MSSNY eNews: April 30, 2021 – The Passing of the Baton


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Colleagues:

This week’s column will be my last as MSSNY President. I would like to take this opportunity to say thank you to all of you for all you have done to further our profession, for all the sacrifices you have made in order to care for your patients, and for all your heroic efforts to pull this country out of the greatest public health crisis in a century.

Every MSSNY committee this year was active and exceedingly productive.  Thanks to the strong leadership of our committee chairs, our dedicated MSSNY staff and the selfless, hard work of our committee members as well as our MSSNY officers, councilors, and Board of Trustees we have together made tremendous strides forward.  We have enacted our P2P peer program to support one another in times of stress, launched the Practice Transformation Initiative to get at the root cause of physician burnout and demoralization and provided webinars/guidance and advocacy on all things COVID from treatment, testing, reopening and funding, to vaccines.

We listened closely and worked quickly to find solutions to problems such a lack of PPE and cost prohibitive PPE (with sourcing where we could and partnering wherever possible) and a long-term answer through a new MSSNY Member benefit option with the Group Purchasing Organization, Premier Inc. Our telehealth committee leaped into action at the start of the pandemic with “how to” YouTube videos and ultimately a new MSSNY Member benefit through CareClix that offers the option of remote patient monitoring.

This year we faced an Executive Budget like none that I can remember. Proposals included a cut to funding for MSSNY’s Committee on Physician Health, provisions that threatened physician due process within the Office of Professional Medical Conduct, cost shifting to physicians for funding of the excess medical malpractice fund, scope of practice expansion for non-physicians, and more.  However, thanks to the great work of MSSNY’s legislative team and to all of you that heeded our calls to Grassroots action, the detrimental provisions nearly across the board were not enacted. Here is the detailed summary.

This year marks the retirement of some of our long-time MSSNY staff, our EVP Philip Schuh, our MSSNY Membership VP Eunice Skelly, our MSSNY Communications VP Christina Southard and our Sociomedical Economics VP Regina McNally.  Their contributions to our organization and the field of medicine are enormous and we owe them a debt of gratitude and wish them well in retirement.  They have set the stage for our new EVP, Troy Oechsner who has hit the ground running to move us forward.

Our MSSNY Office of the President guides our organization from day-to-day and this year’s physician team was extraordinary.  Those exiting the Office of the President, MSSNY Immediate Past President Dr. Arthur Fougner and MSSNY BOT Chair Dr. Andrew Kleinman, have contributed greatly to the success of our organization. I treasure their friendship and cannot thank them enough for their leadership and mentorship.

In the game of life, our MSSNY is set up as a relay and not an individual event.  Every year we get stronger and more effective as we learn from the past and add brainpower to the team. It is with forward momentum that I pass the baton to my good friend, the charismatic and dynamic Dr. Joseph Sellers, who I have every confidence will take us to and through our next milestones.

Thank you all for the honor and a privilege of serving as MSSNY President.

Bonnie Litvack, MD
MSSNY President


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Capital Update

MSSNY Weekly Podcast


Assembly and Senate Advance Key Patient Prescription Coverage Bills
The New York State Senate passed important patient protection legislation (S.4111, Breslin) this week that would significantly restrict the ability of healthcare plans to move a prescription medication to a higher-cost tier on a formulary during the enrollment year.  The same-as legislation (A.4668, People-Stokes) was also advanced this week from the Assembly Insurance Committee to the Ways & Means Committee.  MSSNY has worked with several patient and physician advocacy groups to support this legislation.

Importantly, the legislation has been revised from a version that was passed by the State Legislature in 2019 but vetoed by the Governor.  These new provisions would permit an insurer in some instances to revise a formulary during the contract year provided that such formulary revision would not be applicable to a patient already using the medication subject to the formulary change or diagnosed with a condition that is treated by the medication subject to the formulary change.

Also, this week the Assembly Insurance Committee advanced to the floor legislation (A.1741, Gottfried) that would require financial assistance from third parties to count towards a patient’s deductible or out of pocket maximum requirements imposed by a health insurer.  The same-as legislation (S.5299, Rivera) is also on the floor of the State Senate.  MSSNY has signed on to a letter with nearly 50 other patient and physician advocacy organizations in support of this legislation. (AUSTER, CARY)


Prior Authorization Reform Legislation Re-Introduced
Assembly Health Committee Chair Richard Gottfried and Senate Insurance Committee Chair Neil Breslin introduced legislation this week (A.7129 and S.6435) that would enact a number of reforms to address prior authorization hassles impacting patient care.  These proposed changes would: limit the ability of a health insurer to require a physician and patient to repeat a previously obtained prior authorization, require that health insurer utilization review criteria be evidence-based and peer-reviewed; and reduce the time frames for an insurer to respond to a request for prior authorization.

According to a recent survey from the American Medical Association, almost 70% of 1,000 practicing physicians surveyed in Dec. 2020 reported that health insurers had either reverted to past prior authorizations policies or never relaxed these policies in the first place. More than nine in 10 physicians (94%) reported care delays while waiting for health insurers to authorize necessary care, and nearly one-third (30%) of physicians reported that prior authorization requirements have led to a serious adverse event for a patient in their care.       (AUSTER, CARY)           


NYS DOH Guidance for New York State COVID-19 Vaccination Program
The NYS Department of Health has issued guidance this past week that all individuals that reside, study, or work in New York 16 years of age and older are eligible to be vaccinated in New York State. The guidance also allows all providers enrolled in the NYS vaccine program to vaccinate any eligible individual.

Effective April 19, Executive Order 202.102 eliminated the enhanced civil penalty for failure of a provider to administer its allocated COVID-19 vaccine within seven days of receipt.

The elimination of this enhanced penalty is intended to give all providers flexibility in scheduling vaccination appointments if they need more than seven days to use a vaccine allocation. This flexibility is being given to providers at a time where the State has vaccinated more than half the adult population with at least one dose and demand for the vaccine begins to steady. All vaccine providers in New York State, including those located in the City of New York and those participating in federal programs, must follow New York State Department of Health (NYSDOH) guidance and directives, including the requirement to report to the NYS COVID-Vaccine Tracker on Mondays and Thursdays.

Read more on New York State COVID-19 Vaccination Program               (CLANCY)


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US Department of Health and Human Services Eases Restrictions on Buprenorphine Prescribing
This week, the US Department of Health and Humans Services issued new guidelines to make it easier for physicians and other health care health-care practitioners to prescribe the drug buprenorphine to treat opioid addiction and will automatically allow various clinicians to administer the MAT drug buprenorphine to up to 30 patients at a time. Eligible practitioners include physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists and certified nurse midwives who are licensed under state law and possess a valid DEA registration.

The new requirements ensure that physicians will not have to complete extra hours of training in order to be able to administer buprenorphine, potentially expanding the number of MAT prescribers nationwide and making it easier for people to access the gold-standard OUD treatment.  The American Medical Association’s Opioid Task Force last year encouraged that HHS take steps to eliminate and ease the barriers to patients’ access to buprenorphine.   MSSNY is a member of the AMA’s Opioid Task Force and is represented on the task force by Frank Dowling, MD and Pat Clancy, Sr. VP for MSSNY’s Public Health and Education Division.  A copy of the statement by the AMA Opioid Task Force can be found here: AMA Statement  A copy of the guidelines can be found here: Guidelines (CLANCY)


Please Contact Your Legislators to Urge Revisions to “Consolidated Billing” Legislation
Physicians should continue to contact their Assembly members and Senators to urge them to substantially revise A.3470-A/S.2521-A, “The Patient Medical Debt Reduction Act”. Click here to contact your legislators today! Click Here.

The bill is currently in the Assembly Ways & Means Committee, and the Senate Health Committee.  While there are many components to this well-intended legislation, there is a seriously problematic component which would prohibit a physician with a “financial or contractual relationship” with a hospital from separately billing a patient for a course or episode of treatment in the hospital.

While it doesn’t appear to prohibit continued separate billing to insurance companies or other payers, a single hospital-physician bill would be required when a bill is sent to a patient for costs not covered by the patient’s insurance, such as collection of a deductible. It would also require such consolidated bill to be sent within 7 days of a patient’s discharge from the hospital, before there is any clarity as to what expenses will actually be covered by a patient’s insurance.

If this bill were to pass and this provision not amended, it would put these non-employed physicians at the complete mercy of the hospitals where they practice since the legislation does not specify how payments to hospitals from this “single bill” would then be distributed to these physicians.  What would happen if only partial payments were made?  How can a physician verify what payments were received by the hospital?  Would complaints about the payment process from the hospital to the physician place the physician at risk of losing hospital privileges?  In an era when patients’ insurance policies regularly impose enormous deductibles, it would likely force even more physicians to sell their practices and become employees of hospitals in response to the helpless position many physicians would find themselves.  Other physicians may leave the state altogether.  The impact of this prohibition will fall most adversely on physicians who are on the front lines of the pandemic, many of whom are facing an enormous drop in patient volume due to a significant amount of delayed care.

In an effort to address one concern with our health care system, a whole new problem affecting patient access to necessary specialized care could be created.  Please urge your legislators to make necessary revisions to this bill.            (AUSTER)


Food and Drug Administration to Issue Rule Banning Menthol Cigarettes
The Food and Drug Administration (FDA) announced that it will promulgate a rule banning menthol cigarettes.  This action came in response to a Citizen Petition submitted to the agency in 2013 by nineteen public health organizations, including the American Medical Association.  The FDA’s response to the petition was prompted by a lawsuit filed by the African American Tobacco Control Leadership Council (AATCLC), Action on Smoking and Health (ASH), the American Medical Association (AMA), and the National Medical Association (NMA).

It is expected that the Food and Drug Administration will seek to ban menthol and other flavors in mass-produced cigars, including small cigars popular with young people. Public health advocates, including the Medical Society of the State of New York, have long sought the removal of “menthol” flavored tobacco products.  A copy of the statement Action on Smoking and Health (ASH) can be found here.      (CLANCY)


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Registration Now Open – Veterans Matters CME: Substance Use Disorders (SUDs) in Veterans Webinar

Wednesday, May 12th @ 7:30 am

The Medical Society of the State of New York is hosting a Continuing Medical Education (CME) program entitled Veterans Matters: Substance Use Disorders (SUDs) in Veterans live webinar on Wednesday, May 12, 2021 at 7:30 am.

Click HERE to register for the program! View the program flyer HERE

When:                 May 12, 2021 at 7:30 am
Faculty:               Thomas Madejski, MD 

Educational Objectives:

  • Identify Substance Use Disorders (SUDs) in veterans
  • Discuss evidence-based psychosocial strategies to treat veterans with SUDs
  • Discuss Medication Assisted Treatment (MAT) for veterans with alcohol or opioid use disorders
  • Identify barriers to diagnosis and treatment of SUDs in veterans and methods to overcome them  

For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085

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             (SHERPA)


MSSNY Announces New Podcast Episodes on COVID Pandemic
MSSNY has recently published three new podcasts related to the COVID pandemic.

Newly added: Mental Health of Patients & COVID-19 offers a discussion with Dr. Craig Katz, co-vice-chair of MSSNY’s

Committee on Emergency Preparedness and Disaster/Terrorism Response, on the mental health impact the COVID pandemic has had on patients.  Click here to listen.

How to Talk to Patients About Vaccine Hesitancy includes a discussion on the history of vaccine hesitancy and offers sage advice from Dr. William Valenti to listeners on talking to vaccine hesitant patients.  Listen to this podcast by clicking here.

A Discussion on COVID Vaccine for Patients is MSSNY President, Dr. Bonnie Litvack, President-elect, Dr. Joseph Sellers and Dr. William Valenti, Chair of MSSNY’s Committee on Infectious Diseases discussing vaccines currently available for COVID-19. This podcast answers many questions patients may have about the vaccines.  Tell your patients to go to -Discussion on COVID Vaccine to listen.

Click here to select from all 100+ of MSSNY’s podcasts: https://www.buzzsprout.com/51522                                     (HOFFMAN)


MSSNY’s Physician Wellness and Resiliency Committee: Peer to Peer Program
If you or someone you know is struggling with everyday life stressors, reach out to the P2P program to be connected with a peer supporter to help! 

Email: P2P@mssny.org and request that you be connected with a peer supporter

Phone: 1-844-P2P-PEER (1-844-727-7337) and request that you be connected with a peer supporter

The Medical Society of the State of New York now offers to physicians, residents and medical students a completely confidential and anonymous opportunity to talk with a peer about some of life stressors. MSSNY’s Physician Wellness and Resiliency Committee launched a Peer 2 Peer (P2P) program to assist their colleagues who are need of help in dealing with work and family stressors. With the advent of the COVID-19 pandemic, some of the emotional issues related to this event, may also be troubling for our colleagues.

MSSNY has established a confidential helpline phone number (1-844-P2P-PEER) and an email address (p2p@mssny.org) so that physicians may be connected with a peer 24 hours a day/7 days a week. In addition to offering a trained, empathetic ear, peer supporters may provide information on specific resources that can offer further support, provide positive coping skills, or connect physicians to professionals for more focused assistance when needed. MSSNY has nearly 50 trained peer supporters across NYS who are just a phone call away!          (LAUDER)


MSSNY Medical Matters Program on Triage in a Disaster Event – May 26

Registration now open
Medical Matters: Triage in a Disaster Event
Date: May 26, 2021 @ 7:30am

There have been innumerable disaster events taking place all around us on a regular basis.  Learn more about how to perform triage when you find yourself in proximity to different types of disaster by registering for Medical Matters: Triage in a Disaster Event.  This webinar will take place on Wednesday May 26th at 7:30am.  Arthur Cooper, MD and Zackary Hickman, MD will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

  • Describe the importance of immediate bleeding suppression during a disaster event
  • Describe the SALT methodology for triage and where to access SALT training
  • Recognize the importance of both mass casualty and bio-event triage

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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.     (HOFFMAN)         


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eNews

Join MSSNY for Social Media in Medicine on Wednesday, May 5 at 6 PM ET
MSSNY Vice President Parag H. Mehta, MD and MSSNY YPS Immediate Past Chair Daniel E. Choi, MD present Social Media in Medicine: A Beginners Guide for Physicians.
Register now for Virtual Webinar

When: May 5, 2021 at 6:00 PM Eastern Time

After registering, you will receive a confirmation email containing information about joining the meeting.

Topics Include:

  • Introduction to popular social media physician communities: #MedTwitter,
    Instagram, YouTube, TikTok
  • How to establish a social media presence and grow your audience.
  • Common terminology e.g., Twitter handle, hashtag
  • Scheduling posts
  • How social media can be harnessed for effective patient education, practice growth, and advocacy.
  • Best ways to connect with patients and colleagues on social media.
  • Pitfalls of social media as a physician
  • What not to do on social media

CareClix Discounted Telemedicine Platform for MSSNY Members: Explore Staff Load Balancing
CareClix provides comprehensive, integrated telehealth applications, technology, and services for MSSNY members with out-of-the-box support for the most popular telemedicine carts, EHRs, and over 200+ medical devices.

Explore how staff load balancing can be attained with virtual health and how better balancing the workload virtually can rapidly help with coverage shortage and load imbalances. CareClix incorporates staff load balancing into its system to realize key benefits for patients and providers, including but not limited to:

Nurse at Computer

  • Shortened patient wait-times
  • Better provider utilization
  • Reduced physician burnout
  • Increased cost savings

What Is Staff Load Balancing?
Staff load balancing is the process of efficiently distributing staff across a provider network to promote optimal staffing and enhanced provider capacity. Hospital administrators are often aware that some staff are very busy and others have capacity, yet it is difficult to find a long-term solution of balance.

An enterprise telehealth network allows for both geographic and time-based load balancing, which in turn provides an efficient utilization of providers across the region and country. Telemedicine enables primary and specialty care physicians to be virtually distributed through the health system for on-demand consults with both on and off-site patients. In fact, leading telehealth providers regularly achieve an average response time of less than three minutes. 

How to Effectively Accomplish Staff Load Balancing
A comprehensive plan outlining your treatment routing decisions and protocols must be developed. CareClix’s platform includes load balancing capabilities that help monitor current usage and re-direct physicians to where they are needed.

In addition, CareClix’s platform includes support for all major telemedicine carts for over 200+ associated peripherals. This enables you to leverage the telemedicine equipment you may have already purchased and put it to work to help load-balance your staff. If you currently do not have telemedicine carts at your organization, CareClix provides a variety of carts, kiosks, and mobile cases.

To learn more about CareClix: careclix.com/for-providers/
To implement telemedicine for your practice visit: careclix.com/provider-signup/
Have questions? Contact sales@careclix.com


Info Blocking Rule Examples Needed: Take the AMA Survey
The AMA is conducting an informal survey to collect members’ perspectives, stories, and examples of patient harm as it relates to the release of protected health information (PHI). This information will inform AMA’s policy and advocacy efforts. The Office of the National Coordinator for Health Information Technology (ONC) recently implemented regulations that require physicians to make available a variety of medical information (e.g., lab tests, clinical notes, medications, etc.) to entities or individuals requesting that information for or on behalf of the patient. Physicians interfering or imposing any delays in the access, exchange, or use of that information would likely implicate new rules aimed to prevent information blocking.

ONC’s guidance is directing physicians to immediately release information to patients—in many cases, prior to the physician reviewing the information and without regard to whether such release could be mentally or emotionally distressing to the patient. For example, a radiology report of a CT scan indicating a “malignancy could not be ruled out” must be sent to the patient’s portal or smartphone application even if the oncologist has yet to view the study or read the report. If this report were sent to a parent of an infant ahead of a holiday weekend, the parent could unnecessarily spend days in deep emotional distress before being able to talk to the infant’s physician.

Another example pertains to adolescent medical records, particularly in states where minors do not have specific privacy protections, allowing parents to access their adolescent’s health information. Adolescents often confide in their clinicians as a “safe space” and the release of information against their wishes could provoke significant emotional or psychological distress, even in scenarios where the adolescent may not fear physical abuse. While patients accessing their medical information is an important part of patient-centered care and the AMA strongly supports patient access and engagement, there are a verity of ethical, professional, and practical concerns with automatically and immediately releasing all reports and office notes.

The AMA is interested in real-world examples, scenarios, and instances where the release of reports or notes without vital physician context or review with the patient could or has caused emotional or mental harm. The AMA is advocating for OCR to revise its subregulatory guidance on “harm” to include emotional and mental distress. This would facilitate ONC’s ability to create additional flexibility. Your information will help inform the AMA’s efforts to address unintended consequences of OCR’s current policy and ONC’s information blocking regulations. Please send your examples to Ela Cameron Ela.Cameron@ama-assn.org.


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Early Results from Federal Price Transparency Rule Show Difficulty Estimating Cost of Care
Under federal rules issued by the Trump Administration, beginning in 2021 hospitals are required to publish the price of health services they provided by payer. The goal of these rules is to improve price transparency to foster competition. The rules require hospitals to publish their 1) gross charge; 2) payer-specific negotiated charge; 3) minimum de-identified negotiated charge; 4) maximum de-identified negotiated charge and 5) discounted cash price for 300 common services, presented in a consumer-friendly online tool.

  • Price variation within a hospital for the same services is substantial, depending on the payer.
  • While 3 out of 4 hospitals provided some pricing information (such as the gross charge), the vast majority of hospitals (97%) did not provide the public with payer-specific negotiated rates for their services.
  • Implementation has been thwarted by lack of standardization in reporting, partial reporting and inconsistencies in hospital reporting of the same charges.

Click here to view the full report.


Do You Know an Outstanding Physician? MSSNY Now Accepting Nominations for the Albion O. Bernstein, MD Award

“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December, 2020.”

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November, 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

Deadline for applications is June 9, 2021. To request an application, please contact: 

Committee on Continuing Medical Education
 Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
mhardin@mssny.org


Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia 516-488-6100 x302 • fax 516-488-2188

For the MSSNY 2021 Ad Rate Sheet, please click here.


MSSNY Director of Membership and Marketing – Apply Now


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. 212.371.0468 / drdese@gmail.com.


Beautifully Renovated Modern Medical Office Sublet in Great Neck
-Separate reception area -Consultation room -1-3 exam rooms -Free Valet Parking -Designated physician parking spot. Contact Dr. Nir Somekh (516) 662-1232.

Great Neck office to sublet

Ophthalmic Office to Sublet – NYC
340 E. 49TH St. (Ground Floor -Handicap Accessible) 1-3 Lanes Wed/Fri/Sat/Sun Full use of: VF / OCT /Pachymeter/ Autorefractor /Autolensometer / Argon / YAG Lasers

Please contact Scott Weissman MD. privacyssw@gmail.com. 914-772-5581 


.Soho Rental OfficeTwo Offices Available for Rent in Established SoHo Primary Care Practice
Newly constructed loft space. Dedicated private waiting area available.  This space is ideal for individual psychiatry, psychology, social work, physical therapy, or acupuncture services. Potential to work with existing Primary Care Practice as a referral source. Centrally located in the heart of SoHo, close to all subways. Available 7 days/week.
Contact:
SpringPrimaryCare@gmail.com.

Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net



 

NYS Jobs LogoReview Vacancy

Date Posted: 03/23/21 Applications Due: 04/06/21 Vacancy ID: 85272

Position Information 

Agency Health, Department of
Title Health Program Director 2 -TBD
Occupational Category Other Professional Careers
Salary Grade 665
Bargaining Unit M/C – Management / Confidential (Unrepresented)
Salary Range From $122092 to $154253 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Non-competitive Class
Travel Percentage 10%

Schedule 

Workweek

Hours Per Week

Mon-Fri

37.5

Workday

From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? No

Location 

County Albany
Street Address CCH; Division of Family Health

Corning Tower, ESP

City Albany
State NY
Zip Code 12237

Job Specifics 

Minimum Qualifications Twelve years of professional level work experience, three of which must have included managerial, decision-making and/or oversight responsibilities for a major health-related program or in the direction of a major administrative function of a large health-related organization. A bachelor’s degree may be substituted for four years of the general professional experience.

Twelve or more years of progressively responsible administrative experience in programs that improve perinatal health, child and/or adolescent health, early care, and learning, and/or sexual violence prevention, including four years of managerial, decision-making, and/or program direction. Seven years of this experience would also include fiscal management, policy making and oversight responsibilities, and statewide supervision of professional level staff. The preferred candidate would be familiar with representing departmental interests and serving as a spokesperson and liaison to Executive staff, and have experience working with other state and federal governmental programs. Experience with second-level professional supervision as well as strong oral and written communication skills is also desired. A master’s degree in an appropriate field may substitute an additional one year of the general professional experience, not to exceed a maximum of five years total allowable educational substitution. Please refer to full listing

 

 

 

 

DOH Job Ad

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NYS Jobs Ad LogoReview Vacancy

Date Posted: 04/09/21 Applications Due: 05/10/21 Vacancy ID: 85840

Position Information

Agency Health, Department of
Title Director Public Health – 601
Occupational Category Administrative or General Management
Salary Grade NS
Bargaining Unit M/C – Management / Confidential (Unrepresented)
Salary Range From $149004 to $149004 Annually
Employment Type Full-Time
Appointment Type Temporary
Jurisdictional Class Exempt Class
Travel Percentage 20%

Schedule

Workweek

Hours Per Week

Mon-Fri

40

Workday

From 9 AM
To 5 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? No

Location

County Albany
Street Address Office of Public Health

ESP, Corning Tower OR Metropolitan Area Regional Office (MARO) Church Street

City Albany OR New York

 

State NY
Zip Code 12237

Job Specifics

Minimum Qualifications A Bachelor’s degree and eleven years* of professional level government or non-profit experience, five of which must have included managerial, decision-making and/or oversight responsibilities for a major public health-related program or in the direction of a major administative function of a large health-related organizaton. Substitution – JD or Master’s degree may substitute for one year of the general experience, a PhD may substitute for two years of the general experience.

Preferred Qualifications:

Track record of strong analytical and organizational skills; excellent written and verbal communication; ability to multi-task and work in a fast-paced and confidential environment under tight deadlines is essential; experience in a managerial role, interacting with state and federal government officials is preferred;
View full listing 


 

 

 

 

 

MSSNY eNews: April 28, 2021 – Department of Health on Guidance Johnson & Johnson Vaccine

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NYS DOH Guidance Regarding Use of the Johnson & Johnson COVID-19 Vaccine
Following a thorough safety review, including two meetings of the U.S. Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP), the U.S. Food and Drug Administration (FDA) and the CDC have determined that the recommended pause regarding the use of the Johnson & Johnson (Janssen) COVID-19 Vaccine in the U.S. should be lifted and use of the vaccine should resume.

ACIP voted to reaffirm its original, pre-pause recommendation that “the Janssen COVID-19 vaccine is recommended for persons 18 years of age and older in the U.S. population under the FDA’s Emergency Use Authorization” without any limitations by age, sex or other risk factors.

PLEASE REVIEW FOR IMPORTANT DETAILS: FDA and CDC Lift Recommended Pause on Johnson & Johnson (Janssen) COVID-19 Vaccine Use Following Thorough Safety Review.  Key points from the FDA and CDC regarding this vaccine following a 10-day pause include:

  • Use of the Janssen COVID-19 Vaccine should be resumed in the United States.
  • The FDA and CDC have confidence that this vaccine is safe and effective in preventing COVID-19.
  • The FDA has determined that the available data show that the vaccine’s known and potential benefits outweigh its known and potential risks in individuals 18 years of age and older.
  • At this time, the available data suggest that the chance of thrombosis-thrombocytopenia syndrome (TTS) occurring is very low, but the FDA and CDC will remain vigilant in continuing to investigate this risk.

The FDA and Janssen have agreed on a warning about thrombosis and thrombocytopenia which will be added to the Janssen COVID-19 vaccine’s Emergency Use Authorization (EUA), and the CDC has created a handout for vaccine recipients about this adverse event.

Health care providers administering the vaccine and vaccine recipients or caregivers should review the Janssen COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) and Fact Sheet for Recipients and Caregivers, which have been revised to include information about the risk of this syndrome, which has occurred in a very small number of people who have received the Janssen COVID-19 Vaccine.

The Janssen COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) and Fact Sheet for Recipients and Caregivershave been revised to include information about the risk of this syndrome, which has occurred in a very small number of people who have received the Janssen COVID-19 Vaccine. These new documents MUST be used and are attached and linked above. Please DISCARD any previous versions. 

If you currently have Janssen (Johnson & Johnson) COVID-19 vaccine in stock, you may begin to use it immediately.  NYS expects to receive notification from the CDC of a small allocation of this vaccine on Tuesday to be ordered and shipped to providers next week.  For providers enrolled in the New York State (outside of NYC) COVID-19 vaccination program, please submit a weekly planning request by 5:00 PM on Monday, April 26 if you are interested in being considered to receive an allocation of this vaccine next week.

Additional Information:

Agenda and Slides from the ACIP Meeting:


April 26 Statements from Governor Cuomo And New York State Health Commissioner Dr. Howard Zucker Regarding Resuming Johnson & Johnson Vaccinations

Statement from Governor Andrew M. Cuomo:

“World-renowned public health experts from the federal government and our own independent state task force have reviewed the data and reaffirmed that the use of the Johnson & Johnson vaccine can resume. The state of New York will resume administration of this vaccine at all of our state-run sites effective immediately. The vaccine is the weapon that will win the war against COVID and allow everyone to resume normalcy, and we have three proven vaccines at our disposal. I urge every New Yorker to take whichever one is available to them first. The sooner we all get vaccinated, the sooner we can put the long COVID nightmare behind us once and for all.”

Statement from State Health Commissioner Dr. Howard Zucker:

“Yesterday evening, following a thorough safety review, the CDC and FDA lifted the recommended pause on the COVID-19 Johnson & Johnson vaccine and said that the United States can resume the use of the vaccine for adults, 18 years of age and older. Following discussions with New York State’s Clinical Advisory Task Force and Governor Cuomo, I recommend that New York State accept the federal recommendations and resume Johnson & Johnson vaccinations effective immediately. “The data has shown the vaccine’s known benefits far outweigh the potential and extremely rare risks, but we urge anyone with questions about the COVID-19 vaccines to speak with their healthcare provider.

We will continue to communicate regular updates and guidance from the federal government to providers and the general public about the Johnson & Johnson vaccine and all vaccines on the market.We encourage all New Yorkers to get whichever vaccine is available to them, as quickly as possible, so we can finally defeat this virus and continue our path towards fully reopening our communities and economy.”


Impact of Pandemic on Spending and Use of Medicare Physician Services
A recent report from the AMA summarized impacts of the COVID-19 pandemic on the spending and use of Medicare physician services through the first half of 2020.  That report found that spending declined as much as 57% in April of 2020. Key findings include:

  • The recovery in use of Medicare physician services continued but spending was still 8% less than expected at the end of September 2020.
  • In total, spending from the start of the pandemic through September was $11.5 billion or 16% below expected.
  • Telehealth accounted for 5.2% of Medicare physician spending from July to September of 2020, down from a peak of over 16% of spending in April 2020.
  • Use of telehealth continues to be largely concentrated in a handful of service categories including established patient office visits, telephone calls, and mental health services.

Read the full report.


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Northwell Cardiologist Named American Heart Association’s 2021 Physician of the Year
The American Heart Association has named Stacey E. Rosen, MD, a cardiologist with Northwell Health for 26 years, as Physician of the Year, the organization’s highest honor given to a practicing cardiologist who has made outstanding achievements in the field of cardiology.  Dr. Rosen is senior vice president for the Katz Institute for Women’s Health, where she oversees the development and coordination of a comprehensive and integrated approach to women’s health services at Northwell Health.

In this role her mission is focused primarily on the elimination of health care disparities through comprehensive clinical programs, gender-based research, community partnerships and education. As a practicing cardiologist, Dr. Rosen previously served as chief of cardiology at LIJ Medical Center and associate chair of cardiology at Northwell Health.

Dr. Portrait of Dr. RosenRosen co-authored the book “Heart Smart for Women, Six S.T.E.P.S. in Six Weeks to Heart-Healthy Living,” which empowers women of all ages with a comprehensive program for heart-healthy living.

She also co-produced her first documentary titled “Ms. Diagnosed,” which premiered at the California-based Cinequest film festival in March 2020.


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Seven-Day Case Average Down 74.9 Percent from Pandemic Peak and 12 Other COVID Stats from CDC
One-third of U.S. adults were fully vaccinated against COVID-19 as of April 22, and more than half had received at least one dose, according to the CDC’s COVID Data Tracker Weekly Review published April 23.
Thirteen statistics to know:
Vaccinations
1. The U.S. had administered more than 218.9 million total vaccine doses as of April 22.
2. About 135.8 million people have received at least one dose — representing 40.9 percent of the total U.S. population, and more than 89.2 million people have gotten both doses, about 26.9 percent of the population.
3. The seven-day average number of COVID-19 vaccines administered daily was 2.9 million as of April 15, a 12 percent decrease from the previous week’s average.
Reported cases
4. The nation’s current seven-day case average is 62,596, a 10.1 percent decrease from the previous week’s average.
5. The seven-day case average is down 74.9 percent from the pandemic’s peak seven-day average of 249,436 on Jan. 8.
Variants
6. Based on an analysis of specimens collected through March 27, the CDC estimates 44.7 percent of U.S. COVID-19 cases are caused by the U.K. variant B.1.1.7.
7. The P.1 variant first found in Brazil is estimated to account for 1.5 percent of all cases, and the B.1.351 variant first identified in South Africa comprises 0.7 percent of all cases.
Testing
8. The nation’s seven-day average test volume for the week of April 9-15 was 1.2 million, up 1.6 percent from the prior week’s average.
9. The seven-day average for percent positivity from tests is 5.2 percent, down 5.4 percent from the previous week.
New hospital admissions 
10. The current seven-day hospitalization average for April 14-20 is 5,631, up 1.6 percent from the previous week’s average.
11. The seven-day hospitalization average marks a 65.9 percent decrease from the peak seven-day average of 16,521 admissions reported Jan. 9.
Deaths 
12. The current seven-day death average is 691, down 3.7 percent from the previous week’s average. Some historical deaths have been excluded from these counts, the CDC said.
13. Overall, the seven-day death average has decreased 80 percent since peaking at 3,457 deaths Jan. 13.


Guidance for New York State COVID-19 Vaccination Program
All individuals that reside, study, or work in New York 16 years of age and older are eligible to be vaccinated in New York State. All providers enrolled in the NYS vaccine program may vaccinate any eligible individual. Effective April 19, Executive Order 202.102 eliminated the enhanced civil penalty for failure of a provider to administer its allocated COVID-19 vaccine within seven days of receipt. The elimination of this enhanced penalty is intended to give all providers flexibility in scheduling vaccination appointments if they need more than seven days to use a vaccine allocation. This flexibility is being given to providers at a time where the State has vaccinated more than half the adult population with at least one dose and demand for the vaccine begins to steady.

While the enhanced civil penalty has been eliminated, performance, throughput, effort, and effective administration of vaccines by providers will continue to be key factors in making future vaccine allocation decisions, along with equity, access, and regional positivity rates. All vaccine providers in New York State, including those located in the City of New York and those participating in federal programs, must follow New York State Department of Health (NYSDOH) guidance and directives, including the requirement to report to the NYS COVID-Vaccine Tracker on Mondays and Thursdays.

Read more on New York State COVID-19 Vaccination Program


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Do You Know an Outstanding Physician? MSSNY Now Accepting Nominations for the Albion O. Bernstein, MD Award
“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December 2020.” 

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November, 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

Deadline for applications is June 9, 2021. To request an application, please contact: 

Committee on Continuing Medical Education
 Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
mhardin@mssny.org


Accelerated and Advanced Payment (AAP) Nettings/Offsets Across Organization Affiliations
CMS has implemented a change to begin netting/offsetting provider money across affiliated provider within the same Tax ID Number and across workloads within a single organization. The CMS change brings consistency to all Medicare contractors regarding netting across organization affiliations.

Definition of Affiliated Providers
:
Affiliated providers are providers that share the same Tax ID number across multiple Provider Transaction Access Numbers (PTANs). It’s important to know that CMS policy is recouping based on the Tax ID number rather than the PTAN. CMS instructs contractors to use the Tax ID to get the recoupment of the advanced payment regardless of which PTAN actually received the payment. We are asking you to collaborate with all affiliated providers under one Tax ID number.

If you are part of a group, you did not receive an AAP, and you see the recoupment on your remittance advice; reach out to your other group providers to determine which PTAN received the AAP.

Any or each related provider (same Tax ID) to the PTAN that received the AAP will each offset 25% of the total Remittance Advice (RA) amount. Any affiliate PTANs will offset 25% of their remaining amount on their RA after any regular AR or ERS offsets are made. 
If you have additional questions, attend NGSMedicare Part B webinar on April 29, 2021, from 10:00 a.m. to 11:00 a.m. EST.

Resources:
Part A Education Events Schedule
Part B Education Events Schedule
CMS AAP FAQs
Accelerated And Advance Payment Program
Checking the Status Of Your Accelerated Or Advanced Overpayment


NYS DOH COVID-19 Update: Thursday, April 29th at 1 – 2 PM
To accommodate the large number of participants, find the webinar streaming via YouTube Live (and available for viewing immediately thereafter) on the NYSDOH COVID website for providers:https://coronavirus.health.ny.gov/weekly-healthcare-provider-update
Audio number and code: 844-512-2950 Access code 1556908#


Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Christina Southard 516-488-6100 x355 • fax 516-488-2188

For the MSSNY 2021 Ad Rate Sheet, please click here.


MSSNY Director of Membership and Marketing – Apply Now



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. 212.371.0468 / drdese@gmail.com.

Beautifully Renovated Modern Medical Office Sublet in Great Neck
-Separate reception area -Consultation room -1-3 exam rooms -Free Valet Parking -Designated physician parking spot. Contact Dr. Nir Somekh (516) 662-1232.
Great Neck office to sublet

Ophthalmic Office to Sublet – NYC
340 E. 49TH St. (Ground Floor -Handicap Accessible) 1-3 Lanes Wed/Fri/Sat/Sun Full use of: VF / OCT /Pachymeter/ Autorefractor /Autolensometer / Argon / YAG Lasers

Please contact Scott Weissman MD. privacyssw@gmail.com. 914-772-5581 


.Soho Rental OfficeTwo Offices Available for Rent in Established SoHo Primary Care Practice
Newly constructed loft space. Dedicated private waiting area available.  This space is ideal for individual psychiatry, psychology, social work, physical therapy, or acupuncture services. Potential to work with existing Primary Care Practice as a referral source. Centrally located in the heart of SoHo, close to all subways. Available 7 days/week.
Contact:
SpringPrimaryCare@gmail.com.


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


 

NYS Jobs LogoReview Vacancy

Date Posted: 03/23/21 Applications Due: 04/06/21 Vacancy ID: 85272

Position Information 

Agency Health, Department of
Title Health Program Director 2 -TBD
Occupational Category Other Professional Careers
Salary Grade 665
Bargaining Unit M/C – Management / Confidential (Unrepresented)
Salary Range From $122092 to $154253 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Non-competitive Class
Travel Percentage 10%

Schedule 

Workweek

Hours Per Week

Mon-Fri

37.5

Workday

From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? No

Location 

County Albany
Street Address CCH; Division of Family Health

Corning Tower, ESP

City Albany
State NY
Zip Code 12237

Job Specifics 

Minimum Qualifications Twelve years of professional level work experience, three of which must have included managerial, decision-making and/or oversight responsibilities for a major health-related program or in the direction of a major administrative function of a large health-related organization. A bachelor’s degree may be substituted for four years of the general professional experience.

Twelve or more years of progressively responsible administrative experience in programs that improve perinatal health, child and/or adolescent health, early care, and learning, and/or sexual violence prevention, including four years of managerial, decision-making, and/or program direction. Seven years of this experience would also include fiscal management, policy making and oversight responsibilities, and statewide supervision of professional level staff. The preferred candidate would be familiar with representing departmental interests and serving as a spokesperson and liaison to Executive staff, and have experience working with other state and federal governmental programs. Experience with second-level professional supervision as well as strong oral and written communication skills is also desired. A master’s degree in an appropriate field may substitute an additional one year of the general professional experience, not to exceed a maximum of five years total allowable educational Please refer to full listing


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MSSNY eNews April 23, 2021 – Turning the Corner


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Colleagues:

As of this week, more than 50 percent of adults in the US have received at least one COVID vaccine dose and as of last week, all New Yorkers age 16 and up are eligible for vaccination.  COVID testing in New York shows decreasing positivity rates and the number of COVID hospitalizations and deaths are thankfully declining as well. Hurdles, such as the removal of penalties for not administering the COVID vaccine within seven days, are being removed and vaccine supply has increased.

This is good news indeed, as all of us— physicians, patients, our state, and our country—are pandemic-fatigued.  However, the magic numbers we need to achieve herd immunity (70-90 percent vaccinated) have not yet been realized and therefore we cannot be complacent. Statistics show men lagging women in vaccination rates and a trend toward rural vaccine hesitancy.  Since we physicians are the trusted source of health information, we must take to our exam rooms and do what we do best—listen, advise, and heal.  We need to understand our patients’ concerns and why they are hesitant—then counter the misinformation, address fears about side effects, put risks (particularly given the pause with the J&J vaccine) in perspective and tailor our messages about personal, familial, and societal benefits.

We need to take pride in having been vaccinated ourselves and share that sentiment with our patients and our extended families however we can—through social media, stickers, pins, signs, or even t-shirts.

Last weekend was the MSSNY 3rd and 4th district retreat in Lake Placid, an annual event for more than 20 years.  Due to COVID, the event could not be held as planned in January but thanks to the vaccination of most physicians in December-February, the event was held safely in-person in April. Physicians adhered to safety protocols and were able to meet face- to-face (or mask-to-mask) and share ideas, proffer resolutions, hear from legislators, get legislative updates, and enjoy each other’s company.  While I am grateful that Zoom has allowed us to stay connected and functional through the pandemic, I am nostalgic for the good old days of 2019 with in-person meetings and interactions.

Herd immunity and that long-awaited goal of getting life back to normal are within reach, but physician efforts will be crucial in the last mile to combat vaccine hesitancy so that efforts do not stall. Hoping to see all of you in-person soon!

Bonnie Litvack, MD
MSSNY President


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Capital Update

MSSNY Weekly Podcast


MSSNY Continues to Advocate for Needed Health Insurer Reform Legislation to Assist Patients Receive Needed Care
With only 7 weeks left in the Legislative Session, MSSNY continues to work with several patient and physician advocacy groups in support of legislation to address aberrant health insurer practices that adversely impact the ability of patients to receive the care and medications they need.  These bills include:

  • 951/S.1575 – would enable independently practicing physicians the ability to jointly negotiate network participation terms with market dominant health insurance companies.
  • A.1741/S.5299 – would enable third party financial assistance to count towards patients meeting their deductible costs.
  • 4111/S4668 – would limit the ability of health insurers to make adjustments to their prescription drug formularies during a policy year
  • 4177/S.2528 – would provide needed due process protections for physicians whose network participation contract is unilaterally non-renewed by an insurance company.

In addition, legislation (similar to A.3038/S.2847 of 2020) is soon to be re-introduced would enact a number of reforms to address prior authorization hassles including limiting the ability of a health insurer to require a physician and patient to repeat a previously obtained prior authorization.

According to a recent survey from the American Medical Association, almost 70% of 1,000 practicing physicians surveyed in Dec. 2020 reported that health insurers had either reverted to past prior authorizations policies or never relaxed these policies during the height of the pandemic. More than nine in 10 physicians (94%) reported care delays while waiting for health insurers to authorize necessary care, and nearly one-third (30%) of physicians reported that prior authorization requirements have led to a serious adverse event for a patient in their care. (AUSTER, CARY)


Walk-in Appointments for COVID-19 Opens Today at Mass Vaccination Sites
Governor Andrew M. Cuomo announced that beginning today, April 23, 16 mass vaccination sites will accept walk-in appointments for individuals age 60 and older. New York State will set aside a vaccine allocation to facilitate this expanded vaccination access. Proof of identity and insurance information, if applicable, will be needed.  A listing of the 16 sites can be found here: Click Here

This week, the Governor’s Executive Orders removed the penalties for not administering the COVID-19 vaccine in seven days Click Here

There has been 43% of the New York State population that have received one dose and 29.7% have completed the series. For a list of guidance and other information, physicians and other health care providers are encouraged to go to: Click Here (CLANCY)


Requirement to Discuss Alternative Treatment Services Before Prescribing Opioid is Moving in NYS Legislature
The New York State Senate Health Committee will consider S.4640, sponsored by Senator Gustavo Rivera, which would require physicians and other health practitioners before prescribing an opioid medication to consider, discuss and refer or prescribe alternative services such as chiropractic, massage therapy or behavioral therapy.   Its companion measure (A. 273) is in on the Assembly floor for a vote and is sponsored by Assemblymember Richard Gottfried.  The Medical Society of the State of New York is opposed to this measure.   MSSNY is concerned that this legislation will ultimately create significant new documentation requirements for prescribers that will simply deter more physicians from prescribing pain medications for those patients that truly need them.

Additionally, in 2018 the Legislature enacted a law requiring all prescriptions for treating patient chronic pain to be consistent with the CDC chronic pain guidelines. Importantly, these guidelines already include a component that directs physicians and other prescribers to seek alternatives to prescribing opioids in consultation with their patients.  Physicians are encouraged to contact members of the Senate Health Committee by calling 518-455-2800.  Senator committee members are: Senators Gustavo Rivera, Patrick Gallivan, Brian Benjamin, Alessandra Biaggi, Phil Boyle, Samra Brouk, Brad Hoylman, Todd Kaminsky, Rachel May, Peter Oberacker, Edward Rath, Sean Ryan, Julia Salazar, Daniel Stec, and Kevin Thomas.                                                                         (CLANCY)


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Please Contact Your Legislators to Urge Revisions to “Consolidated Billing” Legislation
Physicians should continue to contact their Assembly members and Senators to urge them to substantially revise A.3470-A/S.2521-A, “The Patient Medical Debt Reduction Act”. Click here to contact your legislators today! Click Here.

The bill is currently in the Assembly Ways & Means Committee, and the Senate Health Committee.  While there are many components to this well-intended legislation, there is a seriously problematic component which would prohibit a physician with a “financial or contractual relationship” with a hospital from separately billing a patient for a course or episode of treatment in the hospital.

While it doesn’t appear to prohibit continued separate billing to insurance companies or other payers, a single hospital-physician bill would be required when a bill is sent to a patient for costs not covered by the patient’s insurance, such as collection of a deductible. It would also require such consolidated bill to be sent within 7 days of a patient’s discharge from the hospital, before there is any clarity as to what expenses will actually be covered by a patient’s insurance.

If this bill were to pass and this provision not amended, it would put these non-employed physicians at the complete mercy of the hospitals where they practice since the legislation does not specify how payments to hospitals from this “single bill” would then be distributed to these physicians.

What would happen if only partial payments are made?  How can a physician verify what payments were received by the hospital?  Would complaints about the payment process from the hospital to the physician place the physician at risk of losing hospital privileges?  In an era when patients’ insurance policies regularly impose enormous deductibles, it would likely force even more physicians to sell their practices and become employees of hospitals in response to the helpless position many physicians would find themselves.  Other physicians may leave the state altogether.  The impact of this prohibition will fall most adversely on physicians who are on the front lines of the pandemic, many of whom are facing an enormous drop in patient volume due to a significant amount of delayed care.

In an effort to address one concern with our health care system, a whole new problem adversely affecting patient access to necessary specialized care could be created.  Please urge your legislators to make necessary revisions to this bill. (AUSTER)


MSSNY Urges Passage of Legislation to Provide Payment Parity to Physicians for Telehealth Services
Physicians are urged to contact their legislators to urge that they support legislation (A.6526/S.5505) that will ensure insurer payments to physicians for delivering telehealth services including video, and audio-only visits, are on par with those received for in-office appointments. The Assembly bill, before the Assembly Insurance Committee, is sponsored by Assemblywoman Carrie Woerner (D- Saratoga) and Assemblyman Richard N. Gottfried (D- Manhattan) and the Senate bill, before the Finance Committee, is sponsored by Senator Gustavo Rivera (D- Bronx) and Senator Peter Harckham (D- Peekskill).   A letter can be sent from here: Urge Legislators to Support Payment Parity in Telehealth 

The COVID19 pandemic forced patients and physicians to embrace new ways to deliver care. While some New York physicians had already integrated Telemedicine into their practices, prior to the onset of the pandemic, the pandemic pushed thousands of physicians to quickly increase their capacity to provide care to their patients remotely. From the start, though, payments to physicians from insurers for care delivered by telehealth were woefully inadequate to what they were receiving for in-office visits, creating a barrier to care for many patients.

MSSNY has argued for some time that rates at which physicians are paid by insurers have not kept pace with those paid for in-office visits and the withering financial situation for physician practices during COVID exacerbated the disparity. To better understand the impact of inadequate payment on physician practices, surveys conducted by key MSSNY partners, of their memberships, revealed the following:

  • Participants of a survey by the New York Medical Group Management Association (NY MGMA), revealed that only 23% of all health plans pay equal to what they received for in-office visits.
  • 25% said that most plans pay significantly less for in-office visits. More specifically, surveys conducted by MSSNY partner organizations found that while Telehealth visits conducted by video were reimbursed at higher rates than audio-only, physicians were compensated as little as 30% the rate of in-person appointments, depending on the health plan.
  • Audio-only visits were the least compensated, with most payers reimbursing 80% less than for in-office visits.

The bill requires payment parity for telehealth services in the state’s Medicaid Fee for Service, Medicaid Managed Care, and Child Health Plus programs. This is crucial to achieving true equity in health care access, in New York, as without parity across all systems Medicaid providers may not have the financial capacity to provide Telehealth services to beneficiaries, including low-income patients, and those with transportation or childcare challenges, creating a hurdle that doesn’t exist in commercial insurance.

Physicians are urged to contact their legislators to ask that they support this legislation.   Urge Legislators to Support Payment Parity in Telehealth        (CARY)


MSSNY Medical Matters Program – Triage in a Disaster Event

Registration now open
Medical Matters: Triage in a Disaster Event
Date: May 26, 2021 @ 7:30am 

There have been innumerable disaster events taking place all around us on a regular basis.  Learn more about how to perform triage when you find yourself in proximity to different types of disaster by registering for Medical Matters: Triage in a Disaster Event.  This webinar will take place on Wednesday May 26th at 7:30am.  Arthur Cooper, MD and Zackary Hickman, MD will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

  • Describe the importance of immediate bleeding suppression during a disaster event
  • Describe the SALT methodology for triage and where to access SALT training
  • Recognize the importance of both mass casualty and bio-event triage

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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (HOFFMAN)


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Veterans Matters Program: Substance Use Disorders (SUDs) in Veterans Webinar

Registration Now Open
Wednesday, May 12th @ 7:30 am

The Medical Society of the State of New York is hosting a Continuing Medical Education (CME) program entitled Veterans Matters: Substance Use Disorders (SUDs) in Veterans live webinar on Wednesday, May 12, 2021 at 7:30 am.

Click HERE to register for the program! View the program flyer HERE

When:                 May 12, 2021 at 7:30 am
Faculty:               Thomas Madejski, MD

Educational Objectives:

  • Identify Substance Use Disorders (SUDs) in veterans
  • Discuss evidence-based psychosocial strategies to treat veterans with SUDs
  • Discuss Medication Assisted Treatment (MAT) for veterans with alcohol or opioid use disorders
  • Identify barriers to diagnosis and treatment of SUDs in veterans and methods to overcome them

For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085.

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™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.       (SHERPA)


MSSNY’s Physician Wellness and Resiliency Committee: Peer to Peer Program
If you or someone you know is struggling with everyday life stressors, reach out to the P2P program to be connected with a peer supporter to help!

Email: P2P@mssny.org and request that you be connected with a peer supporter

Phone: 1-844-P2P-PEER (1-844-727-7337) and request that you be connected with a peer supporter

The Medical Society of the State of New York now offers to physicians, residents and medical students a completely confidential and anonymous opportunity to talk with a peer about some of life stressors. MSSNY’s Physician Wellness and Resiliency Committee launched a Peer 2 Peer (P2P) program to assist their colleagues who are need of help in dealing with work and family stressors. With the advent of the COVID-19 pandemic, some of the emotional issues related to this event, may also be troubling for our colleagues.

MSSNY has established a confidential helpline phone number (1-844-P2P-PEER) and an email address (p2p@mssny.org) so that physicians may be connected with a peer 24 hours a day/7 days a week. In addition to offering a trained, empathetic ear, peer supporters may provide information on specific resources that can offer further support, provide positive coping skills, or connect physicians to professionals for more focused assistance when needed. MSSNY has nearly 50 trained peer supporters across NYS who are just a phone call away!                                                                             (LAUDER)


eNews

Interested in Joining Premier Group Purchasing? Call MSSNY’s Dedicated Rep! 
MSSNY has a group purchasing partnership with Premier Group Purchasing to provide lower operating costs and improved access to supplies and products for members who sign on to purchase through Premier negotiated agreements.

Sign up today or contact MSSNY’s dedicated representative, Samantha Garrett, at Samantha_Garrett@premierinc.com /212-901-1209.

Click the links below to access specifics on the program:
Continuum of Care Overview: High level overview of the Premier program and the value it provides.

GPO FAQ: Questions and answers to further introduce Premier and explain the program.

Physician Practices information sheet: Provides value proposition of the Premier program, followed by specific suppliers and contracts members will be able to access, broken down by category.

What to Expect: Step by step onboarding guide for members.


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MSSNY Member Benefit: CareClix Remote Patient Monitoring Provides Better Access and Higher Quality Care to Patients
CareClix incorporates Remote Patient Monitoring (RPM) into its system to realize key benefits for providers, including, but not limited to:

  • Preventing Readmissions
  • Shortened Patient Stays
  • Increasing Treatment Adherence
  • Improving Post-discharge Planning

Remote Patient Monitoring (RPM) is an essential tool that supports post-discharge planning and helps patients adhere to treatment after they leave a hospital. Through the use of wearable medical devices that transmit data in real-time, patients are able to maintain constant contact with their providers.

The types of devices today vary in scope of technology. There are a number of devices for managing blood pressure, glucose levels for diabetes, spirometers for asthmatics, pulse oximeters, and weight scales. Each device has a different application for patients depending on the disease, condition, or other parameters being monitored. Chronic disease management, post-acute care management, and safety monitoring are key applications of RPM technologies for the older adult population.

While chronic care management and post-acute care are more obvious uses for RPM technologies, there are several applications, such as patient care safety, that people often overlook. Many RPM technologies are now focusing on detecting and preventing falls and wandering, particularly in dementia patients. Fall detection, fall prevention, and location tracking technologies allow caregivers to track patients through continuous surveillance.

All in all, RPM technology will continue to expand, particularly as the aging population grows, as it can help slow the progression of chronic disease, ensure a steady recovery post-discharge, and alert caregivers when a vulnerable patient is at risk. There is ample opportunity in the remote monitoring space, and CareClix offerings support hundreds of RPM devices to provide the best benefits to patients and providers.

To learn more about the CareClix RPM program: careclix.com/remote-patient-monitoring/
To implement telemedicine for your practice visit: careclix.com/provider-signup/
Have questions? Contact sales@careclix.com


TOMORROW is the Day: Join MSSNY Young Physicians, Residents/Fellows, and Medical Students at 12:30 PM
MSSNY’s Young Physicians, Residents/Fellows, and Medical Students (YPS/RFS/MSS) will gather for a joint virtual meeting tomorrow, Saturday, April 24 at 12:30. All physicians and medical students are welcome! Register for the YPS/RFS/MSS meeting.

The meeting features informative speakers on a variety of important topics:

12:30 PM – Welcome
12:40 PM – Dr. Bonnie Litvack, MSSNY President: MSSNY Updates
1:15 PM – Dr. Luis Seija, Vice-Chair of MSSNY-RFS: Racism as a Public Health Crisis
1:45 PM – Dr. Thomas Madejski, AMA Board of Trustees: AMA Action Information
2:30 PM – Dr. Mira Irons, Chief Health & Science Officer of the AMA: COVID Updates
3:00 PM – Moe Auster, MSSNY VP for Government Affairs: Legislative Victories Update and the importance of MSSNYPAC
3:30 PM – Kate Sellers, Sellers Insurance: What You Need to Know About Disability Insurance
4:00 PM – Dr. Charles Rothberg and Dr. Frank Dowling: MSSNY’s Peer-to-Peer program.


Reading the Fine Print of Health Literacy
Join the Nassau County Medical Society (NCMS) for “Reading the Fine Print of Health Literacy” on April 28, 2021 at 6:00 PM.

Dr. Anthony J. Santella is an applied health services researcher and evaluator specializing in HIV/AIDS, STDs, and sexual health with over two decades of experience in academia, government, and the private sector. He is a public health consultant, and an Associate Professor of Public Health at Hofstra University and will speak on health literacy, the problems that arise when it is low (especially in underserved communities) and the resources already in place that will provide assistance to those struggling.

Join NCMS on April 28 to deepen your knowledge on how those who struggle with finding, understanding, and using the information to make health-informed decisions can access resources and get the support they need.
Register for the webinar here.


Do You Know an Outstanding Physician? MSSNY Now Accepting Nominations for the Albion O. Bernstein, MD Award

“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December, 2020.” 

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November, 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

Deadline for applications is June 9, 2021. To request an application, please contact: 

Committee on Continuing Medical Education
 Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
mhardin@mssny.org


Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Christina Southard 516-488-6100 x355 • fax 516-488-2188

For the MSSNY 2021 Ad Rate Sheet, please click here.


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. 212.371.0468 / drdese@gmail.com.


Beautifully Renovated Modern Medical Office Sublet in Great Neck
-Separate reception area -Consultation room -1-3 exam rooms -Free Valet Parking -Designated physician parking spot. Contact Dr. Nir Somekh (516) 662-1232.

Great Neck office to sublet

Ophthalmic Office to Sublet – NYC
340 E. 49TH St. (Ground Floor -Handicap Accessible) 1-3 Lanes Wed/Fri/Sat/Sun Full use of: VF / OCT /Pachymeter/ Autorefractor /Autolensometer / Argon / YAG Lasers

Please contact Scott Weissman MD. privacyssw@gmail.com. 914-772-5581 


.Soho Rental OfficeTwo Offices Available for Rent in Established SoHo Primary Care Practice
Newly constructed loft space. Dedicated private waiting area available.  This space is ideal for individual psychiatry, psychology, social work, physical therapy, or acupuncture services. Potential to work with existing Primary Care Practice as a referral source. Centrally located in the heart of SoHo, close to all subways. Available 7 days/week.
Contact:
SpringPrimaryCare@gmail.com.

Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net



.
Allergy Practice For Sale, Forest Hills, NY
Founded in 1988, this well-established Single Practitioner Allergy Practice has over 3500 active patients, with very positive patient reviews. The office is only one of a few in the area, but patients are seen from throughout the NYC Metropolitan Area, as well as Long Island. Potential for growth. Centrally located next to major public transportation.  Retirement planned. Lease is assignable. Well-trained, extremely personable staff of three, including a Registered Nurse. Payer mix85% private, 10% Medicare 5% other. Email any questions to:allergydoctorbn@gmail.com 

NYS Jobs LogoReview Vacancy

Date Posted: 03/23/21 Applications Due: 04/06/21 Vacancy ID: 85272

Position Information 

Agency Health, Department of
Title Health Program Director 2 -TBD
Occupational Category Other Professional Careers
Salary Grade 665
Bargaining Unit M/C – Management / Confidential (Unrepresented)
Salary Range From $122092 to $154253 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Non-competitive Class
Travel Percentage 10%

Schedule 

Workweek

Hours Per Week

Mon-Fri

37.5

Workday

From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? No

Location 

County Albany
Street Address CCH; Division of Family Health

Corning Tower, ESP

City Albany
State NY
Zip Code 12237

Job Specifics 

Minimum Qualifications Twelve years of professional level work experience, three of which must have included managerial, decision-making and/or oversight responsibilities for a major health-related program or in the direction of a major administrative function of a large health-related organization. A bachelor’s degree may be substituted for four years of the general professional experience.

Twelve or more years of progressively responsible administrative experience in programs that improve perinatal health, child and/or adolescent health, early care, and learning, and/or sexual violence prevention, including four years of managerial, decision-making, and/or program direction. Seven years of this experience would also include fiscal management, policy making and oversight responsibilities, and statewide supervision of professional level staff. The preferred candidate would be familiar with representing departmental interests and serving as a spokesperson and liaison to Executive staff, and have experience working with other state and federal governmental programs. Experience with second-level professional supervision as well as strong oral and written communication skills is also desired. A master’s degree in an appropriate field may substitute an additional one year of the general professional experience, not to exceed a maximum of five years total allowable educational substitution. Please refer to full listing

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MSSNY eNews: April 21, 2021 – New Executive Order Eliminates Penalty for Not Administering COVID Vaccine within 7 Days

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New Executive Order Eliminates Penalty for Not Administering COVID Vaccine within Seven Days
This week, Executive Order 202.102 was signed, continuing the temporary suspension and modification of laws related to the COVID-19 disaster emergency.  One provision of this Executive Order eliminates the $100,000 civil penalty for failure of a provider to administer its allocated COVID-19 vaccine within seven days of receipt.

The elimination of this enhanced penalty is intended to give all providers some flexibility in scheduling vaccination appointments if they need more than seven days to use a vaccine allocation.  This flexibility is being given to providers at a time where the State has vaccinated more than half the adult population with at least one dose and demand for the vaccine begins to steady.  Read the Executive Order here.

While the enhanced civil penalty has been eliminated, performance (throughput), effort, and effective administration of vaccines by providers will continue to be key factors, along with equity access and regional positivity rates, in making future vaccine allocation decisions.

For providers enrolled in the New York State (outside of NYC) COVID-19 Vaccination Program, if you did not submit a week 20 (week beginning April 26) weekly planning request for vaccine earlier this week or if you submitted one and would like to revise it in light of the change effectuated by Executive Order 202.102, please do so by 5:00 PM today.

NYS vaccination program providers can edit their weekly planning request in the NYS Immunization Information System (NYSIIS).  To add quantity to your planning request, enter the new quantity of vaccine you would like to request and click “submit updates.”  This will add a new planning request line with the additional doses requested.  Please see pages 5-6 in the “Ordering COVID-19 Vaccine in NYSIIS” document for more detailed instructions regarding editing a weekly planning request.


 

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MSSNY Council Actions: April 15, 2021 Meeting
Four resolutions submitted for consideration at the June Special Meeting of AMA were adopted by Council:

115.981 Non-Physician Post-Graduate Medical Training
MSSNY recognizes that the terms “medical student,” “resident,” “residency,” “fellow,” “fellowship,” “doctor,” and “attending,” when used in the healthcare setting, all connote completing structured, rigorous, medical education undertaken by physicians; thus these terms should be reserved to describe physician roles.  MSSNY will work with relevant stakeholders to define appropriate labels for postgraduate clinical and diagnostic training programs for non-physicians that recognizes the rigor of these programs but prevents role confusion associated with the terms “resident,” “residency,” “fellow,” or “fellowship.”

MSSNY objects to the American Board of Medical Specialists (ABMS), the American Osteopathic Association Bureau of Osteopathic Specialists (AOABOS) and their member boards having designated seats for Nurse Practitioners, Physician Assistants, Certified Registered Nurse Anesthetists, Anesthesia Assistants, or any other healthcare professional that are independent from the public member seats.

MSSNY will work with relevant stakeholders to assure that funds to support the expansion of postgraduate clinical training for non-physicians does not divert funding from physician GME. This resolution will be immediately forwarded to the American Medical Association.
(HOD 2021-AMA #1, referred to Council, adopted 4/15/21) 

150.960 Employed Physician Contracts
MSSNY supports all employed physicians receiving all rights and due process protections afforded all other members of the Medical Staff.  This matter be taken to our AMA in support of all employed physicians.  (HOD 2021-AMA #2, referred to Council, adopted 4/15/21) 

315.984 Ban the Gay/Trans (LGBTQ+) Panic Defense
MSSNY will support state legislation or regulation banning the use of the so-called “gay or trans (LGBTQ+) panic” defense in homicide, manslaughter, physical or sexual assault cases; and will send a resolution to the AMA with the following two resolves:

RESOLVED, Our AMA will seek a federal law banning the use of the so-called gay or trans (LGBTQ+) panic” defense in homicide, manslaughter, physical or sexual assault cases, and be it further
RESOLVED, Our AMA will publish an issue brief and talking points on the topic of so called gay or trans (LGBTQ+)  panic” defense, that can be used by the AMA in seeking federal legislation, and can be used and adapted by state and specialty medical societies, other allies, and stakeholders as model legislation when seeking state legislation to ban the use of so-called gay or trans (LGBTQ+) panic” defense to mitigate personal responsibility for violent crimes such as assault, rape, manslaughter, or homicide. (HOD 2021-AMA #3; referred to Council, adopted 4/15/21) 

85.944 Medical Education Debt Cancellation in the Face of a Physician Shortage
During the COVID-19 Pandemic
MSSNY will seek through legislation, regulation, or executive order to obtain this one-time COVID-related $50,000 reduction in debt from accrued federal loans for all medical students, training physicians, and early career physicians.

MSSNY will forward this resolution to the AMA asking for study of the issue of medical education debt cancellation and to consider the opportunities for integration of this in a broader solution addressing debt for all medical students, physicians in training, and early career physicians.  (HOD-2021 AMA #4, referred to Council, adopted 4/15/21) 

Two resolutions referred to Council from HOD were adopted:
165.840 Insurers and Vertical Integration
The Medical Society of The State of New York (MSSNY) will seek legislation and regulation to prevent health payers (except non-profit HMO’s) from owning or operating other entities in the health care supply chain.

MSSNY will introduce a resolution to the AMA HOD to seek legislation and regulation to prevent health payers (except non-profit HMO’s) from owning or operating other entities in the health care supply chain. (HOD 2020-64; referred to Council, original language adopted in lieu of recommendation of reaffirmation of 165.876, 4/15/21)

237.995 Discrimination Against Physicians Using Medication Assisted Treatment
The Medical Society of the State of New York (MSSNY) affirms that no physician or medical student should be presumed to be impaired by substance or illness solely because they are diagnosed with a substance use disorder.  MSSNY affirms that no physician or medical student should be presumed impaired because they and their treating physician have chosen medication for opioid use disorder (MOUD) to address the substance use disorder, including methadone and buprenorphine.

MSSNY strongly encourages the leadership of physician health and wellness programs, state medical boards, hospital and health system credentialing bodies, and employers to help end stigma and discrimination against physicians and medical students with substance use disorders and allow and encourage the usage of MOUD, including methadone or buprenorphine, when clinically appropriate and as determined by the physician or medical student (as patient) and their treating physician, without penalty (such as restriction of privileges, licensure, ability to prescribe medications or other treatments, or other limits on their ability to practice medicine), solely because the physician’s or medical student’s treatment plan includes MOUD.

MSSNY will submit this resolution to the AMA HOD for discussion at AMA meeting in June 2021, asking the AMA to survey physician health programs and state medical boards about whether they allow participants/licensees to use MOUD without punishment, or exclusion from practicing medicine or having to face other adverse consequences and to report back. (HOD 2020-159, referred to Council, substitute resolution adopted 4/15/21)

Five resolutions, originally adopted at the 2020 HOD, submitted to AMA for the November 2020 meeting but rejected for consideration by AMA, will be resubmitted to the AMA Special Meeting in June:

106 Bundling Physician Fees with Hospital Fees
706 Physician Burnout is an OSHA Issue
110 Medicaid Tax Benefits
107 COBRA for College Students
709 Addressing Inflammatory and Untruthful Online Ratings
210 Ghost Guns


Join MSSNY for Social Media in Medicine on Wednesday, May 5 at 6 PM ET
MSSNY Vice President Parag H. Mehta, MD and MSSNY YPS Chair Daniel E. Choi, MD present Social Media in Medicine: A Beginners Guide for Physicians.
Register now for Virtual Webinar

When: May 5, 2021 at 6:00 PM Eastern Time

After registering, you will receive a confirmation email containing information about joining the meeting.

Topics Include:

  • Introduction to popular social media physician communities: #MedTwitter,
    Instagram, YouTube, TikTok
  • How to establish a social media presence and grow your audience.
  • Common terminology e.g., Twitter handle, hashtag
  • Scheduling posts
  • How social media can be harnessed for effective patient education, practice growth, and advocacy.
  • Best ways to connect with patients and colleagues on social media.
  • Pitfalls of social media as a physician
  • What not to do on social media

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Do You Know an Outstanding Physician? MSSNY Now Accepting Nominations for the Albion O. Bernstein, MD Award
“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December 2020.” 

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November, 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

Deadline for applications is June 9, 2021. To request an application, please contact: 

Committee on Continuing Medical Education
 Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
mhardin@mssny.org


Join MSSNY Young Physicians, Residents/Fellows, and Medical Students this Saturday, April 24, 2021 at 12:30 PM
MSSNY’s Young Physicians, Residents/Fellows, and Medical Students (YPS/RFS/MSS) will gather for a joint virtual meeting this Saturday, April 24 at 12:30. All physicians and medical students are welcome! Register for the YPS/RFS/MSS meeting.

The meeting features informative speakers on a variety of important topics:

12:30 PM – Welcome
12:40 PM – Dr. Bonnie Litvack, MSSNY President: MSSNY Updates
1:15 PM – Dr. Luis Seija, Vice-Chair of MSSNY-RFS: Racism as a Public Health Crisis
1:45 PM – Dr. Thomas Madejski, AMA Board of Trustees: AMA Action Information
2:30 PM – Dr. Mira Irons, Chief Health & Science Officer of the AMA: COVID Updates
3:00 PM – Moe Auster, MSSNY VP for Government Affairs: Legislative Victories Update and the importance of MSSNYPAC
3:30 PM – Kate Sellers, Sellers Insurance: What You Need to Know About Disability Insurance
4:00 PM – Dr. Charles Rothberg and Dr. Frank Dowling: MSSNY’s Peer-to-Peer program


MSSNY’s Women Physicians Committee Offers Volunteer Virtual Homework Assistance
MSSNY has volunteer homework assistants! If you have school age children (K – 12) who could use a virtual helping hand with homework, let us know.

The MSSNY Women Physicians Committee, recognizing the considerable additional responsibility that has fallen on our physician families with school age children due to the Covid-19 pandemic, has launched a Virtual Volunteer Homework Assistance Program. This is a MSSNY members only program.

Contact sbennett@mssny.org and tell us in which subject(s) your child is in need of support. We will match your child with a helper as best we can. You can then make the arrangements that work best for all.

Please remember that our homework assistants are members’ children who have volunteered (i.e., not professionals tutors and not vetted) and that MSSNY is not responsible for scholastic outcomes.

With our thanks,
Rose Berkun, MD and Maria Basile, MD
Co-Chairs, MSSNY Women Physicians Committee


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Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Christina Southard 516-488-6100 x355 • fax 516-488-2188

For the MSSNY 2021 Ad Rate Sheet, please click here.


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. 212.371.0468 / drdese@gmail.com.

Beautifully Renovated Modern Medical Office Sublet in Great Neck
-Separate reception area -Consultation room -1-3 exam rooms -Free Valet Parking -Designated physician parking spot. Contact Dr. Nir Somekh (516) 662-1232.
Great Neck office to sublet

Ophthalmic Office to Sublet – NYC
340 E. 49TH St. (Ground Floor -Handicap Accessible) 1-3 Lanes Wed/Fri/Sat/Sun Full use of: VF / OCT /Pachymeter/ Autorefractor /Autolensometer / Argon / YAG Lasers

Please contact Scott Weissman MD. privacyssw@gmail.com. 914-772-5581 


.Soho Rental OfficeTwo Offices Available for Rent in Established SoHo Primary Care Practice
Newly constructed loft space. Dedicated private waiting area available.  This space is ideal for individual psychiatry, psychology, social work, physical therapy, or acupuncture services. Potential to work with existing Primary Care Practice as a referral source. Centrally located in the heart of SoHo, close to all subways. Available 7 days/week.
Contact:
SpringPrimaryCare@gmail.com.


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net



.
Allergy Practice For Sale, Forest Hills, NY
Founded in 1988, this well-established Single Practitioner Allergy Practice has over 3500 active patients, with very positive patient reviews. The office is only one of a few in the area, but patients are seen from throughout the NYC Metropolitan Area, as well as Long Island. Potential for growth. Centrally located next to major public transportation.  Retirement planned. Lease is assignable. Well-trained, extremely personable staff of three, including a Registered Nurse. Payer mix85% private, 10% Medicare 5% other. Email any questions to:allergydoctorbn@gmail.com 

NYS Jobs LogoReview Vacancy

Date Posted: 03/23/21 Applications Due: 04/06/21 Vacancy ID: 85272

Position Information 

Agency Health, Department of
Title Health Program Director 2 -TBD
Occupational Category Other Professional Careers
Salary Grade 665
Bargaining Unit M/C – Management / Confidential (Unrepresented)
Salary Range From $122092 to $154253 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Non-competitive Class
Travel Percentage 10%

Schedule 

Workweek

Hours Per Week

Mon-Fri

37.5

Workday

From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? No

Location 

County Albany
Street Address CCH; Division of Family Health

Corning Tower, ESP

City Albany
State NY
Zip Code 12237

Job Specifics 

Minimum Qualifications Twelve years of professional level work experience, three of which must have included managerial, decision-making and/or oversight responsibilities for a major health-related program or in the direction of a major administrative function of a large health-related organization. A bachelor’s degree may be substituted for four years of the general professional experience.

Twelve or more years of progressively responsible administrative experience in programs that improve perinatal health, child and/or adolescent health, early care, and learning, and/or sexual violence prevention, including four years of managerial, decision-making, and/or program direction. Seven years of this experience would also include fiscal management, policy making and oversight responsibilities, and statewide supervision of professional level staff. The preferred candidate would be familiar with representing departmental interests and serving as a spokesperson and liaison to Executive staff, and have experience working with other state and federal governmental programs. Experience with second-level professional supervision as well as strong oral and written communication skills is also desired. A master’s degree in an appropriate field may substitute an additional one year of the general professional experience, not to exceed a maximum of five years total allowable educational Please refer to full listing


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MSSNY eNews: April 16, 2021 – Advocacy in Action


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Colleagues:

Your MSSNY physician leadership met with our NY Congressional delegation in February 2021 with a focus on preventing the implementation of the ill-timed impending 2% Medicare Cuts scheduled for April 1.  Numerous grassroots letters were sent by NYS physicians and this week our collective efforts paid dividends. The US House of Representatives approved legislation to extend the 2% Medicare sequester moratorium until 2022 and President Biden signed it into law late Wednesday.

The 21st Century Cures Act’s information-blocking provision is now in effect and requires physicians to make available medical information such as labs tests, clinical notes and medication lists to patients. The Office of the National Coordinator for Health Information Technology (ONC) recently implemented regulations directing physicians to immediately release information to patients, in many cases, prior to the physician reviewing the information and without regard to whether such release could be mentally or emotionally distressing to the patient. While there has been strong support for patient access, a variety of concerns with automatically and immediately releasing all reports and office notes have been raised by MSSNY and throughout the country. The AMA is advocating to revise the sub-regulatory guidance to mitigate the unintended consequences of the OCR’s current policy and ONC’s information blocking regulations and needs our NYS real world examples. Please send these to Ela Cameron Ela.Cameron@ama-assn.org by April 30.

Last week I announced the numerous MSSNY Budget “victories.”  The most notable will prevent thousands of dollars of new costs for the 17,000 physicians participating in the NYS Excess Malpractice Insurance Program; protection of due process rights for all physicians; and Essential Plan enhancements benefiting more than 800,00 New Yorkers.

Advocacy in action takes dollars and with the recent “wins” serving as strong coat tails and numerous important MSSNY legislative priorities, it is time to shore up the MSSNY PAC to continue to be able to strongly and effectively advocate on behalf of patients and physicians.  If you have not already contributed, please do so now.  Any amount is helpful and appreciated. If you have already donated, please consider an additional contribution or a contribution on behalf of your practice or medical staff. Contribute to MSSNY PAC here.

Thank you for doing your part to influence positive steps forward in NY healthcare.  Together, we are Advocacy in Action—stronger, louder, and more effective.

Bonnie Litvack, MD
MSSNY President


 

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Capital Update

MSSNY Weekly Podcast


Statement of MSSNY President Bonnie Litvack, MD, in Response to Enactment of State Budget
“In adopting the 2021-22 State Budget, physicians thank the New York State Assembly and Senate leadership for their efforts to restore numerous steep health care cuts that had been advanced in the Executive Budget, and the Governor for agreeing with the restoration of these cuts.  Because the COVID pandemic has caused historic drops in patient visits and revenue for physicians over the last year, there could not have been a worse time to cut Medicaid as well as other essential programs that help to preserve patient access to needed care such as the Excess Medical Malpractice Insurance Program.

“Physicians also appreciate the collective efforts of the Governor and Legislature to enhance other programs that provide needed health insurance coverage to New Yorkers, including the Essential Plan.  We look forward to working with the Senate, Assembly and Governor in additional collaborative efforts to ensure New Yorkers receive the care they need.”

For a full rundown of the many important actions taken by the State Legislature in adoption of the State Budget of impact to physicians, please click My Dear Father and MSSNY Milestones. (DIVISION OF GOVERNMENTAL AFFAIRS)


Administration of J and J Covid-19 Vaccine is Suspended; NYS Vaccination Rate Continues to Increase
This week, the CDC and FDA issued a statement recommending a pause in the use of the Johnson & Johnson vaccine out of an abundance of caution. New York State will follow the CDC and FDA recommendation and pause the use of the Johnson & Johnson vaccine statewide while these health and safety agencies evaluate next steps.  The CDC has indicated that this suspension will be at least one week.  The New York State Department of Health is has said that those adverse reactions appear to be rare.

As of April 15, 2021, 26.4 % of New Yorkers have completed the vaccine series and 23.6% of Americans have been fully immunized. 39.6% of New Yorkers have received at least one dose and 48.3% of Americans have received one dose.   All providers can vaccinate any New Yorker, including those with comorbidities or underlying conditions, and individuals 16+. Enrolled providers other than pharmacies may vaccinate any eligible individual. Pharmacies must prioritize K-12 school faculty and staff and childcare workers but are also authorized to vaccinate individuals aged 30 and older and individuals with comorbidities.

Physicians and patients can determine eligibility and make an appointment to receive the vaccine by going to. (CLANCY) 


US House Passes Legislation to Prevent 2% Medicare Cut Until 2022
This week the US House of Representatives overwhelmingly approved legislation to extend until the end of the year the 2% Medicare sequester moratorium that had expired on April 1. +This bill to prevent ill-timed Medicare cuts to physicians and other care providers then was signed into law by President Biden.

The Centers for Medicare & Medicaid Services has been holding off on processing April Medicare claims to avoid making payments with reduced amounts.  Prevention of these cuts was a significant focus in the meetings that MSSNY physician leadership had with the New York Congressional delegation in late February.  MSSNY physician leaders made the compelling case that the ongoing financial travails impacting medical practice in New York and across the country necessitated the elimination of short-sighted medical cuts that will adversely impact patient access to needed care. (AUSTER)


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Please Contact Your Legislators to Urge Revisions to “Consolidated Billing” Legislation
Physicians are urged to contact their Assembly members and Senators to urge them to substantially revise A.3470-A/S.2521-A, “The Patient Medical Debt Reduction Act”. Click here to contact your legislators today! Click Here.

While there are many components to this well-intended legislation, there is a seriously problematic component which would prohibit a physician or other provider with any “financial or contractual relationship” with a hospital from separately billing a patient for a course or episode of treatment in the hospital. While it doesn’t appear to prohibit continued separate billing to insurance companies or other payers, a single hospital-physician bill would be required when a bill is sent to a patient for costs not covered by the patient’s insurance, such as collection of a deductible. It would also require such consolidated bill to be sent within 7 days of a patient’s discharge from the hospital, before there is any clarity as to what expenses will actually be covered by a patient’s insurance.

If this bill were to pass and this provision not amended, it would put non-employed physicians at the mercy of the hospitals where they practice since the legislation does not specify how payments to hospitals from this “single bill” would then be distributed to these physicians.  In an era when patients’ insurance policies regularly impose enormous deductibles, it would likely force even more physicians to sell their practices and become employees of hospitals in response to the helpless position many physicians would find themselves.  Other physicians may leave the state altogether.  The impact of this prohibition will fall most adversely on physicians who are on the front lines of the pandemic, many of whom are facing an enormous drop in patient volume due to a significant amount of delayed care.       (AUSTER)


Requirement to Co-prescribed Opioid Antagonist Moving in New York State Legislature
Senate Bill 2966, sponsored by Sen. Pete Harckham, chair of the Senate Committee on Alcoholism and Substance Abuse, is on the Senate Health Committee.  This measure would require that prescribers, who prescribe opioids for the first time for a patient in a calendar year, also co-prescribe an opioid antagonist with the prescription.  While MSSNY agrees that co-prescription of naloxone is an appropriate step for many patients prescribed opioid medications, it is very concerned with an across-the-board mandate.     Its companion measure, A. 336, sponsored by Assembly Edward Braunstein, is currently in the Assembly Ways and Means Committee.

The Medical Society believes that this legislation is unnecessary since New York State laws have been passed that allows non-medical persons to administer naloxone to another individual to prevent an opioid/heroin overdose from becoming fatal. Physicians and other prescribers can already provide patients with either a non-patient specific script or a patient specific script for naloxone. New York State is one of the four states that currently require electronic prescribing for controlled substances and has had this requirement since 2016.

This means that the co-prescription of the opioid antagonist will automatically go to the pharmacy and the patient will be charged a co-pay (if their insurance covers the prescription) or the full price for the naloxone script.  Physicians are encouraged to contact members of the Senate Health Committee by calling 518-455-2800.  Senator committee members are: Senators Gustavo Rivera, Patrick Gallivan, Brian Benjamin, Alessandra Biaggi, Phil Boyle, Samra Brouk, Brad Hoylman, Todd Kaminsky, Rachel May, Peter Oberacker, Edward Rath, Sean Ryan, Julia Salazar, Daniel Stec, and Kevin Thomas. (CLANCY)


Bill to Expand Podiatry Scope Moving in the Senate
S.2019 (Jackson) to expand the scope of practice of podiatrists is on the Senate Higher Education Committee next week.  MSSNY along with the New York State Society of Orthopedic Surgeons and several other specialty societies are opposed to this legislation.  While the bill purports to make “technical changes” to the practice of podiatry, it actually has a far greater impact, including: Allowing those in training not to have direct/onsite supervision by another podiatrist or orthopaedic surgeon as they learn and practice ankle surgery; permitting ANY podiatrist to care for wounds above the foot and ankle that are not related to the patient’s original course of treatment; Lowering the threshold for education and training for those seeking advanced ankle surgery privileges in contrast with standards deemed acceptable by the State Department of Education and agreed upon by the professions; and authorize podiatrists to practice up to the knee and outside of their scope of practice. Physicians are urged to contact their Senators to oppose this legislation 518-455-2800. (AUSTER)


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Bill to Allow Pharmacists to Perform Non-invasive Laboratory Tests
Legislation (S.2529, Rivera) that would allow pharmacists to perform non-invasive laboratory tests without physician coordination is on the Senate Health Committee.   This measure would add pharmacists to the list of licensed health care professionals authorized under public health law to perform non-invasive laboratory tests as an adjunct to their professional services. MSSNY is opposed to this measure, as this measure does not provide the continuum of care that has become essential and expected in today’s medical practice, and would lead to siloed, rather than integrated care.

MSSNY is concerned that this legislation is a back-door attempt to allow for the establishment of the retail clinics within pharmacies and would undermine the development of physician-led “medical homes”. Physicians are encouraged to contact members of the Senate Health Committee by calling 518-455-2800.  Senate committee members are:   Senators Gustavo Rivera, Patrick Gallivan, Brian Benjamin, Alessandra Biaggi, Phil Boyle, Samra Brouk, Brad Hoylman, Todd Kaminsky, Rachel May, Peter Oberacker, Edward Rath, Sean Ryan, Julia Salazar, Daniel Stec, and Kevin Thomas.            Its companion measure, A.3033, is in the Assembly Higher Education Committee.     (CLANCY)


Preparing for Future Public Health Emergencies
Governor Andrew Cuomo and the New York State Department of Health have announced a free online public health training course to help build public health awareness.  The course was developed by Cornell University in partnership with New York State.  The free course informs on public health preparedness, COVID-19, the vaccines and is an interesting and engaging tool to educate the public and empower more New Yorkers to be better informed with accurate information. Through this course, New Yorkers can become Citizen Public Health Leaders and serve as reliable sources in their family. (CLANCY)


eNews

DATE CHANGE: Social Media in Medicine is Now Wednesday, May 5 at 6 PM ET
MSSNY Vice President Parag H. Mehta, MD and MSSNY YPS Chair Daniel E. Choi, MD present Social Media in Medicine: A Beginners Guide for Physicians.
Register for Social Media Webinar

When: May 5, 2021 at 6:00 PM Eastern Time

After registering, you will receive a confirmation email containing information about joining the meeting.

Topics Include:

  • Introduction to popular social media physician communities: #MedTwitter,
    Instagram, YouTube, TikTok
  • How to establish a social media presence and grow your audience
  • Common terminology e.g. Twitter handle, hashtag
  • Scheduling posts
  • How social media can be harnessed for effective patient education, practice growth, and advocacy
  • Best ways to connect with patients and colleagues on social media
  • Pitfalls of social media as a physician
  • What not to do on social media

Scams Against Medical Professionals CME Webinar: Wednesday, April 21, 2021 at 6:00 PM
Join the Suffolk County Medical Society, Suffolk Academy of Medicine and
MLMIC Insurance Company on Wednesday, April 21, 2021 at 6:00 PM for this in-depth discussion on phishing, practice awareness, law enforcement procedures, preventative steps and more!

The goal of this webinar is to increase physician awareness of the opioid crisis and scammers impersonating DEA agents.  The risks of security violations, privacy breaches, and cyberattacks presented by the expansion of health technology will also be analyzed.

Register for Scams Against Medical Professionals Webinar 

Learning Objectives:

  • Review the mission of the Drug Enforcement Agency (DEA) Office of Diversion Control.
  • Recognize the converging coronavirus and opioid health crises.
  • Assess the prescription drug abuse problem in this country.
  • Describe the issue of scammers impersonating DEA agents and measures to best deter them.
  • Identify the security risks presented by healthcare technology.
  • Implement strategies to reduce risks of a privacy breach or cyberattack in healthcare.

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

MLMIC designates this live internet activity for a maximum of 1.5 AMA PRA Category 1 CME Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the program.


Do You Know an Outstanding Physician? MSSNY Now Accepting Nominations for the Albion O. Bernstein, MD Award

“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December, 2020.” 

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November, 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

Deadline for applications is June 9, 2021. To request an application, please contact: 

Committee on Continuing Medical Education
Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
 mhardin@mssny.org


 

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CDC Health Alert: Cases of Cerebral Venous Sinus Thrombosis with Thrombocytopenia after Receipt of the Johnson & Johnson COVID-19 Vaccine
As of April 12, 2021, approximately 6.85 million doses of the Johnson & Johnson (J&J) COVID-19 vaccine (Janssen) have been administered in the United States. The Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) are reviewing data involving six U.S. cases of a rare type of blood clot in individuals after receiving the J&J COVID-19 vaccine that were reported to the Vaccine Adverse Events Reporting System (VAERS). In these cases, a type of blood clot called cerebral venous sinus thrombosis (CVST) was seen in combination with low levels of blood platelets (thrombocytopenia).

All six cases occurred among women aged 18–48 years. The interval from vaccine receipt to symptom onset ranged from 6–13 days. One patient died. Providers should maintain a high index of suspension for symptoms that might represent serious thrombotic events or thrombocytopenia in patients who have recently received the J&J COVID-19 vaccine. When these specific type of blood clots are observed following J&J COVID-19 vaccination, treatment is different from the treatment that might typically be administered for blood clots. Based on studies conducted among the patients diagnosed with immune thrombotic thrombocytopenia after the AstraZeneca COVID-19 vaccine in Europe, the pathogenesis of these rare and unusual adverse events after vaccination may be associated with platelet-activating antibodies against platelet factor-4 (PF4), a type of protein. Usually, the anticoagulant drug called heparin is used to treat blood clots. In this setting, the use of heparin may be harmful, and alternative treatments need to be given.

CDC will convene an emergency meeting of the Advisory Committee on Immunization Practices (ACIP) on Wednesday, April 14, 2021, to further review these cases and assess potential implications on vaccine policy. FDA will review that analysis as it also investigates these cases. Until that process is complete, CDC and FDA are recommending a pause in the use of the J&J COVID-19 vaccine out of an abundance of caution. The purpose of this Health Alert is, in part, to ensure that the healthcare provider community is aware of the potential for these adverse events and can provide proper management due to the unique treatment required with this type of blood clot.

Background

VAERS is a national passive surveillance system jointly managed by CDC and FDA that monitors adverse events after vaccinations. The six patients (after 6.85 million vaccine doses administered) described in these VAERS reports came to attention in the latter half of March and early April of 2021 and developed symptoms a median of 9 days (range = 6–13 days) after receiving the J&J COVID-19 vaccine. Initial presenting symptoms were notable for headache in five of six patients, and back pain in the sixth who subsequently developed a headache. One patient also had abdominal pain, nausea, and vomiting. Four developed focal neurological symptoms (focal weakness, aphasia, visual disturbance) prompting presentation for emergency care. The median days from vaccination to hospital admission was 15 days (range = 10–17 days). All were eventually diagnosed with CVST by intracranial imaging; two patients were also diagnosed with splanchnic* and portal vein thrombosis.

Unusual for patients presenting with thrombotic events, all six patients showed evidence of thrombocytopenia (<150,000 platelets per microliter of blood), consistent with a condition known as thrombotic thrombocytopenia, with platelet nadir counts ranging from 10,000 to 127,000 during their hospitalizations. Four patients developed intraparenchymal brain hemorrhage and one subsequently died. All data presented in this HAN are preliminary and investigations of these VAERS reports are ongoing. The Clinical Immunization Safety Assessment (CISA) project which includes experts in infectious disease and hematology are also reviewing these cases. To date, VAERS has received no reports of CVST with thrombocytopenia among persons who received either of the two mRNA-based COVID-19 vaccines.

These reports following the J&J COVID-19 vaccine are similar to reports of thrombotic events with thrombocytopenia after receipt of the AstraZeneca COVID-19 vaccine in Europe. Both vaccines contain replication-incompetent adenoviral vectors (human [Ad26.COV2.S] for J&J and chimpanzee [ChAdOx1] for AstraZeneca) that encode the spike glycoprotein of SARS-CoV-2, the virus that causes COVID-19.

Based on studies conducted among the patients diagnosed with immune thrombotic thrombocytopenia after the AstraZeneca COVID-19 vaccine in Europe, the pathogenesis of these rare and unusual adverse events may be associated with platelet-activating antibodies against platelet factor 4 (PF4). Anti-PF4, also known as heparin-PF4 antibody, can induce thrombotic thrombocytopenia in a small percentage of persons exposed to heparin. However, none of the cases reported from Europe had recent heparin exposure. As with heparin-induced thrombocytopenia, the administration of the anticoagulant heparin should be avoided in patients with potential vaccine-associated immune thrombotic thrombocytopenia (VITT), unless heparin-induced thrombocytopenia (HIT) testing is negative. Non-heparin anticoagulants and high-dose intravenous immune globulin should be considered in treatment of patients who present with immune-mediated thrombotic events with thrombocytopenia after J&J COVID-19 vaccination. Consultation with hematology specialists is strongly recommended.

* The term ‘splanchnic circulation’ describes the blood flow to the abdominal gastrointestinal organs including the stomach, liver, spleen, pancreas, small intestine, and large intestine.

Recommendations
For Clinicians

  1. Pause the use of the J&J COVID-19 vaccine until the ACIP is able to further review these CVST cases in the context of thrombocytopenia and assess their potential significance.
  2. Maintain a high index of suspension for symptoms that might represent serious thrombotic events or thrombocytopenia in patients who have recently received the J&J COVID-19 vaccine, including severe headache, backache, new neurologic symptoms, severe abdominal pain, shortness of breath, leg swelling, petechiae (tiny red spots on the skin), or new or easy bruising. Obtain platelet counts and screen for evidence of immune thrombotic thrombocytopenia.
  3. In patients with a thrombotic event and thrombocytopenia after the J&J COVID-19 vaccine, evaluate initially with a screening PF4 enzyme-linked immunosorbent (ELISA) assay as would be performed for autoimmune HIT. Consultation with a hematologist is strongly recommended.
  4. Do not treat patients with thrombotic events and thrombocytopenia following receipt of J&J COVID-19 vaccine with heparin, unless HIT testing is negative.
  5. If HIT testing is positive or unable to be performed in patient with thrombotic events and thrombocytopenia following receipt of J&J COVID-19 vaccine, non-heparin anticoagulants and high-dose intravenous immune globulin should be strongly considered.
  6. Report adverse events to VAERS, including serious and life-threatening adverse events and deaths in patients following receipt of COVID-19 vaccines as required under the Emergency Use Authorizations for COVID-19 vaccines.

For Public Health

  1. Pause the use of the J&J COVID-19 vaccine in public health clinics until the ACIP is able to further review these CVST cases in the context of thrombocytopenia and assess their potential significance.
  2. Encourage healthcare providers and the public to report all serious and life-threatening adverse events and deaths following receipt of COVID-19 vaccines to VAERS as required under the EUAs for COVID-19 vaccines.
  3. Disseminate this alert to healthcare providers in your jurisdictions.

For the Public

  1. If you have received the J&J COVID-19 vaccine and develop severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination, contact your healthcare provider, or seek medical care.
  2. Report adverse events following receipt of any COVID-19 vaccine to VAERS.
  3. If you are scheduled to receive the J&J vaccine, please contact your healthcare provider, vaccination location, or clinic to learn about additional vaccine availability.

For More Information

Frequently asked questions about VAERS reporting for COVID-19 vaccines

 


CDC Identifies About 5,800 Breakthrough Cases of COVID-19 Infection Among Americans Who Have Been Fully Vaccinated
The Wall Street Journal reports the CDC has identified about 5,800 breakthrough cases of COVID-19 infection among more than 66 million Americans who have been fully vaccinated against COVID-19. Based on this data, the CDC says breakthrough cases of infection occur in 0.008% of people who have been fully vaccinated.


Education

COVID-19 Medicare Part B Advanced Payment, Repayment and Recoupment Process                                         
If you requested accelerated or advanced payments from Medicare due to the COVID-19 public health emergency, this learning session is for you. CMS expanded the accelerated and advance payment program for financial hardship relief during the COVID-19 public health emergency. Accelerated or advanced payments need to be repaid to the Medicare Trust Fund. During this webinar, we will review the repayment and recoupment process and address your questions.

Register here


MSSNY Medical Matters Program on Mental Health of Children and Teens During COVID
Registration now open
Medical Matters: COVID-19 & Mental Health of Children and Teens
Date: April 21, 2021 @ 7:30am 

The COVID-19 pandemic has affected the mental health of the entire population.  Learn more about how children and teens have been affected by registering for Medical Matters: COVID-19 & Mental Health of Children and Teens. This webinar will take place on Wednesday, April 21st at 7:30 am.  Linda Chokroverty, MD will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

  • Identify normal stressors impacting children and teens and those that have resulted from the COVID-19 pandemic
  • Examine what is known so far about the mental health impact of COVID-19 on children and teens
  • Describe resources to assist children and teens during the COVID-19 pandemic
  • Appraise the scope of COVID-19’s long term mental health impact on children and teens

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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (HOFFMAN)


Veterans Matters: Military Culture: Everything Physicians Need to Know about Veterans as Patients Webinar

Registration Now Open

Thursday, April 22nd @ 7:30 am

The Medical Society of the State of New York is hosting a Continuing Medical Education (CME) program entitled Veterans Matters: Military Culture: Everything Physicians Need to Know about Veterans as Patients live webinar on Thursday, April 22, 2021 at 7:30 am.

Click HERE to register for the program! View the program flyer HERE.

When:       April 22, 2021 at 7:30 am
Faculty:     Lt. Colonel Lance Allen Wang (Ret.) & Sharran Chambers-Murphy, Desert Storm-era Veteran

Educational Objectives:

  • Describe the unique aspects of military culture and how they impact patients     who are veterans;
  • Explain the Dwyer Peer-to-Peer program as a resource to assist veteran patients re-acclimating from a group to an individual mentality; and
  • Review and identify resources to improve physician’s ability to fully treat veterans who are transitioning back to civilian life.

For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085.

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™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. (SHERPA)


Webinar for Physicians Applying to PCF Model on April 31
Physicians considering applying for the PCF model to start in 2022 are invited to register now for a webinar to be offered Tuesday, April 13, from 6:00-7:00 pm ET by the American Medical Association, American College of Physicians, American Academy of Family Physicians, and the CMS Innovation Center. PCF is open to medical practices that provide primary care services in 26 regions across the country, with an application deadline of April 31, 2021.

The live webinar will allow participants to hear from CMS and medical society experts about the model and how participation could affect their practice revenues. Additional details, including the request for applications, a map of the 26 regions, and lists of the practices and other payors that are participating as part of the 2021 cohort are available on the CMS Primary Care First website.


MSSNY Veterans Matters Program: Substance Use Disorders (SUDs) in Veterans Webinar
Registration Now Open – Wednesday, May 12th @ 7:30 am

The Medical Society of the State of New York is hosting a Continuing Medical Education (CME) program entitled Veterans Matters: Substance Use Disorders (SUDs) in Veterans live webinar on Wednesday, May 12, 2021 at 7:30 am.

Click HERE to register for the program! View the program flyer HERE

When:                 May 12, 2021 at 7:30 am
Faculty:               Thomas Madejski, MD

Educational Objectives:

  • Identify Substance Use Disorders (SUDs) in veterans
  • Discuss evidence-based psychosocial strategies to treat veterans with SUDs
  • Discuss Medication Assisted Treatment (MAT) for veterans with alcohol or opioid use disorders
  • Identify barriers to diagnosis and treatment of SUDs in veterans and methods to overcome them

For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085.

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™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. (SHERPA)



Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Christina Southard 516-488-6100 x355 • fax 516-488-2188

For the MSSNY 2021 Ad Rate Sheet, please click here.


Beautifully Renovated Modern Medical Office Sublet in Great Neck
-Separate reception area -Consultation room -1-3 exam rooms -Free Valet Parking -Designated physician parking spot. Contact Dr. Nir Somekh (516) 662-1232.
Great Neck office to sublet

Ophthalmic Office to Sublet – NYC
340 E. 49TH St. (Ground Floor -Handicap Accessible) 1-3 Lanes Wed/Fri/Sat/Sun Full use of: VF / OCT /Pachymeter/ Autorefractor /Autolensometer / Argon / YAG Lasers

Please contact Scott Weissman MD. privacyssw@gmail.com. 914-772-5581 


.Soho Rental OfficeTwo Offices Available for Rent in Established SoHo Primary Care Practice
Newly constructed loft space. Dedicated private waiting area available.  This space is ideal for individual psychiatry, psychology, social work, physical therapy, or acupuncture services. Potential to work with existing Primary Care Practice as a referral source. Centrally located in the heart of SoHo, close to all subways. Available 7 days/week.
Contact:
SpringPrimaryCare@gmail.com.


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net



.
Allergy Practice For Sale, Forest Hills, NY
Founded in 1988, this well-established Single Practitioner Allergy Practice has over 3500 active patients, with very positive patient reviews. The office is only one of a few in the area, but patients are seen from throughout the NYC Metropolitan Area, as well as Long Island. Potential for growth. Centrally located next to major public transportation.  Retirement planned. Lease is assignable. Well-trained, extremely personable staff of three, including a Registered Nurse. Payer mix85% private, 10% Medicare 5% other. Email any questions to:allergydoctorbn@gmail.com

 

 


NYS Jobs LogoReview Vacancy

Date Posted: 03/23/21 Applications Due: 04/06/21 Vacancy ID: 85272

Position Information 

Agency Health, Department of
Title Health Program Director 2 -TBD
Occupational Category  

Other Professional Careers

Salary Grade 665
Bargaining Unit M/C – Management / Confidential (Unrepresented)
Salary Range From $122092 to $154253 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Non-competitive Class
Travel Percentage 10%

Schedule 

Workweek

Hours Per Week

Mon-Fri

37.5

 Workday 

From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed?  

No

Telecommuting allowed?  

No

Location 

County Albany
Street Address CCH; Division of Family Health

Corning Tower, ESP

City Albany
State NY
Zip Code 12237

Job Specifics 

Minimum Qualifications Twelve years of professional level work experience, three of which must have included managerial, decision-making and/or oversight responsibilities for a major health-related program or in the direction of a major administrative function of a large health-related organization. A bachelor’s degree may be substituted for four years of the general professional experience. 

Twelve or more years of progressively responsible administrative experience in programs that improve perinatal health, child and/or adolescent health, early care, and learning, and/or sexual violence prevention, including four years of managerial, decision-making, and/or program direction. Seven years of this experience would also include fiscal management, policy making and oversight responsibilities, and statewide supervision of professional level staff. The preferred candidate would be familiar with representing departmental interests and serving as a spokesperson and liaison to Executive staff, and have experience working with other state and federal governmental programs. Experience with second-level professional supervision as well as strong oral and written communication skills is also desired. A master’s degree in an appropriate field may substitute an additional one year of the general professional experience, not to exceed a maximum of five years total allowable educational substitution. Please refer to full listing


MSSNY Ad Rates


 

 

 

 

 

MSSNY eNews: April 14, 2021 – CDC and NYS DOH Info on Johnson & Johnson Vaccine

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Message from NYS Health Commissioner Dr. Howard Zucker re: Johnson & Johnson COVID-19 Vaccine
New York State is following the CDC and FDA recommendation by immediately halting the use of the Johnson & Johnson vaccine statewide at all vaccine provider locations while federal health and safety agencies evaluate next steps.  If you are scheduled to administer Johnson & Johnson vaccine, you should not do so until further notice.  At this time, please retain any Johnson & Johnson vaccine doses you have in proper storage conditions.  We will update you as soon as we have additional information.

At this time, due to the continued limited supply of COVID-19 vaccine, there is no supply of Pfizer or Moderna vaccine to replace the Johnson & Johnson doses. Thank you for your participation in the vaccination program and for your patience while the CDC and FDA determine next steps.


US House Passes Legislation to Prevent 2% Medicare Cut Until 2022
Yesterday the US House of Representatives overwhelmingly approved legislation to extend until the end of the year the 2% Medicare sequester moratorium that had expired on April 1.  This bill to prevent ill-timed Medicare cuts to physicians and other care providers had previously passed the US Senate in late March and President Biden is expected to sign it into law.

The Centers for Medicare & Medicaid Services has been holding off on processing April Medicare claims to avoid making payments with reduced amounts.  Prevention of these cuts was a significant focus in the meetings that MSSNY physician leadership had with the New York Congressional delegation in late February.


CDC Health Alert: Cases of Cerebral Venous Sinus Thrombosis with Thrombocytopenia after Receipt of the Johnson & Johnson COVID-19 Vaccine
As of April 12, 2021, approximately 6.85 million doses of the Johnson & Johnson (J&J) COVID-19 vaccine (Janssen) have been administered in the United States. The Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) are reviewing data involving six U.S. cases of a rare type of blood clot in individuals after receiving the J&J COVID-19 vaccine that were reported to the Vaccine Adverse Events Reporting System (VAERS). In these cases, a type of blood clot called cerebral venous sinus thrombosis (CVST) was seen in combination with low levels of blood platelets (thrombocytopenia).

All six cases occurred among women aged 18–48 years. The interval from vaccine receipt to symptom onset ranged from 6–13 days. One patient died. Providers should maintain a high index of suspension for symptoms that might represent serious thrombotic events or thrombocytopenia in patients who have recently received the J&J COVID-19 vaccine. When these specific type of blood clots are observed following J&J COVID-19 vaccination, treatment is different from the treatment that might typically be administered for blood clots.

Based on studies conducted among the patients diagnosed with immune thrombotic thrombocytopenia after the AstraZeneca COVID-19 vaccine in Europe, the pathogenesis of these rare and unusual adverse events after vaccination may be associated with platelet-activating antibodies against platelet factor-4 (PF4), a type of protein. Usually, the anticoagulant drug called heparin is used to treat blood clots. In this setting, the use of heparin may be harmful, and alternative treatments need to be given.

CDC will convene an emergency meeting of the Advisory Committee on Immunization Practices (ACIP) on Wednesday, April 14, 2021, to further review these cases and assess potential implications on vaccine policy. FDA will review that analysis as it also investigates these cases. Until that process is complete, CDC and FDA are recommending a pause in the use of the J&J COVID-19 vaccine out of an abundance of caution. The purpose of this Health Alert is, in part, to ensure that the healthcare provider community is aware of the potential for these adverse events and can provide proper management due to the unique treatment required with this type of blood clot.

Background

VAERS is a national passive surveillance system jointly managed by CDC and FDA that monitors adverse events after vaccinations. The six patients (after 6.85 million vaccine doses administered) described in these VAERS reports came to attention in the latter half of March and early April of 2021 and developed symptoms a median of 9 days (range = 6–13 days) after receiving the J&J COVID-19 vaccine. Initial presenting symptoms were notable for headache in five of six patients, and back pain in the sixth who subsequently developed a headache. One patient also had abdominal pain, nausea, and vomiting. Four developed focal neurological symptoms (focal weakness, aphasia, visual disturbance) prompting presentation for emergency care.

The median days from vaccination to hospital admission was 15 days (range = 10–17 days). All were eventually diagnosed with CVST by intracranial imaging; two patients were also diagnosed with splanchnic* and portal vein thrombosis. Unusual for patients presenting with thrombotic events, all six patients showed evidence of thrombocytopenia (<150,000 platelets per microliter of blood), consistent with a condition known as thrombotic thrombocytopenia, with platelet nadir counts ranging from 10,000 to 127,000 during their hospitalizations.

Four patients developed intraparenchymal brain hemorrhage and one subsequently died. All data presented in this HAN are preliminary and investigations of these VAERS reports are ongoing. The Clinical Immunization Safety Assessment (CISA) project which includes experts in infectious disease and hematology are also reviewing these cases. To date, VAERS has received no reports of CVST with thrombocytopenia among persons who received either of the two mRNA-based COVID-19 vaccines.

These reports following the J&J COVID-19 vaccine are similar to reports of thrombotic events with thrombocytopenia after receipt of the AstraZeneca COVID-19 vaccine in Europe. Both vaccines contain replication-incompetent adenoviral vectors (human [Ad26.COV2.S] for J&J and chimpanzee [ChAdOx1] for AstraZeneca) that encode the spike glycoprotein of SARS-CoV-2, the virus that causes COVID-19. Based on studies conducted among the patients diagnosed with immune thrombotic thrombocytopenia after the AstraZeneca COVID-19 vaccine in Europe, the pathogenesis of these rare and unusual adverse events may be associated with platelet-activating antibodies against platelet factor 4 (PF4).

Anti-PF4, also known as heparin-PF4 antibody, can induce thrombotic thrombocytopenia in a small percentage of persons exposed to heparin. However, none of the cases reported from Europe had recent heparin exposure. As with heparin-induced thrombocytopenia, the administration of the anticoagulant heparin should be avoided in patients with potential vaccine-associated immune thrombotic thrombocytopenia (VITT), unless heparin-induced thrombocytopenia (HIT) testing is negative. Non-heparin anticoagulants and high-dose intravenous immune globulin should be considered in treatment of patients who present with immune-mediated thrombotic events with thrombocytopenia after J&J COVID-19 vaccination. Consultation with hematology specialists is strongly recommended.

* The term ‘splanchnic circulation’ describes the blood flow to the abdominal gastrointestinal organs including the stomach, liver, spleen, pancreas, small intestine, and large intestine.

Recommendations
For Clinicians

  1. Pause the use of the J&J COVID-19 vaccine until the ACIP is able to further review these CVST cases in the context of thrombocytopenia and assess their potential significance.
  2. Maintain a high index of suspension for symptoms that might represent serious thrombotic events or thrombocytopenia in patients who have recently received the J&J COVID-19 vaccine, including severe headache, backache, new neurologic symptoms, severe abdominal pain, shortness of breath, leg swelling, petechiae (tiny red spots on the skin), or new or easy bruising. Obtain platelet counts and screen for evidence of immune thrombotic thrombocytopenia.
  3. In patients with a thrombotic event and thrombocytopenia after the J&J COVID-19 vaccine, evaluate initially with a screening PF4 enzyme-linked immunosorbent (ELISA) assay as would be performed for autoimmune HIT. Consultation with a hematologist is strongly recommended.
  4. Do not treat patients with thrombotic events and thrombocytopenia following receipt of J&J COVID-19 vaccine with heparin, unless HIT testing is negative.
  5. If HIT testing is positive or unable to be performed in patient with thrombotic events and thrombocytopenia following receipt of J&J COVID-19 vaccine, non-heparin anticoagulants and high-dose intravenous immune globulin should be strongly considered.
  6. Report adverse events to VAERS, including serious and life-threatening adverse events and deaths in patients following receipt of COVID-19 vaccines as required under the Emergency Use Authorizations for COVID-19 vaccines.

For Public Health

  1. Pause the use of the J&J COVID-19 vaccine in public health clinics until the ACIP is able to further review these CVST cases in the context of thrombocytopenia and assess their potential significance.
  2. Encourage healthcare providers and the public to report all serious and life-threatening adverse events and deaths following receipt of COVID-19 vaccines to VAERS as required under the EUAs for COVID-19 vaccines.
  3. Disseminate this alert to healthcare providers in your jurisdictions.

For the Public

  1. If you have received the J&J COVID-19 vaccine and develop severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination, contact your healthcare provider, or seek medical care.
  2. Report adverse events following receipt of any COVID-19 vaccine to VAERS.
  3. If you are scheduled to receive the J&J vaccine, please contact your healthcare provider, vaccination location, or clinic to learn about additional vaccine availability.

For More Information

Frequently asked questions about VAERS reporting for COVID-19 vaccines


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Do You Know an Outstanding Physician? MSSNY Now Accepting Nominations for the Albion O. Bernstein, MD Award

“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December, 2020.” 

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November, 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

Deadline for applications is June 9, 2021. To request an application, please contact: 

Committee on Continuing Medical Education
Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
mhardin@mssny.org


MSSNY’s Women Physicians Committee Offers Volunteer Virtual Homework Assistance
MSSNY has volunteer homework assistants! If you have school age children (K – 12) who could use a virtual helping hand with homework, let us know.

The MSSNY Women Physicians Committee, recognizing the considerable additional responsibility that has fallen on our physician families with school age children due to the Covid-19 pandemic, has launched a Virtual Volunteer Homework Assistance Program. This is a MSSNY members only program.

Contact sbennett@mssny.org and tell us in which subject(s) your child is in need of support. We will match your child with a helper as best we can. You can then make the arrangements that work best for all.

Please remember that our homework assistants are members’ children who have volunteered (i.e. not professionals tutors and not vetted) and that MSSNY is not responsible for scholastic outcomes.

With our thanks,

Rose Berkun, MD and Maria Basile, MD
Co-Chairs, MSSNY Women Physicians Committee


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NYS Department of Health COVID-19 Update for Healthcare Providers: Thursday, April 15th, 1-2 PM
To accommodate the large number of participants, find the webinar streaming via YouTube Live (and available for viewing immediately thereafter) on the NYSDOH COVID website for providers: https://coronavirus.health.ny.gov/weekly-healthcare-provider-update
Audio number and code: 844-512-2950 Access code 3386015#

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Info Blocking Rule Examples Needed: Take the AMA Survey
The AMA is conducting an informal survey to collect members’ perspectives, stories, and examples of patient harm as it relates to the release of protected health information (PHI). This information will inform AMA’s policy and advocacy efforts. The Office of the National Coordinator for Health Information Technology (ONC) recently implemented regulations that require physicians to make available a variety of medical information (e.g., lab tests, clinical notes, medications, etc.) to entities or individuals requesting that information for or on behalf of the patient. Physicians interfering or imposing any delays in the access, exchange, or use of that information would likely implicate new rules aimed to prevent information blocking.

ONC’s guidance is directing physicians to immediately release information to patients—in many cases, prior to the physician reviewing the information and without regard to whether such release could be mentally or emotionally distressing to the patient. For example, a radiology report of a CT scan indicating a “malignancy could not be ruled out” must be sent to the patient’s portal or smartphone application even if the oncologist has yet to view the study or read the report. If this report were sent to a parent of an infant ahead of a holiday weekend, the parent could unnecessarily spend days in deep emotional distress before being able to talk to the infant’s physician.

Another example pertains to adolescent medical records, particularly in states where minors do not have specific privacy protections, allowing parents to access their adolescent’s health information. Adolescents often confide in their clinicians as a “safe space” and the release of information against their wishes could provoke significant emotional or psychological distress, even in scenarios where the adolescent may not fear physical abuse. While patients accessing their medical information is an important part of patient-centered care and the AMA strongly supports patient access and engagement, there are a variety of ethical, professional, and practical concerns with automatically and immediately releasing all reports and office notes.

We are interested in real-world examples, scenarios, and instances where the release of reports or notes without vital physician context or review with the patient could or has caused emotional or mental harm. The AMA is advocating for OCR to revise its subregulatory guidance on “harm” to include emotional and mental distress. This would facilitate ONC’s ability to create additional flexibility. Your information will help inform the AMA’s efforts to address unintended consequences of OCR’s current policy and ONC’s information blocking regulations. Please send your examples to Ela Cameron Ela.Cameron@ama-assn.org by April 30th.


DATE CHANGE: Social Media in Medicine is Now Wednesday, May 5 at 6 PM ET
MSSNY Vice President Parag H. Mehta, MD and MSSNY YPS Chair Daniel E. Choi, MD present Social Media in Medicine: A Beginners Guide for Physicians.

Register now for Virtual Webinar

When: May 5, 2021 at 6:00 PM Eastern Time

After registering, you will receive a confirmation email containing information about joining the meeting.

Topics Include:

  • Introduction to popular social media physician communities: #MedTwitter,
    Instagram, YouTube, TikTok
  • How to establish a social media presence and grow your audience
  • Common terminology e.g. Twitter handle, hashtag
  • Scheduling posts
  • How social media can be harnessed for effective patient education, practice growth, and advocacy
  • Best ways to connect with patients and colleagues on social media
  • Pitfalls of social media as a physician
  • What not to do on social media

Education

                                                    Webinar                                                                  

Updates for Accelerated and Advanced Payments Program

During this session, we will review the revised repayment and recoupment process and provide the latest updates on the Accelerated and Advanced Payments program.  If your facility received an accelerated or advanced payment from Medicare due to the COVID-19 public health emergency, then attending this webinar will provide the most current information from CMS.

Medicare Part B

Apr 15, 2021 10:00 a.m ET – 11:00 a.m ET

Register here

                                                    Webinar                                                                  

COVID-19 Medicare Part B Advanced Payment, Repayment and Recoupment Process

If you requested accelerated or advanced payments from Medicare due to the COVID-19 public health emergency, this learning session is for you. CMS expanded the accelerated and advance payment program for financial hardship relief during the COVID-19 public health emergency. Accelerated or advanced payments need to be repaid to the Medicare Trust Fund. During this webinar, we will review the repayment and recoupment process and address your questions.

Register here


MSSNY Medical Matters Program on Mental Health of Children and Teens During COVID
Registration now open
Medical Matters: COVID-19 & Mental Health of Children and Teens
Date: April 21, 2021 @ 7:30am 

The COVID-19 pandemic has affected the mental health of the entire population.  Learn more about how children and teens have been affected by registering for Medical Matters: COVID-19 & Mental Health of Children and Teens. This webinar will take place on Wednesday, April 21st at 7:30 am.  Linda Chokroverty, MD will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

  • Identify normal stressors impacting children and teens and those that have resulted from the COVID-19 pandemic
  • Examine what is known so far about the mental health impact of COVID-19 on children and teens
  • Describe resources to assist children and teens during the COVID-19 pandemic
  • Appraise the scope of COVID-19’s long term mental health impact on children and teens

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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (HOFFMAN)


Veterans Matters: Military Culture: Everything Physicians Need to Know about Veterans as Patients Webinar

Registration Now Open

Thursday, April 22nd @ 7:30 am

The Medical Society of the State of New York is hosting a Continuing Medical Education (CME) program entitled Veterans Matters: Military Culture: Everything Physicians Need to Know about Veterans as Patients live webinar on Thursday, April 22, 2021 at 7:30 am.

Click HERE to register for the program! View the program flyer HERE.

When:       April 22, 2021 at 7:30 am
Faculty:     Lt. Colonel Lance Allen Wang (Ret.) & Sharran Chambers-Murphy, Desert Storm-era Veteran

Educational Objectives:

  • Describe the unique aspects of military culture and how they impact patients     who are veterans;
  • Explain the Dwyer Peer-to-Peer program as a resource to assist veteran patients re-acclimating from a group to an individual mentality; and
  • Review and identify resources to improve physician’s ability to fully treat veterans who are transitioning back to civilian life.

For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085.

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™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. (SHERPA)


Webinar for Physicians Applying to PCF Model on April 31
Physicians considering applying for the PCF model to start in 2022 are invited to register now for a webinar to be offered Tuesday, April 13, from 6:00-7:00 pm ET by the American Medical Association, American College of Physicians, American Academy of Family Physicians, and the CMS Innovation Center. PCF is open to medical practices that provide primary care services in 26 regions across the country, with an application deadline of April 31, 2021.

The live webinar will allow participants to hear from CMS and medical society experts about the model and how participation could affect their practice revenues. Additional details, including the request for applications, a map of the 26 regions, and lists of the practices and other payors that are participating as part of the 2021 cohort are available on the CMS Primary Care First website.


Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Christina Southard 516-488-6100 x355 • fax 516-488-2188

For the MSSNY 2021 Ad Rate Sheet, please click here.


Great Neck office to subletBeautifully Renovated Modern Medical Office Sublet in Great Neck
-Separate reception area -Consultation room -1-3 exam rooms -Free Valet Parking
-Designated physician parking spot. Contact Dr. Nir Somekh (516) 662-1232

 



Ophthalmic Office to Sublet – NYC
340 E. 49TH St. (Ground Floor -Handicap Accessible) 1-3 Lanes Wed/Fri/Sat/Sun Full use of: VF / OCT /Pachymeter/ Autorefractor /Autolensometer / Argon / YAG Lasers
Please contact Scott Weissman MD.privacyssw@gmail.com. 914-772-5581 

Soho Rental Office
Two Offices Available for Rent in Established SoHo Primary Care Practice
Newly constructed loft space. Dedicated private waiting area available.  This space is ideal for individual psychiatry, psychology, social work, physical therapy, or acupuncture services. Potential to work with existing Primary Care Practice as a referral source. Centrally located in the heart of SoHo, close to all subways. Available 7 days/week. Contact: SpringPrimaryCare@gmail.com.


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Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


For Rent Medical Office 800 2nd Ave, 806
FOR RENT 800 2nd Avenue, 806 – Fully built out Medical office ready for use – reception area; 2 office/ consultation rooms; 4 examination rooms with plumbing; 1 sterilization room or pantry; 1 file/ nurse room, Total 8 rooms. All examination rooms are set up with plumbing and cabinetry.  24/7 doorman/ Elevators. Central location, Grand Central Station, buses Subways. Rent: $65 per Rentable Sq Ft; Sq Ft: 1,482 Rentable; Gross Lease. Showings or video contact Maya – Broker – maya@mallannyhomes.com or mobile 646-258-4460 listing information http://www.mallannyhomes.com/properties/detail/800-second-avenue-806/

800 2nd Ave Lobby800 2nd Ave Hallway


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Allergy Practice For Sale, Forest Hills, NY
Founded in 1988, this well-established Single Practitioner Allergy Practice has over 3500 active patients, with very positive patient reviews. The office is only one of a few in the area, but patients are seen from throughout the NYC Metropolitan Area, as well as Long Island. Potential for growth. Centrally located next to major public transportation.  Retirement planned. Lease is assignable. Well-trained, extremely personable staff of three, including a Registered Nurse. Payer mix85% private, 10% Medicare 5% other. Email any questions to: allergydoctorbn@gmail.com

Two (2) Prime Commercial Spaces
Two (2) affordable office spaces available for immediate occupancy.  Located in Sheepshead Bay Brooklyn,  surrounded by multiple co-ops and private homes.  Space can be viewed at your convenience. Price negotiable. Call: Avi 212-736-3680 ext. 15


NYS Jobs LogoReview Vacancy

Date Posted: 03/23/21 Applications Due: 04/06/21 Vacancy ID: 85272

Position Information 

Agency Health, Department of
Title Health Program Director 2 -TBD
Occupational Category  

Other Professional Careers

Salary Grade 665
Bargaining Unit M/C – Management / Confidential (Unrepresented)
Salary Range From $122092 to $154253 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Non-competitive Class
Travel Percentage 10%

Schedule 

Workweek

Hours Per Week

Mon-Fri

37.5

 Workday 

From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed?  

No

Telecommuting allowed?  

No

Location 

County Albany
Street Address CCH; Division of Family Health

Corning Tower, ESP

City Albany
State NY
Zip Code 12237

Job Specifics 

Minimum Qualifications Twelve years of professional level work experience, three of which must have included managerial, decision-making and/or oversight responsibilities for a major health-related program or in the direction of a major administrative function of a large health-related organization. A bachelor’s degree may be substituted for four years of the general professional experience. 

Twelve or more years of progressively responsible administrative experience in programs that improve perinatal health, child and/or adolescent health, early care, and learning, and/or sexual violence prevention, including four years of managerial, decision-making, and/or program direction. Seven years of this experience would also include fiscal management, policy making and oversight responsibilities, and statewide supervision of professional level staff. The preferred candidate would be familiar with representing departmental interests and serving as a spokesperson and liaison to Executive staff, and have experience working with other state and federal governmental programs. Experience with second-level professional supervision as well as strong oral and written communication skills is also desired. A master’s degree in an appropriate field may substitute an additional one year of the general professional experience, not to exceed a maximum of five years total allowable educational substitution. Please refer to full listing


MSSNY Ad Rates


 

 

 

 

 

 

 

 

 

 

MSSNY eNews: April 9, 2021 – My Dear Father and MSSNY Milestones


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Colleagues:

Tonight, I write this column with a heavy heart after losing my beloved father to a decade long battle with Parkinson’s disease.  To know my father was to be blessed by a ray of sunshine.  He was a gifted educator who helped shape a generation of teachers in the New York metropolitan area.  He had a special passion for science and math and succeeded in eliciting excitement for STEM education in young children long before the term was coined.  My father approached life with joy, humor, and conviction.  It is with an eye toward his memory, that I view this week’s very positive milestones.

Our State budget was finalized this week and thanks to the collective advocacy efforts of MSSNY and our county and specialty societies, the budget package includes several “victories” for organized medicine. Click MSSNY eNews – Stop Health Cuts! for full details.

  • The Excess Malpractice Insurance Program was Extended with full funding without physician cost sharing.
  • Physician Due Process was Protected in the OPMC process by the deletion of adverse provisions that would have permitted the Commissioner to publicly disclose information regarding a complaint filed against a physician and would have created a nebulous standard for imposing a summary suspension prior to the conclusion of disciplinary proceedings.
  • The Pharmacy Scope Changes that would have expanded the physician-pharmacy Collaborative Drug Therapy program, permitted pharmacist self-ordering of lab tests, and significantly expanded the number of the immunizations that can be performed by pharmacists were rejected.
  • Essential Plan Enhancements were included. 
  • E-Prescribing Waivers were protected. 
  • Cuts to MSSNY’s Committee for Physicians Health were restored. 

This week, I was named to the Governor’s newly formed Essential Workers Advisory Committee to help build a monument to Essential Workers. I am humbled to be chosen to help honor the service and sacrifices of our New York State Physician heroes and I will endeavor to ensure a fitting and a lasting legacy.

A very important step forward was taken this week on the health equity front with the CDC labeling “racism as a serious public health threat.”  With this statement comes funding to address disparities and a much needed and long overdue commitment to dismantling systemic racism and advancing health equity.

As the week comes to a close and my heart begins to mend, I feel that there is somehow a calming symmetry–my father now at peace and my profession healing.

Bonnie Litvack, MD
MSSNY President


 

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Capital Update

MSSNY Weekly Podcast


State Budget Finalized with Numerous Victories for Physicians
This week the New York State Legislature completed passage of a $212 billion Budget package that produced several “victories” for organized medicine following months of extensive advocacy by MSSNY working together with county and specialty medical societies.  These issues include:

Excess Malpractice Insurance Program Extended

The final State Budget provides full funding for an additional year for the Excess Medical Malpractice Insurance program, which provides 17,000 physicians with a bonus $1 million/$3 million layer of liability insurance above the primary layer purchased by a physician.  The State Budget restores the proposed $51 million cut in program funding and deleted an Executive Budget proposal strongly opposed by MSSNY to impose a 50% physician cost share requirement, which would have resulted in the imposition of thousands to tens of thousands of dollars of new costs on these 17,000 enrolled physicians.

Physician Due Process Protected

The final State Budget deleted several provisions proposed in the Executive Budget and opposed by MSSNY to substantially curtail physician due process rights when a complaint has been filed against them with the OPMC.  The adverse provisions that were deleted included permitting the Commissioner to publicly disclose information regarding a complaint filed against a physician and creating a nebulous standard for imposing a summary suspension prior to the conclusion of disciplinary proceedings.

Pharmacy Scope Changes Rejected 

The final State Budget deleted several provisions opposed by MSSNY that would have expanded the scope of pharmacists, including proposals to greatly expand the physician-pharmacy Collaborative Drug Therapy program, permitted pharmacist self-ordering of lab tests, and significantly expanded the number of the immunizations that can be performed by pharmacists.

Essential Plan Enhancements

The final Budget contains provisions supported by MSSNY to eliminate the premium requirements for the over 800,000 New Yorkers enrolled in the State’s Essential Plan, as well as providing bonus pool funding for physicians and other care providers participating with these plans. 

Medicaid Cuts Defeated

The final Budget deleted a proposed 1% across the board cut to Medicaid health care provider payments that had been opposed by MSSNY.

Protect Ability to Apply for E-Prescribing Waivers 

The final State Budget deletes the Executive Budget proposal opposed by MSSNY to eliminate the ability for physicians and other prescribers to apply for a year-to-year waiver of e-prescribing requirements (availed by over 2,000 prescribers across the State of New York). 

Protect Medicaid “Prescriber Prevails” 

The final Budget deletes the Executive Budget proposal opposed by MSSNY to remove the statutory protection for the prescriber’s determination (not State Medicaid’s) to prevail for a medication prescribed to a patient covered by Medicaid fee for service.   

No-Fault De-credentialing Rejected

The final Budget deletes the Executive Budget proposal MSSNY had raised concerns with to expand the power of the Superintendent of Financial Services to prohibit certain physicians from submitting claims for No-Fault services. 

Addressing Cuts to MSSNY’s Committee for Physicians Health 

The final Budget restored the proposed $198,000 cut to MSSNY’s Committee for Physicians Health. 

Telehealth Expansion

The final State Budget includes an expansion of site locations where telehealth services can both provided and received.  Importantly, it deletes a provision opposed by MSSNY advocacy that would have established an “interstate compact” of out of state health professionals to provide health care services to New York patients.  Unfortunately, the final Budget also did not include “parity” for the payment of telehealth services, but MSSNY will continue to advocate in the remaining weeks of session to pass this legislation.

“Pass-Through” Entity Tax Option

The final State Budget includes a provision that will permit partnerships the option to pay taxes through the entity rather than on an individual basis, which would permit the individual to fully deduct State and Local Taxes (SALT) instead of being subject to the otherwise applicable federal $10,000 SALT deduction cap. Other high tax northeastern states, including Connecticut, Maryland and New Jersey recently passed similar laws.

Ensure Collaborative Practice by Nurse Practitioners with Physicians

The final Budget includes a provision to extend for an additional year – until June 30, 2022 – the existing law permitting certain nurse practitioners to practice without a written collaborative agreement with a physician provided they have proof of “collaborative arrangements” with physicians in the same specialty practiced by the NP.  MSSNY has advocated for much stronger collaboration requirements for nurse practitioners in order to protect patients, however, with the sunset of the existing law coming up in two months, legislation (A.1535/S.3056) has also been introduced and strongly opposed by MSSNY that would repeal the requirements to even maintain proof of these collaborative arrangements.        (DIVISION OF GOVERNMENTAL AFFAIRS)


NYS Continues to Expand Vaccine Eligibility to 16 Years of Age and Older
On April 6, 2021, New York State expanded eligibility to the COVID-19 vaccine to adults 16 years and older. The guidance is here: Click Here.

As of April 8, 2021, 22.3% of New Yorkers have completed the vaccine series and 19.9% of Americans have been fully immunized.  35.1% of New Yorkers have received at least one dose.

All providers can vaccinate any New Yorker, including those with comorbidities or underlying conditions, and individuals 16+. Enrolled providers other than pharmacies may vaccinate any eligible individual. Pharmacies must prioritize K-12 school faculty and staff and childcare workers but are also authorized to vaccinate individuals aged 30 and older and individuals with comorbidities.

MSSNY has been working closely with the state to get vaccine supply to community physician offices and several physician practices around the state may receive an allocation of vaccine supply shortly. MSSNY has been informed that over 190 practices have received vaccine. Physicians who would like to become a COVID-19 immunizer, will need to enroll into either the NYSIIS or CIR systems. Physicians can find information about enrolling here: Click Here.

Providers in receipt of COVID-19 vaccine, irrespective as to whether such doses are via a direct State or federal allocation or a redistribution, will now be required to report to the vaccine tracker on Mondays and Thursdays by 10 am. All providers with COVID -19 vaccine doses on hand or that depleted their allocation since their last report are now required to fill out the vaccine tracker both days. This reporting will continue to be used for allocation determinations and is still required.

Physicians and patients can determine eligibility by going here. (CLANCY)


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New York State Legalizes Recreational Marijuana
As reported last week, Governor Andrew Cuomo signed a bill into law legalizing recreational marijuana sales and use.  The bill passed by the Senate and Assembly will create a regulatory system to oversee the cannabis industry, allow limited home growth as well as expunging an untold number of criminal records. Here is the link to the statement by Governor Cuomo regarding the signing of this into law that contains a comprehensive summary.

The bill would among other key components:

  • Direct that 20% of the funding generated from the tax revenue be set aside for drug treatment and education. 40% of the total state tax revenue from cannabis would be set aside to assist communities historically disproportionately impacted by marijuana laws. Another 40% would go toward state education funding.
  • Create an Office of Cannabis Management at the state level and a Cannabis Control Board to promulgate regulations. Gov Cuomo would have three appointments to the board, including the chairperson, while the Legislature would have two
  • Set a 13% tax rate on retail sales of cannabis products. Of that, 9% of the 13% would go to the state, while 4% would be directed to localities, with counties to receive a quarter of that revenue, while the municipality would receive the remainder.
  • Permit possession of three ounces of the drug, and 24 grams of concentrate, outside the home. Five pounds is allowed to be kept at home but must be stored away from children.
  • Expanding the medical cannabis program to increase the number of health conditions that a prescriber could certify a patient to receive medical cannabis.

Legal sales of adult use marijuana will be permitted sometime in 2022, though prior to 2022 cities, towns and villages can pass a resolution to prohibit dispensaries and social consumption locations within their municipality.

Many groups including MSSNY, the NYSPTA, NYS Association of County Public Health officials and various law enforcement associations raised serious concerns throughout the debate over the last few years regarding legalization including the need for additional research into the impacts of marijuana use on physical and mental health and the traffic safety impact. MSSNY will continue to work closely with these organizations as well as various state agencies as this law is implemented, to ensure a proper emphasis is being placed on protecting public health. Here is a link to an additional summary of the passed legislation.     (ALI)


Legislation Signed to Eliminate Covid Legal Protections – Effective April 6
Governor Cuomo signed legislation (S.5177/A.3397) into law recently passed by the State Legislature to eliminate the Covid liability protections provided to physicians and other care providers enacted during the height of the pandemic last spring.  The elimination of these protections is effective April 6 – the date the bill was signed into law.

Many groups including MSSNY wrote to legislators to oppose A.3397/S.5177, noting that regardless of nursing home concerns that led many to question the continuing need for these legal protections, it is important to maintain these absolutely essential protections for the duration of the public health emergency for the front-line physicians and other health care workers still managing the thousands of new Covid cases in New York every day with an increasing penetration of more easily spread variants.

Given that statutory construction rules presume legislation is to be applied prospectively in the absence of clearly defined statutory intent to the contrary, we are pleased there were comments made by several Assemblymembers during the floor debate on the legislation when it was passed by the NYS Assembly that re-iterated that the “effective date” language means that the repeal provisions would only apply after the date the bill was signed into law.  The point was also made by Senator Shelly Mayer during the floor debate in the Senate.   (AUSTER)


US House Expected to Pass Legislation to Prevent 2% Medicare Cut Until 2022
Next week, the House of Representatives on its return to DC is expected to vote favorably on legislation to extend the 2% Medicare sequester moratorium that expired on April 1.  On March 25th the US Senate voted 90-2 to pass an agreement reached by Leaders Schumer and McConnell that provides a 9-month extension of the moratorium, through December 31.   If the legislation is not passed by the House, a 2% Medicare payment cut will go into effect.

The Centers for Medicare & Medicaid Services has held off on processing April Medicare claims to avoid making payments with reduced amounts.  (AUSTER)


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Education

                                                    Webinar                                                                  

Updates for Accelerated and Advanced Payments Program

During this session, we will review the revised repayment and recoupment process and provide the latest updates on the Accelerated and Advanced Payments program.  If your facility received an accelerated or advanced payment from Medicare due to the COVID-19 public health emergency, then attending this webinar will provide the most current information from CMS.

Medicare Part B

Apr 15, 2021 10:00 a.m ET – 11:00 a.m ET

Register here

                                                    Webinar                                                                  

COVID-19 Medicare Part B Advanced Payment, Repayment and Recoupment Process

If you requested accelerated or advanced payments from Medicare due to the COVID-19 public health emergency, this learning session is for you. CMS expanded the accelerated and advance payment program for financial hardship relief during the COVID-19 public health emergency. Accelerated or advanced payments need to be repaid to the Medicare Trust Fund. During this webinar, we will review the repayment and recoupment process and address your questions.

Register here


MSSNY Medical Matters Program on Mental Health of Children and Teens During COVID
Registration now open
Medical Matters: COVID-19 & Mental Health of Children and Teens
Date: April 21, 2021 @ 7:30am 

The COVID-19 pandemic has affected the mental health of the entire population.  Learn more about how children and teens have been affected by registering for Medical Matters: COVID-19 & Mental Health of Children and Teens. This webinar will take place on Wednesday, April 21st at 7:30 am.  Linda Chokroverty, MD will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

  • Identify normal stressors impacting children and teens and those that have resulted from the COVID-19 pandemic
  • Examine what is known so far about the mental health impact of COVID-19 on children and teens
  • Describe resources to assist children and teens during the COVID-19 pandemic
  • Appraise the scope of COVID-19’s long term mental health impact on children and teens

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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (HOFFMAN)


Veterans Matters: Military Culture: Everything Physicians Need to Know about Veterans as Patients Webinar

Registration Now Open

Thursday, April 22nd @ 7:30 am

The Medical Society of the State of New York is hosting a Continuing Medical Education (CME) program entitled Veterans Matters: Military Culture: Everything Physicians Need to Know about Veterans as Patients live webinar on Thursday, April 22, 2021 at 7:30 am.

Click HERE to register for the program! View the program flyer HERE.

When:       April 22, 2021 at 7:30 am
Faculty:     Lt. Colonel Lance Allen Wang (Ret.) & Sharran Chambers-Murphy, Desert Storm-era Veteran

Educational Objectives:

  • Describe the unique aspects of military culture and how they impact patients     who are veterans;
  • Explain the Dwyer Peer-to-Peer program as a resource to assist veteran patients re-acclimating from a group to an individual mentality; and
  • Review and identify resources to improve physician’s ability to fully treat veterans who are transitioning back to civilian life.

For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085.

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™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. (SHERPA)


Webinar for Physicians Applying to PCF Model on April 31
Physicians considering applying for the PCF model to start in 2022 are invited to register now for a webinar to be offered Tuesday, April 13, from 6:00-7:00 pm ET by the American Medical Association, American College of Physicians, American Academy of Family Physicians, and the CMS Innovation Center. PCF is open to medical practices that provide primary care services in 26 regions across the country, with an application deadline of April 31, 2021.

The live webinar will allow participants to hear from CMS and medical society experts about the model and how participation could affect their practice revenues. Additional details, including the request for applications, a map of the 26 regions, and lists of the practices and other payors that are participating as part of the 2021 cohort are available on the CMS Primary Care First website.


Garfunkel Wild Ad



eNews

Physicians Experienced Little Relief from PA as COVID-19 Soared
As new cases of COVID-19 in the United States were peaking in late 2020, most physicians reported that health plans continued to impose bureaucratic prior authorization policies that delay access to necessary care and sometimes result in serious harm to patients, according to new survey results issued by the AMA.

According to the AMA survey, almost 70% of 1,000 practicing physicians surveyed in Dec. 2020 reported that health insurers had either reverted to past prior authorization policies or never relaxed these policies in the first place. More than nine in 10 physicians (94%) reported care delays while waiting for health insurers to authorize necessary care, and nearly four in five physicians (79%) said patients abandon treatment due to authorization struggles with health insurers.

“Delayed and disrupted treatment due to an archaic prior authorization process can have life-or-death consequences for patients, especially during a public health emergency,” said Dr. Bailey. “This hard-learned lesson from the current crisis must guide a reexamination of administrative burdens imposed by health insurers, often without any justification.”

Nearly one-third (30%) of physicians reported that prior authorization requirements have led to a serious adverse event for a patient in their care, according to the AMA survey. More specifically, prior authorization requirements led to the following repercussions for patients:

  • Patient hospitalization – reported by 21% of physicians
  • Life-threatening event or intervention to prevent permanent impairment or damage – reported by 18% of physicians
  • Disability or permanent bodily damage, congenital anomaly, birth defect, or death – reported by 9% of physicians

While the health insurance industry says prior authorization criteria reflect evidence-based medicine, the physician experience casts doubt on the credibility of this claim. Only 15% of physicians reported that prior authorization criteria were often or always based on evidence-based medicine.

  • Other critical physician concerns highlighted in the AMA survey include:
    Nine in 10 physicians (90%) reported that prior authorization programs have a negative impact on patient clinical outcomes.
  • A significant majority of physicians (85%) said the burdens associated with prior authorization were high or extremely high.
  • Medical practices  complete an average of 40 prior authorizations per physician, per week, which consume the equivalent of two business days (16 hours) of physician and staff time
  • To keep up with the administrative burden, two out of five physicians (40 %) employ staff members who work exclusively on tasks associated with prior authorization.

The findings of the AMA survey illustrate a critical need to streamline or eliminate low-value prior-authorization requirements to minimize delays or disruptions in care delivery. The AMA has taken a leading role in advocating for prior authorization reforms and convening key industry stakeholders to develop a roadmap for improving the prior authorization process.

In January 2018, the AMA and other national organizations representing pharmacists, medical groups, hospitals and health plans signed a consensus statement outlining a shared commitment to improving five key areas associated with the prior authorization process. However, health plans have made little progress in the last three years toward implementing improvements in each of the five areas outlined in the consensus statement.

The AMA continues to work on every front to streamline prior authorization. Patients can share their own personal experiences with prior authorization at FixPriorAuth.org.


 

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Fauci Thanks Workers for Sacrifices; Admits PPE Shortages Drove Up Death Toll
Dr. Anthony Fauci thanked America’s health care workers, who “every single day put themselves at risk” during the pandemic, even as he acknowledged that PPE shortages had contributed to the deaths of more than 3,600 of them. “We rightfully refer to these people without hyperbole — that they are true heroes and heroines,” he said in an exclusive interview with The Guardian. The deaths of so many health workers from covid-19 are “a reflection of what health care workers have done historically, but putting themselves in harm’s way by living up to the oath they take when they become physicians and nurses,” said Fauci. (KHN, 4/9).


33% of COVID-19 Survivors Later Diagnosed with Psychiatric Issues, Study Finds
Among 236,379 patients who had a confirmed COVID-19 infection, nearly 34 percent were diagnosed with a neurological or psychological condition within six months, according to research published April 6 in The Lancet Psychiatry. 

To conduct the research, scientists analyzed EHR data from patients across 62 healthcare organizations, primarily in the U.S., and found 33.62 percent of those with COVID-19 were diagnosed with a neurological or psychiatric condition within six months. In 13 percent of those cases, it was the patient’s first neurological or psychiatric diagnosis.

The most common diagnosis was anxiety, occurring in 17.39 percent of patients. Neurological disorders, such as stroke and dementia, occurred in 2.10 percent and 0.67 percent of the study population, respectively.

Overall, patients with severe COVID-19 were more likely to experience neurological and psychiatric outcomes compared to those with milder illness. For example, among patients who required intensive care, stroke later occurred in 6.92 percent, and dementia in nearly 2 percent.

Researchers also found that most of the neurological and mental health disorders included in the analysis were more common in patients with COVID-19 compared to those who had influenza or other respiratory tract infections.

“Our results indicated that brain diseases and psychiatric disorders are more common after COVID-19 than after flu or other respiratory infections, even when patients are matched for other risk factors,” said Max Taquet, PhD, study co-author and psychiatry professor at the University of Oxford in the U.K. “The study cannot reveal the mechanisms involved, but does point to the need for later research to identify these, with a view to preventing and treating them.” To view the full findings, click here.


Blood Clots Rare Side Effect of AstraZeneca’s Vaccine, European Agency Says
The European Medicines Agency said April 7 a safety committee has concluded that unusual blood clots combined with low blood platelets should be listed as a very rare side effect of AstraZeneca’s COVID-19 vaccine, but that it believes the overall benefits of the vaccine in preventing COVID-19 still outweigh the risks.

As of April 4, 169 cases of cerebral venous sinus thrombosis, a type of brain blood clot, as well as 53 cases of splanchnic vein thrombosis, a blood clot in the abdomen, in people receiving AstraZeneca’s vaccine have been reported to the agency, out of a total of roughly 34 million people receiving the vaccine.

Most cases have been reported in women under age 60 within two weeks of receiving the vaccine, the agency said. Specific risk factors for the blood clots have not yet been identified. The EMA said people who have received AstraZeneca’s vaccine should seek medical assistance immediately if they develop symptoms of the combination of blood clots and low blood platelets, including shortness of breath, chest pain, leg swelling, persistent abdominal pain, neurological symptoms, and tiny blood spots under the skin beyond the injection site.

A possible explanation for the blood clots is that the vaccine triggers an immune response and causes a condition similar to one seen in some patients treated with heparin, a blood thinner, the EMA said. The agency said it is conducting more studies to learn more.

The blood clots remain very rare, and the benefits of the vaccine outweigh the risk of side effects, the agency said.

Britain will offer alternatives to the AstraZeneca vaccine to adults under the age of 30, The New York Times reported April 7.

Read the agency’s full news release here.


Majority of People Delaying COVID-19 Vaccination Want J&J’s Shot
Fifty-six percent of people who haven’t received a COVID-19 vaccine yet because they are waiting to see how inoculation plays out for others said they would probably or definitely get Johnson and Johnson’s single-shot vaccine, according to recent research from Kaiser Family Foundation. KFF surveyed a nationally representative sample of 1,862 adults March 15-22, 2021. The survey found 17 percent of Americans have not received a COVID-19 vaccine yet because they are waiting to observe vaccination outcomes in others, down from 39 percent who cited the same reason in December.

Of those taking the “wait and see” approach, 16 percent said they would definitely get Johnson & Johnson’s vaccine, and 40 percent said they would probably get it. Eight percent said they would definitely get Pfizer’s vaccine and 7 percent said they would definitely Moderna’s; and 39 percent said they would probably get Pfizer’s vaccine and 36 percent said they would probably get Moderna’s.

The survey also found 24 percent of Americans with a COVID-19 vaccine brand preference said a one-dose regimen was the main reason.


FDA Approves First New Pediatric ADHD Drug in More Than a Decade
The FDA has approved the first new drug designed to treat ADHD in children in over a decade. The FDA April 2 approved Supernus Pharmaceuticals’ Qelbree to treat ADHD in children ages 6 to 17.

Qelbree is a daily capsule, and unlike other ADHD drugs, it’s not a stimulant, so it’s less addictive and less likely to be abused, according to The Hill. The drug comes with a warning that it may cause suicidal thoughts and behavior, which was observed in less than 1 percent of clinical trial volunteers. In clinical trials, 477 children ages 6 to 11 took Qelbree for six weeks, and symptoms of inattention and hyperactivity were found to decrease by 50 percent compared to the placebo group, according to The Hill. The drug is currently in late-stage testing for adults.

Rockville, Md.-based Supernus Pharmaceuticals has not disclosed the price of the drug. Read Supernus’ full news release here.  (Becker’s Hospital Review, April 6)

Documents provided to MedPage Today offer an inside look at the finances of one of the 24 member boards that make up the American Board of Medical Specialties (ABMS). In some respect, they paint a portrait of a well-run business: one that brings in almost $19 million a year while sitting on nearly $40 million in reserves. But they also show an enterprise with generous pay for executives and staff, and where luxury travel is the norm.

It is all funded by practicing physicians who have little choice but to maintain their certification, else they will not be employed by hospitals or paid by insurers — all despite a paucity of data that continuing certification programs make physicians better.


How Physicians Can Improve Their Telehealth Technique
Learn what it takes to make virtual medical visits as good as the in-person variety. Read more from the AMA.


Anesthesiology Group Squeezed ‘Like a Boa Constrictor’ Sues Insurer
U.S. Anesthesia Partners — a single-specialty practice that operates in nine states — is suing UnitedHealthcare (UHC) in Texas and Colorado, alleging the insurance titan forced doctors out of its network and launched a series of anti-competitive actions against the group.

USAP last month filed separate lawsuits in Texas and Colorado state courts, both making similar claims against UHC. The physician-owned, private equity-backed practice — which in total serves more than 2.3 million patients a year — says UHC’s actions have taken aim at its operations in both states.

Central to the claims is that UHC made moves to force doctors out-of-network — harming USAP’s revenues and squeezing the practice from all sides “like a boa constrictor,” as the group’s Colorado suit put it.USAP alleged in each complaint that the efforts “were not enough to satiate United’s greed, so United then embarked on a scheme to interfere with, undermine, and eliminate [USAP’s] existing business and contractual relationships with healthcare facilities, individual surgeons, and patients.”

USAP stated in each complaint that the alleged scheme has involved bribing in-network surgeons with new contracts that provide incentives — such as about 50% more compensation — in exchange for their commitment to steer patients away from USAP. It also alleged that the insurer-imposed penalties on hospitals and other facilities that have contractual agreements with USAP.

USAP noted in its complaints that UHC’s parent company also owns Optum, which — through its division OptumCare — operates a physician practice organization with tens of thousands of employees and affiliated physicians and plans to add more. The group noted that Optum, in turn, owns a significant interest in Sound Physicians, which includes anesthesiologists and certified registered nurse anesthetists.

“In this way, United and its affiliates have extended their tentacles into virtually every aspect of healthcare, allowing United to squeeze, choke, and crush any market participant that stands in the way of United’s increased profits,” USAP stated in its complaint filed in Texas. “UHG [UnitedHealth Group, the parent company], United, and their affiliates are abusing their collective behemoth strength during a global pandemic to drive revenue away from healthcare providers and toward United.”

“Simply put, the less United pays or reimburses healthcare providers for their services, the more United profits from the ever-rising insurance premiums it collects,” USAP added.

USAP stated in each complaint that patients do not benefit from such trends and healthcare costs do not decrease. Rather, the practice stated, patients — including UHC’s members — risk losing access to high-quality anesthesia providers. Plan sponsors may also pay more as higher surgeon fees may be passed through to them, and the total cost of care may be higher as well. Clinical outcomes, USAP alleged, may be worse.

USAP declined to comment on the suits beyond what it stated in its complaints.

Though the practice alleges in its complaints that UHC’s actions have been taken to boost the insurer’s own profits, UHC blames rate demands made by USAP.

In a statement provided to MedPage Today, the company said “USAP’s lawsuit is just the latest example of the group’s efforts to pressure us into agreeing to its rate demands and to distract from the real reason that it no longer participates in our network…. The reality is that many private equity-backed physician staffing companies like USAP expect to be paid double or even triple the median rate we pay other physicians providing the same services.”

“While these egregiously high rates help meet the profit expectations of their private equity owners, they also drive up the cost of care and make health care less affordable for people across the country,” UHC said.

UHC asserted that a few physician staffing companies — often backed by private equity — are trying to protect their ability to charge high rates, which drive up the cost of care for everyone, including the insurer’s employer customers.

UHC said that reimbursing USAP at the median rate the insurer pays anesthesiologists in Texas and Colorado would save employers in Texas more than $104 million in a single year, and employers in Colorado more than $19 million. Such savings could be passed on to employees through steady or lower premiums, or other benefits. (Medpage Today, April 7)


Award Nominations Open

The Medical Society of the State of New York is accepting nominations for the 2020 Albion O. Bernstein, MD Award.  This prestigious award is given to:

“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December 2020.”

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

To request an application, please contact:

Committee on Continuing Medical Education
Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
mhardin@mssny.org 

Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Christina Southard 516-488-6100 x355 • fax 516-488-2188

For the MSSNY 2021 Ad Rate Sheet, please click here.


Ophthalmic Office to Sublet – NYC
340 E. 49TH St. (Ground Floor -Handicap Accessible) 1-3 Lanes Wed/Fri/Sat/Sun Full use of: VF / OCT /Pachymeter/ Autorefractor /Autolensometer / Argon / YAG Lasers
Please contact Scott Weissman MD. privacyssw@gmail.com. 914-772-5581 

.Soho Rental Office
Two Offices Available for Rent in Established SoHo Primary Care Practice
Newly constructed loft space. Dedicated private waiting area available.  This space is ideal for individual psychiatry, psychology, social work, physical therapy, or acupuncture services. Potential to work with existing Primary Care Practice as a referral source. Centrally located in the heart of SoHo, close to all subways. Available 7 days/week. Contact: SpringPrimaryCare@gmail.com.

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Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


For Rent Medical Office 800 2nd Ave, 806
FOR RENT 800 2nd Avenue, 806 – Fully built out Medical office ready for use – reception area; 2 office/ consultation rooms; 4 examination rooms with plumbing; 1 sterilization room or pantry; 1 file/ nurse room, Total 8 rooms. All examination rooms are set up with plumbing and cabinetry.  24/7 doorman/ Elevators. Central location, Grand Central Station, buses Subways. Rent: $65 per Rentable Sq Ft; Sq Ft: 1,482 Rentable; Gross Lease. Showings or video contact Maya – Broker – maya@mallannyhomes.com or mobile 646-258-4460 listing information http://www.mallannyhomes.com/properties/detail/800-second-avenue-806/

800 2nd Ave Lobby800 2nd Ave Hallway


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Allergy Practice For Sale, Forest Hills, NY
Founded in 1988, this well-established Single Practitioner Allergy Practice has over 3500 active patients, with very positive patient reviews. The office is only one of a few in the area, but patients are seen from throughout the NYC Metropolitan Area, as well as Long Island. Potential for growth. Centrally located next to major public transportation.  Retirement planned. Lease is assignable. Well-trained, extremely personable staff of three, including a Registered Nurse. Payer mix85% private, 10% Medicare 5% other. Email any questions to: allergydoctorbn@gmail.com

Two (2) Prime Commercial Spaces
Two (2) affordable office spaces available for immediate occupancy.  Located in Sheepshead Bay Brooklyn,  surrounded by multiple co-ops and private homes.  Space can be viewed at your convenience. Price negotiable. Call: Avi 212-736-3680 ext. 15


NYS Jobs LogoReview Vacancy

Date Posted: 03/23/21 Applications Due: 04/06/21 Vacancy ID: 85272

Position Information 

Agency Health, Department of
Title Health Program Director 2 -TBD
Occupational Category  

Other Professional Careers

Salary Grade 665
Bargaining Unit M/C – Management / Confidential (Unrepresented)
Salary Range From $122092 to $154253 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Non-competitive Class
Travel Percentage 10%

Schedule 

Workweek

Hours Per Week

Mon-Fri

37.5

 Workday 

From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed?  

No

Telecommuting allowed?  

No

Location 

County Albany
Street Address CCH; Division of Family Health

Corning Tower, ESP

City Albany
State NY
Zip Code 12237

Job Specifics 

Minimum Qualifications Twelve years of professional level work experience, three of which must have included managerial, decision-making and/or oversight responsibilities for a major health-related program or in the direction of a major administrative function of a large health-related organization. A bachelor’s degree may be substituted for four years of the general professional experience. 

Twelve or more years of progressively responsible administrative experience in programs that improve perinatal health, child and/or adolescent health, early care, and learning, and/or sexual violence prevention, including four years of managerial, decision-making, and/or program direction. Seven years of this experience would also include fiscal management, policy making and oversight responsibilities, and statewide supervision of professional level staff. The preferred candidate would be familiar with representing departmental interests and serving as a spokesperson and liaison to Executive staff, and have experience working with other state and federal governmental programs. Experience with second-level professional supervision as well as strong oral and written communication skills is also desired. A master’s degree in an appropriate field may substitute an additional one year of the general professional experience, not to exceed a maximum of five years total allowable educational substitution. Please refer to full listing


MSSNY Ad Rates


 

 

 

 

 

 

 

 

 

 

Council: April 15, 2021

MSSNY COUNCIL AGENDA
Thursday, April 15, 2021, 9:00 a.m. (Virtual)

                                                                       

A.  Call to Order and Roll Call

B.  APPROVAL of the March 1, 2021 Council Minutes

C.  New Business

1. President’s Report
.
 a. CPH Advisory Committee
    Resolution 2020-159 Discrimination Against Physicians Using
    Medication Assisted Treatment (For Council Approval)

 b. Committee on Health Insurance
     Brian P. Murray, MD, Commissioner of Socio-Medical Economics
     Resolution 2020-64 Insurers and Vertical Integration
     (For Council Approval)      

  c. Continuing Medical Education Committee
      Mark J. Adams, MD, Commissioner of CME
      i. MSSNY Policy 50.992 Continuing Medical Education Application Forms
                      (For Council Approval) 

      ii. MSSNY Policy 50.995 ACCME Standards for Commercial Support
          (For Council Approval) 

  d. Report of the HOD Resolution Review Committee – AMA Resolutions

2. Board of Trustees Report – Dr. Andrew Kleinman will present the report
                 
(For Council Approval)
.
   3. Secretary’s Report – Dr.  Frank Dowling will present the report
                (For Council Approval)
.
   4. MLMIC Update – Dr. John Lombardo will present a verbal report
.
   5. AMA Delegation Report – Dr. John Kennedy will present a verbal report
.
   6. MSSNYPAC Report – Dr. Thomas Lee will present the report

  7. County Federation Report  – Dr. Aaron Kumar will present the report

D.  Reports of Officers

  1. Office of the President – Bonnie L. Litvack, MD (verbal report)
  2. Office of the President-Elect – Joseph R. Sellers, MD (verbal report)
  3. Office of the Vice-President – Parag H. Mehta, MD (verbal report)
  4. Office of the Immediate Past President – Arthur C. Fougner, MD
        (verbal report)
  5. Office of the Treasurer – Mark J. Adams, MD, Preliminary Financial Statement for the period 1/1/21 – 3/31/21 (For Council Approval
    6. Office of the Speaker – William R. Latreille, Jr., MD (verbal report)

E.  Reports of Councilors (Informational)

  1.  Kings & Richmond Report – Adolph B. Meyer, MD
  2.  Manhattan & Bronx Report – David M. Jakubowicz, MD
  3.  Nassau County Report – Paul A. Pipia, MD
  4.  Queens County Report – Saulius J. Skeivys, MD
  5.  Suffolk County Report – Daniel E. Choi, MD
  6.  Third District Branch Report – Brian P. Murray, MD
  7.  Fourth District Branch Report – Gregory L. Pinto, MD
         (no written report submitted)
  8.  Fifth District Branch Report – Barry Rabin, MD
  9.  Sixth District Branch Report – Robert A. Hesson, MD
         (no written report submitted)
  10. Seventh District Branch Report – Janine L. Fogarty, MD
  11. Eighth District Branch Report– Mark R. Jajkowski, MD
  12. Ninth District Branch Report – Thomas T. Lee, MD
  13. Medical Student Section Report – Shireen Saxena
  14. Organized Medical Staff Section Report – Stephen F. Coccaro, MD
          (no written report submitted)
  15. Resident & Fellow Section Report – Raymond Lorenzoni, MD
           (no written report submitted)
    16. Young Physician Section Report – L. Carlos Zapata, MD
          (no written report submitted)

F.  Commissioners (Informational Items)
  1. Commissioner of Communications, Maria A. Basile, MD, MBA
     a. Report from the Division of Communications

  1. Commissioner of Continuing Medical Education, Mark J. Adams, MD
        a. Report from the Office of Continuing Medical Education

 3. Commissioner of Governmental Relations, Gregory L. Pinto, MD
   a. Report from the Division of Governmental Affairs

  1. Commissioner of Membership, David M. Jakubowicz, MD
        Report from the Division of Membership (no written report submitted)
    .
  2. Commissioner of Science & Public Health, Joshua M. Cohen, MD
    a. Addiction & Psychiatric Medicine Committee Minutes, 2/19/21
    b. Report from the Division of Public Health & Education
    .
  3. Commissioner of Socio Medical Economics, Brian P. Murray, MD
        (no written report submitted)

G.  Report of the Executive Vice President, Troy J. Oechsner

  1. Membership Dues Revenue Schedule
  2. Group Institutional Dues Report

H.  Report of the General Counsel, Garfunkel Wild, Barry Cepelewicz, MD, Esq
      Queens County Medical Society Bylaws (For Council Approval)

I.  Report of the Alliance, Barbara Ellman
    (no written report submitted)

J.  Other Information/Announcements
(no written reports submitted)

K.  Adjournment

 

 

MSSNY eNews: April 7, 2021 – We Thank Assembly/ Senate Efforts to Stop Healthcare Cuts


.

MSSNY Thanks Assembly and Senate Efforts to Stop Health Care Cuts
“In adopting the 2021-22 State Budget, physicians thank the New York State Assembly and Senate leadership for their efforts to restore numerous steep health care cuts that had been advanced in the Executive Budget, and the Governor for agreeing with the restoration of these cuts.

Because the COVID pandemic has caused historic drops in patient visits and revenue for physicians over the last year, there could not have been a worse time to cut Medicaid as well as other essential programs that help to preserve patient access to needed care such as the Excess Medical Malpractice Insurance Program.

Physicians also appreciate the collective efforts of the Governor and Legislature to enhance other programs that provide needed health insurance coverage to New Yorkers, including the Essential Plan.  We look forward to working with the Senate, Assembly and Governor in additional collaborative efforts to ensure New Yorkers receive the care they need.”


State Budget Finalized
This week the Legislature was completing passage of a $212 billion Budget package that produced several “victories” for organized medicine following months of extensive advocacy by MSSNY working together with county and specialty medical societies.  These issues include:

Excess Malpractice Insurance Program Extended

The final State Budget provides full funding for an additional year for the Excess Medical Malpractice Insurance program, which provides 17,000 physicians with a bonus $1 million/$3 million layer of liability insurance above the primary layer purchased by a physician.  The State Budget restores the proposed $51 million cut in program funding and deleted an Executive Budget proposal strongly opposed by MSSNY to impose a 50% physician cost share requirement, which would have resulted in the imposition of thousands to tens of thousands of dollars of new costs on these 17,000 enrolled physicians.

Physician Due Process Protected

The final State Budget deleted several provisions proposed in the Executive Budget and opposed by MSSNY to substantially curtail physician due process rights when a complaint has been filed against them with the OPMC.  The adverse provisions that were deleted included permitting the Commissioner to publicly disclose information regarding a complaint filed against a physician and creating a nebulous standard for imposing a summary suspension prior to the conclusion of disciplinary proceedings.

Pharmacy Scope Changes Rejected 

The final State Budget deleted several provisions opposed by MSSNY that would have expanded the scope of pharmacists, including proposals to greatly expand the physician-pharmacy Collaborative Drug Therapy program, permitted pharmacist self-ordering of lab tests, and significantly expanded the number of the immunizations that can be performed by pharmacists.

Essential Plan Enhancements

The final Budget contains provisions supported by MSSNY to eliminate the premium requirements for the over 800,000 New Yorkers enrolled in the State’s Essential Plan, as well as providing bonus pool funding for physicians and other care providers participating with these plans. 

Protect Ability to Apply for E-Prescribing Waivers 

The final State Budget deletes the Executive Budget proposal opposed by MSSNY to eliminate the ability for physicians and other prescribers to apply for a year-to-year waiver of e-prescribing requirements (availed by over 2,000 prescribers across the State of New York). 

Protect Medicaid “Prescriber Prevails” 

The final Budget deletes the Executive Budget proposal opposed by MSSNY to remove the statutory protection for the prescriber’s determination (not State Medicaid’s) to prevail for a medication prescribed to a patient covered by Medicaid. 

No-Fault De-credentialing Rejected

The final Budget deletes the Executive Budget proposal MSSNY had raised concerns with to expand the power of the Superintendent of Financial Services to prohibit certain physicians from submitting claims for No-Fault services. 

Addressing Cuts to MSSNY’s Committee for Physicians Health 

The final Budget restored the proposed $198,000 cut to MSSNY’s Committee for Physicians Health. 

Telehealth Expansion

The final State Budget includes an expansion of site locations where telehealth services can both provided and received.  Importantly, it deletes a provision opposed by MSSNY advocacy that would have established an “interstate compact” of out of state health professionals to provide health care services to New York patients.  Unfortunately, the final Budget also did not include “parity” for the payment of telehealth services.

Ensure Collaborative Practice by Nurse Practitioners with Physicians

The final Budget includes a provision to extend for an additional year – until June 30, 2022 – the existing law permitting certain nurse practitioners to practice without a written collaborative agreement with a physician provided they have proof of “collaborative arrangements” with physicians in the same specialty practiced by the NP.  MSSNY has advocated for much stronger collaboration requirements for nurse practitioners in order to protect patients, however, with the sunset of the existing law coming up in two months, legislation (A.1535/S.3056) has also been introduced and strongly opposed by MSSNY that would repeal the requirements to even maintain proof of these collaborative arrangements. (DIVISION OF GOVERNMENTAL AFFAIRS)


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Governor Announces Committee to Help Build Monument to Essential Workers
Gov. Andrew Cuomo announced “the creation of the Essential Workers Advisory Committee to provide design input and recommendations for a monument in New York City honoring the service and sacrifice of New York’s essential workers throughout the COVID-19 pandemic.” The committee “will advise on design, location, and installation of the new monument,” which will honor physicians, nurses, hospital staff, EMTs, and other groups of essential workers.

MSSNY President Dr. Bonnie Litvack has been named as one of the committee’s members.


NY Residents at Least 16 Years Old are Now Eligible for COVID-19 Vaccines
New York residents who are at least 16 years old are now eligible for COVID-19 vaccines. Teenagers who are 16 or 17 years old will receive the Pfizer vaccine, because it is currently the only one authorized for use in that population.

SUNY announced plans to offer vaccines to tens of thousands of college students before they head home for the summer. The state’s public university system is moving to vaccinate students who are living on campus before they leave for summer break. The program launched days after private universities, such as Cornell University in Ithaca and Rutgers University in New Jersey, announced they would require vaccines for students returning to campus in the fall, with medical and religious exemptions.

SUNY has not announced a system-wide requirement to get vaccinated. The program will launch by distributing more than 18,000 Johnson & Johnson vaccines to 34 campuses, with distribution to more campuses in the coming weeks. (Politico, 4/6).


A Third of COVID-19 Survivors Receive a Diagnosis for Psychiatric or Neurological Illness Within Six Months of Their Infection, Research Suggests
The study published in Lancet Psychiatry reports that a study found that “six months after being diagnosed with Covid-19, 1 in 3 patients also had experienced a psychiatric or neurological illness.” While “anxiety, mood, and substance use disorders were most common,” investigators “also found worrying, if lower, rates of serious neurological complications, especially in patients who had been severely ill with Covid-19.” The data also indicated that “compared to control groups of people who had the flu or other non-Covid respiratory infections, first-ever neuropsychiatric diagnoses were almost twice as high.”

The study, which analyzed health records of more than 236,000 patients with COVID-19, “was not able to determine the biological or psychological mechanisms involved…said” Max Taquet, who co-led the research.


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Office of Cannabis Management Website Offers Names of Cannabis Practitioners
New Yorkers can now visit a website to learn about the Office of Cannabis Management and other changes that took effect under a new law legalizing adult-use, recreational marijuana, Gov. Andrew Cuomo announced Friday. Key context: The Cuomo administration launched the website for the state Office of Cannabis Management, which will oversee licensing, cultivation, production, distribution, and sales of New York’s recreational and medical marijuana markets, as well as cannabinoid hemp.

It comes just days after the governor signed the “Marijuana Regulation and Taxation Act,” which legalized cannabis for adult, recreational use in the state. Details: The website provides information on the new office’s regulatory structure and resources for New Yorkers seeking medical cannabis practitioners, caregivers, and medical cannabis IDs. It also offers information for businesses seeking licensure in the adult-use and cannabinoid hemp industries.


AMA Survey: Physicians Experienced Little Relief from Prior Authorization in Late 2020 as COVID-19 cases soared
CHICAGO – As new cases of COVID-19 in the United States were peaking in late 2020, most physicians reported that health plans continued to impose bureaucratic prior authorization policies that delay access to necessary care and sometimes result in serious harm to patients, according to new survey results issued today by the American Medical Association (AMA).

“As the COVID-19 pandemic began in early 2020, some commercial health insurers temporarily relaxed prior authorization requirements to reduce administrative burdens and support rapid patient access to needed drugs, tests and treatments,” said AMA President Susan R. Bailey, M.D. “By the end of 2020, as the U.S. health system was strained with record numbers of new COVID-19 cases per week, the AMA found that most physicians were facing strict authorization hurdles that delayed patients’ access to needed care.”

According to the AMA survey, almost 70% of 1,000 practicing physicians surveyed in Dec. 2020 reported that health insurers had either reverted to past prior authorizations policies or never relaxed these policies in the first place. More than nine in 10 physicians (94%) reported care delays while waiting for health insurers to authorize necessary care, and nearly four in five physicians (79%) said patients abandon treatment due to authorization struggles with health insurers.

“Delayed and disrupted treatment due to an archaic prior authorization process can have life-or-death consequences for patients, especially during a public health emergency,” said Dr. Bailey. “This hard-learned lesson from the current crisis must guide a reexamination of administrative burdens imposed by health insurers, often without any justification.”

Nearly one-third (30%) of physicians reported that prior authorization requirements have led to a serious adverse event for a patient in their care, according to the AMA survey. More specifically, prior authorization requirements led to the following repercussions for patients:

  • Patient hospitalization – reported by 21% of physicians
  • Life-threatening event or intervention to prevent permanent impairment or damage – reported by 18% of physicians
  • Disability or permanent bodily damage, congenital anomaly, birth defect, or death – reported by 9% of physicians

While the health insurance industry says prior authorization criteria reflect evidence-based medicine, the physician experience casts doubt on the credibility of this claim. Only 15% of physicians reported that prior authorization criteria were often or always based on evidence-based medicine.

Other critical physician concerns highlighted in the AMA survey include:

  • Nine in 10 physicians (90%) reported that prior authorizations programs have a negative impact on patient clinical outcomes.
  • A significant majority of physicians (85%) said the burdens associated with prior authorization were high or extremely high.
  • Medical practices complete an average of 40 prior authorizations per physician, per week, which consume the equivalent of two business days (16 hours) of physician and staff time.
  • To keep up with the administrative burden, two out of five physicians (40 %) employ staff members who work exclusively on tasks associated with prior authorization. (AMA, April 7).

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Education

NGS Ed Session on Start of the Return of Accelerated Advanced Medicare Payments

Register here.

Medicare Part A

Apr 08, 2021 3:00 p.m ET – 4:00 p.m ET

                                                    Webinar                                                                  

Updates for Accelerated and Advanced Payments Program

During this session, we will review the revised repayment and recoupment process and provide the latest updates on the Accelerated and Advanced Payments program.  If your facility received an accelerated or advanced payment from Medicare due to the COVID-19 public health emergency, then attending this webinar will provide the most current information from CMS.

Medicare Part B

Apr 15, 2021 10:00 a.m ET – 11:00 a.m ET

                                                    Webinar                                                                  

COVID-19 Medicare Part B Advanced Payment, Repayment and Recoupment Process

If you requested accelerated or advanced payments from Medicare due to the COVID-19 public health emergency, this learning session is for you. CMS expanded the accelerated and advance payment program for financial hardship relief during the COVID-19 public health emergency. Accelerated or advanced payments need to be repaid to the Medicare Trust Fund. During this webinar, we will review the repayment and recoupment process and address your questions.


MSSNY Medical Matters Program on Mental Health of Children and Teens During COVID
Registration now open
Medical Matters: COVID-19 & Mental Health of Children and Teens
Date: April 21, 2021 @ 7:30am 

The COVID-19 pandemic has affected the mental health of the entire population.  Learn more about how children and teens have been affected by registering for Medical Matters: COVID-19 & Mental Health of Children and Teens. This webinar will take place on Wednesday, April 21st at 7:30 am.  Linda Chokroverty, MD will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

  • Identify normal stressors impacting children and teens and those that have resulted from the COVID-19 pandemic
  • Examine what is known so far about the mental health impact of COVID-19 on children and teens
  • Describe resources to assist children and teens during the COVID-19 pandemic
  • Appraise the scope of COVID-19’s long term mental health impact on children and teens

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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. (HOFFMAN)


Veterans Matters: Military Culture: Everything Physicians Need to Know about Veterans as Patients Webinar

Registration Now Open

Thursday, April 22nd @ 7:30 am

The Medical Society of the State of New York is hosting a Continuing Medical Education (CME) program entitled Veterans Matters: Military Culture: Everything Physicians Need to Know about Veterans as Patients live webinar on Thursday, April 22, 2021 at 7:30 am.

Click HERE to register for the program! View the program flyer HERE.

When:       April 22, 2021 at 7:30 am
Faculty:     Lt. Colonel Lance Allen Wang (Ret.) & Sharran Chambers-Murphy, Desert Storm-era Veteran

Educational Objectives:

  • Describe the unique aspects of military culture and how they impact patients     who are veterans;
  • Explain the Dwyer Peer-to-Peer program as a resource to assist veteran patients re-acclimating from a group to an individual mentality; and
  • Review and identify resources to improve physician’s ability to fully treat veterans who are transitioning back to civilian life.

For more information, contact Jangmu Sherpa at jsherpa@mssny.org or call (518) 465-8085.

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™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. (SHERPA)


April 24 Meeting Young Physicians, Residents/Fellows and Medical Students
A virtual joint meeting of the Young Physicians, Residents/Fellows and the Medical Students Sections is being planned for the afternoon of Saturday, April 24.  Please mark your calendars and watch E-News and your mailboxes for more details as they become available.  If you have any questions, please contact Kathy Rohrer at krohrer@mssny.org.


Webinar for Physicians Applying to PCF Model on April 31
Physicians considering applying for the PCF model to start in 2022 are invited to register now for a webinar to be offered Tuesday, April 13, from 6:00-7:00 pm ET by the American Medical Association, American College of Physicians, American Academy of Family Physicians, and the CMS Innovation Center. PCF is open to medical practices that provide primary care services in 26 regions across the country, with an application deadline of April 31, 2021.

The live webinar will allow participants to hear from CMS and medical society experts about the model and how participation could affect their practice revenues. Additional details, including the request for applications, a map of the 26 regions, and lists of the practices and other payors that are participating as part of the 2021 cohort are available on the CMS Primary Care First website.


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CMS Starts Recouping Accelerated, Advance Medicare Payments
The agency has begun recoupment of accelerated and advance Medicare payments from providers who borrowed the emergency funds one year ago to battle COVID-19.

CMS has started recouping Medicare payments it fronted to healthcare providers last year during the COVID-19 pandemic.

In a recent MLN Matters newsletter, the agency stated that it has begun recovering the payments through the COVID-19 Accelerated and Advance Payments (CAAP) on March 30, 2021, and will continue recoupment depending on the one year anniversary of when providers received their first payment.

“Please be sure your billing staff are aware that the recovery has begun, or will begin soon but no sooner than 1 year from the date we issued the CAAP to you,” CMS said in the newsletter.

Lawmakers expanded Medicare’s Accelerated and Advance Payments Program through the Coronavirus Aid, Relief, and Economic Security (CARES) Act last March. The program distributed a total of $100 billion to hospitals and other types of providers impacted by the COVID-19 pandemic by May 2020.

CMS has the authority to provide upfront Medicare payments to providers in the event of a national emergency or natural disaster “in order to accelerate cash flow to the impacted health care providers and suppliers.” The payments are meant to support providers during the claim submission or processing disruption. 

CMS Amends Repayment Terms for Accelerated, Advance Payments

Providers who accept the payments, however, do have to repay CMS, and the agency can hold back future Medicare reimbursements to the provider until the upfront payments are recouped.

These providers were originally scheduled to start repayment of the Medicare payments made in advance during the COVID-19 pandemic in August 2020. But CMS and lawmakers through the Continuing Appropriations Act, 2021 and Other Extensions Act (P.L. 116-159) extended original repayment timelines in light of the ongoing struggles stemming from the pandemic.

During the recoupment period, CMS will hold back a portion of new Medicare claims from providers—25 percent during the first 11 months of recoupment and 50 percent during the six months—until the payments advanced last year are recouped.

Providers are required to have paid back the advanced payments in full 20 months after they received the first payment. If they fail to do so, CMS will charge interest of four percent on the remaining balance.

FAH Wants More Time, Lower Rates on Advance Medicare Payments

The recoupment terms are more favorable to providers thanks to the Continuing Appropriations Act, 2021 and Other Extensions Act and other legislation. Usually, providers have a shorter time until recoupment and CMS would hold back full future Medicare reimbursements until the loan was paid off.

The interest rate is also typically about 10 percent for all remaining balances after the recoupment period.

But healthcare providers are still concerned about repaying CMS for the upfront Medicare reimbursements as their organizations continue to face significant challenges with COVID-19. (REVCYCLE Intelligence)


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Award Nominations Open

The Medical Society of the State of New York is accepting nominations for the 2020 Albion O. Bernstein, MD Award.  This prestigious award is given to:

“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December 2020.”

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

To request an application, please contact:

Committee on Continuing Medical Education
Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
mhardin@mssny.org 

Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Christina Southard 516-488-6100 x355 • fax 516-488-2188

For the MSSNY 2021 Ad Rate Sheet, please click here.


Ophthalmic Office to Sublet – NYC
340 E. 49TH St. (Ground Floor -Handicap Accessible) 1-3 Lanes Wed/Fri/Sat/Sun Full use of: VF / OCT /Pachymeter/ Autorefractor /Autolensometer / Argon / YAG Lasers
Please contact Scott Weissman MD. privacyssw@gmail.com. 914-772-5581 

.Soho Rental Office
Two Offices Available for Rent in Established SoHo Primary Care Practice
Newly constructed loft space. Dedicated private waiting area available.  This space is ideal for individual psychiatry, psychology, social work, physical therapy, or acupuncture services. Potential to work with existing Primary Care Practice as a referral source. Centrally located in the heart of SoHo, close to all subways. Available 7 days/week. Contact: SpringPrimaryCare@gmail.com.

Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


For Rent Medical Office 800 2nd Ave, 806
FOR RENT 800 2nd Avenue, 806 – Fully built out Medical office ready for use – reception area; 2 office/ consultation rooms; 4 examination rooms with plumbing; 1 sterilization room or pantry; 1 file/ nurse room, Total 8 rooms. All examination rooms are set up with plumbing and cabinetry.  24/7 doorman/ Elevators. Central location, Grand Central Station, buses Subways. Rent: $65 per Rentable Sq Ft; Sq Ft: 1,482 Rentable; Gross Lease. Showings or video contact Maya – Broker – maya@mallannyhomes.com or mobile 646-258-4460 listing information http://www.mallannyhomes.com/properties/detail/800-second-avenue-806/

800 2nd Ave Lobby800 2nd Ave Hallway


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Allergy Practice For Sale, Forest Hills, NY
Founded in 1988, this well-established Single Practitioner Allergy Practice has over 3500 active patients, with very positive patient reviews. The office is only one of a few in the area, but patients are seen from throughout the NYC Metropolitan Area, as well as Long Island. Potential for growth. Centrally located next to major public transportation.  Retirement planned. Lease is assignable. Well-trained, extremely personable staff of three, including a Registered Nurse. Payer mix85% private, 10% Medicare 5% other. Email any questions to: allergydoctorbn@gmail.com

Two (2) Prime Commercial Spaces
Two (2) affordable office spaces available for immediate occupancy.  Located in Sheepshead Bay Brooklyn,  surrounded by multiple co-ops and private homes.  Space can be viewed at your convenience. Price negotiable. Call: Avi 212-736-3680 ext. 15


NYS Jobs LogoReview Vacancy

Date Posted: 03/23/21 Applications Due: 04/06/21 Vacancy ID: 85272

Position Information 

Agency Health, Department of
Title Health Program Director 2 -TBD
Occupational Category  

Other Professional Careers

Salary Grade 665
Bargaining Unit M/C – Management / Confidential (Unrepresented)
Salary Range From $122092 to $154253 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Non-competitive Class
Travel Percentage 10%

Schedule 

Workweek

Hours Per Week

Mon-Fri

37.5

 Workday 

From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed?  

No

Telecommuting allowed?  

No

Location 

County Albany
Street Address CCH; Division of Family Health

Corning Tower, ESP

City Albany
State NY
Zip Code 12237

Job Specifics 

Minimum Qualifications Twelve years of professional level work experience, three of which must have included managerial, decision-making and/or oversight responsibilities for a major health-related program or in the direction of a major administrative function of a large health-related organization. A bachelor’s degree may be substituted for four years of the general professional experience. 

Twelve or more years of progressively responsible administrative experience in programs that improve perinatal health, child and/or adolescent health, early care, and learning, and/or sexual violence prevention, including four years of managerial, decision-making, and/or program direction. Seven years of this experience would also include fiscal management, policy making and oversight responsibilities, and statewide supervision of professional level staff. The preferred candidate would be familiar with representing departmental interests and serving as a spokesperson and liaison to Executive staff, and have experience working with other state and federal governmental programs. Experience with second-level professional supervision as well as strong oral and written communication skills is also desired. A master’s degree in an appropriate field may substitute an additional one year of the general professional experience, not to exceed a maximum of five years total allowable educational substitution. Please refer to full listing


MSSNY Ad Rates


 

 

 

 

 

 

 

 

 

 

Medical Society Thanks NYS Assembly and Senate Leadership and Governor for Restoration of Health Care Cuts That Had Been Advanced in Executive Budget

For Immediate Release
April 6, 2021

 

Medical Society Thanks NYS Assembly and Senate Leadership and Governor for Restoration of Health Care Cuts That Had Been Advanced in Executive Budget 

Statement Attributable to:
Bonnie Litvack, MD
President, Medical Society of the State of New York


“In adopting the 2021-22 State Budget, physicians thank the New York State Assembly and Senate leadership for their efforts to restore numerous steep health care cuts that had been advanced in the Executive Budget, and the Governor for agreeing with the restoration of these cuts.  Because the COVID pandemic has caused historic drops in patient visits and revenue for physicians over the last year, there could not have been a worse time to cut Medicaid as well as other essential programs that help to preserve patient access to needed care such as the Excess Medical Malpractice Insurance Program.

“Physicians also appreciate the collective efforts of the Governor and Legislature to enhance other programs that provide needed health insurance coverage to New Yorkers, including the Essential Plan.  We look forward to working with the Senate, Assembly and Governor in additional collaborative efforts to ensure New Yorkers receive the care they need.”

# # #

Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.


Media Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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