MSSNY eNews: Workers’ Comp: Possible Fee Increase

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE
Thomas J. Madejski, MD
MSSNY President
June 1, 2018
Volume 18
Number 20

Greetings from St. Lawrence County!

Dear Colleagues:

On May 8, the Chair of the NYS Workers’ Compensation Board asked me for a report concerning what would be considered a fair and reasonable amount of remuneration to update the medical fee schedule.  This followed an announcement from the Chair in April of her intent to pursue measures to “increase provider participation in the workers’ compensation system and improve injured workers’ access to timely, quality medical care.” Importantly these efforts include a long-overdue fee increase, and a needed simplification in claim submission. At the same time, the announcement also reiterated the Board’s interest in the enactment of legislation to expand the various health care providers who are eligible for participation in Workers Compensation. 

With regard to recommendations for the proposed fee increase, MSSNY physician leaders came up with three values for consideration.  They were, as follows:

  1. 150% of Medicare; or
  2. 5% increase to the current WC fee schedule; or
  3. 80th percentile of Fair Health

These recommendations, along with a spreadsheet of fees for Medicare and Workers’ Compensation, for the region of Manhattan only, were shared with the 28 MSSNY physician members of the Workers’ Compensation and No-Fault Insurance Committee for a vote.  The Committee members were somewhat evenly divided between 150% of Medicare [with serious hesitation about linking to a federal fee schedule] and plus 5% for the next several years above the current WC fee schedule. Seven voted for 150% of Medicare and nine voted for 5% above the current WC fee schedule.  All members agreed that no physician or specialty should be subject to any reduction in the current WC fees.

In addition, many members urged that MSSNY seek a larger increase for the Evaluation and Management codes since these E&M codes have long been undervalued under the WC Program. I would like to personally thank Drs. Jay Weiss, Robert Goldberg and the MSSNY Committee on Workers Comp and No Fault Insurance for their hard work. We also had additional discussion with MSSNY leaders who also serve in leadership positions with some of our specialties most affected by the WC system. Thanks to Dr. John Olsewski, Dr. Jim Slaugh, and our MSSNY Vice President, Dr. Bonnie Litvak, for their thoughtful and timely contributions to the discussion.

Subsequently, our letter for a Workers’ Compensation Fee Schedule Increase was sent to the Chair of the NYS WCB on Friday, May 25, 2018 – please see this link.

Simultaneously, your MSSNY Governmental Affairs staff has also had extensive discussions with legislators and key staff about its concerns with legislation introduced in Albany that would expand the coverage of non-physicians in Workers Compensation, as well as changes to how county medical societies review physician applications to participate in Workers Compensation. MSSNY has also sought to address the problem of carriers inappropriately paying below the Workers Compensation fee schedules.

There are many issues in play, so please remain alert for further details. 

If you have any questions, please call or email Regina McNally at 516-488-6100, 332 or rmcnally@mssny.org 

Please send your thoughts to comments@mssny.org.

Thomas J. Madejski, MD 
MSSNY President


MLMIC Insurance

Capital Update

AMA Opioid Task Force Releases 2018 Report
The American Medical Association Opioid Task Force has released its 2018 report and it shows significant progress being made in New York and across the country in the fight against the opioid epidemic while recognizing that more needs to be done to expand access to treatment for substance abuse disorders.   The report shows that New York State physicians and prescribers decreased opioid prescriptions between 2013-2017 by 20.3 % and that there were over 21 million checks of the state’s Prescription Monitoring Program in 2017 (up from 18 million in 2016).   The report also indicates that New York State has increased the use of naloxone and increased the use of medication assisted treatment (MAT).   The report can be found here.  The report is the continuation of an effort by the AMA Opioid Task Force and all of you to measure physicians’ progress in several quantifiable areas. This effort began during the Obama Administration and continues today.  The Medical Society of the State of New York is a member of the AMA’s Opioid Task Force and has been from the beginning of the task force formation. (CLANCY)

Workers’ Compensation Legislation Introduced
Legislation (S.8812 Akshar / A.8387-A Pretlow) has been recently introduced that would expand the list of eligible providers allowed to treat injured workers.  The bill expands eligibility to include acupuncturists, chiropractors, nurse practitioners, physical therapists, physician’s assistants, podiatrists, psychologists and social workers.  MSSNY has expressed concerned over the potential involvement of a nurse practitioner in assessing the level of disability, determining causation of a patient’s injury and treating injured workers without the involvement of a physician.

The bill would also modify the process of how county medical societies recommend physicians and providers to serve as treating providers or independent medical examiners under Workers Compensation.  While there are improvements over previous versions, MSSNY remains very concerned that the phrasing of the proposal would alter the process and authority of how county medical societies recommend physicians to serve as treating providers or independent medical examiners under Workers Compensation.  The county medical societies already ensure a timely, efficient and complete approval process of physician applications to the workers compensation board.  MSSNY also opposes the provision to delete the requirement of an arbitrator to be a member of MSSNY.

MSSNY staff continues to meet with key legislative leaders and staff to voice its very serious concerns as well as seeking other measures to reduce abusive carrier practices. (BELMONT, AUSTER)

Please Urge Your Legislators to Enact Legislation to Address Prior Authorization Hassles and Expand Patient Choice of Physicians
With just a few weeks left in the legislative session, MSSNY is working together with several other patient advocacy organizations and specialty societies to advocate for numerous pieces of legislation to 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:

  • 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, this week was reported from the Senate Health Committee to the full Senate.  Please send a letter 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. Please send a letter to your legislators 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)

MSSNY Committee for Physicians Health Bill Advances
The Assembly Health Committee unanimously voted to advance legislation (A.10221-A, Gottfried) to the Ways & Means Committee 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 identical Senate bill S.8093-A, Hannon), has advanced to the Senate floor.  It had been on the Senate “Active List” to be passed this week, but was not brought up for a vote due to debate on an unrelated issue.

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) 

Partial Fill Legislation Reported to Assembly Floor
Assembly Bill 10392A, sponsored by Assemblymember John McDonald, has advanced from the Assembly Higher Education Committee to the Assembly floor.  This measure allows the prescriber to issue a  prescription for a Controlled Substance II, III or IV to the patient that can be filled partially.  It also allows them to prescribe up to a 30-day supply of Controlled Schedule II, III, IV with a notation to the pharmacist that he/she should only dispense the agreed to amount.   Each partial filling would be dispensed and recorded in the same manner as a refilling (i.e., date refilled, amount dispensed, initials of dispensing pharmacist, etc.), the total quantity dispensed in all partial fillings does not exceed the total quantity prescribed, and no dispensing occurs after six months past the date of issue.   Partial fills of prescription for Controlled Substance II are allowable under the federal law but is currently prohibited in New York State.  Its companion measure, Senate Bill 8324, sponsored by Senator Kemp Hannon, is in the Senate Health Committee.  The Medical Society of the State of New York supports this measure.  (CLANCY)

MSSNY Physician Participates In Senate Round Table On Access To Naloxone
Frank Dowling, MD, MSSNY Secretary, and a member of American Medical Association’s Task Force on Opioids, recently participated in a Senate round table on naloxone access.  The roundtable, conducted by Senator Kemp Hannon, chair of the Senate Health Committee, and the Senate’s Task Force on Heroin and Opioid Addiction, discussed issues related to availability to naloxone throughout the state.  Despite legislative efforts allows standing orders for community organizations and pharmacies to distribute Narcan without a prescription; the Good Samaritan protections and the creation of the N-Cap program, Dr. Dowling indicated that he and his office staff have called pharmacies and been told that they cannot sell or dispense Naloxone without a script or that they didn’t have naloxone in stock. 

Dr. Dowling indicated that some individual pharmacies are unaware of New York law and regulations.  Participants at the roundtable includes officials from the New York State Department of Health, the Department of Financial Services, the Office of Alcoholism and Substance Abuses Services, Albany Medical Center, regional EMS organizations, NYU Langone, the Chain Pharmacy Association of NYS, CVS Caremark Corp., ADAPT Pharma, the NYS Health Plan Association, the NYS Conference of BC/BS Plans, and the Family and Children’s Association.   To listen to a radio interview by Senator Hannon about this forum, click here(CLANCY)

Governor’s Pain Management Steering Committee Meets
Governor Andrew Cuomo has formed a Pain Management Steering Committee to gather recommendations for the appropriate treatment of pain that minimizes the risk of opioid use disorder.  Participants were asked to consider the needs of both opioid-naïve patients and patients who are in long term treatment with opioids.  The group discussed the current status of opioid prescribing in New York; acute pain prescribing and chronic pain prescribing.

The participants indicated that there is lack of awareness/understanding of the CDC Chronic Pain Guidelines; that there was a need for connecting patients from the emergency department upon discharge with a primary care physician; that clinical discretion should be continued regarding the number of days for prescribing opioids, including use of partial fill prescriptions; and the need to have emergency department check the Prescription Monitoring Program (PMP).  There was also discussion to consider the entry into the PMP from methadone clinics and the administration of naloxone to an individual.    Also discussed was coverage for non-opioid and non-pharmacologic alternatives and treatment—many alternatives are not covered by insurance; and pain management and expanding access to medication-assisted treatment.  Steering members were comprised of physicians, podiatrists, pharmacy, and representatives of treatment centers.  Several MSSNY physician leaders are steering committee members:  Nancy Nielsen, MD, PhD, Deborah Light, MD; Jose David, MD and Rose Berkun, MD. (CLANCY)     

Bill to Mandate Collection of School Information Advances in Legislature
This week the Senate Health Committee reported to the floor a bill (S.2113, Felder) that would require all hospitals and physicians to “inquire and document” as part of their patient registration process the school their “school-aged patients” attend.  The Assembly recently passed this legislation (A.352, Perry).  While well-intended, MSSNY has opposed this legislation because it creates an unnecessary risk of sanction for an inadvertent failure to comply with this law, particularly for the many physicians that do not regularly treat pediatric patients.  Moreover, MSSNY has expressed concerns with the vague terminology used in the legislation.   Physicians are urged to call their Senators to oppose this legislation 518-455-2800.                 (AUSTER, CLANCY)

Legislation To Allow Enhanced Religious Exemptions for School Based Immunizations Passed in Senate Education Committee
Senate Bill 6141D, sponsored by Senator Martin Golden, which would allow the admission certain unvaccinated students to public schools, has passed out of the NYS Senate’s Education Committee and reported to the Senate Finance Committee.   The passage of this bill is the first time that this bill has been voted on by members of any Senate committee.  S. 6141-D amends the Education Law to provide the procedure for religious exemptions from vaccination requirements.  Under the bill, a parent or guardian would complete a religious beliefs vaccination exemption form to ensure a public school district does not deny admission to their unvaccinated child.  A religious exemption is currently allowable under NY State law, but the exemption allows the school institution to make a decision on whether the student should be exempt from vaccination.

This bill, if passed by the Legislature, would force schools to accept the form and allow unvaccinated students to enter the school. Its companion measure, A. 8123B, sponsored by Assemblymember Richard Gottfried, chair of the Assembly Health Committee, is also pending before the Assembly’s Education Committee.  Voting against the bill in the Senate Education Committee were: Senators Serrano, Mayer, and Brooks.  Voting Yes, without recommendation were: Senators Peralta, Serino, Lavalle, Little, Stavisky and voting Yes were: Senators Marcellino, Gallivan, Avella, Hamiliton, Lanza, Ranzenhofer, Robach, Seward, Addabbo, Breslin.  Senator Croci was listed as excused and Senator Montgomery was absent.  Physicians are urged to write to the members of the NYS Legislature and urge that this bill not be enacted.  To write a letter go here(CLANCY)

Congress Approves Overhaul of Veterans Medical Care Options
By a 92-5 vote, the United State Senate passed legislation, The VA Mission Act to overhaul medical care options for veterans.  As the bill previously passed the US House by a 347-70 vote, the bill has been sent to President Trump for his approval.  The goal of the $52 billion reform bill is to provide veterans with more access to private doctors and hospitals.

The legislation also includes a one-year extension of the Department of Veterans Affairs’ Choice program, which provides access to veterans to be treated by non-VA physicians if they live 40 miles from a facility or need to wait for than 30 days for an appointment.   The Choice program was scheduled to run out of money at the end of the month.  As with the previous Choice Act, care would be paid for at the Medicare fee schedule, but the VA would have some flexibility to adjust the schedule for rural areas.  The legislation mandates prompt payment for providers: 30 days for electronic claims and 45 days for paper claims.

According to a summary of the legislation, the bill would require access to care outside the VA if: the VA does not offer the care or services the veteran requires; the VA does not operate a full-service medical facility in the state a veteran resides; the veteran was eligible for care in the community under the 40-mile rule in the Veterans Choice Program and meets certain other criteria, the VA is not able to furnish care within the designated access standards established by VA, or a veteran and the veteran’s referring clinician agree that furnishing care or services in the community would be in the best medical interest of the veteran after considering criteria, including:

  • The distance between the veteran and the facility that provides the care or services the veteran needs.
  • The nature of the care or services required.
  • The frequency that care or services needs to be furnished.
  • The timeliness of available appointments for the care or services the veteran needs; and
  • Whether the covered veteran faces an unusual or excessive burden to accessing care or services from the VA medical facility where the covered veteran seeks care or services.                                     (AUSTER)

NYS Program Helps to Subsidize Cost of Connecting to Regional Health Information Exchange
Did you know that New York State has a program to provide physicians with financial assistance to connect to your local Regional Health Information Exchange (RHIO)?   The Data Exchange Incentive Program (DEIP) was established by the NYS Department of Health to provide physicians and other health care providers with up to $13,000 to help offset the costs of connecting to your local RHIO.  It was established in response to the concerns expressed by many health care providers – including most recently through a resolution adopted a the 2018 MSSNY House of Delegates – to reduce the sometimes exorbitant costs imposed by EHR vendors in connecting to their local RHIOs.  For more information about eligibility requirements, click here. Or send an e-mail to deip@nyehealth.org.  The MSSNY HIT Committee received a presentation this week from the New York eHealth Collaborative (NYeC) about this important program to reduce the financial burden to physicians in implementing EHR systems.  (AUSTER)

CMS Announces 91% MIPS Participation for 2017
91% of all clinicians eligible for the Medicare Merit-Based Payment Incentive System (MIPS) participated in the first year of the Quality Payment Program, according to a blog post this week from CMS Administrator Seema Verma (click here.) The post also noted that the submission rates for Accountable Care Organizations and clinicians in rural practices were at 98 % and 94%, respectively.

The post also noted that the CMS free technical assistance received a 99.8% customer satisfaction rating by over 200,000 clinicians and practice managers.

The post also noted efforts to reduce administrative burdens for physicians.  Specifically, she noted that CMS “reviewed many of the MIPS requirements and developed policies for 2018 that continue to reduce burden, add flexibility, and help clinicians spend less time on unnecessary requirements and more time with patients.

In particular we have:

  • Reduced the number of clinicians that are required to participate giving them more time with their patients, not computers.
  • Added new bonus points for clinicians who are in small practices, treat complex patients, or use 2015 Edition Certified Electronic Health Record Technology (CEHRT) exclusively as a means of promoting the interoperability of health information.
  • Increased the opportunity for clinicians to earn a positive payment adjustment.
  • Continued offering free technical assistance to clinicians in the program.”

For more information about assistance to comply with the Medicare QPP, please find helpful information on the Physicians Advocacy Institute (PAI) website: click here.                                                                                                (AUSTER)

Medical Society of the State of New York Announces June Medical Matters CME Webinar Schedule
The Medical Society of the State of New York encourages you to register for its free Medical Matters Continuing Medical Education (CME) webinar on June 20th at 12:30pm.  Participation in this webinar will earn physicians one CME credit free of charge.

June 20th at 12:30pmMedical Matters: Children’s Mental Health After Disaster

Register for this webinar here.
Faculty: Linda Chokroverty, MD

Educational Objectives:

  • Enhance physician’s understanding of the impact of disaster on children’s and family mental health
  • Improve physician skills to address potential psychiatric problems in children and families following a disaster

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.       


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

New York’s New Paid Family Leave and the Important Role of Physicians
On January 1, 2018, the nation’s strongest and most comprehensive Paid Family Leave took effect. Millions of New Yorkers are now eligible for job-protected, paid time off to bond with a newly born, adopted, or fostered child, care for a family member with a serious health condition, or assist loved ones when a family member is deployed abroad on active military service.

As a health care provider, you play a critical role in certifying medical documentation in a timely manner and raising awareness of Paid Family Leave among your patients and their families. This presentation will provide an overview of Paid Family Leave and health care providers’ role in the process, and point you to some helpful resources. There will be time at the end for questions and answers as well.

Space is limited, so please register soon. When you click ‘Register here’, you will be taken to a general information page. You must click ‘Register’ on the bottom of that page to sign up.

Register

Tuesday, June 12, 12:00 p.m. – 1:00 p.m. Register here
Wednesday, June 13, 12:00 p.m. – 1:00 p.m. Register here

Additional sessions will be scheduled as needed.

More Information is Available

Complete details on Paid Family Leave are available at ny.gov/PaidFamilyLeave, including request forms and downloadable guides specifically for health care providers.

You can also call the Paid Family Leave Helpline at (844) 337-6303, Monday through Friday, 8:30 a.m. – 4:30 p.m. for more information or assistance.

From NYS Workers Comp Board Medical Director re Schedule Loss of Use
The Board has received a number of inquiries associated with Subject Number 046-1067, specifically related to the timing of the implementation of forms associated with Schedule Loss of Use evaluations.

We understand that the new forms may take some time to implement due to programming requirements. However, the guidelines are not new and the associated requirements were released and effective 1/1/18. Until such time that users can get the new forms programmed into their systems, all required elements should be captured on the existing forms and/or included in the submitted narrative.

As you are aware, new paper forms are available for use now and have been posted on the Board’s website. The revised electronic C4.3 should be available by mid-July. We ask that all users totally transition to and utilize the new forms by mid-July. Until that time no forms will be precluded as long as all the required elements are either included on the forms and/or incorporated into the narrative.

If you have any questions about the new forms, please write to

2018Guidelines@wcb.ny.gov.

ANOTHER REASON TO JOIN MSSNY!

MSSNY Instrumental in Amerigroup Policy Changes Re Ultrasounds
Your practice may have encountered significant problems relating to Amerigroup’s processing of claims.  As a result of a report given to MSSNY, their Division of Socio-Medical Economic Affairs Division began discussions with Amerigroup regarding difficulties and delays in processing claims and reimbursement issues.

Because of these efforts, as of Friday, May 18th, Amerigroup has changed their

policy on ultrasounds, non-OB ultrasounds and delivery denials.  One of our member groups has had all denials reversed and remitted!

For example:

  • CG-42 Ultrasound Policy:

Amerigroup has confirmed that coding updates have been completed to add certain diagnoses in the Z36 series to the policy.

  • Non-OB Ultrasounds:

Policy is being reviewed.  Amerigroup expects to have an update next week.  We will keep you informed!

  • Denial of Delivery Claims Reversed:

Amerigroup has reversed its denials of outstanding delivery claims (denied for “maximum benefit met”).

This is an example of our members’ dues at work!

For membership information, please contact Eunice Skelly at 516-488-6100 ext 389.

Clothing Treated With Permethrin May Stop Ticks, Study Suggests
A CDC study https://bit.ly/2HaAdik published in the Entomological Society of America’s Journal of Medical Entomology found that clothing treated with the insecticide permethrin had “strong toxic effects” on three species of ticks known to spread illnesses such as Lyme disease in the US. The permethrin on the clothing “made the ticks sluggish, impairing their movement and ability to bite.” According to the article, “After just a minute or two of contact with the treated fabric, the ticks fell off.”

Hydrochlorothiazide Associated with Melanoma Risk
High use of hydrochlorothiazide is associated with increased risk for melanoma, according to a research letter in JAMA Internal Medicine.

Using national registry data, Danish researchers matched 19,000 adults with melanoma to 190,000 controls without melanoma. Roughly 2.1% of cases and 1.8% of controls had high cumulative use of hydrochlorothiazide (50,000 mg or more).

After multivariable adjustment, high hydrochlorothiazide use was associated with significantly increased risk for melanoma (odds ratio, 1.22), as was ever-use of the drug (OR, 1.17). However, there did not appear to be a dose-response relationship. Risks were elevated for lentigo and nodular melanomas. Other antihypertensive medications studied didn’t seem to pose an increased risk.

The authors note that hydrochlorothiazide has already been linked to increased risk for lip and nonmelanoma skin cancers and say the new association is “worrying.”

JAMA Internal Medicine research letter

 Physician’s First Watch coverage of hydrochlorothiazide’s association with lip cancer

DOH

HIE Incentives Available Through Data Exchange Incentive Program (DEIP)
The New York State DOH, with support from the Centers for Medicare & Medicaid Services, established the Data Exchange Incentive Program (DEIP) to increase health information exchange (HIE) adoption across the state by building electronic health record (EHR) interfaces to New York State’s HIE, the Statewide Health Information Network for New York (SHIN-NY). The SHIN-NY connects eight regional networks, or Qualified Entities (QEs), and participating organizations are incentivized to contribute a pre-defined set of data elements to the SHIN-NY through a QE.

Eligible practices may receive up to $13,000 in incentives to offset the cost and efforts of connecting to a QE. NYeC administers the program and incentive payments on behalf of the DOH. Limited funding is available and this program is operated on a first-come, first-served basis. LEARN MORE 

CMS

Proposed Changes to Meaningful Use Programs
In late April, the Centers for Medicare & Medicaid Services (CMS) released proposed changes and a request for stakeholder feedback to the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The proposed changes reflect CMS’s focus on interoperability, patient data access, and system-wide health information exchange. As a part of this effort, CMS has renamed the program, also known as Meaningful Use, to the Promoting Interoperability (PI) Programs.

In this proposed change, CMS is suggesting updates to payment, scoring, and measurement policies to reduce administrative burden and move beyond the three stages of Meaningful Use. The proposed changes will initially be applied to hospitals and critical access hospitals participating in the Medicare Program. CMS is seeking feedback on if the proposed changes should also apply to eligible professionals and hospitals that only participate in the Medicaid Program. CMS is seeking additional input on the proposed rule, specifically asking for ways to further promote interoperability.

CMS has requested feedback on the proposed rule by June 25th. NYeC is interested in stakeholder feedback to inform a comprehensive and coordinated comment as a part of our advocacy efforts. To share your comments, please submit them by Monday, June 11th to publiccomments@nyehealth.org.

Interesting Article:

Interventions to Prevent Falls in Older Adults: Updated Evidence Report and 

Systematic Review for the US Preventive Services Task Force: JAMA, April 2018

Classified

RENTAL/LEASING SPACE

For Sale-Outpatient Mental Health Clinic
Started in 1998 and located in the NYC metro area, this multi-location business is a well-established, highly reputable, mental health clinic providing outpatient psychotherapy and counseling services.
Revenues 2017 $1.2 mil.
Profits: 2017 $326k
Asking Price: $970k
Terms are available. The clinic’s market consists of Manhattan, Bronx, Brooklyn and Queens Counties. The 25 clinician practice specializes in group, women’s and psycho-educational therapy as well as parenting groups, court mandated services, domestic violence victims groups, anger management and supervised visitation programs. There are 250+ weekly patients and the business accepts most insurances. Buyer must be a NYS licensed physician, NYS licensed mental health consultant, NYS licensed social worker, psychologist or PhD. The owner is retiring.

Direct All Inquiries to:
Steve Epstein, V.P.
Gottesman Company
O: 201-750-9605
C: 201-704-8051


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


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. Beautiful bright rooms, lovely reception area and front. First-rate building on 58th Street between Park and Lexington.  Rent by day (about $180) or by month ($5500). Front desk and office management available, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for a new tenant. Call 646-642-0700.




For Rent – Medical Office 715 W 170 Street New York
Ground floor just completed built 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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