April 29, 2016 – MOC Opposition Is Strong!

 

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
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April 29,  2016
Volume 16, Number 16

Dear Colleagues:

In the good old days, physicians took one board examination in their specialty and they were “grandfathered” for life.

Over a period time since 1990, the various ABMS boards changed the rules and physicians have had to recertify every 10 years. MOC additionally requires practice assessment and patient-safety activities every two years. Now, the whole recertification process has become a big business that we have to feed. The exams are expensive and time consuming. In 2014, ABIM declared that physicians who did not participate would be identified as “not meeting MOC requirements.” The main physician complaints are that these specialty boards control who can practice and they misuse their muscle to force compliance by charging exorbitant fees.  Now, boards are threatening to link test results to hospital employment.

According to Dr. Paul Tierstein’s JAMA article (1/8/2015), his frustration in fulfilling requirement led him to create a web-based petition that has more than 20,000 signatures against MOC requirements www.nomoc.org.

Internists and Internal Medicine subspecialists have been the most ardent critics saying that the MOC program of the ABIM is a waste of time and money and does nothing to contribute to better patient care.

Many physicians across the country report that the examinations are forcing some of their colleagues into early retirement.

In two 2015 studies, JAMA evaluated quality and medical costs who were certified before 1990 and those who certified just after 1990. The studies showed that patient outcomes were no better and costs were only marginally lower in the recertifying group. However, a 2.5 percent decrease in Medicare billings by the group who recertified.

This past week, Oklahoma enacted a law aimed to remove MOC as a requirement for physicians to obtain a license or secure admitting privileges. A few days earlier, Kentucky signed a measure that prohibits making MOC a condition of licensure. Michigan is considering a measure that forbids hospitals from denying privileges solely on the basis of MOC.

What the AMA Says

At the 2014 AMA Interim Meeting in Dallas, physicians voted to update the AMA’s policy on maintenance of certification (MOC) during. The adopted policy outlines principles that emphasize the need for an evidence-based process that is evaluated regularly to ensure physician needs are being met and activities are relevant to clinical practice.

The MOC principles include:

  • MOC should be based on evidence and designed to identify performance gaps and unmet needs, providing direction and guidance for improvement in physician performance and delivery of care.
  • The MOC process should be evaluated periodically to measure physician satisfaction, knowledge uptake, and intent to maintain or change practice.
  • MOC should be used as a tool for continuous improvement.
  • The MOC program should not be a mandated requirement for licensure, credentialing, payment, network participation or employment.
  • Actively practicing physicians should be well-represented on specialty boards developing MOC.
  • MOC activities and measurement should be relevant to clinical practice.
  • The MOC process should not be cost-prohibitive or present barriers to patient care.

MSSNY Actively Pursuing Actions to Protect Physicians

MSSNY is very active in opposing any certification linkage to employment and at the 2016 House of Delegates, the following resolutions were voted upon:

  • MSSNY will continue to work with the appropriate organizations to ensure the MOC process does not disrupt physician practice or reduce the capacity of the overall physician workforce.
  • MSSNY will oppose any effort by NYS to require certification by any medical specialty board as a condition of obtaining or renewing the registration of a medical license in New York.
  • MSSNY should ask the AMA to reaffirm the AMA’s policy regarding Maintenance of Certification and Maintenance of Licensure programs and provide an amicus brief or other support when the opportunity arises to defend physicians against any attempt to use recertification of Maintenance of Certification as a condition of employment, licensure or reimbursement.
  • MSSNY should file an amicus brief in support of the American Association of Physicians and Surgeons lawsuit regarding board certification requirements as antitrust and MSSNY should take this resolution to the 2016 Annual meeting of the American Medical Association House of Delegates.

Malcolm Reid, MD, MPP
MSSNY President

Please send your comments to comments@mssny.org

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Physicians – Let Your Legislators Know that Legislation to Substantially Increase Your Liability Risk Could Be Detrimental to Patient Access to Care!
All physicians must continue to contact their legislators to urge them to 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.    The letter can be sent from here. If enacted, this legislation could increase your premiums by nearly 15%.  In light of the huge financial pressures prompted by excessive government mandates and abusive insurer practices that are already threatening the viability of physician practices, it is essential that you express to your elected representatives that “stand-alone” legislation driving further liability increases cannot be tolerated and could seriously impact access to care for patients. 

We anticipate the Trial Lawyers and their allied front groups will be making an out all out push to enact this legislation when the Legislature returns to Albany on May 3 for the final 7 weeks of the Legislative Session.  It is imperative that you make these contacts to your legislators NOW!

In response to this threat, MSSNY and other groups have publicly highlighted the huge and unsustainable liability burden already assumed by New York physicians, and the threat this legislation poses to the already precarious stability of many New York hospitals and medical liability insurers.  MSSNY together with numerous other specialty medical societies have joined the Greater New York Hospital Association (GNYHA) and Healthcare Association of New York State (HANYS) in an ad campaign highlighting the disastrous consequences to our healthcare system should such a large expansion in the right to sue be permitted by the State Legislature.  An ad will be in the upcoming May 2 City & State.   Earlier this year, MSSNY joined GNYHA and HANYS in ads in the Albany Times-Union and City & State calling for reduction in these exorbitant costs. (AUSTER, DEARS)

DFS Commences Health Republic Liquidation Process
The New York State Department of Financial Services (DFS) announced that it has commenced a liquidation proceeding for Health Republic in the New York State Supreme Court.

The DFS announcement notes that “Providers should continue to submit any outstanding claims against Health Republic in accordance with the procedures and deadlines set forth in the contracts that governed their provision of care to Health Republic members. Claims previously submitted in this manner do not need to be re-submitted. Information for consumers who paid for covered services out-of-pocket and are owed money by Health Republic can be found at www.HealthRepublicNY.org.

The press release also notes that “the amount of assets available to satisfy the outstanding claims against Health Republic will not be known for some time given claims that the Liquidator may have against third parties, including as to the “3R” payments Health Republic had expected to receive from the federal government. The 3R programs – risk adjustment, reinsurance and risk corridors – were established by the federal government specifically to help protect health insurance companies, like Health Republic, from larger-than-expected losses during the first few years of operation. In addition, the Liquidator will pursue, under the supervision of the Court, any available third party claims and legal actions that may be warranted in order to maximize the assets available for distribution.”

Initiation of liquidation proceedings is an important first step towards providing some clarity to physicians and hospitals regarding any assets Health Republic will have to pay claims.  Filing of liquidation is also a necessary step towards defining the monies that will be needed to be allocated to the “Health Republic Insurance of New York Fund” that MSSNY and others advocated to be created in the recently enacted State Budget to pay outstanding HR claims that cannot be paid out of HR’s remaining assets. MSSNY will continue to monitor the liquidation process and will provide updates to physicians as they develop.       
(AUSTER, DEARS)


CMS Releases Proposed Regulations to Implement Medicare Value-Based Payment Initiatives
The US Department of Health and Human Services this week formally proposed a regulation to implement the value-based payment programs contained in the MACRA legislation enacted by Congress in 2015 that repealed the Medicare SGR methodolgy.  While payment adjustments under the Merit Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) are not applied until 2019, it will be based upon care delivered to Medicare patients in 2017.  The regulation has a 60-day comment period.

To read the HHS summary, click here.

To read AMA comments, click here.  AMA President Dr. Steven Stack stated in an AMA Viewpoints post that “While we have not yet digested the entire 962-page regulation, it appears on our initial review that CMS Acting Administrator Andy Slavitt and his senior management team have listened.”

Under MIPS, Medicare payments could be adjusted up or down by 4% beginning in 2019, and up to +/ – 9% by 2022, with additionial bonus payments possible.  Among other issues, the proposed rule addresses questions about elements of MIPS, including:

  • Quality: In this category, clinicians would choose to report 6 measures, rather than the current requirement of 9 measures, from among a range of options that accommodate differences among specialties and practice settings.
  • Advancing care information: For this category, clinicians would choose to report customizable measures that reflect how they use technology in their day-to-day practice. Importantly, unlike the existing EHR meaningful use program, this category would not require all-or-nothing EHR measurement or redundant quality reporting.
  • Clinical practice improvement activities: This category would reward physicians for clinical practice improvements, such as activities focused on care coordination, patient engagement and patient safety. Clinicians would select activities that match their practices’ goals from a list of more than 90 options.

The AMA noted that, since MACRA was passed in 2015, it has been providing extensive physician feedback on what should be included in the regulations under development. This has included numerous comment letters on specific aspects of MACRA implementation, as well as 10 overall principles that the AMA many other medical associations urged the agency to follow.  The post also noted that the AMA had also responded to CMS’ requests for information that provided advice on the agency’s proposal for a quality measure development plan and episode groups. Other activities have included hosting listening sessions with CMS for different medical specialties and other stakeholders.  MSSNY will be reviewing the proposed regulation and working with the AMA and other state medical and specialty associations on developing comments in response.                                                                                                                                    (AUSTER)


Health Care Organizations Urge Inclusion of E-Cigarettes in Clean Indoor Air Act—Advocacy Day to Be Held May 24th
A group of health care organizations, including the Medical Society of the State of New York, have come together to advocate for the placement of E-Cigarettes under the New York State Clean Indoor Air Act. The group, comprised of national and state organizations includes the American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, Roswell Park Cancer Institute, New York State Association of County Health Officials, Campaign for Tobacco-Free Kids, New York State Public Health Association, and the Medical Society of the State of New York, among others.

Despite containing carcinogens and toxic chemicals, including those found in anti-freeze, E-Cigarettes are currently unregulated by the FDA, and are not subject to tobacco laws as they do not contain tobacco. While New York State has prohibited the sale of E-Cigarettes to minors under the age of 18, indoor use of E-Cigarettes in public places is still permitted. MSSNY supports legislation and urges its members to support legislation (A.5955, Rosenthal/S.2202, Hannon) to place E-Cigarettes under the New York State’s Clean Indoor Air Act.
(CLANCY, MCPARTLON)


New York Kicks Butts Campaign To Be Held May 31-June 6tH
The Medical Society of the State of New York has joined with the American Cancer Society, the American Lung Association, and Tobacco Free Kids and a variety of other affiliated health organizations and businesses to encourage New York City residents to quit smoking.  The New York Kick Butts campaign will be held May 31-June 6th and New York City physicians are asked to discuss with patients smoking cessation treatment options.  By offering medication and counseling, physicians can help patients to double their quit rates.     Helpful tools can be found on line at PlanMy Quit.com/NYC or by calling the New York State Smokers’ Quitline at 1-866-NY-QUITS (697-8487) or by just dialing 311.   Additional resources can also be found at NYSmokeFree.com.  Physicians can find an information flyer here or patient information here.                       (CLANCY)


Urge Passage of Legislation to Enable Override of Insurer “Fail First” Medication Policies
Concerned about health insurer policies that require your patients to “fail first” on certain prescription medications before they are able to take the medication that you believe is most medically appropriate to improve their health?  MSSNY is working together with a number of patient advocacy groups in support of legislation (A.2834-A, Titone/S.3419-B, Young) to provide physicians with an expeditious manner to override an insurer “fail first” policy when it is in the best interest of their patients’ health.  To send a letter in support of this legislation click here.

We strongly encourage physicians concerned about this issue to participate in an upcoming May 23 Albany advocacy day in support of this legislation.  If you are interested in participating please e-mail mauster@mssny.org.  MSSNY representatives will be participating along with many other patient advocacy groups.                          (AUSTER, DEARS)


DFS Reminds Insurers Of Requirements To Cover Screening For Maternal Depression
Governor Cuomo announced this week that the Department of Financial Services issued guidance to remind health insurers of their responsibility to provide health insurance coverage for maternal depression screenings. The guidance follows the United States Preventive Services Taskforce recommendations made earlier this year that group health plans and insurers offering group or individual health coverage must provide, with no copayment, coinsurance or deductible, preventative services such as depression screenings in pregnant and postpartum women.

“We took this action to make sure that all pregnant and postpartum women can receive the full treatment services to which they are entitled,” said Governor Cuomo. “Health insurers have an obligation to cover charges for essential preventative services, and our administration will not hesitate to hold them accountable to that responsibility. This will help mothers and newborn New Yorkers across the state lead safe, healthy lives.”

To read the Circular Letter sent by DFS to insurers, click here.(AUSTER)


Scores of Members of Congress Urge CMS to Put The Brakes on Damaging Part B Medication Reimbursement Proposal
Hundreds of members of Congress have signed varying joint letters to CMS urging that they put on hold a proposal to revise (and reduce) the payment methodology for in-office use medications covered through Medicare Part B.  As reported last week, MSSNY joined several other organizations in a letter to the New York Congressional delegation (urging that they urge CMS to withdraw this damaging proposal.  The AMA also sent a similar letter to Congressional leaders.

The Republican members of the Senate Finance Committee sent a letter calling on CMS to “immediately” withdraw the proposal, noting that they are “perplexed” by the “unprecedented scope” of the proposal, as it could decrease the quality of beneficiary care, increase Medicare costs, and further hospital-physician practice consolidation. The Members also state their “dismay” that CMS did not indicate how it will assess the Part B Payment Model’s impact on the quality of beneficiary care, stating that this “glaring omission” deprives stakeholders from providing meaningful comments.

The Democratic members of the US Senate Finance Committee, including New York Senator Chuck Schumer, also sent a letter to CMS expressing concerns with the proposal.  The letter notes that “any proposed changes to the Part B program must be carefully considered to prevent any disruptions in care for Medicare beneficiaries, particularly those with serious and complex conditions”.   Moreover, the letter noted that it was essential that CMS engage with the impacted community, including directly with impacted patients.  Specifically, the letter requested that CMS resolve the following issues before moving forward with any proposal:

  • Beneficiaries access to Part B medications, particularly in response to concerns raised by many that the combined effect of the proposal and sequestration cuts could result in some physicians facing acquisition costs that exceed the Medicare reimbursement;
  • Potential impact on site of service, because community-based physicians could respond to this proposed cut by referring patients to Hospital outpatient departments, which according to the letter “would result in higher overall costs for both beneficiaries and the Medicare program”
  • Interaction with existing delivery and payment reform models, given other programs such as the Oncology Care Model and payment reforms enacted under MACRA.

In the House, over 170 GOP members, including New York representatives Chris Collins (Western NY), Dan Donovan (Staten Island), John Katko (Central NY), Tom Reed (Southern Tier) and Lee Zeldin (Suffolk County) have signed a letter to CMS initiated by Rep. Dr. Tom Price (GA), Rep. Dr. Charles Boustany (LA), and Rep. John Shimkus (IL), asking that CMS withdraw the proposed regulation.  A House Democrat letter initiated by Rep, Neal (MA) is also circulating that, so far, Rep. Paul Tonko (Capital District) has signed.
(AUSTER)


HHS Issues Final Rules on Medicaid Managed Care-Potentially Opening The Door for More Telemedicine
On April 25, 2016, the US Department of Health and Human Services (HHS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP); the first overhaul of its kind in more than ten years. The final rules will be implemented in phases over the next three years, beginning on July 1, 2017.

To read the HHS summary, click here.

Notable changes in the final rules include passing to the states the duty to establish “network adequacy standards”. In the past, federal standards required in-person access. The change leaves open the question for individual states to decide whether telemedine access is adequately appropriate.  In the Federal Register, CMS commented that the change, “encourages states to consider how current and future technological solutions could impact their network adequacy standards. Therefore, we agree with adding these criteria to the list of elements that states should consider when developing network adequacy standards.” Included in the list of elements states must consider is the “availability of triage lines or screening systems, as well as the use of telemedicine, e-visits, and/or other evolving and innovative technological solutions.”

The final rules, in their entirely, are designed  to: (1) support states’ efforts to advance delivery system reform and improvements in quality of care for Medicaid and CHIP beneficiaries; (2) strengthen the consumer experience of care and key consumer projections; (3) strengthening program integrity by improving accountability and transparency; and (4) align rules across health insurance coverage programs to improve efficiency and help consumers who are transitioning between sources of coverage.

To read all 1,425 pages of the final rules, click here.
(MCPARTLON)


Workers Comp Board Gives Update on Implementation of Medical Portal
The New York State Workers Compensation Board recently released an Update regarding several aspects of its Business Process Re-engineering (BPR) program designed to reduce delays in the processing of Workers Compensation claims.  In particular, the Update reported that the much-anticipated medical portal will go live later this year, which will reduce administrative hassles by enabling physicians to submit medical authorization and variance requests (C-4Auth, MG-1 and MG-2) electronically directly to the payer for review.   The Update further notes that the WCB held 20 WebEx sessions this past winter to demonstrate the portal’s functionality which   cumulatively had over 1,000 attendees.  The presentation can be viewed here.
(AUSTER)


Radiological Emergencies CME Webinar to Be Held May 18th; Registration Now Open
Registration is now open for MSSNY’s Medical Matters webinar on  “Radiological Emergencies” to be held May 18, 2016 at 7:30 AM.  Physicians and other health care providers may register here.

Click on the upcoming tab and select the webinar.

Faculty for this session will be Cham Dallas, PhD.  Dr. Dallas is a professor in the Department of Health Policy and Management at the College of Public Health, University of Georgia.  He is also the Director of the Institute for Disaster Management at the University of Georgia and a Board Member of the National Disaster Life Support Foundation (NDLSF).  Dr. Dallas has a national/international reputation in toxicology and emergency preparedness and response, including over 30 years of experience.

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 any of these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.                                                                                (CLANCY, HOFFMAN)


Capital District Regional Health Emergency Preparedness Coalition to Host Pediatric Emergency Preparedness Training Seminar On May 24th
The Capital District Regional Health Emergency Preparedness Coalition will host a pediatric training seminar on May 24, 2016 from 9-4 at the University at Albany East Campus, 1 University Place. Rensselaer, NY 12144.  The one day emergency preparedness training seminar will provide a broad overview of potential care needs for the pediatric patient involved in an emergency/disaster situation.  The training seminar will include information for medical, trauma, and crisis response specific to the most vulnerable population in any emergency—children.

Registration is available through the NYS DOH learning management system at: www.nylearnsph.com

Search: CDR Pediatric Training Seminar 2016 under calendar.             (CLANCY)


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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Seven New York Health Insurers Required to Expand Coverage Of Hepatitis C Treatments
Under agreements made with New York State Attorney General Eric Schneiderman’s office, seven New York health insurers, including Affinity Health Plan, Empire BlueCross BlueShield, Excellus BlueCross BlueShield, HealthNow New York Inc., Independent Health Association Inc., Oxford Health Plans, and MVP Health Care, will be required to provide coverage for Hepatitis C medicines for almost all patients with this disease, not just for those in more advanced stages. The insurers also cannot deny treatment to patients with a history of substance or alcohol use. According to Schneiderman’s office, now nearly all commercial health insurance plans in the state also won’t deny coverage for those who use alcohol or drugs or whose authorizing physician isn’t a specialist.  New drugs can cost more than $83,000, but drug makers have maintained that their medicines offer good value because they lower the potential for long-term costs of liver disease, liver cancer and transplantations.  To read the Attorney General’s press release, visit http://www.ag.ny.gov/press-release/ag-schneiderman-announces-major-agreement-seven-insurers-expand-coverage-chronic

How to Register for the 2016 PQRS Group Practice Reporting Option Call
Wednesday, May 4 from 3 to 4:30 pm ET
To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

This call gives a walkthrough of the Physician Value – Physician Quality Reporting System (PV-PQRS) Registration System, an application that serves the PQRS and Value-Based Payment Modifier (Value Modifier) programs. Learn how to meet the satisfactory reporting criteria through the PQRS group practice reporting option (GPRO), avoid the CY 2018 PQRS negative payment adjustment, and CY 2018 Value Modifier automatic downward payment adjustment. A question and answer session follows the presentation.

The PV-PQRS Registration System is open through June 30 for groups to select a GPRO reporting mechanism. See the PQRS GPRO Registration webpage for more information.

Agenda:

  • PQRS and Value Modifier: Incentives and adjustments for CY 2018
  • 2016 PQRS reporting criteria for group practices reporting via the GPRO, including the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS survey
  • How to obtain an Enterprise Identity Management (EIDM) account
  • How to register for the PQRS GPRO in the PV-PQRS Registration System
  • Where to call for help and resources
  • Target Audience: Physicians, Medicare individual eligible professionals and group practices, therapists, medical group practices, practice managers, medical and specialty societies, payers, and insurers.
  • This MLN Connects Call is being evaluated by CMS for CME and CEU continuing education credit (CE). Refer to the call detail page for more information.


CMS Eliminates the Two-Midnight Rule: What is the Impact and When Will it Take Effect?
CMS recently announced that it will be dropping the much maligned two-midnight rule.  The rule, which was introduced in 2014, allowed for a hospital to receive inpatient payment under Medicare Part A only if the patient’s hospital stay was expected to span two midnights. If the patient’s stay was expected to be less than two midnights, the care was to be billed as outpatient services. Originally, CMS anticipated that the two-midnight rule would actually lead to an increase in reimbursements; therefore the final rule implemented a 0.2 percent cut to hospital inpatient reimbursements, which resulted in a national reduction of approximately $220 million.

The new proposed rule, which would go into effect in 2017, will permanently eliminate the 0.2 percent payment reduction. Additionally, CMS proposed to increase 2017 payments by 0.8 percent in order to offset the two-midnight rule payment cuts experienced by hospitals in 2014, 2015, and 2016. CMS estimates that this increase will result in an additional $539 million in payments in 2017 to acute care hospitals.

In a statement accompanying the announcement of the new rule, the CMS defended its 0.2 percent cuts and reiterated the decision to cut payment was reasonable when made.  Industry experts note that the CMS was no doubt strongly motivated after the order issued by the District Court for the District of Columbia in Shands Jacksonville Medical Center v. Burwell, which instructed CMS to reconsider and address the 0.2 percent cuts.

If you have any questions, please contact Kern Augustine Conroy & Schoppmann, P.C. at 1-800-445-0954 or via email at info@DrLaw.com.


Bank of America Announces Enhancement  to Affinity Card Program
Bank of America will be adding a new bonus earn category that will provide customers 2% bonus earn on Wholesale Club purchases (along with the current 2% on groceries and 3% on gas).  In addition, the quarterly bonus earn cap will be increased from $1,500 to $2,500 in combined gas/grocery/wholesale club purchases. The target implementation date is June 1st, which will be around the time that Visa cards will begin to be accepted at Costco.  With these enhancements, customers will enjoy bonus earn at all Wholesale Club merchants, including BJ’s Wholesale and Sam’s Club, as well.


CLASSIFIED


Spacious, Newly Renovated Medical Office to Sublet Near the United Nations
Handicapped accessible, Wi-Fi ready, separate reception area 1 to 3 rooms rooms available, 1 to 7 days per week Ideal for ophthalmologist/optometrist with onsite optical dispensary Could easily suit other specialties Excellent value, long-term lease available if desired Contact Dr. Scott Weissman email scott.weissmanmd@gmail.com  cell 914 772-5581

Commercial Co-op For Sale Lynbrook $129,000
Corner Of Hempstead Ave And Peninsula Blvd
880 sq ft Ground Floor Fully Renovated
Perfect For Doctor’s Office, Health Care, Accountant, Attorney,
Insurance, Real Estate, And General Office
AC, Parking Lot For Employees And Patients
3 Offices, Kitchen, Bath, Receptionist & Waiting Area
(516) 362-1828 | Leatherman Homes

Office Rental 30 Central Park South 
Two fully equipped exam rooms, two certified operating rooms, bathrooms and consultation room. Shared secretarial and waiting rooms. Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1300 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com


Medical Office For Rent – 715 West 170 Street
Two to five examination rooms available plus Reception,secretarial areas. Two bathrooms and entrances. Ethernet and cable ready. $4000 – $9500/ month. 917.861.8273 drdese@gmail.com Can build to suit including accredited O.R.s

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


NORTHERN WESTCHESTER – Psychiatric Opportunities
Part-time Psychiatrist (BC/BE/Child very desirable) wanted, to work in North Salem, N.Y., Suboxone DEA license helpful. Fax qualifications and availability to 914 669-6051 or call 914 669-5526 with questions..

Practice for Sale; North Salem, N.Y.
This is an excellent opportunity for someone wanting to purchase an established, growing practice. North Salem is a semi-rural suburban area 30 minutes north of White Plains; close to I-84, and I-684. This is an excellent place to live and practice, with excellent schools, close to malls and shopping. We treat patients of all ages, and there is a substantial Suboxone component integrated into the practice. Staffing includes several part-time psychiatrists, therapists. Patients come from Northern Westchester, nearby Putnam County and the Ridgefield-Danbury area and include children, adolescents, adults, families, Geriatric patients. Reliable office staff assist in patient and insurer management. Call 914 669-5526.


Physician Opportunities

Unique Private Pediatric Practice Opportunity
Summerwood Pediatrics is a very progressive, large community-based private practice in the Syracuse area. We provide care for over 25,000 children from birth to 21. The practice also has a satellite office in Camillus, NY. Additionally, the practice operates adjacent to an independent outpatient infusion practice, which is alsoowned and operated by our medical director. We are looking to employ a bright, energetic and enthusiastic general pediatric or subspecialty-trained physician. Presently the practice employs seven physicians, two pediatric NPs and one PA . All providers share on-call responsibilities on a one-day per week basis. Weekend coverage and office hours are performed on a rotational basis by the physicians. Our offices encompass over 28,0000sq. ft. of state-of-the- art clinical space;on-site lab services. The position, either full or part-time, includes applicable benefits inclusive of health care, malpractice insurance, CME expenditures and retirement plan. To discuss this opportunity further, contact either Dr. Robert A. Dracker or Mr. Warren Ford at 315-457-9914…9-5 EST.

Medical Director at CDPHP: Voted NYS “Best Company” by Our Employees!
CDPHP is more than a health insurer. We are a not-for-profit health value organization leading the way toward better, more affordable health care. CDPHP represents progress and innovation for more than 425,000 members throughout New York. A physician-founded and guided plan, our primary focus is the health and well-being of those we serve. While other insurers strive to create value for their shareholders, our efforts are centered on creating value for members, in part by providing employers with innovative solutions for managing health care. The Medical Director will assist the Vice President, Senior Medical Director and the SVP of Medical Affairs with the implementation of the Plan’s Medical Management, Quality Improvement and Resource Management initiatives in accordance with regulatory, accreditation, and corporate policies and strategic plan. The Medical Director will participate in the medical advisory committees, provide leadership to, and serve as a liaison between the physician community and the Plan’s management.

The ideal candidate will possess the following:

  • Licensed physician with current, unrestricted license (preferably New York State); Board Certified to practice a medical specialty; ABMS specialty is required.
  • If not licensed in New York State, eligibility for New York State licensure is required.
  • Additional advanced degree(s) preferred.
  • Minimum three to five (3-5) years clinical practice experience is required.
  • Minimum of three (3) years managed care or practice management is preferred.

Please email nicole.harrington@cdphp.comEqual Opportunity Employer, females, minorities, disabled, veterans



Relieve Physician Burnout through Yoga Science (30 CMEs)
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Change your perspective––change your experience. The 8th annual
American Meditation Institute Heart and Science of Yoga conference
is uniquely designed to offer you a refreshingly new, clearer and kinder
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
challenging your circumstances might feel today, Yoga Science can help. Delicious gourmet vegetarian food(always including special dietary needs).
americanmeditation.org/cme
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CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355