, June 2, 6-7 PM
Thursday, June 9, 7:30-8:30 AM
(ELPERIN, DEARS)  

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

pschuh@mssny.org ldears@mssny.org      mauster@mssny.org  
pclancy@mssny.org jmcpartlon@mssny.org    

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


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

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

Physicians can access the survey via this link.


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

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

ZIKA HOTLINE:

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


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

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


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


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

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


MSSNY in the News



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



Relieve Physician Burnout through Yoga Science (30 CMEs)
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perspective on yourself and every personal and professional responsibility you face. This comprehensive training in Yoga Science as Holistic Mind/Body Medicine will provide easy-to-use, practical tools to prevent and reverse the debilitating causes and effects of physician burnout. Topics include: mantra meditation, diaphragmatic breathing, easy-gentle yoga, Yoga psychology, neuroplasticity, PTSD, trauma, resilience, the chakra system as a diagnostic tool, epigenomics, mind function optimization, Ayurveda, nutrition, functional medicine, and lymph system detoxification. Through engaging lectures by an accomplished faculty, instructive practicums and ongoing Q&A, you’ll gain experiential knowledge that will integrate Yoga Science into a dynamic self-care program. As a result of attending this conference, you’ll return home with a set of practical tools that can empower you to make conscious, discriminating and reliable choices to enhance your creativity, well-being, happiness and success. Regardless of how
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Physician Opportunities



Family & Internal Medicine Opportunity Just 50 miles North of NYC

Top $$ AND potential partnership with large multi-specialty physicians’ group + the balance of work & personal life you have been seeking. Perfect suburban area just 50 miles north of NYC. This is a growth position with the right person moving into a partnership opportunity within two to three years. You will enjoy a salary of $175K+ as well as:
• A monthly bonus potential
• Health, Dental, Vision and prescription insurance
• 3 weeks’ paid vacation time off annually
• 6 federal Holidays off with pay
• A $2500 CME reimbursement
• A 401K plan with company match
• Company pays 75% of a single premium life insurance policy at twice your annual salary
• Paid malpractice insurance, plus paid DEA and license renewals
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
• Active NYS license
• Current DEA #
• Experienced as well as New Grads welcome to apply
**Relocating physicians are welcome and relocation assistance will be offered to the right candidate!**
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.

Neurologist & Pain Management Physician Needed
A growing multi-specialty group in Orange County is looking for both a Neurologist and Pain Management Physician to join their group. This position will work with the headache center Neurologist/Pain Management Specialist. All subspecialties are welcome.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
   • Experience in procedures and utilizing an integrated comprehensive approach to pain management.
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.


OB/GYN Opportunity in the Hudson Valley
Are you looking for a great work/life balance? We are looking for an OB/GYN to join the team. We are looking for a provider to provide comprehensive primary health care to a select population of essentially healthy women, participate in the care of women with complications & responsible for providing a full range of agency approved antepartum, intrapartum, postpartum, gynecological and family planning service.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
       • Active NYS license
       • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review
.


Pediatrician Opportunity in Orange County, New York
A prestigious multi-specialty physicians’ group seeks a family driven
Pediatrician to join their group.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review. 
.


Psychiatry Opportunity in New York’s Beautiful Hudson Valley
Our client, a prestigious multi-specialty physicians’ group who has been recognized as a Patient-Centered Medical Home by the National Committee for Quality Assurance, seeks a Psychiatrist to join their group.
The ideal candidate will possess the following:
• BE/C in Psychiatry
   • Active NYS license preferred
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.



Join Well Established Solo Female OB/GYN Physician Practice in New York City
Quality oriented, looking for MD for long term career opportunity. New graduates welcome to apply. Affiliated with Lenox Hill Hospital. The current office has a AAAA certified operating room and an AIUM accredited ultrasound service. Looking to establish another location. Great opportunity to balance personalized practice with quality lifestyle. Please summit CV to obgynpractice130@gmail.com



L.I. PSYCHIATRIC PRACTICE FOR SALE
                    Huntington, NY
Currently 20 hrs./wk – no evenings or weekends.
$100K/yr. gross. Low overhead.
Office available for rent or move to your location.
Details on request: 631-784-7704


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