August 19, 2016 – MSSNYPAC Needs You

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
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Aug. 19, 2016
Volume 16, Number 29

MLMIC

Dear Colleagues:

MSSNYPAC needs you.

As a New York physician, you have already benefited from MSSNY’s legislative advocacy efforts on a wide range of impactful matters that directly affect your ability to continue delivering care to your patients including:

  • defeat of the date of discovery bill which would have caused your liability premium rates to increase by as much as 15%;
  • passage of three bills to address issues which have arisen as a result of our e-prescribing law;
  • passage of legislation to address administrative hassles with insurers, including allowing physician override of insurer step therapy protocols;
  • defeat of changes to the Excess Medical Malpractice program that would have eliminated coverage for over 13,000 physicians across the state who currently receive an additional $1M layer of coverage from New York State
  • defeat of legislation that would have allowed clinics staffed by nurse practitioners to be located in retail establishments owned by publicly traded corporations like CVS Health, Walmart and Walgreen; and
  • defeat of every piece of legislation seeking to expand the scope of practice of non-physician practitioners like psychologists, oral surgeons, optometrists, nurse-anesthetists, and naturopaths  .

As you can see, sustained physician involvement can make a difference! While we win these legislative fights on your behalf year after year, the issues return and must be fought again!  Our opponents do not relent in their efforts. Unfortunately, our ability to fight for needed reforms and against harmful governmental actions is compromised by a decreasing number of physicians willing to join us in these efforts.

While advocacy and grassroots efforts are essential components of success, the stool supporting our advocacy efforts has three legs; the third being political contributions.

If we want to continue to have a seat at the table to discuss the very important issues that we confront, we must have a healthy political action arm.

Please join me in becoming a MSSNYPAC member. Basic membership starts at just $175– just $15/month. But why stop there?  We also have a Chairman’s Club for $1000 (Just $83/month) and a President’s Circle at $2500(Just $208/month).  Membership can be paid in monthly or quarterly installments.

Join MSSNYPAC by going to www.mssnypac.org  to add the weight of your voice to our efforts.

Your colleagues are counting on you.

Malcolm Reid, MD, MPP
MSSNY President

Please send your comments to comments@mssny.org


enews large

Aetna to Withdraw from 11 ACA Exchanges in 2017
On Monday, Aetna announced that it will pull back from 11 of the 15 states where it offers individual insurance on the ACA exchanges.

This year, Aetna offers plans on the health insurance marketplace in the following states: Arizona, Delaware, Florida, Georgia, Iowa, Illinois, Kentucky, Missouri, Nebraska, North Carolina, Ohio, Pennsylvania, South Carolina, Texas and Virginia. In 2017, The company will maintain a presence on exchanges in Delaware, Iowa, Nebraska and Virginia only.

In a statement, Healthcare.gov CEO Kevin Counihan said Aetna’s decision does “not change the fundamental fact that the Health Insurance Marketplace will continue to bring quality coverage to millions of Americans next year and every year after that.”

New York City Officials Call for Zika Funding
NYC officials warned this week of the growing threat of the Zika virus. 483 people in New York, including 49 pregnant women, have tested positive for the Zika virus. Five of the victims contracted Zika through sex, while the other 478 are believed to be travel-related cases. And while there has not yet been local transmission of the virus, NYC Mayor Bill de Blasio and Health Commissioner Dr. Mary Bassett this week called on Congress to approve additional funds now. “Failure to address Zika will come to our door,” said Dr. Bassett. “Global is local.”

The officials called on Republicans in Congress to pass a $1.9 billion appropriation bill to fight the virus. “Without federal dollars, we cannot deepen our work and we won’t have the reassurance that other jurisdictions are doing all they can do to fight Zika,” DeBlasio said. “It’s time to take the action to stop this crisis while we can.”

Adult Brain Cells Key to Learning May be Susceptible to Zika, Study Suggests
The Washington Post reports that a study involving mice published in Cell Stem Cell suggests that “adult brain cells critical to learning and memory also might be susceptible to the Zika virus.” Researchers believe that Zika can infect “pockets” of neural progenitor cells in adults, which “replenish the brain’s neurons over the course of a lifetime.” The study authors “admit that the findings represent only an initial step in discovering whether Zika can endanger adult human brain cells,” but these findings “suggest that the Zika virus…may not be as innocuous as it seems for adults.”

The Wall Street Journal reports that researchers believe the findings apply to children as well as adults. The researchers intend to analyze whether infected neural progenitor cells recover over time.

CDC Researchers Take Measurements in Manhattan for National Health Survey
The Wall Street Journal reports that researchers have been collecting data in New York City that will be used to make the National Health and Nutrition Examination Survey, which is designed to offer insights on US health issues – ranging from alcohol consumption to diabetes rates – for use by academics, government agencies, and the public. Researchers will take measurements from approximately 5,000 people, who serve as a cross-section representative of different American demographics.

Nominations Open for Review Committee Positions
Physicians are invited to apply for nomination to leadership positions in key medical education organizations. These are positions appointed by the AMA, Board of Trustees. Take advantage of opportunities to gain valuable leadership experience, enhance your career and make your voice heard in the service of helping shape the future of our profession. Current leadership positions available include opportunities with the American Board of Emergency Medicine, the American Board of Preventive Medicine, the Liaison Committee on Medical Education (LCME) and various Accreditation Council for Graduate Medical Education (ACGME) Review Committees. More information on submitting a nomination can be obtained by going here.

All nominations should be submitted to Mary O’Leary at mary.oleary@ama-assn.org by September 12, 2016.   You must be an AMA member to be considered.   Please feel free to share with your colleagues.

Attention Physicians in the Hudson/Capital Region: Unique Payment Opportunity
MSSNY—along with the NYS Department of Health and participating payers, CDPHP, MVP and Empire Blue Cross Blue Shield—invites physicians in the Hudson/Capital Region to join us on a one-hour webinar to learn more about a unique payment opportunity being offered by CMS. CPC+ is an advanced primary care medical home model that rewards value and quality by offering an innovative payment structure to support delivery of comprehensive primary care.

Two options available:
Webinar 1: Tuesday, August 30th
Time: Noon- 1 pm

Register 

Webinar 2: Tuesday August 30th
Tim: 6:00 – 7:00 pm
Register

Comprehensive Primary Care Plus (CPC+), a multi-payer program that will include 5,000 primary care practices nationwide, begins in January 2017. CPC+ is an advanced primary care medical home model that rewards value and quality by offering an innovative payment structure to support delivery of comprehensive primary care. CPC+ builds upon the CPCI demonstration and offers 2 primary care practice “tracks” with incrementally advanced care delivery requirements and payment options to meet the diverse needs of practices.

CPC+ is specifically identified in the Quality Payment Program under the Medicare Access and CHIP Reauthorization Act (MACRA) as an advanced Alternative Payment Model (APM). Most practices that qualify for CPC+ will receive significant additional payment and, by qualifying as an advanced APM, will be excluded from the upcoming Merit-Based Incentive Payment System (MIPS).

Comprehensive Primary Care Plus (CPC+), the CMS Innovation Center’s new national advanced primary care medical home model, is now accepting applications. New York State is one of only 14 regions selected for this initiative. The deadline to apply is Sept. 15.

Who can apply: CPC+ targets primary care practices with varying capabilities to deliver comprehensive primary care. In order to participate, all CPC+ practices must demonstrate multi-payer support, use Certified EHR Technology (CEHRT), and demonstrate other capabilities. CPC+ will provide financial support and educational resources to assist practices with elements such as data collection and team based care that can have an impact far beyond CPC+. Participants from CPCI are eligible and encouraged to apply. Not all practices who apply will be selected, so this webinar is crucial to obtaining the information you to need to apply.

Why CPC+ is important: Besides the additional payments tied to CPC+, practices that participate in CPC+ and meet certain requirements will be excluded from MIPS and will receive the 5% Advanced APM bonus payment on their fee-for-service payments starting in 2019, as per the MACRA law.

CMS is conducting Open Door Forums throughout August and September, featuring Question and Answer sessions, overviews of key model elements, and step-by-step instructions for completing the CPC+ Practice Application. For more information, go here.

This webinar is being conducted specifically for the designated NYS Region to discuss CPC+ with state officials, those who participated in CPCI, and the payers who will be participating in this initiative.

Studies Suggest Elderly Getting too Many Prescriptions for Chronic Illnesses
Kaiser Health News reports a growing number of elderly patients are being prescribed too many medications to treat chronic illnesses, “raising their chances of dangerous drug interactions and serious side effects.” Furthermore, the piece points out that different drugs are often prescribed by different physicians, “who don’t communicate with each other,” further complicating the situation. Data from the Institute of Medicine show that in 2006, “at least 400,000 preventable ‘adverse drug events’ occur[ed]… in American hospitals.” Similarly, a 2013 study found that nearly 20 percent of patients discharged from hospitals “had prescription-related medical complications during their first 45 days at home.”

Maternal Acetaminophen Use in Pregnancy May be Associated with Behavioral Problems in Offspring
In “Science Now,” the Los Angeles Times reports that a study published online Aug. 15 in JAMA Pediatrics associates acetaminophen with “behavioral problems in children born to mothers who used it during pregnancy.” The findings of the 7,796-mother study revealed that “compared to women who reported no acetaminophen use at 18 weeks of pregnancy, those who took the medication at that point of gestation were 42% more likely to report hyperactivity and 31% more likely to report conduct problems in the children they bore.” Expectant mothers who took the medicine “at 32 weeks of pregnancy were 29% more likely than women who did not to report emotional difficulties in their child at age seven.”


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Luxurious Medical Office Space to Share in Midtown (East) Manhattan! $6,950/monthly
Plastic surgeons desire to share office space (entire office is app. 5,000 square ft., Grade A building) with any medical or surgical specialty (Plastic, Facial plastic, dermatology, surgical subspecialty).  Space is located in concierge building on 3rd Avenue (3 blocks to Grand Central Station).

2-year sublease starting immediately; includes spacious doctor’s office with wall of windows (15 x 12 ft), and doctor’s staff office (9 x 8 ft).  The shared space includes luxurious waiting room (29 x 15 ½ ft) with a grand custom-made mahogany reception desk, three patient exam rooms (one used as procedure room which is 15 x 13 ft), the kitchen (10 x 8 ft), the photo room (8 x 7 ft), and staff bathroom (7 x 6 ft). Price negotiable.  Serious inquiries only, may contact us at 201-615-6963 or email us: cahnmd@gmail.com
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Office to Share/Rent
Medical Co-op Building located on East 60th Street, NYC. Includes one consult room and 2 examination rooms, waiting room, 2 bathrooms, plus 2 medical assistants. Space for one secretary. Available 2.5 days per week.  Free internet and Wi-Fi. For more information, contact mamdocs9B@gmail.com or (212) 230-1144.


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Physician Opportunities

Crown Medical PC Needs a New Internist and Pediatrician to Join Our Team! Salary $200,000 + plus benefits.
As a part of our continued growth, we are searching for a new Internist and Pediatrician to join our team. Salary is $200,000 + plus benefits.
Primary Responsibilities:
Examines, diagnoses and treats patients for acute injuries, infections, and illnesses
Counsels and educates patients and families about acute and chronic conditions or concerns
Documents items such as: chief complaint, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment and plan
Formulates diagnostic and treatment plans
Prescribes and administers medications, therapies, and procedures
Orders lab and imaging tests to determine and manage an immediate treatment plan and provides advice on follow up
Responsible for the coordination of care with specialists and appropriate ancillary services
Completes all documentation and paperwork in a timely manner
Maintains quality of care standards as defined by the practice

Required Qualifications:
Active and unrestricted New York medical license
Board certified in Internal Medicine or Pediatrics
Current and unrestricted DEA certificate
Effective communication skills
Outstanding organization skills and ability to multi-task
Takes Initiative, creative, has problem solving ability, is adaptable, and flexible
Ability to work without direct supervision and practice autonomously
Ability to work in fast-paced environment
Crown Medical, PC / ER Medical, PC
Contact: Michael Furman
Practice Administrator
718-208-1215
e: michael@crownmd.com


Nurse Practitioner/ Family Practice Physician
Full time/part time Urgent Care; Primary care/urgent care experience necessary. Rome NY. 315-335-7777


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