MSSNY eNews – NY State of Fear

Arthur Fougner MSSNY Presiident

PRESIDENT’S MESSAGE<
Arthur Fougner, MD
MSSNY President

MSSNY eNews
MAy 10, 2019

Vol. 22  Number 18


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Colleagues:

Fear is the Mind Killer.”
-Bene Gesserit (from Dune by Frank Herbert)

The 21st Century is not turning out the way I expected. How it could happen that a disease once declared eradicated by the CDC in 2000, now plagues our state? With over 600 cases in NY State, there seems no end to this outbreak. Schools have been closed, families are now under quarantine. Any day, I expect to pick up the paper and learn that someone, like the Israeli flight attendant, is now in an intensive care unit somewhere on life support.

Where once NY enjoyed almost universal vaccination, today there are over 200 schools where less than two thirds of the children are immunized. This is truly disturbing.  You see, there are those who cannot be vaccinated – those infants 6 months of age or younger, those with cancer or transplants on immunosuppression therapy, patients with HIV or autoimmune disease, pregnant women, or those allergic to any of the ingredients in the vaccine. To minimize the likelihood of exposure, the rest of the community needs to be immunized. This is the concept of herd immunity. Today, our herd has been culled.

So what’s going on here? Some might point to religion. Yet there is no major religion that proscribes vaccination. Moreover, religion has been with us since the day that homo sapiens took their first steps. Religion was certainly around while measles was being eradicated through a vigorous vaccination campaign.

So what is different now?

What’s different now is the pervasive state of fear created by a relatively small group who spread the notion that the vaccines are more terrifying than the diseases they are designed to control. We all know who they are. They are powerful, they are media savvy and their influence has spread throughout all sectors of our society, promulgating the false gospel that vaccination causes such afflictions as autism. That notion, which first emerged 20 years ago, has been thoroughly discredited but facts do not deter this cult. Take the two recent Danish studies of over half a million children. These found no significant difference in autism rates between those vaccinated and those not. In fact, the vaccinated group actually had a slightly LOWER incidence of autism.

So we must take this challenge head on and protect those who cannot protect themselves. Re-establish Community Immunity. Remember the words of a former NY governor, President and victim of a now vaccine-preventable disease: “The only thing we have to fear is fear itself.”

Arthur Fougner, MD
MSSNY President 

Comments? comments@mssny.org; @mssnytweet; @sonodoc99

Dr. Fougner and Dr. Sellers at Measles Conference

Vaccinations: Only Medical Exemptions.
MSSNY Vice President Dr. Joseph Sellers and MSSNY President Dr. Art Fougner at a press conference on Tuesday, May 8. Speaking to NYS legislators, Dr. Fougner said, “An important first step is ensuring that medical exemptions are the ONLY exemptions allowable.”


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Capital Update

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This Week’s Podcast of MSSNY’s Legislative Priorities


MSSNY Participates in Congressional Discussion on Addressing Surprise Medical Bills
MSSNY Past-President Dr. Andrew Kleinman was one of the key participants in a meeting this week in Washington DC with the US House of Representatives’ Doctors Caucus to highlight New York’s acclaimed “surprise medical bill” law as a model for Congress to follow as it develops similar legislation for the country.  Dr. Kleinman highlighted that New York’s comprehensive law protected patients and struck a balance among the concerns of physicians, hospitals and health insurers to help preserve needed on-call specialty care availability in hospital emergency departments.

He noted New York’s law not only addressed surprise out of network bills directly, but also addressed other “root causes” of  surprise medical bills, such as inadequate and inaccurate physician networks and inadequate out of network coverage. He also highlighted the expeditious and relatively inexpensive cost of New York’s independent dispute resolution system for resolving surprise out of network bills.  Dr. Kleinman was extensively involved in efforts to help develop and advance New York’s law.

Other participants in the meeting included the American Medical Association, the American Association of Neurological Surgeons, the American College of Emergency Physicians, and the Federation of American Hospitals.  Dr. Kleinman also met with key health policy staff for several other key US Senators developing legislation on this issue, including Senate Minority Charles Schumer (D-NY) and Senator Dr. William Cassidy (R-LA).    

This week, President Trump held a press conference urging action to address surprise medical bills. The AMA released a statement following the press conference agreeing with the goal to protect patients from surprise bills but raising concerns with aspects of the President’s statement.  Read the AMA statement here.

Physicians are urged to send a letter to Senators Schumer and Gillibrand, as well as their respective member of Congress here  to urge that any proposal addressing surprise medical bills be consistent with New York’s law.                      (AUSTER)


Medical Organizations, Public Health and Patient Advocacy Groups Hold Press Conference; Urge Legislators to Enact Medical Exemption
The Medical Society of the State of New York and 27 other medical organizations, public health and patient advocacy groups are urging the New York State Legislature to pass A.2371/S.2984 which ensures that medical reasons are the only exception to vaccination requirements.  MSSNY President Dr. Art Fougner, Vice-President Dr. Joseph Sellers and Assistant Treasurer Dr. Parag Mehta joined many other physicians and patient advocates this week in a press conference urging support for the legislation.  The press conference generated significant media attention. The legislation is sponsored by Assemblymember Dinowitz and Senator Hoylman and is in the Assembly and Senate Health Committees.

Following the press conference, the groups met with various members of the legislature urging their support of the measure; those meetings will continue this week.  It is important to note that many anti-vaccine advocates are expected at the Capitol next week to discuss their views with legislators.  Therefore, it is critically important that all physicians reach out o their legislators and urge passage of A.2371/S.2984.

The measure must go through the Assembly Health Committee and MSSNY’s focus has been on the following individuals:  Assemblymembers Gottfired, Abinanti, Ashby, Barron, Bichotte, Braunstein, K. Byrne, M. Byrnes, Cahall, Cymbrowitz, Dinowitz, Galed, Garbarino, Gunther, Hevesi, Jaffee, Kim, D. McDonought, Paulin, Ra, Raia, Rosenthal, Sayegh, Schimminger, Solages, P. Steck.  You can call the Asssembly at 518-455-4100 and ask to be transferred to their offices.  You may also send a letter to these legislators urging support of A.2371 and S.2984 by going to MSSNY Grassroots Action Center (GAC) here.

With the number of confirmed measles cases exceeding 700, groups are urging passage to ensure that measles – a vaccine preventable disease – does not gain a sustained foothold in New York and across the nation.

The following groups have joined onto a memo in support and many attended this week’s press conference:  American Academy of Pediatrics, NYS District II, Chapters 1, 2 & 3, American Nurses Association – New York (ANA-NY), Associated Medical Schools of New York, Autism Science Foundation, Citizen Committee for Children of New York, Inc., Children’s Defense Fund-New York, Erie County Department of Health,  Ithaca Is Immunized, Kimberly Coffey Foundation, Nurses Who Vaccinate, March of Dimes, Meningitis B Action Project, Medical Society of the State of New York, Nurse Practitioner Association New York State, New York American College of Emergency Physicians, NY Chapter American College of Physicians, NYS Academy of Family Physicians, NYS Association of County Health Officials (NYSACHO), NY Occupational and Environmental Medical Association (NYOEMA) , NY State Neurological Society, NY State Neurosurgical Society, NYS Ophthalmological Society, NYS Society of Otolaryngology-Head and Neck Surgery, NYS Public Health Association, New York State Society of Anesthesiologists, Inc., The New York State Radiological Society, Schuyler Center For Analysis and Advocacy, The Children’s Agenda and the Tompkins County Department of Health.                                  (CLANCY)



Collective Negotiations Bill Advances in the Assembly
Please urge your legislators to support Assemblymember Gottfried’s bill A.2393, which would help to even the playing field between physicians and insurance companies.  A letter can be sent here.

This bill was reported out of the Health committee on 4/30 and has now been reported out of the Codes committee. It currently awaits a vote in the Assembly Ways and Means Committee. If enacted into law it would allow independently practicing physicians to communicate and negotiate collectively with health care plans in limited instances (when health plans have an undue advantage negotiating the terms of contracts with health care providers). Physicians are currently unable to do so due to federal antitrust law. However, a longstanding US Supreme Court precedent enables States to permit these negotiations via the State Action Doctrine.

Passage of this legislation would help to enable physicians to negotiate in order to limit burdensome prior authorization procedures and unfair network participation rules. It also contains protections to help ensure that negotiations do not impair access to patient care by prohibiting collective slowdowns/strikes and would ensure strict oversight of these negotiations by the Department of Health.

The bill, which is also sponsored by Senator Rivera (S.3462) is currently in the Senate Health Committee.             (AVELLA)     


Bill Requiring Physicians to Maintain Excessive Documentation of Discussion of Risks of Prescribing Opioids Moves to Senate Floor; Action Needed!
Physicians are urged to contact their legislators in opposition to legislation (S.4277-A/A.7285-A) which would require physicians and health practitioners who prescribe an opioid or other Schedule II Controlled Substance to discuss with patients’ the risks prior to prescribing the medications. The Medical Society is opposed to this measure and encourages

physicians to send a letter to their legislator at the MSSNY Grassroots Action Center (GAC) here. The bill has moved to the Senate floor and can be voted on at any time.      Specifically the legislation would require physicians to discuss (and by extension document that such discussions took place) the following: a) the risks of addiction and overdose associated with opioid medications, b) the reason why the prescription is necessary, c) alternative treatments that may be available and d) the risks associated with the use of these medications. Moreover it would require the physician each year to counsel the patient on the risks of overdose and the availability of an opioid antagonist.

While the legislation is well intended, it ignores existing Public Health Law that essentially requires the patient’s informed consent. This means that when a patient needs treatment, the physician must give the patient information regarding risks so that they can make an informed decision.

Additionally, this is duplicative of requirements that currently exist under other laws that mandate that after a physician prescribes the medication, the pharmacist is required to again inform the patient about the risks of taking a controlled substance. Moreover, for their patients who are on opioid medications longer than 90 days, physicians are required to have a written treatment plan that includes discussing with patients the risks of these medications and possible alternatives to these medications.  MSSNY is also concerned that such requirements will further discourage physicians from prescribing pain medications for patients who need them – already a growing concern – and could potentially scare patients who truly need pain medication away from taking this medication. (CLANCY,AUSTER)



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Action Needed on Prior Authorization Reform Bill
Prior authorizations continue to be a major roadblock to care and cause endless hassles for physicians and their staff. The burdens caused by excessive and often unjustified prior authorization requirements take away from the time that physicians can spend with their patients and lead to far too many hours being spent on paperwork. Further, surveys continue to demonstrate that a significant number of patients have experienced adverse outcomes due to prior authorizations, either due to the time that insurance companies take to process them or because of improper or unfair denials.

Senator Breslin and Assemblymember Gottfried have introduced an “omnibus bill” (S.2847/A.3038) that would help in reducing prior authorization burdens, updating UR standards and patient protections for prescription drugs.  MSSNY has been working with several specialty societies and patient advocacy groups, including the New York Bleeding Disorders Coalition, on advocacy in support of the legislation.

The bill has picked up additional co-sponsors in both houses this year. It is currently awaiting action in the Senate Health Committee and the Assembly Insurance Committee. Please urge your Assemblymember and Senator to join on as a co-sponsor here(AVELLA)


Single Payer Hearing Scheduled for May 28 in Albany
Health Committee Chairs Senator Rivera and Assemblymember Gottfried will host a hearing on the Proposed New York Health Act on May 28, 2019 in Albany. It will be the first of a series of hearings throughout NY regarding the proposed legislation, which would create a single payor system in New York. MSSNY President Arthur Fougner, MD will be providing testimony on behalf of MSSNY.

The hearing will take place at 10am in Hearing Room A in the Legislative Office Building. Oral testimony will be limited to 10 minutes per participant. More information, including the form that must be submitted by those who wish to testify, can be found here.          (AVELLA)


Uniform Credentialing Bill on Senate Health Committee Agenda
Senate Bill S.4335, sponsored by Senator Salazar, is on the Senate Health Committee’s agenda for Tuesday, May 14. The bill would require the creation and use of uniform credentialing and re-credentialing forms for physicians and other providers to use for the purposes of applying for and being maintained on a health care plan’s network. While many insurance companies now use CAQH’s standard form, not all use it exclusively. As a result, physicians and their staff – who are already overburdened with paperwork and bureaucratic tasks – must sometimes file multiple different forms that serve the same purpose.

It would also require the creation of a standard referral form that a primary care physician may use to facilitate care for a patient from a specialist physician. Similar to the credentialing forms, health care plans may have their own referral forms that are substantially similar, but different enough so that the physician must use each plan’s form instead of a single form. A uniform referral form would alleviate further unnecessary administrative hassles that physicians face in attempting to facilitate appropriate care for their patients.

Assemblymember Gottfried’s companion bill A.3077 passed the Assembly on 3/26.        (AVELLA)


Patient Formulary Protection Bill Ready for Senate Vote
Senator Breslin’s S.2849, which would prohibit a health care plan from making prescription drug formulary changes during the contract year, is currently on the floor of the Senate. While patients are locked into an insurance plan for the contract year – and often choose their plan based on their prescription co-pays and prescription formularies – insurance companies are able to modify their formulary and often move drugs into a higher cost-sharing tier mid-contract. This legislation would ensure that patients are able to access the drugs they need without unexpected cost increases mid-year.  MSSNY has been working with several patient advocacy groups in support of this legislation.

This is the first year that the bill has advanced out of committee in the Senate. Its companion bill, which is sponsored by Assemblymember People-Stokes (A.2969), has passed the Assembly every year since 2015 and is currently in the Assembly Insurance Committee awaiting movement. Please urge your legislator to support this bill by clicking here. (AVELLA)


CMS to Require Pharma Companies to Include List Price during TV Commercials
CMS will now require TV commercials for prescription drugs covered by Medicare or Medicaid to include the list price (Wholesale Acquisition Cost) if the price is greater than or equal to $35 per month or the usual course of therapy. Currently, drug companies are only required to disclose a drug’s potential major side effects. The final rule is effective 60 days after its May 10, 2019 publication in the Federal Register (July 9, 2019).

Per HHS, the 10 most commonly advertised drugs have list prices ranging from $488 to $16,938 per month (or usual course of therapy).  HHS estimates that prescription drug spending in the United States was about $457 billion in 2015, or 16.7 percent of overall personal health care services. Further, over $4.2 billion was spent on prescription drug television advertising.

The stated intent of this rule change is to incentivize lower list prices and ensuring that beneficiaries are provided all of the information that they need to make informed decisions, minimizing their out-of-pocket costs. 47% of Americans are insured through high-deductible health plans and all seniors on Medicare Part D must pay coinsurance and often a deductible as well. The list price is also what a patient would pay if a drug is not on their insurance formulary.    (AVELLA)  


Measles Outbreak in New York State Continues to Spread
Webinar Available at MSSNY CME Website

The number of measles cases in New York State continues to rise with approximately 665 of the 706 confirmed cases nationwide occurring in New York State (423 in New York City, 206 in Rockland, 23 in Orange, 10 in Westchester, 2 in Sullivan, 1 in Suffolk and 1 in Greene counties) as of May 1st.  MSSNY conducted a just-in-time Medical Matters webinar entitled “The Continued Public Health Threat of Measles 2018” in December, 2018.  This webinar has now been posted to the MSSNY CME website. You can also view MSSNY’s latest Medical Matters webinar entitled “What’s Your Diagnosis? Infectious Diseases” which involves a patient with a fever and a rash.  Please check these out and keep yourself informed about the growing measles outbreak throughout New York State.  You can also listen to MSSNY’s brief podcast on the Measles, Mumps and Rubella vaccine here         (HOFFMAN, CLANCY)


Be Sure to Listen to MSSNY’s Latest Podcast
MSSNY proudly announces our latest podcast entitled Military Culture: Forging an Alliance with Veteran Patients.  Dr. Frank Dowling, MSSNY Secretary, discusses the unique aspects of military culture with Marcelle Leis, CMS (Ret.) USAF/ANG and Lance Allen Want, Lt. Col. (Ret.) USA.  Listen here.                                                                   (HOFFMAN)


Registration Now Open for Medical Matters Webinar on May 15, 2019 @ 7:30am
The Medical Society of the State of New York will host its final Medical Matters webinar of 2019, The Importance of Resilience After a Disaster on May 15th @ 7:30am.  Encouraging post traumatic growth is an essential part of recovery from any type of disaster.  Learn more about how best to encourage resilience behaviors in patients.

The Importance of Resilience After a DisasterRegister here.:

When:  Wednesday, May 15 2019 at 7:30am

Faculty: Craig Katz, MD

Educational Objectives:

  • Define resilience and post traumatic growth
  • Describe how best to measure resilience and post traumatic growth
  • Explore resilience behaviors and how to encourage them in your patients

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

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits. Physician should only claim credit commensurate with the extent of their participation in the activity. (HOFFMAN)


Registration Now Open for Veterans Matters CME Webinar on June 5th
Register now for MSSNY’s next Veterans Matters webinar June 5th at 7:30am. This webinar is entitled Substance Use Disorders in Veterans.  Register for this program here

Veterans Matters: Substance Use Disorders in Veterans

When:  Wednesday June 5 2019 at 7:30am

Faculty: Frank Dowling, MD

Educational Objectives

  • Define Substance Use Disorders (SUDs), symptoms, warning signs, comorbidities
  • Explore evidence-based intervention and treatment options for SUDs among veterans
  • Identify barriers to diagnosis and treatment 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 this live activity for a maximum of 1.0 AMA/PRA Category 1 creditsä. Physician should only claim credit commensurate with the extent of their participation in the activity.   (HOFFMAN)


pschuh@mssny.org mauster@mssny.org  pclancy@mssny.org  mavella@mssny.org
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Empire, Westchester Medical Center Locked in Contract Dispute
Empire BlueCross BlueShield has notified its members that Westchester Medical Center Health Network will become out-of-network on June 1 unless the two sides reach an agreement. The health network’s contract with Empire expired April 1, but discussions have continued during a two-month “cooling off” period.

“We have a strong desire for Westchester Medical Center to be in-network, but we have to provide affordable products,” Alan Murray, Empire’s CEO, told Crain’s. “That’s a constant balance we’re challenged with.”

The hospitals affected are Westchester Medical Center and Maria Fareri Children’s Hospital in Valhalla; Bon Secours Community Hospital in Port Jervis, Orange County; Good Samaritan Hospital in Suffern, Rockland County; St. Anthony Community Hospital in Warwick, Orange County; and MidHudson Regional Hospital in Poughkeepsie, Dutchess County.

The insurer told members that Empire would cover WMCHealth facilities as in-network during emergencies, when services have been previously authorized or where another provider is not within 30 miles of a patient’s home. Crains May 7.


Mayor Unveils NYC Care Card for Uninsured; Will Hire Seven Doctors in Bronx
The city’s public hospital system is hiring seven doctors for Lincoln Hospital in the Bronx to prepare for what officials hope will be an influx of patients this summer who will take advantage of NYC Care, the de Blasio administration’s latest health program.

The city’s effort to connect people without insurance to primary care at NYC Health + Hospitals will officially start Aug. 1 in the Bronx. The mayor’s office expects 10,000 people to sign up for NYC Care within the first six months of the program. The patients will have 24/7 access to a customer-service line and hospital-based pharmacies.

The $100 million NYC Care program does not provide participants with access to medical care at any private doctor, hospital or pharmacy. It will charge sliding-scale payments based on an individual’s income and encourage people to enroll in MetroPlus if they earn too much to qualify. The card includes a member ID number, the name of an individual’s primary-care physician and a customer-service phone number.

People are eligible if they have lived in the city for at least six months and do not have an affordable insurance option or are ineligible for insurance. Of course, NYC Health + Hospitals always has welcomed any patient whether or not they have insurance. The difference is the priority of connecting uninsured patients to primary care before they go to a city emergency room with a crisis. The city will spend $25 million bringing the program to the Bronx, which also includes ramp-up costs, said City Hall spokesperson Marcy Miranda.


NY Improves Its Readiness for Health Emergencies
New York has continued to improve its readiness for health emergencies, according to the 2019 National Health Security Preparedness Index, released by the Robert Wood Johnson Foundation. The state improved its readiness in all areas between 2013 and 2018, the index found. It also bested the national average of 6.7—on a 10-point scale—scoring 6.9. Specifically, New York scored particularly well in community planning and engagement, increasing nearly 21%, to 5.8. The national average was 5.2 last year.

New York also posted its highest score in health security surveillance, 9.2, compared with a national average of 8.3. Health security surveillance is defined by the index as the ability to detect and monitor health threats and identify where they start and spread to contain them rapidly.

The state also exceeded the national average in readiness in environmental and occupational health last year at 6.7, compared with 5.9. New York’s lowest score was in health care delivery—the ability to provide care during and after emergencies—at 4.7. The national average was 4.9. The state also scored significantly below the national average in incident and information management, at 8.2, compared with 8.7. This metric is the ability to deploy people, supplies and funds to locations where they are most effective in protecting health, according to the index.

The index was originally developed by the Centers for Disease Control and Prevention. It is now funded by the Robert Wood Johnson Foundation and involves the collaboration of more than 30 organizations.


Yelp to List NYC and Long Island Maternity Care Metrics on Hospital Pages
As of May 8, Yelp started displaying information about the quality of maternity care at about 50 hospitals in New York City and Long Island through a partnership with the Northeast Business Group on Health. The Yelp pages for hospitals will indicate whether the facilities are above average, average or below average in their rates of Cesarean-section deliveries in low-risk pregnancies, newborns being fed only breast milk before discharge, the administering of an episiotomy and vaginal births among women who’ve had a previous C-section.

The data come from expectny.com, a project of the Northeast Business Group on Health, which provides maternity-care statistics from New York State and patient-safety organization Leapfrog Group. Its work was supported by a grant from the New York State Health Foundation. The ratings include a link to expectny.com where users can get more information about why it has rated hospitals on these measures. A 2017 report from researchers at the Manhattan Institute found Yelp ratings were correlated with better-quality hospitals in New York State. In the analysis, hospitals with lower rates of avoidable readmission were considered higher quality. Crains NY May 8 

“Do I Really Need An Employee Handbook? Absolutely!”
Creating an employee handbook can seem like a daunting task for an employer. Some employers have few, if any, written policies in place when they begin the process. Others may have adopted individual written policies in the past with little, if any, consideration given to how the policies can or should fit together in a handbook. Questions abound over what policies must or should be included, or over how often the handbook should be updated.

Despite such issues, there is no question that every employer should have a handbook in place.  A properly drafted employee handbook can be a critical risk management tool, communication tool and cost containment tool.  Specifically, a handbook informs employees and supervisors of the rules and policies of the workplace in a uniform way, and provides for clarity concerning expectations and standards that must be followed and adhered to by employees.  A handbook is a primary tool for placing employees on notice of an employer’s policies, expectations and benefits.

Moreover, employers can refer to provisions of an employee manual for purposes of establishing legitimate and lawful reasons for taking an adverse employment action against an employee.  Furthermore, a handbook informs the employees of their rights and benefits in a clear consistent manner and of grievance procedures to ensure that complaints are handled appropriately and effectively.  The prospect of supervisors enforcing rules consistently is enhanced by the existence of a handbook.

Finally, a properly drafted handbook can reduce the risks of litigation or provide a defense in should a lawsuit arise.  This is because its existence can show an employer’s intended consistent treatment of employees, the plaintiff-employee’s violation of the workplace rules, and that a plaintiff-employee’s claim for benefits is baseless given the express language of the handbook.

[1]Madelin T. Zwerling is an attorney at Garfunkel Wild, P.C., which she joined in 2011, and a member of the Employment Law Practice Group, which provides legal advice on a full range of employment matters.  She may be reached at mzwerling@garfunkelwild.com or (516) 393-2510.


New Rule Requires Drug Price Disclosure in TV Ads
The HHS finalized a rule on Wednesday that will require drugmakers to post the list prices of their products in TV ads. The policy applies to all drugs covered by Medicare that cost $35 or more per month or over the course of treatment. The rule takes effect 60 days after it is published in the federal register. The drug industry might challenge the rule.

“We’re moving from a system where patients are left in the dark to where patients are put in the driver’s seat,” Alex Azar, secretary of health and human services, said in a speech.

The rule makes drug companies more accountable to New York consumers, said Eric Linzer, president and CEO of the state Health Plan Association.

“While breakthrough medications provide tremendous clinical benefits to patients there’s really little understanding of how drug manufacturers establish their prices,” he said.


Severe Alcohol-Related Liver Disease Rising, Possibly Due to Binge Drinking
Severe alcohol-related liver disease is on the rise,” (which) may be due to heavy binge drinking, especially in young adults,” experts posit. For the study, investigators “turned to data from 2001 to 2016 from the National Health and Nutrition Examination Survey (NHANES).” The researchers then discovered that “while there has been little change in the rate of people developing alcoholic fatty liver disease, there appears to be an increase in those who are at greater risk of cirrhosis, liver cancer and death.” The findings of the 34,423-person study were published May 7 in a research letter in JAMA.


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RENTAL/LEASING SPACE


Medical Office Space for Rent!
Beautiful Newly Renovated Medical Office on the Upper East Side between Madison and Park Avenue! Conveniently located near all public transportation and Mount Sinai Hospital. Consult and Exam room available for rent part time or full time (see pictures). Please call 212-860-0300 or email carnegiehill0062@gmail.com for further information.
Pictures of office space for rent on Madison Ave


Park Avenue Medical Office for Sale
On Park Ave, for sale is a large medical office, in a beautiful full service co-op with two entrances, one of which is an impressive doorman in lobby entrance.The office has high ceilings, easily adaptable to any specialty and priced to sell. Three good size rooms easily converted to five exams, plus consult, bathroom, reception and large waiting room. Outstanding location. A must see. View floorplan http://ow.ly/kKOI30o6MjI. Call Jeff Tanenbaum,  646-234-2226 or email jtanenbaum@halstead.com for showings and more information.


Fully Renovated Office Space for Part-Time Lease in Hauppauge
Available Tuesdays/Fridays, $450 half session, $750 full session. Elegant office space, beautiful waiting room with new stone and granite reception desk, custom molding, large windows, abundant natural light, TV, and refreshment counter.  Four new exam rooms and dictation room.  New stainless and granite kitchenette.  State-of-the-art network infrastructure meets HIPPA & PCI DSS compliance standards.  Digital X-ray room with PACS in each exam room available as an option.  Located in close proximity to LIE, Northern State Pkwy, and Vets Memorial Hwy. Contact us at (631) 486-8855;  Please see our listing: https://www.loopnet.com/Listing/517-Route-111-Hauppauge-NY/15298633/


Office Rental 30 Central Park South.
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms. Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time. 212.371.0468drdese@gmail.com.


5th Ave Medical Office for Share
Facing Central Park in exclusive building, ground floor, separate entrance.
Perfect for psychiatrist, physiatrist, osteopath, or other.
880 5th Avenue (between 69th and 70th Sts.), New York, N.Y.
Please call 917-715-2464


Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Available Monday, Wednesday, Friday and weekends. 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). Front desk and office management available if needed, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.


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

PHYSICIAN OPPORTUNITIES

Multi-Specialty Medical Office Looking To Bring On More Doctors
New York Medicine Doctors Center is a multi-specialty Medical Agency networking some of the best medical professionals and specialists in the New York Tri-State area. Our offices currently serve both Manhattan and Queens, providing a variety of advanced technological on site testing, imaging, and services for the most rapid results.

We are actively looking to bring on board an array of Doctors specializing in Primary Care, Gynecology, Gastroenterology, ENT, Urology, Podiatry, and Dermatology.

As we continue to broaden our medical services in both locations, we also provide individualized on-boarding contracts with health benefits, tailored in-house marketing and advertising, practice management assistance, and in house team of administration dedicated in serving any and all concerns whether it be credentialing or equipment related tasks.

If you are interested in joining our growing network, please do not hesitate to contact us

at 718-360-9550 or 212-931-8533. Our direct email is drshusterman@gmail.com

Primary Contact: Oksana


Seeking Executive Director of the Onondaga County Medical Society
Concept:
 An exciting opportunity for the right person to provide leadership for physicians Salary: Commensurate with experience Job Description: Direct day-to-day operations of the Onondaga County Medical Society Some evening meetings, travel required. RequirementsExperience with leading political advocacy; political sophistication. Must know how to interface with government officials. Good networking and communication skills. Conversant with budgets and finance. Excellent media relations skills, including electronic, social media, and written communications. Familiar with medical issues and comfortable discussing them. Education: BA/BS required.  MPH or MBA desirable. We expect innovation and project initiation. The Executive Director will receive a contract that increases remuneration commensurate with membership growth. Application Instructions: Please direct your application to: Dr. Brian Johnson, johnsonb@upstate.edu.


Nurse, RN Utilization Review Full-Time-Westbury, NY (In-office position only)
Excellent opportunity for a RN who is seeking a position performing utilization review.  We require 1-2 years recent experience in hospital and/or insurer utilization review and experience using Interqual criteria and/or MCG Guidelines. Data entry/PC skills a plus. Benefits include 401(k), paid vacation and holidays. Send resume and salary requirements to: Empire State Medical Scientific and Educational Foundation, Inc. Human Resource Department e-mail: chunt@mssny.org  Fax: (1-516) 833-4760 Equal Oppty Employer M/F


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