March 2, 2018 – ABMS Listened to US!

Charles Rothberg, MD - MSSNY President
PRESIDENT’S MESSAGE

Charles Rothberg, MD
March 2, 2018
Volume 18
Number 9

Dear Colleagues:

The good news can’t wait— the American Board of Medical Specialties (ABMS) has put a survey online!

For several years, MOC issues have caused physicians measurable stress that has led to anger. Our membership has been very vocal in their criticism of the cost, the time and the weight given to the continuing process of maintaining MOC. Our incoming president, Dr. Tom Madejski, after attending an ABMS Meeting in Chicago, followed up with a letter to ABMS outlining our concerns:

  • MSSNY would like to see ongoing efforts in reducing direct and indirect costs related to the process (travel, time away from practice, etc.)
  • Non-punitive pathways for remediation. (Lack of certification should not result in loss of privileges.)
  • Education to external stakeholders with regards to non-maintenance of certification. (Certification should not be a sole criteria for privileges or participation with insurers)
  • Alternatives to the high stakes examination e.g. physicians should be able to complete a secure exam at a time and place of their choosing.
  • Enhance the life-work balance of physicians. (Burdens to physicians regarding certifications should be minimal.)

Apparently, the ABMS was listening. On February 5, they announced a new Commission of 25 that will be responsible for assessing the continuing of board certification as well as a “Vision Initiative.” The newly selected Commission members will also be responsible for making recommendations and “establish a relevant and valuable program that meets the highest standard of quality patient care.”

ABMS’ “Vision Initiative” also allows stakeholders to actively engage in the process through a dedicated section for feedback and input. Stakeholders interested in sharing their feedback, ideas and suggestions are also encouraged to submit comments. The Commission’s final recommendations will be submitted to the American Board of Medical Specialties (ABMS) and its Member Boards on February 1, 2019.

It’s up to us now that we have an open line of communication.

Please take a few minutes to take the survey.

Charles Rothberg, MD
MSSNY President

Please send your comments to comments@mssny.org

Come to State Legislation Day in Albany on March 6th!
Let your voice be heard!




Capital Update
Please Join Us in Albany Next Wednesday March 7!
MSSNY’s “Physician Advocacy Day” will be held next Wednesday, March 7th in the Lewis Swyer Theatre in the Egg located at the Empire State Plaza, Albany NY. Click Here to Register!Join your colleagues from all around New York State and come to MSSNY’s Physician Advocacy Day to speak with your legislators to ensure they’re making the right choices for New York’s physicians and their patients. Please wear your white coats!We thank the New York State Osteopathic Medical Society for coordinating their advocacy day with MSSNY.Join us to urge your legislators to:

  • Reject the Inappropriate scope of practice expansions proposed in the Executive Budget
  • Prevent big-box store owned medical clinics that will hurt community primary care delivery
  • Reduce excessive health insurer prior authorization hassles that needlessly delay patient care
  • Reduce the high cost of medical liability insurance
  • Reject harmful Patient Centered Medical Home Cuts under Medicaid
  • Preserve opportunities for our medical students and residents to become New York’s future health care leaders

A brief luncheon to which members of each House are invited to speak with their constituents will follow the morning program. Physicians should contact their County Medical Societies which will be scheduling afternoon appointments for physicians to meet with their elected representatives. If you have any questions/comments, please contact Carrie Harring at charring@mssny.org.                                                                        (HARRING)

March Madness Kicks Off – Get Involved and Contact your Legislators
As part of our efforts to educate legislators on a number of complex and controversial budget proposals included in the budget, MSSNY has urged physicians to continue become actively engaged in the legislative and political process.

Governor Cuomo’s budget includes thousands of pages of legislative and budgetary proposals that impact the delivery of health care.  The continued challenges we face as a profession are evident once again.  There are budget proposals that would cut reimbursement rates, expand the scope of practice for various professions, increase unworkable mandates on physicians and change the delivery of patient care.  MSSNY has also partnered with specialty societies in communicating its concerns to the Legislature on many of these troublesome Budget issues. MSSNY Governmental Affairs staff has also had countless meetings with legislators and staff in Albany.  However what is most important is for legislators is to hear directly from their constituents. It is only with this dual approach that we can impact the decisions that will be made. Please call your legislator’s offices, write letters and meet with your elected officials.

Urge your legislators to:

  • Oppose Expanding scope of practice for certified nurse anesthetists (CRNAs)

This provision would allow Certified Registered Nurse Anesthetists (CRNAs) to administer anesthesia without the supervision of a physician anesthesiologist.  To urge your legislators to protect safe anesthesia care for patients please click here.

  • Oppose Authorizing Health Services Offered In Big Box Stores

This provision authorizes the delivery of health services in a retail setting such as a pharmacy, grocery store, or shopping malls.  Sponsors could include a business corporation.  Services to be offered would include treatment of minor episodic illnesses, episodic preventive and wellness services such as immunizations, administration of opioid antagonists, lab tests, and limited screening and referral for behavioral health conditions.

With the recently announced proposal of drugstore chain giant and PBM operator CVS to purchase health insurance giant Aetna (which is itself under investigation in several states for medical necessity denials), this could result in an explosion of retail clinics at the expense of community physician practices. To urge your legislators to reject corporate owned retail clinics, please click here.

  • Oppose Patient-Centered Medical Home cuts

This proposal would slash the Patient-Centered Medical Home (PCMH) add-on Medicaid payment that many primary care practices receive to help manage and coordinate needed patient care services.  Moreover, it would potentially require all PCMH primary care practices to have a Level 1 Value-Based payment contract by July 1, 2018, or face further steep cuts in PMPM payments. MSSNY has joined with several other Primary Care Societies to oppose this proposal (see related article) To send a letter click here.

Additional budget items of great concern include:

  • Expanding the investigatory powers of OPMC
  • Repealing “Prescriber prevails” protections that currently exist in Medicaid and Medicaid Managed Care, forcing physicians to go through even more burdensome prior authorization requirements.
  • Eliminating the Empire Clinical Research Investigator Program (ECRIP).
  • Consolidating 30 public health appropriations into four pools, and reduce overall spending by 20 percent.
  • Comprehensive Medication Management Protocols

This proposal allows nurse practitioners and pharmacists to provide comprehensive medication management to patients with a chronic disease or diseases who have not met clinical goals of therapy and are at risk for hospitalization.  Urge your legislators to reject this inappropriate scope of practice expansion. Click here to send a letter to your legislator.

  • Community Paramedicine

This proposal would allow emergency medical personnel to provide non-emergency care in residential settings.  While a laudable goal, the bill language only includes general references to collaboration with the patient’s treating providers, rather than specific requirements to communicate with actively treating physicians and other care providers.     To protect proper continuity and coordination of patient care with treating >providers, please click a href=”https://cqrcengage.com/mssny/app/write-a-letter?0&engagementId=430438″>here to send a letter to your legislator.                              (DIVISION OF GOVERNMENTAL AFFAIRS)

MSSNY, AMA Express Strong Concerns with Aetna-CVS Merger in Response to Congressional Hearing
In response to a United States House of Representatives Judiciary Committee hearing this weekexamining the proposed CVS takeover of Aetna, MSSNY President Dr. Charles Rothberg issued a statement (click here) noting the great importance of federal and state policymakers taking a thorough review of a proposed consolidation “that will

Specifically, Dr. Rothberg noted his concerns for patients and their physicians with this proposed market consolidation on a number of fronts, including:

  • Reduced choice of pharmacy for patients, as it may become harder for non-CVS pharmacies to be iincluded into the CVS-Aetna pharmaceutical network;
  • Even more burdensome prior authorization hassles for physicians and their staff as a pre-condition for patients receiving needed prescription medications;
  • An explosion of so-called “Minute Clinics”, to be owned by an insurance company that would likely have great incentive to steer patients to these sites through cost-sharing and network development instead of a community based primary care practice that typically serves as a patient’s medical home; and
  • the recent investigation by several states, as reported by CNN, into whether Aetna may be inappropriately denying coverage for patient care.

Dr. Rothberg’s comments were the focus of an article in the February 28 Crains Health Pulse. Importantly, the American Medical Association also submitted a lengthy statement (click here) to the House Judiciary Committee that articulated concerns that the proposed merger may harm competition in markets that are already highly concentrated.

Specifically, the testimony noted that the AMA is “concerned that the proposed merger has the potential to worsen competition (or reduce hopes for amelioration) in three poorly performing markets: PBM services; local health insurance markets; and many local retail pharmacy markets.  Moreover it was noted that “the adverse ramifications in the health insurance market of a combined CVS-Aetna…are likely to swamp any expected cost benefit”.   Among the concerns included:

  • The proposed transaction raises anticompetitive concerns that are unique to vertical mergers
  • Health insurance markets are highly concentrated and in numerous markets Aetna is the first or second largest health insurer
  • The PBM market is highly concentrated and CVS is one of the two largest PBMs
  • The retail pharmacy market is highly concentrated and CVS likely has market power in local markets
  • The merger may be anticompetitive because it would allow CVS-Aetna, the third largest health insurer, to control the PBM services of Anthem, the second largest insurer
  • The merger may be anticompetitive in the market for part D Medicare         (AUSTER)



MSSNY Joins Primary Care Societies and Associations to Urge Legislature to Reject Steep PCMH Cuts
This week MSSNY joined several other primary care advocacy associations in a collaborative letter to the NYS Assembly and Senate Health Committee Chairs urging that the State Legislature reject the proposed $20 million cut to Medicaid Patient Centered Medical Home (PCMH) incentive payments as proposed in the Executive Budget.

As outlined in the January 2018 Medicaid Update, beginning in May 2018, incentive payments for PCMH 2014 level 2 would be permanently eliminated and PCMH 2014 level 3 payments would be temporarily reduced from $7.50 per patient per month (PMPM) to $2 PMPM, a 75% reduction. Starting in July 2018, payments for PCMH 2014 level 3 would be reduced to $5-$6 PMPM on a permanent basis and tied to whether a provider has VBP contract.

The group letter notes that “one of the key components of the State’s transformation efforts is expanding access to high quality primary care. In furtherance of this, NYS made increasing the number of PCMH certified practices a DSRIP project goal. Primary care providers across the state have responded to the Department’s efforts by becoming PCMH certified at unprecedented rates- New York State currently has the highest percentage of PCMH certified providers in the country.

Moreover, sharing the concerns that we have heard from physicians, the letter notes that “If these cuts go into effect, PCMH certified providers stand to lose millions of dollars beginning in May- just two months from now. We have heard from some providers that they may not continue to participate in the program or seek higher levels of certification, as lower payments would not justify the amount of work necessary to achieve and maintain certification.”

In addition to MSSNY, the group letter requesting the restoration of this cut was signed by the Community Health Care Association of New York State (CHCANYS), the NYS Academy of Family Physicians, the NY Chapter of the American College of Physicians, the NYS American Academy of Pediatrics, and the Primary Care Development Corporation.

Physicians can send a letter to their legislators in opposition to these cuts here: (DIVISION OF GOVERNMENTAL AFFAIRS)

MSSNY To Conduct Veterans Matters Webinar: Suicide In Veterans On March 26th at 7:30am: Registration Now Open. Did you know that approximately 20 veterans commit suicide every day?  And that veterans account for 20-25% of suicides in the US?
The Medical Society has created free CME Veterans Matters programs to assist New York State physicians in recognizing the unique health problems faced by veterans and the best way to provide care to veterans.

Register here for Veterans Matters: Suicide in Veterans on March 26th at 7:30am.
Faculty: Jack McIntyre, MD

Educational Objectives:

  • Address the causes and warning signs of suicide and suicidal behavior among veterans
  • Explore evidence-based diagnostic, intervention and treatment options
  • Identify barriers to identification and treatment in military culture and methods to overcome them

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

The Medical Society of the State of New York designates each of these live activities 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.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org(HOFFMAN)

Register NOW for MSSNY House of Delegates Live CME Seminars on Thursday March 22nd and Friday March 23rd
The Medical Society of the State of New York will conduct three live seminars at its House of Delegates meeting on March 22nd and 23rd .The programs are opened to all physicians in the western New York area and will be held at the Adam’s Mark Hotel, 120 Church Street, Buffalo, NY 14202.  Pre-registration is strongly suggested.  The following programs will be offered: 

Medical Matters: Disaster Medicine: Every Physician’s Second Specialty
Thursday, March 22nd, 1:00-2:00pm
Register here.

Faculty: Lorraine Giordano, MD, FACEP, FAADM

* Must attend in person at the House of Delegates.

Educational Objectives:

  • Identify core preparedness competencies every physician should know
  • Explore essential elements of preparedness plans for staff, patients, and family
  • Describe available courses, resources and organizations to obtain disaster preparedness education and training

Bending the Diabetes Curve
Thursday, March 22nd, 2:00-3:00pm
Register here.

Faculty: Geoffrey Moore, MD & Sarah Nosal, MD

* Must attend in person at the House of Delegates.

Educational Objectives:

  • Describe the trends in Type 2 diabetes and implications for clinical practice
  • Review evidence that supports referring patients with prediabetes to lifestyle change program
  • Outline the considerations for implementing a diabetes prevention initiative in a physician practice
  • Describe NYS specific incidents of prediabetes and diabetes in adult population
  • Understand the reimbursements mechanisms for DPP

Current Concepts in Concussion for Pediatric and Adult Patients
Friday, March 23rd, 1:00-2:00pm
Register here.

Faculty: Deborah Light, MD & John Pugh, MD, PhD

* Must attend in person at the House of Delegates.

Educational Objectives:

  • Identify signs and symptoms indicative of concussion as well as red flags that indicate alternate or more severe pathology;
  • Outline an appropriate management plan for a patient presenting with concussion including a return to “normal life” protocol;
  • Describe methods for the primary and secondary prevention of concussion;
  • Identify patients who would benefit from referral to a concussion specialist     (HOFFMAN)

Tickborne Diseases: An update on trends, diagnostics, and emerging infections to be presented at the MSSNY House of Delegates on March 22nd
The New York State’s Department of Health Commissioner’s Grand Rounds session title Tickborne Diseases will be presented as a live seminar at the MSSNY House of Delegates on Thursday, March 22, 2018 from 3-4:30 p.m. at the Adam’s Mark Hotel, 120 Church Street, Buffalo, NY 14202.  The purpose of this presentation is to describe the epidemiology of tickborne diseases in NYS, review diagnostic approaches to tickborne diseases, and provide an update on emerging tickborne infections.  Host for the afternoon session will be NYS Health Commissioner Howard A Zucker, MD, JD.

Faculty will include C. Ben Beard, MS, PhD,  Deputy Director Division of Vector-Borne Diseases. Centers for Disease Control and Prevention; Philip Molloy, MD, Rheumatologist, Nantucket Cottage Hospital, Medical Director for Tickborne Diseases, Imugen Inc.; Michael Ryan, PhD, Director, Division of Laboratory Quality Certification, Wadsworth Center, New York State Department of Health; P. Bryon Backenson, MS, Deputy Director, Bureau of Communicable Disease Control, New York State Department of Health, Assistant Professor, Department of Epidemiology and Biostatistics, University at Albany School of Public Health.

The Grand Rounds session is offered free to all health care providers and advance registration is required.  For additional information and to register for this event please see the flyer by clicking here.

Continuing Medical Education Credits will be issued by The School of Public Health, University at Albany which is accredited by the Medical Society of the State of New York (MSSNY) to provide continuing medical education for physicians. The School of Public Health, University at Albany designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.                                                                (CLANCY)


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

pschuh@mssny.org   mauster@mssny.org  pclancy@mssny.org  

eNews

NY Failing Veterans’ Care; Only 2% of Physicians Qualified
Providers in New York are ill equipped to care for veterans, according to a new RAND Corporation study, which found just 2 percent of physicians and other health providers were capable of offering timely and competent care. There are 800,000 veterans in New York, half of whom are younger than 65. The study, commissioned by the New York State Health Foundation, examined providers on seven measures, and found physicians lacked understanding of military culture and did not know which conditions to screen for. Providers were also asked whether they were accepting new patients. While 90% of physicians were accepting new patients, fewer than 5 %of providers reported being part of VA Community Care, the network of providers who accept VA benefits. Mental health providers were the least likely to be enrolled in the program.

Why it matters: The Veterans Administration has myriad problems including wait times. The federal government is debating whether to encourage veterans to seek care from community based providers so it is important those providers know what to do. “These findings reveal significant gaps and variations in the readiness of community-based health care providers to provide high-quality care to veterans,” said Terri Tanielian, the study’s lead author and a senior behavioral scientist at RAND, a nonprofit research organization, in a press release. “It appears that more work needs to be done to prepare the civilian health care workforce to care for the unique needs of veterans.”

MLMIC Shares Latest Development in Berkshire Hathaway Transaction
On July 15, 2016, MLMIC and National Indemnity Company (NICO), a Berkshire Hathaway company, entered into a definitive agreement to acquire MLMIC. The acquisition will involve the conversion of MLMIC from a mutual to a stock company. The closing of the transaction is subject to various regulatory approvals (including the NYS Department of Financial Services), customary closing conditions and the approval of the MLMIC policyholders eligible to vote on the proposed demutualization and sale.

On February 23, 2018, the parties agreed to an acquisition price of approximately $2.5 billion and signed an amended acquisition agreement to reflect the purchase price and closing procedures. The parties currently expect this acquisition will be completed in the third quarter of 2018.

Please bookmark their FAQs page for the most current information, and if you have any questions, please call 1-888-998-7871.

New York City Council to Probe Alleged $1 Billion Health Insurer Scam
The New York Post (2/28) reports that the New York City Council will probe two of the state’s largest health insurers after the Post reported “on a newly unsealed lawsuit claiming the companies pulled a $1 billion scam on taxpayers.” Former city lawyer Kami Barker brought the whistle-blower case against Empire and Emblem after investigating the insurers when she was hit with over a quarter-million dollars in medical bills despite having full health coverage. Barker “says a summary of her plan promised that using in-network hospitals would save her money – but didn’t warn that many doctors in those hospitals were considered out-of-network.” She also found that the companies used alleged “old-fashioned accounting fraud” to overcharge the city for insurance services by an average of $55 million a year between 2008 and 2014.

Excellus BCBS Doubled Profits in 2017
Excellus BlueCross BlueShield nearly doubled its profits in 2017 and gave its top executive a 13 percent pay raise. (2/28 Syracuse Post Standard)

The Rochester-based health insurer generated net income, or profit, of $182.3 million last year, up from $99.5 million in 2016, according to a report filed today with the state.

Excellus made more money than expected because of lower than anticipated medical expenses, favorable investment income and efficient administrative expenses, the company said in a prepared statement. The insurer’s net income was 3.2 percent of the $5.6 billion it collected in revenue. That’s the highest net income percentage since 2011.

Chris Booth, the insurer’s CEO, said the company’s annual goal is to keep its annual profit below 2 percent of premium revenue. Since 1998, the percentage has averaged 1.8 percent. Because it is a nonprofit, Excellus puts profits into a reserve fund to protect members from higher-than-expected claims expenses or lower-than-expected revenues. At the end of 2017, the insurer’s reserves totaled $1.4 billion, up from $1.2 billion in 2016. “Achieving a margin is critical for the business to be financially healthy for the security of our members,” Booth said in a prepared statement. “New York has recently experienced what occurs when an insurer incurs losses and lacks adequate reserves.”

Opioid Deaths Decrease in New York’s Erie County
The Buffalo News  (2/27) reports that New York’s Erie County Health Department “recorded 268 suspected and confirmed opioid-related drug deaths in 2017,” an 11 percent decline from 2016 but still higher than in 2015. They report that New York’s I-STOP program “has brought a halt to doctor shopping for duplicate opioid pain prescription,” and Erie County’s Medicaid data show “opioid prescriptions for the popular combination drug hydrocodone-acetaminophen have fallen considerably in recent years as more physicians are educated about the addictive properties of such drugs.” 

Opioid Crisis Costs New York City $500 Million Annually
The Wall Street Journal (2/26) reports New York City aims to recover about $500 million from opioid manufacturers and distributors through litigation, shedding light on the city’s annual opioid-related costs. City officials say that $450 million of the sum fell on NYC Health+Hospitals, the city’s public health system, while $355 million is for inpatient and emergency department care, the Journal reports, adding that Health+Hospitals sees about 60 percent of the city’s emergency visits for opioids.

CVS Clinics Could Overtake Traditional Primary Care, MSSNY Says
As CVS Health and Aetna went before Congress Tuesday to defend their proposed merger, the Medical Society of the State of New York spoke out against the deal.

In a statement, Dr. Charles Rothberg, president of MSSNY, elaborated on his misgivings about the $69 billion deal. “Perhaps of greatest concern,” he said, “is the possibility that the merger will lead to the proliferation of CVS’ Minute Clinics.” The clinics would “be owned by an insurance company that would have great incentive to steer patients to these sites instead of a community-based primary care practice that typically serves as a patient’s medical home,” Rothberg said. He added that the move could also reduce patients’ pharmacy choices if Aetna limits the number of non-CVS pharmacies in its networks.

Meanwhile Mark Bertolini, chief executive of Aetna, told CBS this week that a partnership with CVS would simply increase access to one-stop-shop health care for consumers. CVS has more than 10,000 pharmacies and clinics across the country, which Bertolini said could be “10,000 new front doors to the health care system.”

CVS has some 500 retail locations in New York State. 

Death and Dying Opinion Survey coming your way on Monday!

Give it a few minutes to let us know what you are thinking on this important topic.

MSSNY President Charles Rothberg, MD to Participate in America’s Chronic Condition: The Rising Cost of Your Healthcare Forum on March 21
Westchester County Association and The Journal News will join forces to present a community forum on March 21 that will focus on the complex problems plaguing American medicine.
Moderated by The Journal News/lohud’s health care reporter David Robinson, the questions will touch on issues ranging from out-of-pocket costs and premiums to employer-sponsored health insurance and the Affordable Care Act.  The panelists include:

  • Charles Rothberg, President, Medical Society of the State of NY
  • Kevin Dahill, Suburban Hospital Alliance
  • Mary Jo Jacobs, USI Insurance Services
  • Leslie Moran, NY Health Plan Association

The forum will be held Wednesday, March 21 from 8 to 10 a.m. at DoubleTree by Hilton Hotel, 455 South Broadway, Tarrytown. The cost is $35 for WCA members and young professionals and $45 for non-members.

Register for the forum at www.westchester.org.

Five Classifications of Diabetes Proposed
Researchers have proposed five new ways to categorize patients with diabetes based on clinical and genetic parameters. Their work appears in the Lancet Diabetes & Endocrinology.

Scandinavian patients with newly diagnosed diabetes had the following elements collected at baseline: age at diagnosis, BMI, glutamate decarboxylase antibodies (GADA), hemoglobin A1c (HbA1c) levels, and homeostatic model assessment 2 to estimate beta-cell function (HOMA2-B) and insulin resistance (HOMA2-IR) using C-peptide concentrations. Based on these factors, patients were classified into one of the following clusters:

  1. Severe autoimmune diabetes (formerly type 1 diabetes):affected 6% of patients in the derivation cohort; characteristics include early-onset disease, relatively low BMI, and GADA-positive
  2. Severe insulin-deficient diabetes:18% of patients; GADA-negative but similar to cluster 1; lowest HOMA2-B scores
  3. Severe insulin-resistant diabetes:15%; higher HOMA2-IR scores
  4. Mild obesity-related diabetes:22%; obese, but not insulin resistant
  5. Mild age-related diabetes:39%; older than other clusters, but largely similar to cluster 4

The clusters were genetically distinct. Patients with severe insulin-deficient diabetes had the highest rates of retinopathy, while those with severe insulin-resistant diabetes had higher rates of end-stage renal disease and coronary events. The authors say these clusters “represent two new, severe forms of diabetes previously masked within type 2 diabetes.” They add, “It would be reasonable to target individuals in these clusters with intensified treatment to prevent diabetic complications.”

Lancet Diabetes & Endocrinology article 

RESIDENTS

Apply Now: Regents Physician Loan Forgiveness Program; Deadline July 2
The Regents Physician Loan Forgiveness Program can award up to 80 applicants up to $10,000 per year for two years; and we would like physicians to apply for this program, if they meet the eligibility criteria.  The deadline is July 2, 2018.

To be considered for a Regents Physician Loan Forgiveness Award, applicants must meet the following eligibility criteria:

  1. Applicants must be licensed to practice medicine in New York State.
  2. Applicants must have completed a professional residency program within the five years immediately preceding the period for which the first award would be granted or will complete training in 2018 in an accredited residency program in family practice, pediatrics, internal medicine, emergency medicine or obstetrics.  Psychiatry is also considered primary care in certain State facilities.
  3. Applicants must be residents of New York State.
  4. Applicants must also be:
  5. citizens of the United States, or
  6. aliens lawfully admitted for permanent residence in the United States, or
  7. individuals of a class of refugees paroled by the Attorney General of the United States under the parole authority pertaining to the admission of aliens to the United States.
  8. Applicants cannot currently be a recipient of any of the Federal Loan Physician Repayment Award programs.

Information and application forms can be found here.

CMS / MIPS / QPRS

Low Volume Appeals Settlement Process
On February 5, 2018, CMS started accepting Expressions of Interest for the Low Volume Appeals (LVA) settlement process. The LVA settlement option is for providers, physicians, and suppliers (appellants) with:

  • Fewer than 500 appeals pending at the Office of Medicare Hearing and Appeals and the Medicare Appeals Council at the Departmental Appeals Board, combined, as of November 3, 2017
  • A total billed amount of $9,000 or less per appeal

If you are interested in participating in LVA to address your pending appeals:

Visit the Low Volume Appeals Initiative webpage.

Register for the Medicare Learning Network call on March 13

MIPS Reporting Deadlines Fast Approaching: Important Dates to Keep in Mind
Deadlines are fast approaching if you plan to submit data for the 2017 Merit-based Incentive Payment System (MIPS) performance period. Don’t wait until the last minute to submit your data.  Submit early and often.

Here are key upcoming dates for MIPS:

  • March 16 at 8 pm ET – deadline for 2017 data submission for groups reporting via the CMS web interface.
  • March 31 – deadline for 2017 data submission for all other MIPS reporting, including via qpp.cms.gov.

Classified

RENTAL/LEASING SPACE


For Rent – Medical Office 715 W 170 Street New York
Ground floor just completed build out 4 exam rooms with sinks and wall cabinets
Waiting and reception areas, windows throughout.
Street and private entrances, two bathrooms and storage/lab/staff room.
One block to bus and two blocks to Presbyterian Medical Center and subway.
$1900-$7900/ month for one to 4 exam rooms.
Drdese@gmail.com or 917.8618273


For Share – Plastic Surgeon’s Office Facing Central Park Ground Floor Lobby Entrance/Private exit
One to three exam rooms, consult/private office and procedure room for full or part time use.
Elegant, modern and spacious secretarial, waiting and two exam rooms.
Accredited operating rooms and recovery rooms on site.
One block to bus and 20 feet to subways.
$1275-$3750/day monthly for one to three exam rooms.
Drdese@gmail.com or 917.861.8273


Office Space – Sutton Place
Newly renovated medical office. Windows in every room looks out to a park like setting on the plaza level. 2-4 exam rooms/offices available, possible procedure room or gym. Separate reception and waiting area, use of 3 bathrooms and a shower. Central air and wireless. All specialties welcome. Public transportation nearby. Please call 212-772-6011 or e-mail: advocate@medicalpassport.org


Magnificent medical suites for lease – 184 East 70th St . New York, NY.
The space has just undergone a complete STATE OF THE ART renovation.
Located in a luxury building with a separate elevator entrance on the prestigious upper east side of Manhattan, this recently renovated space is conveniently situated steps from Lenox Hill Hospital , Cornell /Columbia Presbyterian, HSS and Memorial Sloan Kettering. Includes exam rooms, new custom cabinetry, new exam beds, scale, waiting area – new furniture, new TV, water cooler etc. Space A : one consultation room plus 2 exam rooms . $6000 per month
Space B:One consultation room plus one exam room. $4500 per month
Space C: one consultation plus one exam $4500.
other combination may work as well. Available for sharing
For full details and photos see listing at http://bit.ly/2E3Zvh0 or contact Karen Tamir at 917-865-1006 or KarenTamir@Yahoo.com.  


PHYSICIAN OPPORTUNITIES

Patient Navigation and Patient Advocacy Services for Your Patients
Barbara A. Brody & Associates, LTD., founded in 1992, is a private “Value–Added” resource for practices and patients. Barbara A. Brody, MPA analyses medical insurance policies, long–term care policies, and insurance billing (physicians, healthcare facilities and pharmaceutical plans). We provide an understanding of the details of Medicare, Group and Individual policies to your patients and, in return, to you and your staff.  We can help your patients with long–term claim filing and medical financial management too.  We help your patients figure out their insurance so you don’t have to.  Contact us at (212) 517–5100 or www.barbarabrody.com


Hypertension Initiative Coordinator
In collaboration with relevant DOHMH bureaus and the intra-agency HTN workgroup, support the research, development, planning and implementation of HTN initiative projects.

    • Oversee Initiative Plan activities and partner activity implementation, including year-to-year activity development and management.
    • In partnership with stakeholders, provide direct support and management of HTN activity implementation among coalition member organizations.
    • In partnership with the HTN Initiative Manager and other staff, contribute to evaluation tracking, data collection, metrics and monitoring, especially as relates to activity implementation.
    • Assess Initiative Plan activities for evidence base; conduct literature reviews and other relevant research to identify evidence-based strategies for activity implementation.
    • In collaboration with programs, develop new project ideas and programming; contribute to grant writing and fundraising for new programming.
  • As part of the HTN team, direct strategic growth and development of a citywide hypertension coalition.
  • Establish and maintain relationships with key stakeholders across New York City, including strategic engagement and management of technology and entrepreneurial stakeholders.
  • As part of the HTN team, represent the initiative at various community or key stakeholder programs; serve as liaison with outside offices as required.
  • Contribute to research-driven manuscripts, memos, reports as well as give presentations reporting data analysis and evaluation results. 
  • Preferred Skills: Experience working across multiple sectors and with diverse stakeholders, experience and ability to critically review and assess the scientific literature, exceptional written and oral communication skills, keen ability to prioritize and handle multiple assignments; keen attention to detail and logistics management, ability to work independently and exercise a high degree of initiative, apply project management strategies, accomplish tasks and solve problems; excellent interpersonal, collaborative and team skills.View full job description / apply online at http://ow.ly/Ox6b30inpLh

Hypertension Initiative Director The Division of Prevention and Primary Care is seeking a high-level director for a new citywide hypertension initiative. Hypertension (HTN) is one of the leading contributors to death and a key driver of health inequities. This initiative will create collaborations across the work of multiple stakeholder groups engaged in clinical, community or population approaches to reducing hypertension, to enhance and expand hypertension efforts across the city.

Reporting to Deputy Commissioner, the Citywide Hypertension Initiative Director will guide the strategic development, planning, and implementation of this new initiative. The team consists of a Hypertension Initiative Manager and a Coordinator, as well as short-term staff. The Director will establish high-level relationships and oversee the initiative’s work, including coalition engagement and activity implementation. Leadership, supervision of program design and evaluation, fundraising, and staff management are key components of this position. The Director will also be responsible for engaging stakeholders within the Health Department and external to the Health Department to achieve the initiative’s goals. The Director’s responsibilities include the following:

  • Guide and oversee the strategic development, planning, and implementation of the Citywide Hypertension Initiative including program design and structure, evaluation, needs assessments and other data and research needs.
  • Manage an initiative team consisting of the Hypertension Initiative Manager, Coordinator(s), and short-term staff; liaise with other staff within the Agency contributing to the Hypertension Initiative.
  • Lead and facilitate internal and external meetings and other convenings with Coalition members, DOHMH staff, and prospective partners.
  • Oversee launch of yearly Coalition meeting or summit with Coalition stakeholders from across NYC.
  • Lead reporting and communication efforts with both internal and external partners; oversee outreach and communication with Steering Committee and Coalition members
  • Draft and oversee the development of memos and reports, as well as give presentations.
  • Establish high-level relationships with key stakeholders across New York City, including recruitment for the initiative advisory panel and steering committee and other clinical and community working groups.
  • Lead fundraising efforts to expand initiative activities by identifying and developing new funding opportunities; serving as the principal lead for key grants and funding, where appropriate; and leading development of a fundraising plan to achieve long-term initiative goals.
  • Along with the team, represent the initiative at various community or key stakeholder programs; serve as liaison with outside offices as required.

Preferred Skills: Clinical training a plus, strategic thinker, strong manager, public health training; content expertise in heart disease, stroke, chronic disease a plus; ability to work independently, project manage strategies, accomplish tasks and solve problems; exceptional writing and communication skills; experience working on high-profile strategic campaigns; experience interpersonal, collaborative and team skills is a must.

View full job description / apply online at http://ow.ly/3vAO30inpXU


Family Practice Physician – Schenectady/Amsterdam, NY
Hometown Health Centers is a Federally Qualified Community Health Center in the Upstate, Schenectady and Amsterdam, NY areas. Bi-lingual in English/Spanish is a plus.  Excellent total compensation package.  No hospital rounding. Flexible and part-time schedules available.  Sign-on bonus. For additional information please send inquiries or resumes to jobs@hhchc.org. www.hometownhealthcenters.org


Pediatric Medical Director , NY State Office of Health Insurance Programs
The position of Medical Director of Pediatric Policy in the Office of Health Insurance Programs will focus on 4 primary initiatives over the next year, to include the First 1000 Days on Medicaid initiative, Value-Based Payment (VBP) Clinical Advisory Groups on Children’s Health and Maternity Care,  Children’s Health Homes and the Behavioral Health Transition into Managed Care, and Performance Measurement in the various quality programs. The Medical Director will collaborate with colleagues in the Department’s Office of Public Health and serve as a resource for Division staff who are seeking expert advice concerning medical and behavioral health issues involving children. For more information on how to apply, please go to this link: https://www.facebook.com/FuscoPersonnel/?sk=app_127890887255323&app_data=job-3059994


NYC Office of School Health PT and FT Positions for MDs and DOs
The New York City Office of School Health has both part-time and full-time job openings in the five boroughs for board certified/board eligible Physicians (MD, DO) specializing in Pediatrics, Adolescent Medicine, and Family Medicine with an emphasis on the school-aged population (K through 12) and/or Reproductive Health.

New York City School Health Physicians have flexible schedules (Minimum 20hrs/week to Maximum 35hrs/week).  Physicians working 20 or more hours per week receive comprehensive health insurance and other employment benefits.  Duties involve a balance of clinical work in New York City schools, administrative tasks, and public health assignments.  Work days are generally 9am to 5pm with no evening or weekend calls.  Physicians have the option to work or be furloughed during holidays and summers when schools are not in session. For more information, please send email inquiries to osh@health.nyc.govTo apply directly online and for job descriptions, please upload your resume and cover letter to https://a127-jobs.nyc.gov. For the Field Doctor positions, School Health Physician (K – 8), enter Job ID 319959

For the CATCH Reproductive School Health Physician (High School) positions, enter Job ID 297081
For the Supervising School Health Physician Positions, enter Job ID 307390


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