MSSNY eNews: You, Your Patients & MOLST

 

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE
Thomas J. Madejski, MD
MSSNY President
MAY 11, 2018
Volume 18
Number 18

Dear Colleagues:

Several years ago, the New York State Department of Health approved use of a form called Medical Orders for Life-Sustaining Treatment (MOLST) that can be used statewide by health care practitioners and facilities for patients with serious health conditions who:

  • Want to avoid or receive any or all life-sustaining treatment;
  • Reside in a long-term care facility or require long-term care services; and/or
  • Might die within the next year.

The MOLST form is a way to document a patient’s wish concerning life-sustaining treatment.   This is an optional form that physicians and other health care practitioner can use–or they may choose to use other forms.  However, the MOLST form is the only authorized form in New York State for documenting both non-hospital DNR and DNI orders.  In hospitals, hospice and nursing homes, the form may be used to issue any orders concerning life-sustaining treatment and in the community setting, MOLST can be used to notify EMS personnel about a Do Not Resuscitate (DNR) and Do Not Intubate (DNI) order.

The concept for MOLST came from MSSNY member Patricia Bomba, MD, Vice President of Excellus Blue Cross Blue Shield. Dr. Bomba is a strong advocate for physicians to have “that difficult conversation” with their patients about their end of life choices. Over the years, MSSNY has supported MOLST as another “tool” in our medical toolbox and a great way to begin the difficult conversation.

Legislation (A9603), introduced by Assemblymember Joseph Morelle, would create an “eMOLST registry” that calls upon DOH to develop the registry.  If passed, physicians who use the MOLST form will then be required to report patient related information from the MOLST form to the registry within 14 days.

The problems that I see with any compulsory mandate are:

  • Doctors fear OPMC problems if they do not comply with the law
  • Doctors are concerned that the data may not be housed at the NYS DOH.
  • Doctors are concerned about multiple different documents which may have conflicting data

MSNY continues to support improving the care of all of our patients, especially when they approach the end of their lives. Our Council had extensive discussion today on end of life care and approved creation of a task force on end of life care.

What do you think? comments@mssny.org

Thomas J. Madejski, MD 
MSSNY President



MLMIC Insurance

Capital Update
MSSNY Council Approves Formation of a Task Force Death and Dying, Palliative and End Of Life Care
The Medical Society of the State of New York’s Council approved this week the formation of a task force to examine the role of physicians as it relates to death and dying, palliative and end-of-life care.  The task force was formed in lieu of a House of Delegates resolution that requested that MSSNY change its position of opposition to one of neutrality on physician-assisted suicide and euthanasia.  “These are complex issues and it is very important that we address this controversial issue in the most appropriate way,” Thomas Madejski, the society’s president, said in a release. “The Task Force will be ethnically and philosophically diverse and will include members from across MSSNY’s membership — including physicians from the Long-Term Care and Health Disparities committees.”                                                (CLANCY)


Please Urge Your Legislators to Enact Legislation to Address Prior Authorization Hassles and Expand Patient Choice of Physicians

Working together with several other patient advocacy organizations and specialty societies, MSSNY continues to advocate for numerous pieces of legislation in the final weeks of Session that would reduce barriers imposed by health insurance companies that interfere with patient care, and expand patient choice by limiting the ability of health insurers to narrow their networks.   These bills include:

  • 3663 (Hannon)/A.4472 (Gottfried) – would permit independently practicing physicians to collectively negotiate patient care terms with market dominant health insurers under close state supervision. In addition to the ability to push back against exorbitant administrative hassles imposed by insurers, it would also help to protect physicians to have a stronger option to remain in independent practice. The bill is in the Senate Health Committee, and the Assembly Ways and Means Committee.  Please send a letter to your legislators in support here.
  • 7872 (Hannon)/A.9588 (Gottfried) – would reduce prior authorization hassles by requiring health plan utilization review criteria to be evidence-based and peer reviewed; reducing the time frame for reviewing prior authorization requests from 3 business days to 48 hours (and to 24 hours for urgent situations); assuring that a prior authorization, once given, is enduring for the duration of the medication or treatment; prohibiting mid-year prescription formulary changes; and assuring that once a prior authorization is given, it cannot be withdrawn if eligibility is confirmed on the day of the service. We are pleased that several legislators have joined on as co-sponsors of this legislation. Please send a letter to your legislators in support here.
  • 3943 (Hannon)/A.2704 (Lavine) – would provide physicians and other health care practitioners with necessary due process protections where health insurers seek to terminate a physician from its network by failing to renew the physician’s contract.  The bill is on the Assembly floor and in the Senate Health Committee.  Please send a letter in support here.
  • 5022-C (Serino)/A.2317-C (People-Stokes) – would prohibit health insurance companies from making changes to a prescription formulary or shifting a medication to a different cost-sharing tier during a policy year. The bill has passed the Assembly, and is before the Senate Insurance Committee.

            (DIVISION OF GOVERNMENTAL AFFAIRS)

New York Settles Lawsuit Against Federal Government to Preserve Essential Plan Funding
New York State and Minnesota settled a lawsuit this week they had filed against the US Department of Health and Human Services to protest HHS’ action to cut funding for the Basic Health programs operating in New York and Minnesota.   The settlement will result in New York receiving $151 million for its Essential Plan, and $17 million for Minnesota’s plan.  The states will continue to discuss with HHS a revised funding formula for the program.

New York’s Essential Plan provide comprehensive health insurance coverage with little cost-sharing for over 600,000 New Yorkers who earn too much to qualify for Medicaid but make less than 200% of the Federal Poverty Level.  Acting New York Attorney General Barbara Underwood released the following statement:

“The Essential Plan serves hundreds of thousands of low-income New Yorkers. We filed suit earlier this year to protect the quality, affordable health care on which New York’s families rely.  We are gratified that the federal government has agreed to make this interim payment. 

We hope and expect that, in the coming weeks, we’ll reach agreement with the federal government on a payment formula for the program, so that we can resolve this matter fairly and appropriately for all New Yorkers.”  (AUSTER)

Legislation To Require Physicians to Report Patients to DMV on Senate Transportation Committee Agenda
Legislation introduced by Senator Young would require a licensed physician, physician assistant or nurse practitioner to report patients that have chronic condition which may cause unconsciousness or unawareness to the Department of Motor Vehicles. Such conditions may include a convulsive disorder, epilepsy, fainting, dizzy spells, coronary ailments or other health conditions that may impair the ability to operate a motor vehicle.

The bill, S.3569 (Young) / A.10094 (Carroll), is on the Senate Transportation Committee agenda for Tuesday, May 15. The Medical Society understands and supports efforts to ensure pedestrian and driver safety and reduce vehicular accidents.  MSSNY policy supports the ability of physicians to voluntarily report certain patients to DMV whom the physician believes should not operate a motor vehicle.  However, a lack of well-defined medical and legal guidelines may force a physician to “over-report” which in turn could discourage patients from receiving needed medical care.  Please contact your legislators to oppose this legislation imposing burdensome and ambiguous new mandates on physicians that may jeopardize the sanctity of the doctorpatient relationship. They can be reached at 518-455-2800.                          (BELMONT)

MSSNY Urges for Extension of Committee for Physicians Health Program
MSSNY continues to advocate for legislation (A.10221-A, Gottfried, S.8093, Hannon) that would extend for an additional 5 years the continued operations of the MSSNY Committee for Physicians Health (CPH) program.  Authorization for several key components of the program expired on March 31, 2018.   The legislation was amended this week to clarify that the legislation would be retroactive to March 31 once enacted.  It has advanced to the Senate floor, and is before the Assembly Health Committee.

The CPH is a program designed to confront and assist physicians thought to be suffering from alcoholism, substance abuse or mental illness.   Since the inception of this program, CPH has assisted thousands of physicians in returning healthy to medical practice.  The work of the CPH program is an important public service both to our health care system as well as the general public. As a result, the State Budget annually includes an appropriation of $990,000 for the program, which is generated from a $30 assessment on all physicians’ biennial registration fees.

The program has traditionally been extended by the Legislature in 3 or 5 year “demonstration programs” with the most recent extension in 2013.  The recently enacted State Budget included a provision to create another “demonstration program” until 2023.  However, it omitted other provisions historically extended at the same time that are essential to its functioning that could greatly impair its operations unless immediate action is taken.  These includes provisions that set forth the CPH program’s reporting requirements to the Office of Professional Medical Conduct (OPMC), provisions to ensure liability protections for the physician Committee members for work performed in the scope of CPH, and necessary confidentiality protections for the program given the sensitivity of the work they perform.   These protections are absolutely essential to the continued functioning of the program to ensure that physicians with the appropriate expertise are willing to serve on the Committee, as well as to assure that the program has the ability to report sensitive information to OPMC when warranted by the circumstances.  (DIVISION OF GOVERNMENTAL AFFAIRS)

MSSNY Continues to Express Concerns with Cuts to Patient-Centered Medical Home Program
MSSNY continues to work with primary care associations to respond to Medicaid cuts to the Patient Centered Medical Home (PCMH) program.  As reported last week, earlier this year the NYS Health Department announced its intent to implement a huge cut in Medicaid payments to physicians participating in the PCMH program. Specifically, DOH intended to slash the current $7.50 Per Member Per Month (PMPM) payment for each Medicaid patients to $2.00 for May and June.  The amount would increase to $5 or $5.50 PMPM in July but would also have required that each PCMH participant have a Level 1 Value-Based Payment contract with a Medicaid Managed Care plan.

If permitted to go forward, these cuts and new requirements would likely have pushed many physicians away from participating in the PCMH program, which in turn would have significantly impaired access to primary care services for many patients insured through Medicaid.   As a result of these concerns, MSSNY worked together with the New York Chapters of the American College of Physicians, Academy of Family Physicians and American Academy of Pediatrics, as well as the Community Healthcare Association of New York State (CHCANYS), to successfully advocate for the Legislature to include $20 million in the State Budget to prevent these Medicaid payment cuts from being implemented.

While a NYS Assembly summary of the final State Budget noted that these funds were intended to “reject a reduction in reimbursement rates for patient centered medical home services”, that point has been disputed by the NYSDOH. Last week DOH released a letter noting payment changes to the PCMH program starting in May.  Importantly, DOH has indicated that it was not going forward with a requirement for PCMH participants to have VBP contract by July 1.  However, of significant concern, the letter indicated that there are still going to be cuts to Medicaid PCMH payment, as follows:

  1. Effective May 1, 2018 – June 30, 2018, the MMC PCMH PMPM for providers recognized under NCQA 2014 Level 3, NCQA 2017, or NYS PCMH standards will be $5.75.
  1. Effective July 1, 2018 to the end of SFY 18-19, the MMC PCMH PMPM for providers recognized under NCQA 2014 Level 3, NCQA 2017, or NYS PCMH standards will be $6.00.
  1. Effective May 1, 2018, the PCMH incentive payments for providers recognized under NCQA’s 2014 Level 2 standards will be permanently eliminated for both MMC and FFS.

MSSNY continues to work with the ACP, AFP, AAP and CHCANYS to express significant concerns to the Legislature, DOH and Governor’s Office with these PCMH cuts, even at a reduced level, in spite of the action taken by the Legislature.  An article discussing these concerns that quoted MSSNY President Dr. Thomas Madejski appeared in Politico-NY this week.  Physicians are urged to contact the Governor and their legislators to express their concerns here.                                                             (AUSTER)

New CMS Tool for Physicians To Check Whether They Need to Comply with MIPS
The Centers for Medicare and Medicaid Services (CMS) has announced that physician practices/groups may now log into the CMS QPP website to check their 2018 eligibility for Medicare’s Merit-based Incentive Payment System (MIPS), according to an alert from the American Medical Association.

After groups log in, they will be able to click into a details screen to see the eligibility status of every clinician in the group (based on their National Provider Identifier or NPI) to find out whether they need to participate during the 2018 performance year for MIPS.  The AMA also advised that CMS will not be sending out letters to advise physicians of their eligibility status this year so checking on the QPP participation status look-up tool is the only way to determine or verify eligibility status.  Eligibility rules in 2018 are different than in 2017 so status this year may be different than last.  Also as is indicated in the look-up tool, exempt individual clinicians still will need to report if their group is eligible and chooses to report as a group.

The look-up tool can be found here.                                                 (AUSTER)

Physicians Encouraged to Take Survey; Bending the Diabetes Curve CME Course Available Online
The Medical Society of the State of New York has partnered with the American Medical Association to bring its Prevent Diabetes STAT initiative to New York.  MSSNY has developed a short survey to sample physician’s knowledge of the National Diabetes Prevention Program (DPP) and the Prevent Diabetes STAT program. The survey also serves as a platform to physicians to express what specific boundaries they have experienced or anticipate experiencing regarding the implementation of the DPP and/or Prevent Diabetes STAT. Participation in this survey is essential to the development of various educational components that will benefit both the physician and patient communities. Click here to take the one-minute survey.

Bending the Diabetes Curve webinar is now available to view online; click here. By educating physicians and connecting more patients to evidence-based lifestyle change programs, this diabetes initiative will help bridge the gap between clinical care settings and communities to reduce the incidence of type 2 diabetes.

Webinar: Bending the Diabetes Curve

Faculty: Geoffrey Moore, MD & Sarah Nosal, MD

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

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 Carrie Harring at 2020 charring@mssny.org.                                       (HARRING)

Learn How You Can Help Meet the Mental Health Needs of Veterans at the Dwyer Peer Project Annual Day of Wellness
The Suffolk County United Veterans and the Suffolk County Veterans Service Agency are jointly hosting the 5th annual Joseph P. Dwyer Veterans Peer Support Project Day of Wellness. The event will take place on Saturday, June 9 at Camp Pa-Qua-Tuck, 2 Chet Swezey Road, Center Moriches, NY. It will from 9 am to 4 pm with provider demonstrations from 10 am to 3 pm. The day will include educational activities for veterans and their families with a focus on dealing with post-service transition issues as well as family-oriented entertainment by veterans. Complimentary breakfast and lunch will be served. 

To register for the live event, CLICK HERE.  Both registrants and walk-ins are accepted. 

Ebola Webinars Available on MSSNY CME Website
An Ebola outbreak has been confirmed in the Democratic Republic of Congo.  Following 17 deaths and 21 patients showing signs of hemorrhagic fever, an Ebola outbreak was declared in the Democratic Republic of Congo this week.  The Medical Society has two CME courses available that help to address these concerns regarding Ebola virus.  Go to https://cme.mssny.org to view MSSNY’s free CME courses on this timely and relevant topic.  Ebola: A Perspective from the Field offers a firsthand description of Ebola virus.  And Viral Hemorrhagic Fevers with an Ebola Virus Update offers a comprehensive analysis of diagnosis and treatment for Ebola and other viral hemorrhagic fevers.         (HOFFMAN)


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

Council Notes—May 10, 2018

  • MSSNY will convene a Task Force on Death and Dying to develop a white paper regarding the physicians’ role in end of life and palliative care. The paper will also discuss the impact of these issues on the disparate populations and the disabled community. Click here to read MSSNY’s press statement.
  • Dean P. McElwain, President and COO of Castle Connolly Private Health Partners, presented information about transitioning to a concierge practice model. McElwain noted that the standard concierge practice has 55-60 patients and doesn’t differ greatly from a traditional practice model, but offers both patients and physicians convenience, connectivity and care. Castle Connelly currently focuses on IM practices, but is currently in experimental stages with specialty practices. Council approved pursuing a member benefit that would assist physicians in transitioning to a concierge practice.
  • As a pilot project in participating counties, MSSNY and the county medical society will offer member benefits and services to international medical students engaged locally in New York State-approved clinical rotations free of charge until they are eligible for student or other membership. This will include invitations to county and state medical society meetings, without the right to vote unless and until formal membership is obtained.
  • MSSNY Burnout Committee will change its name to MSSNY Committee for Physician Wellness and Resilience. The mission is to increase education, awareness and recognition of stress and their effects on both the individual physician and the physician workforce and to support physicians in optimizing their physical, emotional, cognitive and psychological well-being in order to recover the intrinsic joy of the practice of medicine in a dynamic healthcare environment. The vision of the Committee for Physician Wellness and Resilience is for physicians to have a workforce and environment free of extraneous stressors and to be free from the effects of stress and their wide-ranging consequences.
  • Council discussed and approved a request from MSSNY’s General Counsel, Garfunkel Wild, to support an Amicus brief. The issue on appeal involves whether the NYS Comptroller is required to obtain a patient’s written authorization in order to subpoena patient medical records for the purpose of conducting an audit of payments made under the Empire Plan to a medical practice.

Help Patients Find You: Confirm Your Practice Info Using NYS’s New Tool
On April 25, the New York State Department of Health (NYSDOH) and the New York State of Health launched a new tool called NYS Provider & Health Plan Look-Up.

It’s an online tool that allows consumers to quickly locate information about their doctors and the health insurance plans in which their doctors participate. To make sure plan members can find you, go to the website to review and ensure your practice information is accurate.

To report an error in the listing, go to the NYS Provider & Health Plan Look-Up home page and select the Contact/Report an Error button. Then, select the health plan and the reason you are contacting them. The issue will be routed electronically to the NYSDOH and to the selected health plan(s) for review and follow-up.

Rockefeller Institute Study: Medical Marijuana v. Opioid
According to the Albany-based Rockefeller Institute of Government, some states allowing medical marijuana and recreational pot saw declines in opioid prescribing as authorities pushed urgent efforts to combat the historic American drug crisis. Medicaid patients, for example, are getting about 5.9 percent fewer prescription painkillers in medical marijuana states. Further, the opioid prescription declines are deeper where recreational pot is allowed, down nearly 6.4 percent. http://rockinst.org/blog/can-marijuana-alleviate-the-opioid-crisis-data-suggest-yes/

One high-profile National Institutes of Health study was awarded recently to researchers at Albert Einstein College of Medicine and Montefiore Health System in the Bronx. The five-year, $3.8 million grant is for the first long-term study to test whether medical marijuana reduces opioid use among adults with chronic pain, including those with HIV, the health system said.

Against that backdrop, the Rockefeller Institute report detailed a range of studies from medical journals and universities. They include:

  • Overall, patients in medical marijuana states filled fewer daily doses of opioids, University of Georgia research found. For example, they saw a 14.4 percent reduction by Medicare patients in states with access to a medical marijuana dispensary.
  • Marijuana reforms have also saved taxpayers’ money, according to recent JAMA Internal Medicine
  • Recreational marijuana laws were tied to 9.78 percent lower Medicaid spending on prescription opioids, an annual savings of $1,815 Medicaid spending per 1,000 enrollees, the study found.
Physicians’ Day at the Races 2018 – Secure Your Tickets Today!
Join your colleagues for MSSNYPAC’s Physicians’ Day at the Races on Saturday, July 28, 2018 at Saratoga Race Track in Saratoga Springs, NY.  All physicians, including non-members of MSSNY are welcome to support this state-wide fellowship event for MSSNYPAC while supporting a great cause which strengthens our profession.  Tickets are $500/physician, $300/guest and $250/guests under 21.  As it’s the day of the renowned “Jim Dandy” stakes, tickets for this event are limited. Visit www.mssnypac.org/events for details or to download an invitation.  Ticket requests and questions can be directed to Jennifer Wilks at518-465-8085.

Study: Older Adults’ Hearing Aid Use Linked To Lower Hospitalizations, ER Visits
A report published in JAMA Otolaryngology–Head & Neck Surgery suggests that older adults with hearing loss who wear hearing aids “are less likely to be hospitalized or to visit the emergency room…compared to those who don’t” wear the aids. However, the article says, “people with hearing aids also averaged 1.4 more doctor visits than those without the devices.” Researchers also published an accompanying editorial.

New York Rx Card Helps Patients Fill Their Prescriptions
The Medical Society of the State of New York (MSSNY) in partnership with New York Rx Card reminds physicians that patients who are not insured or who take prescription drugs that are not covered by their health insurance plans, can use the New York Rx Card to obtain discounts of up to 75 percent off the retail price for FDA-approved medications.

New York Rx Card has been working closely with MSSNY, as well as numerous clinics and hospitals around the state to distribute free discount prescription cards so that all New York residents will have access to this free program. The program can also be used by people that have health insurance coverage with no prescription benefits, which is common in many health savings accounts (HSA) and high deductible health plans.

Please help by encouraging your patients to print a free New York Rx Card at the MSSNY website or at www.newyorkrxcard.com.  New York Rx Card also has an available app for your iPhone and Android phones. You can visit www.newyorkrxcard.com and download the app today.  Any physicians who are interested in ordering free cards for their clinic/hospital can email Chez Ciccone, via email at fciccone@nyrxcard.com or by phone at 800-931-2297.

Five Opioid Distributor Execs: Four of Five Deny Contributing to Opioid Abuse
Five of the nation’s top opioid distributors on Tuesday told a House panel that responsibility for the opioid crisis rests with “bad actors” at pharmacies and doctors who wrote too many prescriptions, not with their companies. Executives from four of the five distributors denied contributing to widespread painkiller abuse when questioned by Energy and Commerce Oversight and Investigations Chairman Gregg Harper (R-Miss.). Joseph Mastandrea, chairman of Ohio drug wholesaler Miami-Luken, answered “yes” and blamed prior management.

Another executive, Cardinal Health Executive Chairman George Barrett, apologized for not catching bad actors faster. Several of the other executives expressed contrition for not catching large requests for opioids more quickly. Earlier this year, the committee released documents alleging that between 2006 and 2014, McKesson and Cardinal Health shipped 12.3 million pills to one pharmacy in Mount Gay-Shamrock, West Virginia, which has fewer than 2,000 residents. Likewise, over five years, AmerisourceBergen distributed 60.9 million doses of hydrocodone and 29.4 million doses of oxycodone to West Virginia.

Energy and Commerce Chairman Greg Walden (R-Ore.) recounted how one West Virginia town of about 400 people received 9 million opioid pills in two years and how a single pharmacy in a town of 1,800 people got 17 million opioid pills in a decade.

Since the 1970s, drug distributors have been responsible for flagging suspicious orders and monitoring sales — something Walden suggested has not been done.

The executives largely shifted blame, despite their role in supplying the drugs at the center of the nationwide crisis. Three of the companies that testified — McKesson, Cardinal Health and AmerisourceBergen — account for about 85 percent of the opioid drug supply, Walden said.

https://www.politico.com/story/2018/05/08/opioid-distributors-blame-pharmacies-docs-522433

MLMIC to Host Spring 2018 Network Meetings Across NYS
These programs are designed to provide risk management education to MLMIC’s insured physicians, medical directors, facility risk managers, office practice administrators, nursing staff, marketing and IT staff and other healthcare professionals. This year’s program, which can qualify participants for CME credits, focuses on “Managing Your Social Media Presence.” It will:

  • examine the use of social media in healthcare;
  • analyze the positive and negative aspects of social media;
  • describe the appropriate use of social media in marketing;
  • formulate approaches to address negative online patient reviews;
  • evaluate the potential legal implications of social media on patient privacy and confidentiality; and
  • select strategies to develop and monitor social media policies.

The program is part of MLMIC’s ongoing efforts to provide education, promote patient safety and reduce potential liability exposure for all our insured providers and entities.

MLMIC is accredited by the Medical Society of the State of New York (MSSNY) to provide CME for physicians.

MLMIC designates this live educational activity for a maximum of 2.0 AMA PRA Category I Credits™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Click here to read the program brochure and obtain registration information for a spring Network Meeting near you. 

USPSTF: Neutral Stance on Prostate Cancer Screening in Middle-Aged Men
Prostate-specific antigen (PSA) screening for prostate cancer isn’t recommended unless men request the test after being informed of its potential benefits and risks, the U.S. Preventive Services Task Force (USPSTF) says in new guidance published in JAMA. The grade C recommendation applies to asymptomatic men aged 55 to 69. The group recommends against PSA screening in men aged 70 and older (grade D recommendation). USPSTF recommendation statement in JAMA ; JAMA Internal Medicine editorial ; USPSTF grade definitions

Geisinger Health: Now Offering DNA Sequencing to All Patients
Geisinger Health this week announced that over the next six months it will offer DNA sequencing to all of its patients as part of their “routine” preventive care in an effort to inform patients about potential genomic risk factors for cancer or heart disease. Geisinger said it plans on making DNA sequencing a “routine screening,” just like colonoscopies, cholesterol checks, and mammograms, and will have doctors work with patients on responding to any identified risk factors.

CMS

CMS’ Eight-Page Plan for Rural Health Strategy; Commitment to Telehealth
On May 8, CMS unveiled an eight-page rural health strategy, which detailed the agency’s commitment to improve access to telehealth, improve outreach to rural health care providers, and find practical solutions to improve care in those areas. The strategy marks CMS’ first focused on rural health, but it did not contain any specific policy changes.

CMS Hosting a Medicare Learning Network Call: QPP FAQs
The Centers for Medicare & Medicaid Services (CMS) is hosting a call on Wednesday, May 16 at 1:30 PM ET to discuss the most frequently asked questions (FAQs) about the Quality Payment Program that came up during the 2018 Healthcare Information and Management Systems Society (HIMSS) Annual Conference & Exhibition.

Attendees will have the opportunity to listen to 2018 programmatic updates and FAQs that were discussed at HIMSS 2018. CMS will also open the phone lines for participants to ask questions about the Quality Payment Program.

Call Details

Title: Quality Payment Program: Answering Your Frequently Asked Questions Call

Date: Wednesday, May 16, 2018

Time: 1:30-3:00 p.m. ET

Registration Link: https://blh.ier.intercall.com

Classified

RENTAL/LEASING SPACE

Thriving Internal Medicine Practice for Sale by the Physician.
Has been growing exponentially, with number of patients doubling over last two years.
Has the visits-volume and the potential space & hours to keep expanding
The physician will stay to overlap for at least one year to personally transition all the practice’s patients, to seamlessly transfer all insurance account and to assist with acquirement of hospital privileges

Well established location at street level, with dedicated handicap entrance, easy access to public transportation, a parking lot and within one mile from all three leading local hospitals.
Fully credentialed as a medical practice site with all health insurances in the market, and compliant with Americans with Disability Act requirements. Office space lease guaranteed for extended period of time. Call 917-596-8936


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up


Beautiful NYC Medical Office — Long-term Share
Bright, big consultation room and one or two exam rooms in large,  tastefully furnished office in first-rate building. 58th Street between Park and Lexington. Near transportation.  Smaller, windowed consultation room and exam room also available. Rent by the day or week, beginning June 1 or sooner. $180 per day or $5500 per months. Perfect for internist, rheumatologist, physical medicine, ob-gyn and others. Superb front desk and office management available, along with many amenities including internet, ultrasound, EMG, kitchen, optional C-arm. Call Carol: 917-856-6402.


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


PHYSICIAN OPPORTUNITIES


Paging Primary Care Doctors Who Love Technology
98point6 is a healthcare technology startup that needs your input.  We’re seeking practicing physicians to join our Primary Care Council to help shape the future of primary care.  If the fusion of healthcare and technology inspires you, please join us and apply today. Visit: www.98point6.com/about/pcc/


Private Multidisciplinary Medical Group Seeking Full Time or Part Time Podiatrist and Full Time or Part Time Internal Medicine/Family Practice/Allergy & Immunology Physicians.
Midtown, Union Square & Lower Manhattan locations. Attractive base salary plus comprehensive benefits package. E-mail CV to tsrgexpress@gmail.com. No recruiters please.


Chief of Medical Services
MINIMUM QUALIFICATIONS: Possession of a license and current registration to practice medicine in New York State, plus six years of experience in the practice of medicine, two years of which must be in an administrative or supervisory capacity. Appointee must be eligible for and maintain eligibility for full and unconditional participation in Medicaid and Medicare programs. Appropriate certification by an American Medical Specialty Board and one year of post certification experience in that specialty can be substituted for four years of general experience.
PREFERRED QUALIFICATIONS: Board certification in Geriatric Medicine and/or Certification as a Medical Director (AMDA), and experience in a long-term care facility.
RESPONSIBILITIES: Serve as Medical Director of a 242-bed skilled nursing facility for veterans and their dependents. Provide medical leadership and oversight ensuring the delivery of quality health care services while also ensuring compliance with clinical, statutory and regulatory standards.Send resume to:  NYS Veterans Home, Attn: Human Resources, 4207 State Highway 220, Oxford, NY 13830

The New York State Veterans Home at Oxford is a 242-bed skilled nursing facility operated by the NYS Department of Health located in Chenango County. It is an Affirmative Action/Equal Opportunity Employer. 


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 href=”mailto:jobs@hhchc.org”>jobs@hhchc.org. www.hometownhealthcenters.org


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