MSSNY Supports US Supreme Court Decision to Uphold the ACA in California v. Texas

For Immediate Release
June 17, 2021 

MSSNY Supports US Supreme Court Decision to
Uphold the ACA in California v. Texas


Statement from Joseph Sellers, MD
President, Medical Society of the State of New York

We appreciate that the US Supreme Court has—once again—upheld the legality of the Affordable Care Act.  We hope this case once and for all stops these lawsuits which unnecessarily endanger health insurance coverage for millions of patients across New York and across the country.

“While MSSNY continues to pursue reforms to the law that would help to better ensure patients can obtain comprehensive first-dollar health insurance coverage, the ACA has importantly set the stage for millions across New York State to obtain health insurance coverage that they previously they were unable to afford.

“MSSNY looks forward to working with patient and physician groups across New York State and across the country to expand comprehensive health insurance coverage options for our patients.”

# # #

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 Avenue
Westbury, NY 11590
516.488.6100 x302 | rraia@mssny.org

 

MSSNY eNews: June 16, 2021 – MSSNY Press Statement: New York State Reaches 70 Percent Adult COVID-19 Immunization

.

MLMC Banner


MSSNY Press Statement: New York State Reaches 70 Percent Adult COVID-19 Immunization
Governor’s Vaccine Distribution and Implementation Task Force Member and NYS Medical Society Immediate Past President Bonnie L. Litvack, MD, Reflects on Reaching Important Milestone and Calls for Continued Vaccination Efforts

Statement from Bonnie Litvack, MD
Immediate Past President, Medical Society of the State of New York
Member, Governor’s Vaccine Distribution and Implementation Task Force 

“As of today, 70 percent of the adult population in New York have received at least one dose of the COVID-19 vaccine. As we hit this important milestone, I am reminded of the resilience, the resolve, and the forbearance of my fellow New Yorkers. We were once at the epicenter of the pandemic and now—in true New York fashion—we have pulled together, stayed strong, and achieved 70 percent immunity.

“When Governor Cuomo established the Vaccine Distribution and Implementation Task Force in September 2020 to advise and set up operations for the state’s COVID-19 vaccination program, it was my hope—and that of the entire Task Force—that we would one day achieve this important milestone.

“But the fight is not over. My hope going forward is that as cases continue to decrease, more New Yorkers will see what can happen when we work together to get vaccinated.

“As variants increase, it is more important than ever for every eligible citizen to roll up their sleeves—and get the COVID-19 vaccination.”

Statement from Joseph Sellers, MD
President, Medical Society of the State of New York
“I am extraordinarily proud of my colleague, Dr. Bonnie Litvack, for the important work she has done as a member of the Governor’s Vaccine Distribution and Implementation Task Force,” said MSSNY President Dr. Joseph Sellers. “I know that her hard work will continue as we aim to get 100 percent of New Yorkers fully vaccinated.”

Press Coverage:
Politico New York (6/15, Young) reports, “The Medical Society of the State of New York touted the vaccination milestone as a reminder of New York’s resiliency.” In a statement, MSSNY immediate past president Bonnie L. Litvack, MD, who is a member of Cuomo’s Vaccine Distribution and Implementation Task Force, said: “We were once at the epicenter of the pandemic and now – in true New York fashion – we have pulled together, stayed strong, and achieved 70 percent immunity.”

Democrat & Chronicle/USA TODAY Network’s Atlantic Group (6/15, Spector)
New York lifts most COVID restrictions as vaccination rate hits 70%
“Bonnie Litvack, past president of the state Medical Society who served on Cuomo’s vaccine task force, said New Yorkers’ resolve should continue.

“The fight is not over,” she said in a statement.

“My hope going forward is that as cases continue to decrease, more New Yorkers will see what can happen when we work together to get vaccinated. As variants increase, it is more important than ever for every eligible citizen to roll up their sleeves—and get the COVID-19 vaccination.”


AMA Survey Shows Over 96% of Doctors Fully Vaccinated Against COVID-19
The American Medical Association (AMA)’s recent survey (PDF) among practicing physicians finds that more than 96 percent of surveyed U.S. physicians have been fully vaccinated for COVID-19, with no significant difference in vaccination rates across regions. Of the physicians who are not yet vaccinated, an additional 45 percent do plan to get vaccinated.

The national AMA survey is the first to specifically collect data on practicing physicians’ COVID-19 vaccination rates. The survey was conducted June 3–8 and showed an increase of more than 20 percent for physicians who have been fully vaccinated for COVID-19 compared to a May 2021 Medscape poll.



ClearClix Banner Ad


Medicare Increases Payments for at Home COVID-19 Vaccination
With an estimated 1.6 million persons 65 and older who have not been vaccinated against COVID-19 because of difficulty leaving home, the Biden Administration announced that, in addition to the current payment amount, Medicare will pay an additional amount of $35 per dose for administering the vaccine in the home for certain Medicare patients that have difficulties leaving their homes. The change was made effective June 8.  Medicare will pay the $35 amount in addition to the standard administration amount (approximately $40 per dose), for a total payment of approximately $75 for a single-dose vaccine or $150 for both doses of a 2-dose vaccine. Medicare will also geographically adjust the additional amount and administration rate based on where the vaccine is administered.  For more information: Vaccination administration in the home.


Shelf Life Extended for Johnson & Johnson COVID-19 Vaccine
On June 10, the U.S. Food & Drug Administration (FDA) authorized an extension of the shelf life for the Johnson & Johnson’s Janssen single-shot COVID-19 vaccine (J&J vaccine) from 3 months to 4.5 months (an additional 6 weeks). The decision is based on data from ongoing stability assessment studies, which have demonstrated that the vaccine is stable at 4.5 months when refrigerated at temperatures of 36 – 46 degrees Fahrenheit (2 – 8 degrees Celsius).

Vaccine providers that have J&J vaccine in storage should visit https://vaxcheck.jnj/ and enter the lot number to confirm the latest expiration dates of vaccine, including those currently available for administration throughout the U.S. This extension applies to refrigerated vials of J&J COVID-19 vaccine that have been held in accordance with the manufacturer’s storage conditions.

Mark the vials and carton with the new date displayed and also update the date in the NYSIIS or CIR inventory module.  If you have vaccine in storage that expired prior to June 10, 2021, those vials should be disposed of as medical waste and reported as wastage in NYSIIS/CIR (see NYSIIS wastage reporting guidance here and NYCIR here.

COVID-19 vaccines that are authorized under an EUA do not have fixed expiration dates, and their expiration dates may be extended as the FDA receives and reviews additional stability data.  Please be sure to check the manufacturer’s website to obtain the most up-to-date expiration dates for COVID-19 vaccines you have on hand.


Alfest Banner


Join CareClix on June 23 @ Noon for an Overview of Virtual Care Management Program
MSSNY Members receive a discounted rate for implementing CareClix, a virtual telehealth platform that enables you to put your patients first.

Join CareClix for a brief overview of the platform followed by a Q&A session with CareClix’s CEO to answer any questions.

Details:

Date: June 23rd, 2021
Time: 12 pm EST

Where: https://mssny.zoom.us/s/96348830789?pwd=bUxVTjQxMGR0S3RTQm55YlQvQnpRUT09

Presenter: Dr. John Korangy, MD, MPH, CEO of CareClix

CareClix’s all-in-one platform lets you deliver an exceptional patient experience that’s convenient for your patients and efficient for you. Allow patients – new and old – to chat straight from your website or mobile app. Increase appointment bookings and capture patient demand 24/7.

Key features that will be demonstrated in the webinar:

  • Messaging
  • Scheduling
  • Appointments
  • Provider Dashboard
  • Virtual Waiting Room
  • 3rd Party Invite
  • Account Settings
  • Setting Up Clinic
  • Setting up Fee and Specialties

Time and Financial Costs for Physician Practices to Participate in the Medicare Merit-Based Incentive Payment System (MIPS)
The MIPS track of the Medicare Quality Payment Program influences payment for more than 1 million physicians annually. There is growing concern that MIPS increases administrative burden, and little is known about what it costs physician practices to participate. Research published by the Physicians Foundation examines this issue using interviews from December 2019 to June 2020 with leaders of 30 physician practices across the U.S.

  • An average of $12,811 was spent per-physician to participate in MIPS in 2019; small and medium primary care practices had mean per-physician costs of $18,466 and $13,631, respectively.
  • Physicians and administrators spent more than 200 hours per physician on MIPS-related activities.
  • Physician time accounted for the greatest proportion of overall MIPS-related costs with a mean cost of $6,909.
  • Average MIPS-related costs were substantial, totaling $1,111 per physician.

JAMA Network | May 2021 Click here to view the full report.


Garfunkel Banner Ad


 

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 at 516-488-6100 ext. 302 

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.


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

Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.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


 

 

 

 

New York State Reaches 70 Percent Adult COVID-19 Immunization

For Immediate Release
June 15, 2021 

 

New York State Reaches 70 Percent Adult COVID-19 Immunization

Governor’s Vaccine Distribution and Implementation Task Force Member and NYS Medical Society Immediate Past President Reflects on Reaching Important Milestone and Calls for Continued Vaccination Efforts

 

Statement from Bonnie Litvack, MD
Immediate Past President, Medical Society of the State of New York
Member, Governor’s Vaccine Distribution and Implementation Task Force 

“As of today, 70 percent of the adult population in New York have received at least one dose of the COVID-19 vaccine. As we hit this important milestone, I am reminded of the resilience, the resolve, and the forbearance of my fellow New Yorkers. We were once at the epicenter of the pandemic and now—in true New York fashion—we have pulled together, stayed strong, and achieved 70 percent immunity.

“When Governor Cuomo established the Vaccine Distribution and Implementation Task Force in September 2020 to advise and set up operations for the state’s COVID-19 vaccination program, it was my hope—and that of the entire Task Force—that we would one day achieve this important milestone.

“But the fight is not over. My hope going forward is that as cases continue to decrease, more New Yorkers will see what can happen when we work together to get vaccinated.

“As variants increase, it is more important than ever for every eligible citizen to roll up their sleeves—and get the COVID-19 vaccination.”   

 

Statement from Joseph Sellers, MD
President, Medical Society of the State of New York
“I am extraordinarily proud of my colleague, Dr. Bonnie Litvack, for the important work she has done as a member of the Governor’s Vaccine Distribution and Implementation Task Force,’ said MSSNY President Dr. Joseph Sellers. “I know that her hard work will continue as we aim to get 100 percent of New Yorkers fully vaccinated.”

# # #

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 Avenue

Westbury, NY 11590

516.488.6100 x302 | rraia@mssny.org

 

 

 

 

MSSNY eNews: June 11, 2021 – MSSNY Victories in Albany Fight for Physicians and Patients

.

MLMC Banner


MSSNY Victories in Albany Fight for Physicians and Patients

As the Legislature concluded the 2021 session overnight into early this morning, MSSNY has been actively fighting for physicians to continue to be able to deliver the quality and timely care our patients expect. Among many issues, MSSNY worked to:

  • Pass a Bill to Prevent Mid-Year Prescription Plan Formulary Changes, protecting patients from unexpected and prohibitive increases in out-of-pocket costs when insurers move medications to a higher cost tier.
  • Pass a Bill to Regulate PBMs, providing far greater oversight over a largely unregulated industry that has a significant role in developing health insurer formularies, and the challenging rules physicians must follow to ensure patients receive the medications they need.
  • Stop Huge New Med Mal Liability Costs through a bill pushed by the trial lawyers’ lobby that would have grossly expanded damages awardable in a wrongful death action, increasing medical liability costs for physicians by almost 50%.
  • Preserve the Right of Physicians to Bill Independently. MSSNY supported the intent of the Patient Medical Debt Reduction Act to ensure that patients receive clear, concise, and timely bills.  However, we objected to parts of the bill that would have barred a physician from billing a patient separate from the hospital without guarantees that hospitals will pay physicians fully and timely.  Without such guarantees, physicians would have had a significant additional challenge remaining in practice, thereby harming patient access to specialized care in hospitals.
  • Stop a Series of Scope of Practice Expansions.  Working together with the affected specialty societies, MSSNY successfully opposed bills that would have jeopardized patients through inappropriate expansion of the scope of practice for several professions, including allowing pharmacists to perform lab tests, podiatrists to treat up to the knee, nurse anesthetists to practice independently, and physician assistants to serve as primary care providers under Medicaid managed care.  Another defeated bill would have removed required collaboration of nurse practitioners with physicians.

For those bills that passed which we supported, we now need to work with allies to convince the Governor to sign.  Conversely, there are other nuisance bills that MSSNY objected to that we will be urging the Governor to veto.  Please stay tuned for how you can be helpful.

These successes follow a series of victories in this year’s State Budget process – where MSSNY worked to stop bad proposals to allow Department of Health publication of any allegations against physicians without due process and to cut funding for medical malpractice excess coverage, the Committee for Physician Health, and Medicaid.

We will continue to work with other patient care advocates to fight for physicians on these and other issues such as telehealth payment parity, breaking down prior authorization barriers by insurers, and due process for physicians when an insurer non-renews a network participation contract.

Our success in Albany is the direct result of a team effort by MSSNY staff, leaders, and physician members.  Patients—and the entire population of the state—are better off because of this advocacy.

Troy J. Oechsner
MSSNY Executive Vice President


Capital Update

MSSNY Weekly Podcast:

Things You Need to Know About the End of Legislative Session



ClearClix Banner Ad


Legislative Session Wraps Up
The New York State Legislature wrapped its regular scheduled 2021 Legislative Session overnight Thursday into Friday, with the New York State Assembly gaveling out at 4:22 AM.  It produced many successful outcomes as noted below.

MSSNY thanks the many physicians who took the time to send a letter or a tweet to their legislators on these issues, as well as the tremendous partnership with the county medical societies and specialty societies to help achieve our successful results.  We will continue to need advocacy over the next many months to urge the Governor to sign various bills that were passed that we support and to urge him to veto bills that passed which we oppose.   (DIVISION OF GOVERNMENTAL AFFAIRS)


Legislature Passes Bill to Provide Greater Transparency & Accountability for PBMs
Legislation (A.1396, Gottfried/S.3762) was passed by the Senate and Assembly that would if signed into law provide greater accountability and transparency of the practices of Pharmacy Benefit Managers (PBMs).  The bill was amended from the version that passed the Legislature in 2019, but vetoed, to address concerns raised in the Governor’s veto message. The bill would require PBMs to be licensed by the Department of Financial Services (DFS) and adhere to standards established by DFS.

It also requires disclosure of all possible revenue streams and terms and conditions that they place on their networks of pharmacies.  MSSNY has supported greater oversight and regulation of PBMs as one manner to address restrictive formularies and excessive prior authorization requirements interfering with patients obtaining needed medications.  Please remain alert for further information regarding how you can urge the Governor to sign this bill into law. (CARY)


Legislature Passes Bill to Restrict Mid-Year Formulary Changes and Protect Patients
The Senate and Assembly passed legislation (A.4668, People-Stokes/S.4111, Breslin), which would if signed into law by the Governor would significantly limit the ability of health insurers to move medications to higher cost-sharing tiers for their prescription drug formularies during a policy year. The bill was revised from the version that passed both chambers two years ago, but was vetoed by the Governor, to address concerns raised in the veto message.

In particular, the legislation now prohibits the applicability of a mid-year formulary change to a patient who was on the medication at the beginning of the policy year or suffers from a condition for which the medication is part of a treatment regimen for that condition. Other mid-year formulary changes could still occur.

Please remain alert for further information regarding how you can urge the Governor to sign this bill into law.  (CARY)


Alfest Banner


Legislature Passes Bill to Require Greater Transparency in Claim Approvals/Denials
Legislation (A.1677, Gottfried/S.2008, Jackson) passed the Assembly and Senate that would require health insurers to, within the time frames set forth under the Prompt Payment law, conspicuously state whether a claim or a bill has been partially approved or entirely denied.

Specifically, it would require that a partial approval of claim or payment to state at the top of such written notice with at least 14-point  type bold: “NOTICE OF PARTIAL APPROVAL OF MEDICAL COVERAGE”. A denial of claim or payment would need to state at the top of such written notice with at least 14-point type bold: “NOTICE OF DENIAL OF  MEDICAL  COVERAGE”.  (AUSTER)


Legislation to Require Consolidated Hospital/Physician Billing Does Not Pass
The Session ended without the State Legislature taking action on legislation (A.3470/S.2521) under serious consideration which would have among other components required hospital-based physicians to jointly submit consolidated bills with their hospitals. MSSNY together with several other specialty societies had raised significant concerns to the Senate and Assembly that this joint billing requirement would have 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.  MSSNY thanks the many physicians who sent a letter or a tweet raising concerns with this proposal.

In the last week of Session, the Senate passed a significantly revised version of this bill (S.2521-B) that would have required notice to patients prior to hospitals, health systems and health care providers charging patients for so-called “facility fees” (distinct from professional fees), including whether the patient’s health coverage will cover the facility fee.

MSSNY does not object to the concept of this legislation to require greater transparency of these fees, but together with several specialty societies wrote to the Legislature to raise concerns with a specific provision that would have required a health care provider to notify the patient of a facility fee that could be charged by the health system with whom the physician is employed or affiliated.  MSSNY had recommended that this required notice be instead placed on the entity that is charging the facility fee, not the physician.  The Assembly did not pass this legislation prior to adjournment, so this discussion will carry over into next Session.  (AUSTER)


Legislature Does Not Pass Massive Liability Expansion Bill; Multiple Pro-Trial Lawyer Tactical Bills Pass, Requiring Vetoes
Despite an aggressive push by the trial lawyer lobby, the Legislature ended its regular 2021 Legislative Session without passing legislation (S.74-A/A.6770) strongly opposed by MSSNY and many other groups that could have prompted untenable increases in New York’s already excessive medical liability costs by greatly expanding the types of damages awardable in “Wrongful Death” actions.

One recent actuarial estimate indicated that passage of legislation such as this could have required a liability premium increase of nearly 50%, which could have meant tens of thousands of dollars in new costs for many physicians who are already paying tens to hundreds of thousands of dollars per year in their insurance costs.   We thank the many physicians who took the time to send a letter or tweet reminding legislators of the devastating impact this legislation could have on patient access to care in their communities.

However, in the Session’s final days, the State Legislature did pass multiple problematic pro-trial lawyer bills that if signed could have the effect of significantly disadvantaging defendants generally in litigation in New York State, including physicians and hospitals defending against malpractice claims.  These bills include:

  • A2199/S473 – in cases where a plaintiff’s request for summary judgment was not granted, but then overturned on appeal, requiring interest to run from the date the original decision was rendered;
  • A8040/S7093 – revising the common law exclusion of a hearsay statement of a party’s agent or witness, provided that such statement was on a matter within the scope of that employment relationship;
  • A8041/S7052 – Imposing on defendants a requirement to provide plaintiffs with complete disclosure of all relevant insurance information within 60 days after the filing of answer during litigation.

MSSNY will be working together with specialty societies, MLMIC and hospital associations to request vetoes by the Governor on each of these bills.   (AUSTER)


Garfunkel Banner Ad


Numerous Scope of Practice Expansion Bills Under Consideration Do Not Pass
The Legislative Session adjourned for the summer without passing legislation (S.3056-A/A.1535-A), strongly opposed by MSSNY that could lead to uncoordinated, siloed care by eliminating any statutory requirements for nurse practitioners to maintain collaborative arrangements with a physician practicing in the same specialty. The legislation would also have eliminated the requirement for a newly practicing nurse practitioner to maintain a written collaborative agreement with a physician.

MSSNY joined with a dozen other specialty societies in a letter to Senators raising strong objections to this bill, and in support of protecting physician-led team care.  The bill had advanced to the Senate floor.

During the State Budget adopted in early April 1, there was a provision enacted that extended for another year – until June 30, 2022 – the existing law that permits nurse practitioners with more than 3,600 hours of experience to practice without a written collaborative agreement provided they maintain evidence of “collaborative relationships” with a physician in the same specialty practiced by the NP.    

In addition, numerous other pieces of legislation opposed by MSSNY and affected specialty societies did not pass, including:

  • A1837/S1591 – would have permitted physician assistants to perform fluoroscopy.
  • A2294/S2019 – would have expanded ability of podiatrists to perform wound care unrelated to foot care.
  • A3033/S2529 – would have permitted pharmacists to perform various lab tests without referral from a physician.
  • A4358/S1319 – would have greatly increased the scope of practice for chiropractors.
  • A6035 – would have created licensure for the profession of naturopathic medicine.
  • A7268/S5435 – would have created independent practice for nurse anesthetists.  (AUSTER)

Legislature Passes Modified Scope Expansion Bill for Optometrists
The Assembly and Senate passed legislation (S1519/A1921), opposed by MSSNY and the NYS Ophthalmological Society (NYSOS) that will grant optometrists prescriptive privileges for a limited range of oral medications for patients. While the final version of the bill is narrower than the prior version, it is still broader than the version negotiated in good faith with the NYS Optometric Association more than three years ago, insofar as it:

  • Requires additional training for optometrists to prescribe these oral medications but reduces the agreed-upon number of additional hours required.
  • Requires that optometrists take a certification course and final examination to prescribe these oral medications but does not require them to retake the course if they have failed the final examination three times.
  • Eliminates a proposed requirement that optometrists furnish evidence that they have completed required continuing education courses when they submit an application for license renewal; and
  • Eliminates an important oversight element that had required that, for the first 5 years following the implementation of the law, prescribing optometrists must provide information to the State Education Department concerning their prescribing activities, and such information must be reviewed by a committee comprised of an ophthalmologist, optometrist, pharmacist, and an expert in the public health field and cross-checked against existing records to ensure compliance with applicable requirements. (AUSTER)

Bill to Mandate Documentation of Consideration of Opioid Alternatives Does Not Pass Assembly; Co-Prescribing Requirement Passes Both Houses
The New York State Assembly adjourned without passing A.273, legislation opposed by MSSNY that would have placed a mandate in the law for physicians and other prescribers before prescribing an opioid medication to a patient for neuromuscular pain to consider, to discuss with the patient and refer or prescribe alternative services such as chiropractic, massage therapy or behavioral therapy.  The legislation had passed the State Senate last week.

MSSNY raised concerns that this legislation is repetitive of existing state law requiring physicians and other prescribers to use the CDC Guideline for Chronic Pain when assessing patients for opioid use, which direct prescribers to discuss benefits and risks and the availability of non-opioid therapies with the patient.   MSSNY also raised concerns that, by listing off so many possible alternatives in the legislation, it could potentially create significant new documentation requirements to demonstrate that a physician has considered each of the enumerated suggested alternatives in the legislation to prove compliance with the legislation.  By creating these additional unnecessary administrative burdens, it would further disincentivize physicians from prescribing needed pain control patients to those who truly need them.

At the same time, the Legislature did pass S.2966-A/A.336-A, which requires physicians and other prescribers, for the first opioid prescription of each year to a patient receiving 90 MME or more, to also co-prescribe an opioid antagonist with the prescription.   Importantly, however, the bill was amended prior to passage to increase the threshold from 50 MME to 90 MME, to be applicable to a far smaller cohort of patients who are more at risk for overdose.

MSSNY has raised concerns that even this more limited proposed co-prescribing requirement could cause some patients taking these medications to address their chronic pain to inappropriately feel stigmatized as a “drug addict”.  Moreover, many physicians are already co-prescribing an opioid antagonist to certain patients based upon the physician’s clinical judgment of the risks the patient may face.  Furthermore, with New York’s mandatory e-prescribing law, the co-prescription will automatically go to the pharmacy and essentially remove the choice of the patient to have the co-prescription filled, as would be the case if such prescriptions were still on paper.  Certainly, such a mandate could result in significant new cost-sharing responsibilities for patients and may result in a windfall for those manufacturers of the drug. (CLANCY, AUSTER)


CPH Banner


Bill to Prevent Harmful & Unfair Copay Accumulator Policies Fails to Pass Assembly in Final Hours of Session
Despite a persistent advocacy campaign by a number of patient and physician advocacy groups including MSSNY, the Assembly did not pass legislation (A.1741, Gottfried) that would have ensured that third party financial assistance programs can count towards patient deductible and other health insurer-imposed cost-sharing requirements. The same-as bill (S.5299, Rivera) passed the Senate earlier in the session.

In spite of New York State’s strong record in providing affordable access to health insurance, many New Yorkers still struggle to pay for their prescription drugs and for those battling chronic illnesses like cancer, diabetes, multiple sclerosis, and others, the burden is often overwhelming. To help with high out-of-pocket costs, there are a range of copay assistance, discount, and coupon programs, that help patients pay for their medications. However, patients must also contend with what insurers refer to as “cost utilization tools”, which are used by health plans to curb spending on the more expensive drugs.

These include prior authorization, step therapy and a more recent one known as “Copay Accumulators”, which prevents patients from using a copay card, or coupon, to cover their out-of-pocket expenses. Copay Accumulators are particularly unfair to patients as any payment from a copay coupon or card goes directly to the health plan, but the amount of the support provided by the coupon/card does not count towards the patient’s maximum out of pocket limit. This unreasonable practice can be especially challenging for patients that have health insurance plans with high deductibles or high copayment requirements.

MSSNY will continue to work with patient advocacy organizations who championed this effort such as the American Cancer Society, New York State Bleeding Disorders Coalition and the National Multiple Sclerosis Society, to push for passage of this bill as well as other needed health insurance reforms should the Legislature return to Albany later this year and/or during the 2022 legislative session. (CARY)


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 an email or phone call away!  (LAUDER)


MSSNY Medical Matters Program on Long COVID
Registration now open
Medical Matters: The Lingering Pandemic: Long COVID Symptoms & Treatments
Date: June 16, 2021 @ 7:30am 

A growing number of COVID survivors are experiencing a multitude of ongoing effects for months after initial recovery.  Learn more about Long COVID and how to recognize and treat it by registering for Medical Matters: The Lingering Pandemic: Long COVID Symptoms & Treatments.  This webinar will take place on Wednesday, June 16th at 7:30 am.  William Valenti, MD, chair of MSSNY’s Infectious Diseases Committee, will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

  • Recognize the symptoms associated with long COVID
  • Identify referral options to treat long COVID
  • Examine CDC guidelines for caring for patients with long COVID symptoms

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)


Updated Sellers Ad

eNews

MSSNY Member Dr. Monica Sweeney to Receive the Dr. Debasish Mridha Spirit of Medicine Award on Sunday, June 13
The AMA Foundation will present the Dr. Debasish Mridha Spirit of Medicine Award for the Selfless Elimination of Human Suffering to M. Monica Sweeney, MD, MPH, FACP at the 16th Annual Excellence in Medicine Awards Ceremony. The awards will be presented via Zoom on Sunday, June 13 at 6 p.m. ET. Click here to view the ceremony.

The award recognizes the work of a U.S. physician who has demonstrated altruism, compassion, integrity, leadership, and personal sacrifice while providing quality health care to a destitute, distressed, or marginalized population in an impoverished community.

“I am humbled and honored by this award,” said Dr. Sweeney. “Medicine is a calling for me, especially to serve the underserved.   My life has been enriched by my profession.”

In her notification to Dr. Sweeney of her Dr. Debasish Mridha Spirit of Medicine Award, Dr. Jacqueline A. Bello, the AMAF President, stated:

“This annual awards program honor physicians who represent the highest values of altruism, compassion and dedication to patient care. The caliber of our nominees was awe-inspiring, and your selection from such an impressive group speaks volumes in recognizing your dedication to the profession of medicine. As an Excellence in Medicine Awards recipient, you will be honored during an awards ceremony hosted by the AMA Foundation in 2021 (date TBD). In addition, this award comes with an AMA Foundation grant of $2,500 to the organization of Dr. Sweeney’s choosing.”

Dr. Sweeney has been an active member of MSSNY since 1989. She currently serves on MSSNY’s Committee to Eliminate Health Disparities, Infectious Diseases Committee, Task Force on End-of-Life Care, and Women Physicians Committee. She previously served as a delegate to MSSNY’s House of Delegates and on the Preventative Medicine and Family Health Committee and the Rural Subcommittee.


Join CareClix on June 23 @ Noon for Overview of Virtual Care Management Program
MSSNY Members receive a discounted rate for implementing CareClix, a virtual telehealth platform that enables you to put your patients first.

Join CareClix for a brief overview of the platform followed by a Q&A session with CareClix’s CEO to answer any questions.

Details:
Date: June 23rd, 2021
Time: 12 pm EST
Where:  https://mssny.zoom.us/s/96348830789?pwd=bUxVTjQxMGR0S3RTQm55YlQvQnpRUT09#success

Presenter: Dr. John Korangy, MD, MPH, CEO of CareClix

CareClix’s all-in-one platform lets you deliver an exceptional patient experience that’s convenient for your patients and efficient for you. Allow patients – new and old – to chat straight from your website or mobile app. Increase appointment bookings and capture patient demand 24/7.

Key features that will be demonstrated in the webinar:

  • Messaging
  • Scheduling
  • Appointments
  • Provider Dashboard
  • Virtual Waiting Room
  • 3rd Party Invite
  • Account Settings
  • Setting Up Clinic
  • Setting up Fee and Specialties

AMA Joins Opposition to ‘Physician Associate’ Rebrand
Physician assistants’ recent move to change their title to “physician associate” will create confusion for patients about who is providing their care, American Medical Association President Susan R. Bailey, MD, said in a June 2 statement to Becker’s.

On May 24, the American Academy of Physician Assistants voted to adopt “physician associate” as the official title for the PA profession. The change comes about three years after the academy hired a healthcare marketing research and branding firm to determine the best title and marketing strategy for the profession.

“AAPA’s effort to change the title of physician assistants to rebrand their profession will undoubtedly confuse patients and is clearly an attempt to advance their pursuit toward independent practice,” Dr. Bailey said. “Given the existing difficulty many patients experience in identifying who is or is not a physician, it is important to provide patients with more transparency and clarity in who is providing their care, not more confusion.”

The AMA believes this effort is “incompatible with state laws” regarding truth in advertising and is prepared to work with other medical societies to block efforts to implement the title change in state or federal policy, Dr. Bailey said in the statement.

The medical association’s stance echoes that of the American Osteopathic Association, which released a statement opposing the proposed title change on May 28.

Becker’s Hospital Review


Soaring Private Equity Investment in the Healthcare Sector: Consolidation Accelerated, Competition Undermined, and Patients at Risk
American Antitrust Institute and Petris Center at University of California, Berkeley | May 2021

This detailed analysis looks at the explosion in private equity investments in healthcare, finding it a threat to both the structure and the goals of the healthcare system. The authors indicate that the lack of transparency surrounding private equity investment is deeply concerning and that private equity business practices have caused significant harm to individual healthcare companies, to patients, and to markets. There are strong reasons to suspect that additional transparency and further study will reveal deeper and more serious problems. The surge in private equity investment in healthcare also threatens to undermine the already fragile competition in healthcare markets.

  • Private equity investment in the healthcare sector ballooned over the past decade, growing from $41.5 billion in 2010 to $119.9 billion in 2019, totaling approximately $750 billion in investments, primarily in the outpatient care and home health markets. Private equity investments are largely unreported and unregulated, making it difficult to fully capture the scope of these investments.
  • The economic incentives inherent to private equity investments drive policies aimed at maximizing profits by cutting costs and engaging in anticompetitive billing and business practices over the short-term. These companies also benefit from consolidation in the industry regardless of whether the integration achieves efficiencies, eroding competition and innovation.
  • The authors call for increased regulatory scrutiny over private equity investments in healthcare to mitigate certain practices that undermine the health of the overall system. In particular, the authors call on the Department of Justice to rescind recent guidance allowing private equity firms to be preferred buyers in divestitures.
  • Click here to view the full report.

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 at 516-488-6100 ext. 302 

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.


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

Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.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


 

 

 

 

MSSNY eNews: June 9, 2021 – Health Organizations Ask Assembly: Help Patients Struggling with Medication Costs

.

MLMC Banner


MSSNY Joins Forces with Other Health Organizations to Ask NY Assembly to Help Patients Struggling with Medication Costs
The following press release was issued yesterday by MSSNY and the American Cancer Society Cancer Action Network, NAACP, NYS Bleeding Disorders Coalition, and the National Multiple Sclerosis Society:

ALBANY, NY – June 8, 2021 – Health organizations have joined forces to ask the New York Assembly to pass legislation that will help patients be able to pay for the health care they need.

The bill, commonly referred to as the Copay Accumulator bill (S5299 Rivera/A1741 Gottfried), will help patients struggling to pay for their medication. While the legislation passed the Senate earlier this year, the bill has not received a vote in the Assembly.

Some patients rely on financial assistance programs, such as a copay coupon or card, to reduce the cost of their medication.  But insurers are using a new tactic – called a copay accumulator adjustment, to undermine these financial assistance programs. Copay accumulator adjustments prevent patients from using a copay card or coupon to cover their out-of-pocket expenses.  Under this practice, when a patient uses a copay coupon or card, the health plan receives the payment from the card or coupon, yet the amount of the support provided by the coupon/card does NOT count toward the patient’s maximum out of pocket limit.  This legislation would ensure such payments benefit the patient rather than the insurer’s bottom line.

“We need to put patients first.  Copay accumulators are unfair for patients,” said American Cancer Society Cancer Action Network (ACS CAN) Senior New York Government Relations Director, Julie Hart.  “It’s especially challenging for patients with high deductibles or high copayments. Ten states have now passed laws to stop insurers from using copay accumulators.  It’s time for New York to do the same and stop this misleading tactic.”

“Many of our patients rely upon needed medications to help recover from illness or to manage a life-threatening medical condition” stated Joseph Sellers, MD, President of the Medical Society of the State of New York. “With some patients facing significant out of pocket cost-sharing requirements such as high deductibles, health insurer-imposed copay Accumulators have a significant adverse effect upon patients living with chronic conditions like cancer, diabetes, and Multiple Sclerosis, just to name a few. MSSNY strongly supports legislation that would prohibit these co-pay accumulator policies and ensure that third party financial support will help patients to meet the cost of their medications.” 

“The New York State Assembly has a choice to make.  Putting patients before profits should be an easy choice.” said Lorraine Braithwaite-Harte, Health Chair, NAACP, New York State Conference.  “Copay accumulators are just another tactic to shift costs to patients.  It’s time for New York to stop this tactic and pass this bill to help keep medications affordable.”

“People with bleeding disorders already struggle to stay healthy. They shouldn’t have to struggle to pay for their medications as well when there’s help available. Accumulators will hurt people and this bill will protect people,” added Bob Graham, Director of Policy for the New York State Bleeding Disorders Coalition.

“MS is an expensive disease to live with and treat, impacting the healthcare system, health plans and of course, families affected by MS. A person with MS spends three times as much out-of-pocket than the average person in employer plans. Until we find real solutions to the challenges in our healthcare system that prevent people from affordably accessing the care and treatments they need, we cannot rip away the band-aids people have come to rely on—like copay assistance programs,” said Jennifer Muthig-Director, Advocacy & Policy National Multiple Sclerosis Society.


Department of Financial Services (DFS) Eliminates Cost-Sharing Waiver in Extending Emergency Regulation on Telehealth
DFS recently issued its latest extension of the emergency regulation related to Telehealth coverage for another 30 days, through July 4, 2021. However, with greatly reduced Covid cases, the latest DFS regulation was not a straight extension of current policy as it removes the waiver exempting patients from incurring out-of-pocket expenses including co-pays, coinsurances, and deductibles for in-network Telehealth services. Importantly, however, the regulation does ensure that commercial health insurers must continue to cover for audio-only Telehealth services.

Early on in the pandemic, with the support of MSSNY and many other patient advocacy organizations, DFS and the state Department of Health (DOH), adopted critically important policies to better enable patients to obtain health care services via telemedicine, including waiving cost-sharing requirements for services delivered via telemedicine, expressly permitting coverage for health care services via audio-only, and allowing delivery of telemedicine services through basic smartphone video technologies. Medicare also followed this path, waiving the federal statute that limits Medicare coverage for Telehealth to rural areas and significantly increased the payments for video and audio-only Telehealth services.

Even as a significant portion of the population begins to be immunized against COVID19, public health experts anticipate that it will remain a public health threat for the foreseeable future, making continued access to Telehealth services critical and passage of this important legislation all the more important. Therefore, MSSNY has raised concerns to DFS that it may still be premature to re-instate otherwise applicable patient cost-sharing requirements. Moreover, MSSNY will continue to advocate for measures that remove barriers to patients receiving Telehealth services from their physicians, including fair payments for these services.

Click here to read the new policy.


ClearClix Banner Ad


Join CareClix on June 23 @ Noon for Overview of Virtual Care Management Program
MSSNY Members receive a discounted rate for implementing CareClix, a virtual telehealth platform that enables you to put your patients first.

Join CareClix for a brief overview of the platform followed by a Q&A session with CareClix’s CEO to answer any questions.

Details:

Date: June 23rd, 2021
Time: 12 pm EST
Where: mssny.zoom.us/j/96348830789?pwd=bUxVTjQxMGR0S3RTQm55YlQvQnpRUT09
Presenter: Dr. John Korangy, MD, MPH, CEO of CareClix

CareClix’s all-in-one platform lets you deliver an exceptional patient experience that’s convenient for your patients and efficient for you. Allow patients – new and old – to chat straight from your website or mobile app. Increase appointment bookings and capture patient demand 24/7.

Key features that will be demonstrated in the webinar:

  • Messaging
  • Scheduling
  • Appointments
  • Provider Dashboard
  • Virtual Waiting Room
  • 3rdParty Invite
  • Account Settings
  • Setting Up Clinic
  • Setting up Fee and Specialties

Dr. Sellers’ Interview with Empire State Weekly on Vaccine Confidence
MSSNY president Dr. Sellers discussed the important role of physicians in instilling vaccine confidence in patients, encouraged parents to vaccinate younger children as they are able, and drove home the point by saying he would make sure his grandchildren get vaccinated when their age group is offered access. Link to full interview.


Summer is Almost Here! Sign Your Children Up for MSSNY’s Virtual Volunteer Homework Assistance
Now is a great time to get your young children ready for the next school year. MSSNY’s Virtual Volunteer Homework Assistance program can keep your kids up to date with their coursework, as well as provide a friendly mentor.

MSSNY’s Women Physicians Committee has homework assistants who can virtually help your school age children maintain their skills over the summer. This is a MSSNY members only program, and our homework assistants are MSSNY members’ children who have volunteered (i.e. not professionals tutors and not vetted). MSSNY is not responsible for scholastic outcomes.

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, and you can then make the arrangements that work best for all.                                                    


Alfest Banner


White House Virtual Town Hall: Primary Care Providers, Health Systems, and the Next Phase of the Vaccination Rollout
The Biden Administration has worked closely with U.S. provider associations, health systems, and state and local health departments to expand the role of primary care providers as COVID-19 vaccinators and as vaccine ambassadors.

The White House Virtual Town Hall event on Friday, June 11 is an opportunity for the Administration to thank primary care providers and health systems for their service to their patients, state, and country throughout the COVID-19 response and vaccine rollout. It will focus on the importance of primary care providers and health systems in further expanding efforts to administer vaccination programs and educate their patients on the vaccine, as well as the tools the federal government is providing to support them. It will also touch on how state and local health departments can help enable vaccinations at primary care provider offices.

The event will feature five conversations with primary care providers, health system leaders, and state health officials on innovative approaches they are taking to patient outreach and implementing vaccination program at primary care provider offices. Each conversation will be chaired by a different public health leader from the Biden Administration: Dr. Fauci, Dr. Walensky, Dr. Murthy, Dr. Nunez-Smith, and Dr. Choucair.

Date: Friday, June 11
Time: 3:00 PM – 4:00 PM EST

Please click the following link during the event to attend:
https://youtu.be/t6gIClSru8E

A recording will also be available at this link after the event.


Deadline Approaching to Comment on the ABMS Draft Standards for Continuing Certification
The deadline to comment on the American Board of Medical Specialties (ABMS) “Draft Standards for Continuing Certification – Call for Comments” is approaching. Opened on Tuesday, April 20, the 80-day period to obtain input and feedback from all stakeholders who possess, use, or rely upon board certification will close on Thursday, July 8, 2021 at 11:59 p.m. CT. Feedback received during the open Call for Comments will guide and inform the development of the final Draft Standards for Continuing Certification (“Draft Standards”), which will be considered by the ABMS Board of Directors in October 2021.

The new Draft Standards reflect foundational changes to the manner in which ABMS and its Member Boards deliver on their mission, bringing value to both the profession and the public at large. They were developed after a year of deliberation with key stakeholders in response to the recommendations of the Continuing Board Certification: Vision for the Future Commission as well as of the wider stakeholder community.

Structured to support and provide diplomates with the tools they need to stay current in medical knowledge; the Draft Standards prepare them to address emerging medical and public health issues; and help them identify and address opportunities for practice improvement within the systems in which they work, in a way that enhances relevance and reduces burden. The Draft Standards also address the needs of patients, families, and communities by assuring that board certified diplomates maintain the knowledge and skills necessary to deliver the quality specialty care upon which they rely.

To review and comment on the Draft Standards, visit the Draft Standards for Continuing Certification section on the ABMS Website by 11:59 p.m. CT on Thursday, July 8, 2021. Please feel free to share the “Draft Standards for Continuing Certification – Call for Comments” with your colleagues and others who may have an interest in them and encourage them to share their feedback to ensure that all stakeholder perspectives are considered in the finalization of the standards that will guide the specialty care practice of the future. 


Garfunkel Banner Ad


Our Profession Needs Our Protection
Physicians commit their lives to healing and helping patients. Preserving the profession of medicine now and into the future is a critical ongoing effort. Assuring patients’ access to needed care and protecting physicians require vigilance and thoughtful strategic action. MSSNYPAC support has helped to secure many victories amidst an unending onslaught of well-funded interest groups attempting to increase their power at the expense of physicians and to the detriment of patient care. The ability to continue to advance and defend physician perspectives and to advocate for our patients requires all NY’s physicians and allies to invest in MSSNYPAC.

Please join MSSNYPAC today. Your contribution works to reduce and eliminate prior authorization hassles and administrative burdens; push back against health insurers and managed care company abuses; reduce frivolous lawsuits, liability costs and continuous attempts to expand liability; and preserve physician-led, team-based healthcare while protecting patients from inappropriate scope expansion. Working together, through MSSNYPAC, we can strengthen the physicians’ voice at the discussion table when healthcare policy is being formed. Join online www.mssnypac.org/contribute or by phone/text 914-933-7722.


Updated COVID-19 Guidance for Hospital Visitation and Non-Hospital Employed Patient Support
In response to the reduced prevalence of COVID-19 in New York State, hospitals must have visitation policies for patients that allow and encourage visitors and patient support persons to spend appropriate amounts of time with patients. This updated guidance supersedes all previous guidance documents on hospital visitation during COVID-19.


Join NYS Department of Health Thursday, June 10th at 1 – 2 PM for COVID-19 Update
NYS DOH will cover the following topics in this webinar: Vaccine, Data, and Excelsior Pass for Healthcare Providers.
To accommodate the large number of participants, the webinar will stream via YouTube Live (and available for viewing immediately thereafter) on the NYSDOH COVID website for providers.
Audio number and code: 844-512-2950 Access code 3946289#


 

Updated Sellers Ad


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 at 516-488-6100 ext. 302 

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.


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

Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.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


 

 

 

 

MSSNY eNews: June 4, 2021 – Our Collective Voice Can Make a Crucial Difference

.

MLMC Banner


Our Collective Voice Can Make a Crucial Difference

Colleagues:

As the end of the legislative session in Albany approaches next week, it’s more important than ever for physicians to be ready to take action through MSSNY’s Grassroots Advocacy Center. Our collective voice—the physicians of New York state—can make the crucial difference in influencing legislation that will impact physicians and our patients every day.

As we all know, anything can happen at the end of session. There are dozens of bills that MSSNY is closely following at the moment—some we support, but many more would make it much harder for physicians to deliver care to their patients. Bills that we thought were long dead could come back to life at any moment. Take liability issues, for example, which tend to appear at the end of session.

S.74-A/A.6770 would greatly expand the possible damages awardable in wrongful death actions, which, in turn, would increase already outrageously high liability insurance premiums. The bill has moved through various Committees in the Assembly and Senate. A recent actuarial estimate indicates that passage of this legislation could require a liability premium increase of nearly 50%, translating to tens of thousands of dollars in new costs for many physician practices. You can send a letter and/or tweet in opposition here.

This is just one of numerous bills where MSSNY is advocating for physicians and patients. Let’s all stand united and speak with one voice this week. Look for email alerts, tweets, and texts from MSSNY—and check our Grassroots Advocacy Center often.

MSSNY will keep you informed on the status of important legislative movement as we head into this critical final week.

Joseph Sellers, MD, FAAP, FACP
MSSNY President


Capital Update

MSSNY Weekly Podcast:
Legislative Concerns for NY Physicians as Session Comes to an End


 

ClearClix Banner Ad


MSSNY & Patient Advocates Team Up to Pass Legislation S5299 (Rivera)/A1741 (Gottfried) to Prevent Harmful & Unfair Copay Accumulator Policies
As the Legislature enters the final week of the 2021 Legislative Session, physicians are urged to contact their Assemblymembers (End the Use of Copay Accumulators by Health Insurers) to request that they support legislation (A.1741, Gottfried) before the full Assembly that would ensure that third party financial assistance programs can count towards patient deductible and other health insurer-imposed cost-sharing requirements.  The same-as bill (S.5299, Rivera) has passed the Senate.

Despite New York State’s strong record in providing affordable access to health insurance, many New Yorkers still struggle to pay for their prescription drugs and for those battling chronic illnesses like cancer, diabetes, multiple sclerosis, and others, the burden is often overwhelming. To help with high out-of-pocket costs, there are a range of copay assistance, discount, and coupon programs, that help patients pay for their medications. However, patients must also contend with what insurers refer to as “cost utilization tools”, which are used by health plans to curb spending on the more expensive drugs. These include prior authorization, step therapy and a more recent one known as “Copay Accumulators”, which prevents patients from using a copay card, or coupon, to cover their out-of-pocket expenses.

Copay Accumulators are particularly unfair to patients as any payment from a copay coupon or card goes directly to the health plan, but the amount of the support provided by the coupon/card does not count towards the patient’s maximum out of pocket limit. This unreasonable practice can be especially challenging for patients that have health insurance plans with high deductibles or high copayment requirements.

To end this policy, MSSNY together with several other patient advocacy organizations such as the American Cancer Society, New York State Bleeding Disorders Coalition and the National Multiple Sclerosis Society is pushing for passage of S5299 (Rivera)/A1741 (Gottfried). Please contact your state Assemblymember and urge them to support immediate passage of this important bill.             (CARY)


Legislature Passes Multiple Health Insurer Reform Measures
The Senate and Assembly have passed multiple measures in the last few weeks to address concerns of patient and their health care providers in their dealings with health insurance plans.

Legislation (A.4668, People-Stokes/S.4111, Breslin) has passed the Assembly and Senate which would significantly limit the ability of health insurers to move medications to higher cost-sharing tiers for their prescription drug formularies during a policy year.   The legislation has been revised from the version that passed both Houses 2 years ago, but vetoed by the Governor, to address concerns that had been raised in the veto message. In particular, the legislation now would prohibit the applicability of a mid-year formulary change to a patient who was on the medication at the beginning of the policy year, or suffers from a condition for which the medication is part of a treatment regimen for that condition.  Other mid-year formulary changes could still occur.

Legislation (A.1677, Gottfried/S.2008, Jackson) has also passed the Assembly and Senate that would require health insurers to, within the time frames set forth under the Prompt Payment law, conspicuously state in large point type whether a claim or a bill has been partially approved or entirely denied.    (AUSTER)


Please Urge Your Legislators to Reject Legislation That Would Drive Huge New Increases in Medical Liability Insurance
As we enter the final week of the 2021 Legislative Session. physicians are urged to continue to contact their legislators to request them to reject extraordinarily ill-timed legislation that could prompt untenable increases in New York’s already excessive medical liability costs by greatly expanding the types of damages awardable in wrongful death actions   A letter and/or tweet can be sent from here: Reject Expansion of Recoverable Damages in Wrongful Death Actions.

This week the Assembly legislation (A.6770) advanced from the Codes Committee to the Rules Committee and the Senate legislation (S.74-A) has advanced from the Senate Judiciary Committee to the Senate Finance Committee.  It could be reported to the floor and voted on at any time, so your contacts are essential!

Please remind your legislators of the severe adverse impact to patient care availability in their communities this legislation would cause, given that New York physicians and hospitals already face the highest medical liability costs in the country, by far. One recent actuarial estimate indicated that passage of legislation such as this could require a liability premium increase of nearly 50%, which translates to tens of thousands of dollars in new costs for many physicians who are already paying tens to hundreds of thousands of dollars per year in their insurance costs, which could make it impossible for many physicians to stay in practice.

Under ordinary circumstances, these kinds of increases would be unsustainable and could have hugely negative consequences on patient access to care at community hospitals and physician offices.  However, with so many physician practices only beginning to recover from the huge drop in patient visits and revenue during the height of the pandemic, legislation to impose such premium increases would be unconscionable.

Please urge your legislators to reject this short-sighted proposal as well as highlighting the need for comprehensive medical liability reform instead: Reject Expansion of Recoverable Damages in Wrongful Death Actions   (AUSTER)                                                              
             


Alfest Banner


Legislation to Require Consolidated Hospital/Physician Billing Significantly Revised
Legislation (A.3470-B/S.2521-B) which would have among many other components required hospitals and hospital-based physicians to submit consolidated bills has been significantly revised to delete this very concerning provision.  This is a significant development, as MSSNY together with several other specialty societies had raised significant concerns to the Senate and Assembly that this joint billing requirement would have 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.  MSSNY thanks the sponsors of this legislation for recognizing the concerns of the many physicians who took the time to send a letter or tweet regarding this far-reaching proposal. 

In its place the legislation would now require notice to patients prior to hospitals, health systems and health care providers charging patients for so-called “facility fees”, including whether the patient’s health coverage will cover the facility fee (the bill specifically articulates that a “facility fee” is distinct from a “professional fee” a physician would ordinarily charge).

However, of concern with this new proposed language is a provision that would require a health care provider who enters into “a business relationship with a hospital or health system that will result in the provider’s patients being subject to facility fees”, to notify its patients of the change and that facility fees will now be applicable to services received from the health care provider. MSSNY has urged the sponsors that this required notice should be placed on the hospital or health system charging the facility fee, not the physician providing the service, as the facility fee is for the benefit of the health system.  (AUSTER)


Opioid Measures Moving in the NYS Legislature
The New York State Senate passed several bills this week with the goal of addressing or reducing opioid abuse.  Some of these measures are supported by MSSNY, but MSSNY has raised strong concerns with others.

  • 649/A.2030, which requires the Medicaid program to cover whichever medication assisted therapy (MAT) medication is most beneficial to the patient without prior authorization, has passed the NY Senate and Assembly. Similar requirements exist for commercial health insurance plans. The Medical Society of the State of New York supported this measure.
  • 2966-A/A.336-A, which requires co-prescribing of naloxone in certain instances has passed the NY Senate and Assembly. This bill requires physicians and providers, for the first opioid prescription of each year to a patient receiving 90 MME or more, to also co-prescribe an opioid antagonist with the prescription.   Importantly, the bill was amended prior to passage to increase the threshold from 50 MME to 90 MME, to be applicable to a far smaller cohort of patients who are more at risk for overdose.    However, MSSNY has raised concerns that this even more limited proposed co-prescribing requirement could cause some patients taking these medications to address their chronic pain to inappropriately feel stigmatized as a “drug addict”.  Moreover, many physicians are already co-prescribing an opioid antagonist to certain patients based upon the physician’s clinical judgment of the risks the patient may face.  Furthermore, with New York’s mandatory e-prescribing law, the co-prescription will automatically go to the pharmacy and essentially remove the choice of the patient to have the co-prescription filled, as would be the case if such prescriptions were still on paper.  Certainly, such a mandate could result in significant new cost-sharing responsibilities for patients and may result in a windfall for those manufacturers of the drug.
  • 4640/A.273, has passed the NY Senate and is before the full Assembly. This measure requires that physicians and other prescribers before prescribing an opioid medication to a patient for neuromuscular pain to consider, discuss with the patient and refer or prescribe alternative services such as chiropractic, massage therapy or behavioral therapy. It would not apply in situations where the patient is in hospice, is being treated for cancer, recovering from surgery, or a medical emergency. MSSNY has raised concerns that this legislation is repetitive of existing state law that requires physicians and other prescribers to use the CDC Guideline for Chronic Pain when assessing patients for opioid use.  These guidelines already direct prescribers to discuss benefits and risks and the availability of non-opioid therapies with the patient.   MSSNY has raised concerns that, by listing of so many possible alternatives in the legislation, it could potentially create significant new documentation requirements to demonstrate that a physician has considered each of the enumerated suggested alternatives in the legislation to prove compliance with the legislation.  By creating these additional unnecessary administrative burdens, it would further disincentivize physicians from prescribing needed pain control patients to those who truly need them.   (CLANCY)               

Please Urge Your Legislators to Protect Physician-Led Team Care
Legislation (S.3056-A) remains before the full Senate strongly opposed by MSSNY that could jeopardize patient safety and lead to uncoordinated, siloed care by eliminating any statutory requirements for nurse practitioners to maintain collaborative arrangements with a physician practicing in the same specialty. The legislation would also eliminate the requirement for a newly practicing nurse practitioner to maintain a written collaborative agreement with a physician.  MSSNY has joined with a dozen other specialty societies in a letter to Senators raising strong objections to this bill.

Physicians can send a letter urging legislators to oppose this legislation from here: Protect Physician-Led Team Care for Patients.  Please let your legislators know that NPs are an essential component of our healthcare delivery system but maintaining ongoing team-based care in collaboration with a physician is essential for ensuring patients receive the highest quality care. Instead of removing these requirements, MSSNY has argued that the standards for physician-NP collaboration should be strengthened to help better recognize and treat potentially complex cases.

Same-as legislation (A.1535-A) is in the Higher Education Committee.  During the recently concluded State Budget, there was a provision enacted that extended for another year – until June 30, 2022 – the existing law that permits nurse practitioners with more than 3,600 hours of experience to practice without a written collaborative agreement provided they maintain evidence of “collaborative relationships” with a physician in the same specialty practiced by the NP.          (AUSTER)   


Garfunkel Banner Ad


Legislation to Allow Pharmacists to Provide All ACIP-Approved Immunizations Passes NYS Legislature
Legislation (S.4807A, Stavisky/ A. 6476A, Hyndman) that would allow pharmacists to administer immunizations that have been recommended by the Advisory Committee on Immunizations Practices of the Centers for Disease Control and Prevention, has passed the New York State Legislature.  While we appreciate the increasing role that pharmacists can play in broadening patients’ ability to receive necessary protective vaccines, MSSNY has raised concerns that not only would it greatly expand the number of vaccines that pharmacists would be allowed to administer to adults it would also remove the discretion of the State Legislature in the future to add or subtract vaccinations to the list of those that can be administered by a pharmacist.

It should be noted that the legislation was amended prior to passage to require the Commissioners of Health and Education to approve additional immunizations that may be recommended by the ACIP in the future to ensure they may be safely administered by a pharmacist.  MSSNY also raised concerns regarding pharmacists’ lack of reporting of these immunizations to the patient’s physicians or to the NYSIIS database.           (CLANCY) 


AMA Responds to AAPA’s Proposed Name Change of Physician Assistants
In response to the announcement by the AAPA that they voted to change the professional title from “Physician Assistants” to “Physician Associates”, American Medical Association (AMA) President Dr. Sue Bailey issued the following statement raising concerns about the possibility of public confusion:

“AAPA’s recent move to change the title ‘physician assistant’ to ‘physician associate’ will only serve to further confuse patients about who is providing their care, especially since AAPA sought a different title change in recent years, preferring to only use the term ‘PA’. Given the existing difficulty many patients experience in identifying who is or is not a physician, it is important to provide patients with more transparency and clarity in who is providing their care, not more confusion. Yet, AAPA’s effort to change the title of physician assistants to rebrand their profession will undoubtedly confuse patients and is clearly an attempt to advance their pursuit toward independent practice. We believe this latest effort is incompatible with state laws and are prepared to work with interested state and specialty medical societies to address any efforts to implement this title change in state or federal policy. 

“We remain strongly committed to supporting physician-led health care teams that use the unique knowledge and valuable contributions of all health care professionals to enhance patient outcomes. It is also what patients want, which is why clarity in health care titles is so important. That is why the AMA has advocated in support of truth in advertising laws and stands in strong opposition to AAPA’s title change.”

It should be noted that this announcement by AAPA does not affect existing state laws. For example, in New York State, the professional title of “physician assistant” is defined under Article 131-B of the Education Law, requiring an act of the Legislature to change it.    (AUSTER)


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

Newly added: COVID-19 & the Mental Health of Children and Teens is the latest podcast related to the COVID pandemic.  This podcast offers insight on the mental health effects the COVID-19 pandemic has had on children and teens via a discussion with child and adolescent psychiatrist, Dr. Linda Chokroverty. Click here to listen.

Additional COVID-related podcasts include:

COVID-19 & Mental Health of Physicians provides listeners with insight from Dr. Craig Katz, vice-chair of MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response, on the impact the COVID-19 pandemic has had on the physician community.  Click here to listen.

Mental Health of Patients & COVID-19 offers a discussion with Dr. Craig Katz 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 click here to listen.

Click here to select from all 100+ of MSSNY’s podcasts.  (HOFFMAN)


CPH Banner


MSSNY Medical Matters Program on Long COVID
Registration now open
Medical Matters: The Lingering Pandemic: Long COVID Symptoms & Treatments
Date: June 16, 2021 @ 7:30 am 

A growing number of COVID survivors are experiencing a multitude of ongoing effects for months after initial recovery.  Learn more about Long COVID and how to recognize and treat it by registering for Medical Matters: The Lingering Pandemic: Long COVID Symptoms & Treatments.  This webinar will take place on Wednesday, June 16th at 7:30am.  William Valenti, MD, chair of MSSNY’s Infectious Diseases Committee, will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

  • Recognize the symptoms associated with long COVID
  • Identify referral options to treat long COVID
  • Examine CDC guidelines for caring for patients with long COVID symptoms

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)


eNews

Dr. Sellers’ Interview on Vaccine Confidence to Air Statewide this Weekend
MSSNY President Dr Sellers’ interview with Empire State Weekly will air this weekend on television stations around the state, including NYC, Albany, Buffalo, Rochester, Elmira, Syracuse, Binghamton, Watertown, Utica and Plattsburgh. Dr. Sellers discussed the important role of physicians in instilling vaccine confidence in patients, encouraged parents to vaccinate younger children as they are able, and drove home the point by saying he would make sure his grandchildren get vaccinated when their age group is offered access.

Empire State Weekly will air on the following stations around the state this weekend:

WYSR SYRACUSE – Saturday @ 6:00 AM
WIVB BUFFALO Sunday @5:30 AM
WROC ROCHESTER Sunday @6:30 AM
WETM ELMIRA Sunday @7:00 AM
WPIX NEW YORK CITY Sunday @7:30 AM
WIVT BINGHAMTON Sunday @10:30 AM
WWTI WATERTOWN Sunday @10:30 AM
WPNY UTICA Sunday @10:30 AM
WTEN ALBANY Sunday @11:00 AM
WFFF PLATTSBURGH Sunday @11:00 PM


June 3rd Council Meeting Notes
The MSSNY Council met on Thursday, June 3 and approved the resolutions listed below. Additionally, Council approved changing the name of the MSSNY Health Care Disparities Committee to the Committee on Health Equity.

70.930-Automated Pharmacy Refills without Patient Authorization

The Medical Society of the State of New York (MSSNY) will support legislation and/or regulation that would limit automated medication refills by requiring that the patient request the medication prior to transmittal of the request to the prescribing providers electronic system. MSSNY will advocate pharmacists be required to review the appropriateness and validity of medication refill requests prior to transmitting the refill request to the prescribing providers electronic system.

MSSNY will support legislation to reduce unnecessary and redundant pharmacy refill requests and provide payment to the physician for pharmacy generated refill requests that occur outside the time of a patient encounter. (HOD 2020-107 and 2020-114, referred to Council, adopted 6/3/21) 

155.990-Role of Private Equity in Medicine and Acquisition of Medical Practices

MSSNY will continue to work with the American Medical Association (AMA) to help educate physicians regarding the risks and considerations associated with practice affiliation with corporate or private equity investment, consistent with materials developed by the AMA to educate physicians for that purpose.

MSSNY will continue to strongly advocate for protections against corporate interference in physician decision-making which affects the care and treatment of patients and will advocate to protect continuity of care for patients which includes access to care by their physicians in the event of contract transitions, bankruptcy, or other adverse events that may arise from practice affiliation with corporate or private equity investment. (HOD 2020-100 and 2020-105, referred to Council, adopted 6/3/21) 

160.962-Continued Grandfather Status for Taking Board Exams

The duly licensed physician should be the only requirement for practice of medicine and the American Board of Medical Specialties (ABMS) should keep the promise of their “grandfather” clause.  MSSNY’s position is that there should be more than one pathway to participation in insurance companies, hospital privileges and other organizations (eg, ambulatory surgery centers) and encourages the ABMS to work with other societies to find what pathways ensure physician competency and pursuit of lifelong learning.  (HOD 2019-214; reaffirmed HOD 2020-67 by Council 6/3/21)

235.981-Continuing Certification as a Condition of Employment or Reimbursement

The Medical Society of the State of New York will continue to work with the American Medical Association, state medical associations, and specialty societies to advocate for ensurance that requirements for maintaining board certification are not excessive in scope and are rationally related to ensuring ongoing physician competency in that specialty. (HOD 2020-67, referred to Council, substitute adopted 6/3/21) 

235.986-Maintenance of Certification as Restraint of Trade

The Medical Society of the State of New York will seek legislation to prohibit board certification requirements for hospital medical staff privileges, insurer contracts and state licensure.  (HOD 2016-214; reaffirmed HOD 2020-67 by Council 6/3/21)

260.887-COVID Crisis in India

MSSNY in conjunction with our AMA will urge the US government to provide all possible assistance including surplus vaccines and vaccines that have not had Emergency Use Authorization to the citizens of India and other countries in similar situations in a humanitarian crisis.

MSSNY in conjunction with our AMA will advocate for all possible assistance in the COVID-19 crisis through the World Medical Association (WMA) and World Health Organization (WHO) for government and the citizens of India and other countries in similar situations.

MSSNY in conjunction with our AMA recognizes the extraordinary efforts of many dedicated physicians and ethnic organizations assisting in the COVID-19 humanitarian crisis. (Adopted Council 6/3/21) 

285.986-Racism and Intersectionality in Medicine

MSSNY affirms that racism is a public health crisis.

MSSNY will evaluate its mission statement to be clear that it supports equity in all aspects of its work.

MSSNY will systematically evaluate its policies and procedures to be clear that it supports equity in all aspects of its work, in both existing and in future policies and procedures, and that record of this process be visible to all members.

MSSNY encourages all county societies to affirm that racism is a public health crisis.

MSSNY will work with all county medical societies to ensure that their mission statements are inclusive of the needs of underrepresented minority patients and physicians.

MSSNY encourages all county societies to systematically evaluate their policies and procedures to be clear that they support equity in all aspects of their work, in both existing and in future policies and procedures, and that records of this process be visible to all members.

MSSNY will work collaboratively with all county medical societies to develop a strategic plan to improve recruitment, retention, support, and mentoring of members who are Black and Latinx, people of color (POC), indigenous people, Asian American and Pacific Islanders (AAPI), people with disabilities and/or sexual and gender minorities.

MSSNY will work with medical schools in New York to ensure that underrepresented minority students are successfully recruited and supported to reinforce the pipeline of physicians and physician leaders to be representative of the population we serve.

MSSNY will seek that all medical schools in New York will utilize appropriate culturally relevant curricula that does not propagate race-based medicine, understanding that race is a social construct and not a biological one.

MSSNY, through its Committee on Health Equity will seek to:

  • Increase awareness of how discrimination based on factors such as racism, classism, cisgenderism, heterosexism, ableism, patriarchy, and xenophobia contributes to both societal and health inequities and to ensure that all New Yorkers receive the best care possible and can achieve the best health possible;
  • Work with the AMA, specialty societies, Albany leadership, community groups, and other stakeholders to eliminate inequities, particularly those inequities that adversely impact the health and well-being and access to and quality of care for persons who are from historically disadvantaged populations;
  • Prevent and manage diseases that are prevalent in historically disinvested populations burdened with the worse disease outcomes, including diabetes, hypertension, and cancer, through educational programming for physicians and other stakeholders;
  • Reverse the troubling increases in race/ethnic-based health inequities such as maternal mortality; and
  • Promote expanded funding for programs that attract a more diversified physician workforce, increasing the number of minority faculty including Black, Latinx, Native American, female, LGBTQ faculty, and faculty with disabilities teaching in medical schools and expanding medical school pipeline programs in rural and urban areas to address the shortage of physicians in medically underserved areas of New York

MSSNY will request that all New York medical specialty organizations, medical schools, non-physician healthcare organizations and hospitals adopt similar resolutions.

MSSNY stands firmly against harassment and violence against any group based on their identity, such as the recent attacks on the Asian community. (Adopted, Council 6/3/21) 

312.966-Ensuring Affordability and Equity in COVID-19 Vaccine Boosters

MSSNY supports the public purchase and cost-free distribution of COVID-19 booster vaccine doses.  (Adopted Council 6/3/21)


Updated Sellers Ad


JAMA and JAMA Network Journals Establish Priorities to Promote Diversity, Equity, Inclusion
The editors of JAMA and the JAMA Network journals have issued an editorial that outlines ongoing and new editorial priorities and key approaches for the JAMA family of journals to strive for and promote diversity, equity, and inclusion. The editors reaffirmed their commitment to improving equity and have developed 14 editorial priorities to serve as a foundation to support a comprehensive, meaningful, and sustainable strategy to achieve these goals.

According to the editors, “There is no greater calling for JAMA and the JAMA Network journals, and for all medical publications, than advancing the science and art of medicine and the betterment of public health. Today, and for the future, these goals will be accomplished by championing diversity, equity, and inclusion in all aspects of clinical care, biomedical research, health policy and society.”


Join CareClix on June 23 @ Noon for Overview of Virtual Care Management Program
MSSNY Members receive a discounted rate for implementing CareClix, a virtual telehealth platform that enables you to put your patients first.

Join CareClix for a brief overview of the platform followed by a Q&A session with CareClix’s CEO to answer any questions.

Details:

Date: June 23rd, 2021
Time: 12 pm EST
Where: mssny.zoom.us/j/96348830789?pwd=bUxVTjQxMGR0S3RTQm55YlQvQnpRUT09
Presenter: Dr. John Korangy, MD, MPH, CEO of CareClix

CareClix’s all-in-one platform lets you deliver an exceptional patient experience that’s convenient for your patients and efficient for you. Allow patients – new and old – to chat straight from your website or mobile app. Increase appointment bookings and capture patient demand 24/7.

Key features that will be demonstrated in the webinar:

    • Messaging
    • Scheduling
    • Appointments
    • Provider Dashboard
    • Virtual Waiting Room
    • 3rd Party Invite
    • Account Settings
    • Setting Up Clinic
    • Setting up Fee and Specialties

NYS Legislators Seek Campaign Support from MSSNYPAC
Your local Senator and Assemblymember seek financial support from MSSNYPAC throughout the year. Our ability to respond affirmatively to their requests with campaign contributions and physician attendance at their events affords physicians and policymakers the opportunity to develop strong rapport.  These strengthened relationships are critical when healthcare policy is being formed. For physicians to be at the discussion table, we must invest in a strong, well-funded MSSNYPAC.  We ask all physicians and our allies to make a contribution to MSSNYPAC online www.mssnypac.org/contribute or by phone/text 914-933-7722.


Garfunkel Banner Ad


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 at 516-488-6100 ext. 302 

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

Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.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


 

 

 

 

MSSNY eNews: June 2, 2021 – JAMA’s Editor Resigns Over Controversial Podcast on Racism

.

MLMC Banner


JAMA’s Editor Resigns Over Controversial Podcast on Racism
The American Medical Association announced Tuesday that Howard Bauchner, MD will voluntarily step down as editor in chief of JAMA and JAMA Network effective June 30. Dr. Bauchner has been on administrative leave since March while the AMA investigated the origins of a podcast and related tweet—which was later deleted—that said that no physicians are racist.

“I remain profoundly disappointed in myself for the lapses that led to the publishing of the tweet and podcast.  Although I did not write or even see the tweet, or create the podcast, as editor in chief, I am ultimately responsible for them,” Dr. Bauchner said in a statement. “I share and have always supported the AMA’s commitment to dismantling structural racism in the institutions of American medicine, as evident by numerous publications in JAMA on this issue and related subjects and look forward to personally contributing to that work going forward.”

JAMA Executive Editor Phil Fontanarosa, MD, will serve as interim editor in chief until a new editor is appointed.

The AMA has begun to form a search committee to start the process of appointing a new editor in chief. The chair of this committee will be Otis Brawley, MD, Bloomberg Distinguished Professor of Oncology and Epidemiology at Johns Hopkins University. He served as Chief Medical and Scientific Officer and Executive Vice President of the American Cancer Society. In that capacity, Dr. Brawley twice chaired the search committee for the editor in chief of the journal Cancer. Other members of this committee will be named soon.


USA Today Details Ambitious Plan by Longtime MSSNY Member Physicians to Treat COVID Patients On-Site During Pandemic
A recent article in USA Today, How an Endwell Family Medical Practice Went to Battle Against COVID-19 — And Won, details the practice’s approach to overhaul their operations to see, test, and treat COVID patients onsite. The twelve Endwell Family Medical Practice physicians are all long-time MSSNY members.

Following is an excerpt with a link to the full article in USA Today:

In the early, uncertain days of the COVID-19 pandemic, the primary care facilities that people had always counted upon were ill-equipped to help patients showing symptoms of the frightening new virus.

Not only did they not have the infrastructure, they were actively told not to: The battle against COVID, many believed then, would be won and lost inside hospital emergency rooms. 

So when a longtime patient of Endwell Family Physicians — a man in his 80s — came into the office in March 2020 with a mysterious runny nose and symptoms consistent with dehydration, the team there followed protocol and sent him to the hospital.

Later, they would learn he had died.

His loss was part of an overwhelming sense of frustration from the Endwell team of health care providers and administrators, who felt hamstrung to help the very people it had been their mission to protect.

It was time to fight back. And the battle plan was revolutionary.

Read full article in USA Today.


COVID Vaccination College Scholarship Incentive
The “Get a Shot to Make Your Future” vaccine incentive is a public outreach campaign to increase awareness of the availability and efficacy of COVID-19 vaccines and provide incentives to New Yorkers 12-17 years of age to get a COVID-19 vaccination.

Parents or legal guardians of any New Yorker, ages 12 to 17, can enter their child who has received at least their first COVID-19 vaccine dose, for a chance to win one of 50, four-year full-ride scholarships (including tuition, fees, room-and-board, and expenses) to any New York State public college or university.

The drawings will be conducted weekly, for five (5) weeks, beginning on Tuesday, June 1, 2021. Ten weekly winners (for a total of 50 winners) will be announced each Wednesday.

Please print and post this flyer in your office and encourage your patients and families to register for this incentive.

Additional information is available at: https://www.governor.ny.gov/programs/vaccination-scholarship-incentive.


ClearClix Banner Ad


MSSNYPAC: The Political Voice of New York State Physicians
MSSNYPAC members are a force for change in healthcare policy.

MSSNYPAC supports the policy initiatives that MSSNY members have prioritized through the MSSNY House of Delegates, the MSSNY Council and MSSNY’s various committees. A contribution to MSSNYPAC enables physicians to directly interact with policymakers on a personal level while providing crucial campaign support. Working together with grassroots activities like letter-writing, social media interactions, and in-district visits, collective political action by physicians is a powerful mechanism to voice the concerns of physicians and their patients.

The strength of MSSNYPAC and its effectiveness requires NY’s physicians to be “all-in” when it comes to safeguarding the profession of medicine, assuring patients can access needed care, and investing in the present and future viability of medical practices. With well-funded, often-opposing interest groups—including trial lawyers and insurance companies—seeking to expand liability and exert increasing control over clinical decision-making, physicians cannot afford to give up their seat at the discussion table.

MSSNYPAC increases your impact on healthcare policy formation. Join or renew your MSSNYPAC membership today:
Online: www.mssnypac.org/contribute
Phone/text: 914-933-7722
Mail: PAC Remittance Form


Registration Now Open for The Lingering Pandemic: Long COVID Symptoms & Treatments
Some studies estimate that up to one-third of COVID survivors continue to experience a multitude of ongoing effects for months after initial recovery.  Learn more about Long COVID and how to recognize and treat it by registering for Medical Matters: The Lingering Pandemic: Long COVID Symptoms & Treatments.

The webinar is on Wednesday, June 16th at 7:30 am.  William Valenti, MD, chair of MSSNY’s Infectious Diseases Committee, will serve as faculty for this program.

Click here to register for the webinar.  Click here to view the flyer for the program.

Educational objectives

  • Recognize the symptoms associated with long COVID
  • Identify referral options to treat long COVID
  • Examine CDC guidelines for caring for patients with long COVID symptoms

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.


Updated Sellers Ad


Which Undergrad Majors are Best for Med School?
The bulk of prospective medical students tend to follow a science-heavy course trajectory in their studies. Is that the wisest course of action?

Do any majors have an admissions advantage?

The data seems to indicate that is not the case. For instance, 30,921 students with majors in the biological sciences applied to medical schools in 2020–2021. The matriculation rate for that group was roughly 40 percent, lower than several other primary majors. Among the listed majors, students who studied biological sciences also had an average total MCAT score that fell in the middle of the group of tracked primary undergraduate majors.

Tonya Fancher, MD, MPH, is the associate dean for workforce innovation and community engagement at the University of California, Davis School of Medicine (UC Davis). The medical school is one of the 37 members of the AMA Accelerating Change in Medical Education Consortium working together to create the medical schools of the future and transform physician training.

UC Davis’ admissions office, Dr. Fancher said, doesn’t give more weight to one major or another as long as a student has completed the required prerequisites. “We look for mastery in an area that a student is passionate about,” Dr. Fancher said. “That could be in the study of art or history or science, in participation in college athletics or music or dance, or in making an impact in their community.”

That holistic approach to admissions may have benefits. A December 2018 study published in the journal Medical Education, “Pre‐medical majors in the humanities and social sciences: impact on communication skills and specialty choice,” found that medical students with premedical backgrounds in the humanities and social sciences may be more effective at communicating with patients.

In terms of what schools expect once students get on campus, the core competencies for entering medical school consist of a list of 15 traits the ideal medical student should possess. The list is broken down into three groups—preprofessional competencies, thinking and reasoning competencies and science competencies—and some of those traits may be screened for in the admissions process.

Will certain majors help you have more success?

Some students have found a science-focused major gives them the foundation to succeed on the MCAT and hit the ground running once they enter medical school.

“In my [med] school, most of the premed requirements were easy to satisfy doing a bio major,” said Avi Levy, a third-year medical student at Arizona College of Osteopathic Medicine.

“I was considering majoring in economics,” he said. “If I would’ve chosen that, I don’t know that I would have been as prepared for med school. The curriculum is hard enough having a degree in [biology].”

Jose Morfin, MD, a health sciences professor of medicine and nephrology and faculty lead of admissions at UC Davis, echoed those sentiments.

“I would recommend students to find a major that they are interested in and build on their strengths,” said Dr. Morfin. “Although you don’t need to be a science major to be a competitive applicant to medical school, a solid foundation in the sciences is necessary to succeed in the MCAT and medical school curriculum.”

The success that prospective applicants and medical students have will also be related to the knowledge and experiences they bring from outside of the classroom.

“We want students to be smart and adaptable,” Dr. Fancher said. “We also value their diverse backgrounds, which can enrich our learning environment and enhance care for our patients.”

Medicine can be a career that is both challenging and highly rewarding but figuring out a medical school’s prerequisites and navigating the application process can be a challenge into itself. The AMA premed glossary guide has the answers to frequently asked questions about medical school, the application process, the MCAT and more.

Link to full article.
–Brendan Murphy, AMA


 

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 at 516-488-6100 ext. 302 

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


MSSNY Director of Membership and Marketing – Apply Now


Great Neck office to sublet

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.

 

Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 


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.


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 educationPlease refer to full listing


Dir 3 position ad



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: May 28, 2021 – Instilling Vaccine Confidence in Our Patients

.

MLMC Banner


Instilling Vaccine Confidence in Our Patients

Colleagues:

New York is moving ahead with vaccine distribution and its fight against COVID, but we have not yet won the war.

While more than 60% of adult New Yorkers have completed at least one vaccine dose and more than half have completed their series, there are concerns that the vaccination rate will slow down dramatically. It is more important than ever for patients to turn to us—their trusted physicians—to help them understand that the COVID vaccine is both safe and effective.

This is our opportunity to create vaccine confidence, by answering our patients’ questions and responding to their concerns to make them comfortable getting the vaccine.

I was interviewed recently by USA Today Network/LoHud about the important role of physicians in convincing patients to be vaccinated and explained that the mass vaccination sites and community clinics were a logical first step, but the efforts seemed to miss New Yorkers accustomed to dealing with their doctors. Physicians of this state have a long history of building trust with patients as part of vaccinations and that’s where we really need to be working now, particularly as we lower the age of eligibility.

I have cared for multigenerational families and been there for them throughout life’s challenges—and they trust me.  It’s those long-term relationships that will make a difference.

If we want to really get our hands around this pandemic, we need to get as many people immunized as possible, and the best way to approach it is where there is no wrong door to vaccination.

As I told the USA Today reporter, anywhere a patient enters the health system they should be asked, ‘Have you had your vaccine? Why not? Well, we’ve got it, and we can give it to you.’

Joseph Sellers, MD, FAAP, FACP
MSSNY President


Capital Update



ClearClix Banner Ad


Legislature Passes Bill to Restrict Mid-Year Formulary Changes; MSSNY Continues to Advocate for Other Needed Health Insurer Reform Legislation
This week the Assembly passed legislation (A.4668, People-Stokes) which would significantly limit the ability of health insurers to move medications to higher cost-sharing tiers for their prescription drug formularies during a policy year.   The legislation has been revised from the version that passed both Houses 2 years ago, but vetoed by the Governor, to address concerns that had been raised in the veto message. In particular, the legislation now would prohibit the applicability of a mid-year formulary change to a patient who was on the medication at the beginning of the policy year, or suffers from a condition for which the medication is part of a treatment regimen for that condition.  Other mid-year formulary changes could still occur.  The same-as bill (S.4111, Breslin) passed the Senate earlier this Session.

With only 2 weeks left in the Legislative Session, MSSNY continues to work together with several patient and physician advocacy groups in support of several other pieces of legislation advancing in one or both Houses to address health insurer practices that adversely impact the ability of patients to receive the care and medications they need.   Among these bills include:

  • 1741/S.5299 – would enable third party financial assistance programs to count towards patients’ deductible and out of pocket maximum requirements. Passed Senate and on Assembly floor.
  • 4177/S.2528 – would provide needed due process protections for physicians whose network participation contract has been unilaterally non-renewed by an insurance company. On Assembly and Senate floor.
  • 7129/S.6435-A – 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. On Senate floor and Assembly Insurance Committee
  • 6256/S.5055 – would require parity in payment for delivery of care via telehealth as compared to delivery of care in person. On Senate floor and Assembly Insurance Committee.

  (AUSTER, CARY)     


Please Urge Your Legislators to Reject Legislation that Would Drive Huge New Increases in Medical Liability Insurance
As the 2021 Legislative Session enters its final 2 weeks, physicians are urged to contact their legislators to urge them to reject disastrous legislation that would create untenable increases in New York’s already excessive medical liability costs by greatly expanding the types of damages awardable in wrongful death actions.   A letter and/or tweet can be sent from here: Reject Expansion of Recoverable Damages in Wrongful Death Actions. This week the Assembly legislation (A.6770) advanced from the Judiciary Committee to the Codes Committee and last week the Senate legislation (S.74-A) advanced from the Senate Judiciary Committee to the Senate Finance Committee.

One recent actuarial estimate indicated that passage of legislation such as this could require a liability premium increase of nearly 50%, which translates to tens of thousands of dollars in new costs for many physicians who are already paying tens to hundreds of thousands of dollars per year in their insurance costs, which could make it impossible for many physicians to stay in practice.

Under ordinary circumstances, these kinds of increases would be unsustainable and could have hugely negative consequences on patient access to care at community hospitals and physician offices.  However, with so many physician practices only beginning to recover from the huge drop in patient visits and revenue during the height of the pandemic, legislation to impose such premium increases would be unconscionable.

Please urge your legislators to reject this short-sighted proposal as well as highlighting the need for comprehensive medical liability reform instead: Reject Expansion of Recoverable Damages in Wrongful Death Actions                        (AUSTER)                      


Department of Financial Services (DFS) Announces Launch of “Mental Health Matters”. New Initiatives Will Protect Patients with Mental Health & Substance Use Disorder
For Mental Health Awareness month, DFS announced the launch of “Mental Health Matters,” a series of initiatives to ensure that patients who need mental health and substance use disorder services are not discriminated against when seeking coverage under their health insurance policies. These include a new regulation to protect patients from provider directory misinformation and a comprehensive review of insurers for compliance with parity.

As noted in the DFS press release, every year, more than 1 in 5 New Yorkers has symptoms of a mental health or substance use disorder. Several studies have shown that the ongoing COVID-19 pandemic has worsened mental health and substance use disorders, especially for people of color and low-income New Yorkers. In response, DFS has proposed the following:

  • Regulation to Protect Consumers from Provider Directory Misinformation: DFS will propose a regulation requiring insurers to hold patients harmless when the insurer’s provider directory lists a provider as participating in an insurer’s network when the provider does not in fact participate in the insurer’s network. Access to providers of mental health and substance use disorder services is especially important now when so many New Yorkers are struggling with mental health issues due to the COVID-19 pandemic.
  • Up-Front Review of Cost-Sharing: Before policies are sold to New Yorkers, DFS is requiring insurers to prove that those policies meet parity requirements that protect patients from being unfairly charged higher copayments or coinsurance for mental health and substance use disorder benefits than for medical benefits.
  • Comprehensive Review of Biennial Parity Reports: DFS will initiate a comprehensive review of insurers for parity compliance based on reports from insurers, which are due in July 2021. DFS will also investigate any potential parity violations, including cost-sharing requirements, rates of medical necessity denials and approvals of services, as well as the number and type of mental health and substance use disorder providers who are in network.

New York law requires insurers to cover mental health and substance use disorder treatments. In addition, under Federal and State law, health insurers must cover care for mental health and substance use disorders at the same level as other health conditions. These “parity” requirements ensure that mental health and substance use disorder services are readily accessed by New Yorkers.

Last year, DFS issued comprehensive regulations which requires insurers to establish parity compliance programs. The regulation strengthens insurers’ obligations under State and Federal law to provide comparable coverage for mental health and substance use disorder treatment. DFS has instructed insurers that they must be in compliance with the regulation by the end of 2021.

MSSNY, working together with the New York State Psychiatric Association and other specialty societies, will monitor the rollout of these important new policies and provide additional details as they are available. Click here: Mental Health Matters to read the DFS press release.                                                          (CARY)


Updated Sellers Ad


Legislation to Allow Pharmacists to Provide All Immunizations Advances in the NYS Legislature
Legislation (S.4807A, Stavisky/ A. 6476A, Hyndman) is advancing in the Assembly and Senate which would allow pharmacists to administer immunizations that have been recommended by the Advisory Committee on Immunizations Practices of the Centers for Disease Control and Prevention.

It has moved to the Senate floor and this week was reported from the Assembly Higher Education Committee to the Rules Committee.  While we appreciate the increasing role that pharmacists can play in broadening patients’ ability to receive necessary protective vaccines, MSSNY has raised concerns that not only would it greatly expand the number of vaccines that pharmacists would be allowed to administer to adults it would also remove the discretion of the State Legislature in the future to add or subtract vaccinations to the list of those that can be administered by a pharmacist.

In its memo of opposition, MSSNY noted that it does not object to adding individual vaccinations on a case-by-case basis as information becomes available as to the appropriateness of pharmacist delivery, but objects to an across-the-board change. This legislation would increase from 7 to 16 the number of vaccines on the ACIP schedule that a pharmacist could administer, plus whatever vaccines may be added by the federal agency in the future.

Many of these immunizations are given as a series with specific time parameters and calling back a patient; even where contact information is available, is at times difficult. MSSNY recognizes that with the team effort to facilitate COVID-19 immunizations many patients did return to the pharmacy to receive their second Covid vaccination, but according to national and state statistics, there were still significant numbers of patients that did not return for the second immunizations.  Moreover, MSSNY has raised concerns regarding pharmacists’ lack of reporting of these immunizations to the patient’s physicians or to the NYSIIS database.   (CLANCY) 


Please Urge Your Legislators to Oppose Legislation that Rejects Physician-Led Team Care
Legislation (S.3056-A) remains before the full Senate strongly opposed by MSSNY that could jeopardize patient safety and lead to uncoordinated, siloed care by eliminating any statutory requirements for nurse practitioners to maintain collaborative arrangements with a physician practicing in the same specialty. The legislation would also eliminate the requirement for a newly practicing nurse practitioner to maintain a written collaborative agreement with a physician.  MSSNY has joined with a dozen other specialty societies in a letter to Senators raising strong objections to this bill.

Physicians can send a letter urging legislators to oppose this legislation from here: Protect Physician-Led Team Care for Patients.  Please let your legislators know that NPs are absolutely essential component of our healthcare system to ensure patients receive the care they need but maintaining ongoing team-based care in collaboration with a physician is essential for ensuring patients receive the highest quality care. Instead of removing these requirements, the standards for physician-NP collaboration should be strengthened to help better recognize and treat potentially complex cases.

Same-as legislation (A.1535-A) is in the Higher Education Committee.  During the recently concluded State Budget, there was a provision enacted that extended for another year – until June 30, 2022 – the existing law that permits nurse practitioners with more than 3,600 hours of experience to practice without a written collaborative agreement provided they maintain evidence of “collaborative relationships” with a physician in the same specialty practiced by the NP.                                                                 (AUSTER)


NYS Legislature Approves Bills to Expand Medication Assisted Treatment
The Legislature passed multiple bills this week to expand the availability and coverage of medication assisted treatment (MAT) to assist New Yorkers suffering from substance use disorder.  The first bill (S.1795, Bailey/A.533, Rosenthal) would establish programs allowing for the use of MAT for inmates in state and county correctional facilities. Presently, New York State prisons do not currently have extensive MAT programs, despite more than half of the incarcerated population being diagnosed with a substance use disorder.

With a large number of previously incarcerated individuals overdosing upon release from correctional facilities, it is essential that they are provided with treatment to overcome their addictions while in prison and jail.  The second bill (S,649, Harckham/A.2030, Rosenthal) would require the Medicaid program to cover whichever MAT medication is most beneficial to the patient without prior authorization. Similar requirements exist for commercial health insurance plans.

The Medical Society of the State of New York supported both of these measures.           (CLANCY)


Opioid Practice Mandate Measures Moving in the NYS Legislature
Two measures that would require physicians to co-prescribe naloxone and to document consideration of alternative therapies to opioids are advancing in the Legislature.  A.336-A/S.2966-A, which requires co-prescribing of naloxone in certain instances, has passed the NY State Assembly and is now on the Senate floor.  This bill requires physicians and providers, for the first opioid prescription of each year to a patient receiving 90 MME or more, to also co-prescribe an opioid antagonist with the prescription.

Importantly, the bill was recently amended to increase the threshold from 50 MME to 90 MME, so as to be applicable to a far smaller cohort of patients who are more at risk for overdose.    However, MSSNY has raised concerns that this even more limited proposed co-prescribing requirement could cause some patients taking these medications to address their chronic pain to inappropriately feel stigmatized as a “drug addict”.  Moreover, many physicians are already co-prescribing an opioid antagonist to certain patients based upon the physician’s clinical judgment of the risks the patient may face.

Furthermore, with New York’s mandatory e-prescribing law, the co-prescription will automatically go to the pharmacy and essentially remove the choice of the patient to have the co-prescription filled, as would be the case if such prescriptions were still on paper.  Certainly, such a mandate will result in a windfall for those manufacturers of the drug.

S.4640/A.273 has moved to the floor in both houses.   This measure requires that physicians document that they have discussed with patients many different possible alternatives to prescribing an opioid for treating a neuromusculoskeletal condition.  This legislation would require a prescriber before prescribing an opioid medication to consider, discuss with the patient and refer or prescribe alternative services such as chiropractic, massage therapy or behavioral therapy.

MSSNY has raised concerns that this legislation is repetitive of existing laws that require physicians and prescribers to use the CDC Guideline for Prescribing Opioids for Chronic Pain when assessing patients for opioid use.  These guidelines require, in part, that prescribers discuss benefits and risks and the availability of non-opioid therapies with the patient and ensure that patients are started on the lowest dosage possible. By listing of so many possible alternatives in the legislation, it would potentially create huge new documentation requirements to demonstrate that a physician has considered each of the enumerated suggested alternatives in the legislation to prove compliance with the legislation.  This would create unnecessary additional administrative burdens and further disincentivize physicians from prescribing needed pain control patients to those who truly need them.  MSSNY urges that physicians contact their Senators and Assembly members and urge defeat of these well-intended but overbroad proposals.          (CLANCY)


Dr Lorna Breen Health Provider Act Moves Forward in US Senate

  1. 610, known as the Dr. Lorna Breen Health Care Provider Protection Act, has advanced from the US Senate Health, Education, Labor, and Pensions (HELP) Committee. This measure would fund grants regarding strategies to address provider suicide, burnout, mental health conditions, and substance use disorders, and encourage health care professionals to seek treatment for mental and behavioral health issues. Senator Tim Kaine, sponsor of the legislation, described the goals of the legislation to keep caregivers healthy and address the dramatic impacts of COVID-19 on health care providers. NY Senator Kristen Gillibrand is a co-sponsor of this measure.

As the emergency room director at the New York-Presbyterian Hospital, Dr. Breen spent long hours and dedicated her life to the care of her patients. During the worst of the pandemic during the spring of 2020, Dr. Breen helped oversee the care to an overwhelming number of patients in need.  Hospitals all over the country felt the stress of the pandemic and physicians and other health care professionals were overworked, overwhelmed, and suffering symptoms of burnout.

Few were prepared for the overwhelming impact the virus would bring to those who were providing care to patients in need under the most harrowing of conditions.  With the mounting pressure and stress, Dr. Breen sadly took her own life.  The Medical Society of the State of New York wrote to Senator Gillibrand and Senate Majority Leader Charles Schumer to express its support for S.610.  The bill is also supported by the American College of Emergency Physicians, The Joint Commission, and the American Osteopathic Association. (CLANCY)


CMS Zeroes Out “Cost” Category for 2020 Medicare MIPS Adjustments
Recently, the Centers for Medicare & Medicaid Services (CMS) announced that the 2020 Medicare Merit-Based Incentive Payment System (MIPS) Cost Performance Category will be reweighted to 0% in light of the impact of the COVID-19 pandemic.  This follows over a year of advocacy by the AMA to urging that CMS zero out this MIPS category for several reasons, including concerns that decreases in patient visits and increases in the costs of caring for patients with COVID-19 could unfairly penalize physicians.   (AUSTER) 

             


Alfest Banner


MSSNY Medical Matters Program on Long COVID

Registration now open
Medical Matters: The Lingering Pandemic: Long COVID Symptoms & Treatments
Date: June 16, 2021 @ 7:30am 

A growing number of COVID survivors are experiencing a multitude of ongoing effects for months after initial recovery.  Learn more about Long COVID and how to recognize and treat it by registering for Medical Matters: The Lingering Pandemic: Long COVID Symptoms & Treatments.  This webinar will take place on Wednesday, June 16th at 7:30 am.  William Valenti, MD, chair of MSSNY’s Infectious Diseases Committee, will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

  • Recognize the symptoms associated with long COVID
  • Identify referral options to treat long COVID
  • Examine CDC guidelines for caring for patients with long COVID symptoms

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)


DOH Issues Update Guidance on COVID-19 Vaccine Transport and Temperature
The New York State Department of Health has issued updated guidance on COVID-19 vaccine transport and an updated vaccine temperature excursion report.  The materials can be found here:

DOH Covid Vaccine Updates – Vaccine Transport

DOH Covid Vaccine Updates – Temperature Excursion

The May 22 Guidance for vaccine administration for those individuals 12 and over can also be found here: May 21, 2021 Vaccine Administration Guidance         (CLANCY)


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

Virtual Care Management Involves More than a Traditional Telemedicine Platform
Implementing and managing a virtual care management program requires much more than just a traditional telemedicine platform with videoconferencing. CareClix, MSSNY’s telemedicine member benefit, includes out-of-the-box integration for 200+ devices, covering all major key vital signs. The platform easily integrates with partners’ EHR systems, and the CareClix team that includes practicing physicians and experienced implementation experts.

The user-friendly HIPPA compliant platform enables you to conduct routine virtual visits with your patients in any location! With CareClix you can:

  • Add Value to Your Practice
  • Maximize Billing
  • Eligibility Checks
  • Promote Patient Satisfaction
  • Reduce Cancellations and No-Shows
  • Integrated EHR
  • Remote Patient Monitoring
  • Data Analytics for Risk Stratification
  • Lab Panels Sent to Patient’s Home
  • Group Visits

As a MSSNY member, you receive a significant discount on CareClix. Typically, a CCM program costs hundreds of dollars. CareClix is offering all MSSNY members a flat fee of just $50 a month for the license fee with NO startup costs!

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


MSSNY’s Women Physicians Committee Offers Volunteer Virtual Homework Assistance
As the school year winds down and summer catch-up begins, MSSNY has volunteer homework assistants ready to help! If you have school age children (K – 12) who could use a virtual helping hand with schoolwork, 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


New Report Looks at Changes in Physician Employment Status and Practice Size
A recent report by the AMA describes changes in physician employment status and practice size, type, and ownership between 2012 and 2020. The content of the report is based on the AMA’s Physician Practice Benchmark Survey. Although the 2020 data are consistent with earlier trends, the size of the changes since 2018 suggest that the shifts toward larger practices and away from physician-owned (private) practices have accelerated.

  • 2020 was the first year in which less than half (49.1%) of patient care physicians worked in a private practice, a drop of almost 5 percentage points from 2018.
  • 2% of physicians were in practices with at least 50 physicians in 2020, up from 14.7 % in 2018.


Garfunkel Banner Ad


As People’s Habits Change, Some Common Infectious Diseases are Coming Back
STAT (5/27, Branswell) reports as fewer people wear masks and practice social distancing, more people in the US are getting sick with colds and the flu, after a year with few cases of these common infections. Some infectious disease researchers “fear we’re in for a nasty cold-and-flu season or two, pointing to a combination of factors that could make for a rough re-entry to the mixed microbes world.”


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.


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 at 516-488-6100 ext. 302 

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


MSSNY Director of Membership and Marketing – Apply Now


Great Neck office to sublet

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.

 

Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 

 


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.


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


Dir 3 position ad



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: May 26, 2021 – Resolutions for MSSNY House of Delegates Due June 25

MLMC Banner


Resolutions for MSSNY House of Delegates Due June 25
The MSSNY House of Delegates meeting is scheduled for September 18, 2021, in Saratoga, New York.

Resolutions for the House of Delegates are due no later than 5:00 pm on Friday, June 25. Items received after the deadline will be forwarded to the Rules and Credentials Committee for consideration.  The only exception to this deadline is for Memorial Resolutions which we accept at any time until the House of Delegates meeting.

Information about the requirements for resolutions – including proper formatting, required research, etc. – is posted on the MSSNY HOD webpages.  Resolutions that do not meet those requirements will be returned for further work.  We remind you that resolutions must be sent as Word files – not PDF files – and each resolution must be sent as its own separate document with a brief title/file name.  DO NOT place multiple resolutions in a single file and send it to the office – the file will be returned to you for separation.

Receipt of resolutions will be acknowledged by the MSSNY office.  Staff will review each resolution and if there are questions, the sender will be contacted.

We cannot stress enough that resolutions must be researched for existing MSSNY and AMA policy. Any pertinent policy must be appended to the resolution.  If you find policy that is relevant, consider whether you should submit the resolution – it very likely will be recommended for reaffirmation and therefore, never be discussed in the House of Delegates.

Once reviewed, the resolutions will be forwarded to the Resolution Review Committee for its assessment and evaluation as business of the House.


Department of Financial Services Announces Launch of “Mental Health Matters”: New Initiatives Will Protect Patients with Mental Health & Substance Use Disorder
For Mental Health Awareness month, DFS announced the launch of “Mental Health Matters,” a series of initiatives to ensure that patients who need mental health and substance use disorder services are not discriminated against when seeking coverage under their health insurance policies. These include a new regulation to protect patients from provider directory misinformation and a comprehensive review of insurers for compliance with parity.

Every year, more than one in five New Yorkers has symptoms of a mental health or substance use disorder. Several studies have shown that the ongoing COVID-19 pandemic has worsened mental health and substance use disorders, especially for people of color and low-income New Yorkers. To support all New Yorkers at this pivotal time, DFS is taking steps to strengthen New Yorkers’ access to essential mental health and substance use disorder services.

Specifics of the new “Mental Health Matters” policy initiatives include:

  • Regulation to Protect Consumers from Provider Directory Misinformation: DFS will propose a regulation requiring insurers to hold patients harmless when the insurer’s provider directory lists a provider as participating in an insurer’s network when the provider does not in fact participate in the insurer’s network. Access to providers of mental health and substance use disorder services is especially important now when so many New Yorkers are struggling with mental health issues due to the COVID-19 pandemic.
  • Up-Front Review of Cost-Sharing: Before policies are sold to New Yorkers, DFS is requiring insurers to prove that those policies meet parity requirements that protect patients from being unfairly charged higher copayments or coinsurance for mental health and substance use disorder benefits than for medical benefits.
  • Comprehensive Review of Biennial Parity Reports: DFS will initiate a comprehensive review of insurers for parity compliance based on reports from insurers, which are due in July 2021. DFS will also investigate any potential parity violations, including cost-sharing requirements, rates of medical necessity denials and approvals of services, as well as the number and type of mental health and substance use disorder providers who are in network.

New York law requires insurers to cover mental health and substance use disorder treatments. In addition, under Federal and State law, health insurers must cover care for mental health and substance use disorders the same level as other health conditions. These “parity” requirements ensure that mental health and substance use disorder services are readily accessed by New Yorkers.

Last year, DFS issued one of the most comprehensive regulations in the nation, which requires insurers to establish parity compliance programs. The regulation strengthens insurers’ obligations under State and Federal law to provide comparable coverage for mental health and substance use disorder treatment. DFS has instructed insurers that they must be in compliance with the regulation by the end of 2021.

DFS announced that it expects full adherence to these critical State and Federal patient protections and will hold insurers accountable for any violations.

MSSNY will monitor the rollout of these important new policies and provide additional details as they are available.


ClearClix Banner Ad


Guidance for New York State COVID-19 Vaccination Program
All individuals 12 years of age and older that reside in the United States are now eligible to be vaccinated. Performance, throughput, effort, and effective administration of vaccines by providers continue to be key factors in making future vaccine allocations, along with equity and access.

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 accurately and completely report doses administered to the appropriate immunization information system (NYSIIS or CIR) within 24 hours of vaccine administration per Executive Order 202.82 as extended by 202.89, and must maintain up-to-date inventory in such system.

Accurate and timely reporting to NYSIIS/CIR is critical, as this information can be used to allow individuals to display proof of vaccination, such as the Excelsior Pass. Effective May 13, 2021, reporting to the NYS COVID-Vaccine Tracker is no longer required.

Additional guidance from the New York State Department of Health is available here.


NYS Department of Health COVID-19 Update for Healthcare Providers Thursday, May 27th, 1 – 2 PM
To accommodate the large number of participants, the webinar will stream via YouTube Live (and available for viewing immediately thereafter) on the NYSDOH COVID website for providers.
Audio number: 844-512-2950
Access code: 7322799#


New Report: How to Evaluate Telehealth’s True Impact in your Physician Practice
Virtual visits are here to stay, but how can medicine measure telehealth’s value to ensure that physicians and other clinicians, patients, payers, and society are getting the most possible from the technology?

A new report jointly developed by the AMA and Manatt Health Strategies expands on existing research and offers physicians and others a more robust framework to measure the value of digitally enabled care.

The type of practice and payment arrangement are among five environmental variables in the framework outlined in the report, “Return on Health: Moving Beyond Dollars and Cents in Realizing the Value of Virtual Care.” Clinical outcomes, clinician and patient experience and health equity are included in the six virtual care value-stream measurements.

After explaining each of these environments and measurements, the report offers four real-world examples of how to use the framework to evaluate telehealth and six scenarios to show how the framework can be applied to a new program.

The Return on Health report also highlights areas of opportunity for payers, policymakers and other industry stakeholders to help overcome challenges that are slowing the evolution to digitally enabled care models. One key step is long-term, fair, and equitable payment for the care.

See story below for information on MSSNY’s Virtual Health Platform, which offers deep discounts for MSSNY members.


Updated Sellers Ad


Deep Discounts for MSSNY Members on CareClix Virtual Health Platform
As a MSSNY member, you receive a significant discount on CareClix services. CareClix is offering all MSSNY members a flat fee of just $50 a month for the license fee—with NO startup costs!

The CareClix user-friendly HIPPA compliant platform enables you to conduct routine virtual visits with your patients in any location. CareClix gives you the ability to:

  • Add Value to Your Practice
  • Maximize Billing
  • Eligibility Checks
  • Promote Patient Satisfaction
  • Reduce Cancellations and No-Shows
  • Integrated EHR

For clinical practices lacking the capacity to manage their own CCM programs, CareClix also provides a white-labeled, turn-key CCM service. This enables even the smallest community hospitals to provide CCM services for their seniors. Caring for the patients most at need requires vigilance and improved access.

CareClix believes that implementing and managing a CCM program requires much more than just a traditional telemedicine platform with videoconferencing. Our platform includes a comprehensive Chronic Care Management module. This includes out-of-the-box integration for 200+ devices, covering all major key vital signs used in CCM. Our platform easily integrates with our partners’ EMR systems, and we have a team that includes practicing physicians and experienced implementation experts.


 

CPH Banner


Spike in COVID-19 Cases Unlikely after Holiday Weekend, CDC Director Says
As U.S. COVID-19 infections drop and vaccination rates rise, the CDC
director said vaccinated Americans can safely gather to celebrate Memorial Day weekend.

“If you are vaccinated, you are protected and can enjoy your Memorial Day,” Rochelle Walensky, MD, CDC director, said during a May 25 White House COVID-19 response team briefing, emphasizing that guidance has not changed for people who are unvaccinated.

“You remain at risk of infection. You still need to mask and take other precautions,” Dr. Walensky added.

More than 131 million Americans, or nearly 40 percent of the U.S. population, were fully vaccinated as of May 25, while nearly half of Americans had received at least one shot. With those numbers, a spike in COVID-19 cases is unlikely to follow the holiday weekend, Dr. Walensky said.

“We have seen after holiday weekends in the past that cases have risen, but we’ve never been in a position where we’ve had almost, or half the adults of America vaccinated and protected from this virus,” she said.

Dr. Walensky also pointed to a drop in infections. The current seven-day average is 22,877 cases per day, marking a 25 percent decrease from the week prior. Hospitalization rates and deaths have also decreased.

“We are continuing to watch these data closely and I remain cautious, but hopeful they will continue to trend downward as vaccination scales up,” she said.

Carbajal, Becker’s Hospital Review


Rx Banner



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 at 516-488-6100 ext. 302 • fax 516-488-2188

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


MSSNY Director of Membership and Marketing – Apply Now


Great Neck office to sublet

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.

 

Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 

 


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.


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


Dir 3 position ad



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: May 21, 2021 – Our Patients Deserve Timely, Consistent, and Affordable Care

.

Our Patients Deserve Timely, Consistent, and Affordable Care  

Colleagues:

As physicians, we know that good health starts with access to affordable, timely, and consistent healthcare. But when prior authorizations impose overwhelming burdens that cause unnecessary delays in needed care—our patients’ health is put at risk. Patients with chronic conditions have complex medical needs, and their health depends on following strict treatment regimens. Timely access to treatment and medications is critical to maintaining these regimens. We must fight for the right of all New Yorkers to get the care they need.

To that end, your MSSNY—along with numerous physician and patient advocacy associations—have worked together on numerous pieces of legislation to ensure patients can receive their needed care and medications in a timely manner.  For example, we helped to coordinate a joint statement to the Legislature in support of Assembly bill A.7129 and Senate bill S.6435-A.  This bill would help to streamline the prior authorization process and reduce barriers experienced by patients—and their physicians—that delay access to treatment. Additionally, this legislation will protect patients’ access to needed prescription medications and tests to facilitate accurate diagnosis.

Along with almost 50 other patient and physician advocacy groups, MSSNY also signed a joint memorandum in support of A.1741 and S.5299, which will prevent harmful and unfair copay accumulator policies—a relatively new insurance benefit design being adopted by some insurance plans that make it more challenging for patients to afford their medications by preventing them from using a copay card or coupon to cover out of pocket expenses.  This bill has passed the Senate and is on the Assembly floor.

And, finally, MSSNY supports A.4668, which has passed the State Senate and is on the Assembly floor. It would amend the Insurance Law to protect health insurance consumers by restricting the ability of healthcare plans to move a prescription medication to a higher-cost tier on a formulary during the enrollment year.

We are all in this together—so please take a minute to send a letter to your legislators and the Governor on these issues at MSSNY’s Grassroots Action Center. 

Joseph Sellers, MD, FAAP, FACP
MSSNY President


MLMC Banner


Capital Update

MSSNY Weekly Podcast
Partnering with our County Medical Societies on Advocacy
and the Need for Physician Grassroots Efforts


ClearClix Banner Ad


MSSNY Continues to Advocate for Needed Health Insurer Reform Legislation to Ensure Patients Receive Needed Treatment and Medications
With only 3 weeks left in the Legislative Session, MSSNY continues to work together with several patient and physician advocacy groups in support of legislation advancing in one or both Houses to address health insurer practices that adversely impact the ability of patients to receive the care and medications they need.

Among these bills include:

  • 1741/S.5299 – would enable third party financial assistance programs to count towards patients’ deductible and out of pocket maximum requirements. Passed Senate and on Assembly floor;
  • 4668/S.4111 – would significantly limit the ability of health insurers to make adjustments to their prescription drug formularies during a policy year. The legislation has been revised from the version that passed both Houses 2 years ago, but vetoed by the Governor, to address concerns that had been raised in the veto message. Passed Senate and on Assembly floor
  • 4177/S.2528 – would provide needed due process protections for physicians whose network participation contract has been unilaterally non-renewed by an insurance company. On Assembly and Senate floor.
  • 7129/S.6435-A – 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. On Senate floor and Assembly Insurance Committee (see related article)
  • 6256/S.5055 – would require parity in payment for delivery of care via telehealth as compared to delivery of care in person. On Senate floor and Assembly Insurance Committee.                                       (AUSTER, CARY)

Please Urge Your Legislators to Reject Legislation that Would Drive Huge New Increases in Medical Liability Insurance
Physicians are urged to contact their legislators to urge them to reject disastrous legislation (S.74-A/A.6770) that would create untenable increases in New York’s already excessive medical liability costs by greatly expanding the types of damages awardable in wrongful death actions   A letter and/or tweet can be sent from here: Reject Expansion of Recoverable Damages in Wrongful Death Actions. This week the Senate legislation (S.74-A) advanced from the Senate Judiciary Committee to the Senate Finance Committee with Senate Insurance Committee Chair Neil Breslin voting no, and Senators Tom O’Mara and Peter Oberacker voting without recommendation.

One recent actuarial estimate indicated that passage of legislation such as this could require a liability premium increase of nearly 50%, which translates to tens of thousands of dollars in new costs for many physicians who are already paying tens to hundreds of thousands of dollars per year in their insurance costs, which could make it impossible for many physicians to stay in practice.  Under ordinary circumstances, these kinds of increases would be unsustainable and could have hugely negative consequences on patient access to care at community hospitals and physician offices.  However, with so many physician practices only beginning to recover from the huge drop in patient visits and revenue during the height of the pandemic, legislation to impose such premium increases would be unconscionable.

Same-as legislation (A.6770) is currently in Assembly Judiciary Committee, but has advanced from this Committee to the Assembly floor in past legislative sessions.  Please urge your legislators to reject this short-sighted proposal and that comprehensive medical liability reform is needed instead: Reject Expansion of Recoverable Damages in Wrongful Death Actions   (AUSTER)


Bill to Reduce Barriers for Patients by Streamlining Prior Authorization Process Moves to Senate Floor
MSSNY has joined with 15 other patient and physician advocacy organizations in a memo in support of S.6435-A (Breslin)/A.7129 (Gottfried), which was reported out of the Senate Health Committee this past Tuesday, May 18th and is now waiting for a vote by the full Senate.  The bill would help to streamline the prior authorization process and reduce barriers experienced by patients, and their physicians, that delay access to treatment. Additionally, this legislation will protect patients’ access to needed prescription medications and tests to facilitate accurate diagnosis.

You can send a letter in support here: Prior Authorizations are harming our ability to provide proper, timely care

Prior authorizations frequently impose overwhelming burdens that can cause unnecessary delays in needed care for patients. Delay in authorization of prescriptions, tests or procedures can cause needless anxiety for patients already stressed by uncertainty regarding their condition.

A recent Annals of Internal Medicine study concluded that for every hour a physician spends on delivering care to a patient, two more are spent on administrative tasks. Moreover, a just-released American Medical Association (AMA) survey reported that 94% of responding physicians said that the prior authorization process delayed patient access to necessary care and 90% of the respondents indicated that prior authorization led to somewhat, or significant, negative outcomes.

Patients with chronic conditions have complex medical needs, and their health depends on following strict treatment regimens. Timely access to treatment and medications is critical to maintaining these regimens. Prior Authorization requirements may increase their risk of lapsing treatment or exacerbating progression of their disease as a result of these delays and can have a negative effect on their lives and health outcomes. Additionally, all patients need to know they’ll receive treatment in a timely manner and that their care and treatment will continue to be covered by their insurance.

The following organizations joined MSSNY in supporting the bill:

American Cancer Society (ACS)
American College of Obstetricians and Gynecologists (ACOG) District II
National Multiple Sclerosis (MS) Society
New York Chapter American College of Surgeons, Inc.
New York State Academy of Family Physicians (NYSAFP)
New York State American Academy of Pediatrics (NYS AAP – Chapters 1, 2 & 3)
New York State Bleeding Disorders Coalition (NYSBDC)
New York Chapter American College of Physicians
NYS Ophthalmological Society
NYS Society of Anesthesiologists
NYS Society of Orthopaedic Surgeons, Inc.
NYS Society of Otolaryngology-Head and Neck Surgery
New York State Radiological Society (NYSRS)
NYS Society of Plastic Surgeons, Inc. (CARY)


Updated Sellers Ad


Please Urge Your Legislators to Oppose Legislation that Rejects Physician-Led Team Care
Legislation (S.3056-A) remains before the full Senate strongly opposed by MSSNY that could jeopardize patient safety and lead to uncoordinated, siloed care by eliminating any statutory requirements for nurse practitioners to maintain collaborative arrangements with a physician practicing in the same specialty. The legislation would also eliminate the requirement for a newly practicing nurse practitioner to maintain a written collaborative agreement with a physician.

Physicians can send a letter urging legislators to oppose this legislation from here: Protect Physician-Led Team Care for Patients.  Please let your legislators know that NPs are absolutely essential components of our healthcare system to ensure patients receive the care they need, but maintaining ongoing team-based care in collaboration with a physician is essential for ensuring patients receive the highest quality care. Instead of removing these requirements, the standards for physician-NP collaboration should be strengthened to help better recognize and treat potentially complex cases.

MSSNY joined with a dozen other specialty societies in a letter to Senators raising strong objections to this bill.   Physicians complete 4 years of medical school plus 3-7 years of residency, including 10,000-16,000 hours of clinical training, exponentially more than the education and training received by nurse practitioners. But it is more than just the vast difference in hours of education and training – it is also the difference in rigor and standardization between medical school/residency and nurse practitioner programs.  It is therefore not surprising that a recent survey of 500 New Yorkers concluded that 75% want a physician to be involved in their diagnosis and treatment decisions.

Same-as legislation (A.1535-A) is in the Higher Education Committee.  During the recently concluded State Budget, there was a provision enacted that extended for another year – until June 30, 2022 – the existing law that permits nurse practitioners with more than 3,600 hours of experience to practice without a written collaborative agreement provided they maintain evidence of “collaborative relationships” with a physician in the same specialty practiced by the NP. (AUSTER)


Opioid Practice Mandate Measures Moving in the NYS Legislature
Two measures that would require physicians to co-prescribe naloxone and to document consideration of alternative therapies to opioids are advancing in the Legislature.  A.336-A/S.2966-A, which requires co-prescribing of naloxone in certain instances, has moved to the Assembly Rules Committee and to the Senate floor.

While the bill was recently amended to be applicable to a smaller cohort of patients, there is concern that it could still potentially create fear within patients that they would be stigmatized as drug addicts.  This bill requires physicians and providers, for the first prescription of each year to a patient receiving 90 MME or more, to also co-prescribe an opioid antagonist with the prescription.   MSSNY notes that the bill was recently amended to increase the threshold from 50 MME to 90 MME, so it will be applicable to a smaller cohort of patients. However, many physicians are already co-prescribing an opioid antagonist to certain patients based upon the physician’s clinical judgment of the risks the patient may face.  Moreover, with New York’s mandatory e-prescribing law, the co-prescription will automatically go to the pharmacy and essentially remove the choice of the patient to have the co-prescription filled, as it would be if such prescriptions were still on paper.  Certainly, such a mandate will result in a windfall for those manufacturers of the drug.

S.4640/A.273 has moved to the floor in both houses. This measure requires that physicians document that they have discussed with patients many different possible alternatives to prescribing an opioid for treating a neuromusculoskeletal condition.  This legislation would require a prescriber before prescribing an opioid medication to consider, discuss with the patient and refer or prescribe alternative services such as chiropractic, massage therapy or behavioral therapy.

MSSNY has raised concerns that this legislation is repetitive of existing laws that require physicians and prescribers to use the CDC Guideline for Prescribing Opioids for Chronic Pain when assessing patients for opioid use which require, in part, that prescribers discuss benefits and risks and the availability of non-opioid therapies with the patient and ensure that patients are started on the lowest dosage possible. By listing of so many possible alternatives in the legislation, it would potentially create huge new documentation requirements to demonstrate that a physician has considered each of the enumerated suggested alternatives in the legislation to prove compliance with the legislation.

This would create unnecessary additional administrative burdens and further disincentivize physicians from prescribing needed pain control patients to those who truly need them.  MSSNY opposes both of these measures and urges that physicians contact their senators and assembly members and urge defeat of these proposals.          (CLANCY)


Legislation to Allow Pharmacist to Provide All Immunizations Advances in the NYS Senate
A measure (S.4807, Stavisky) to allow pharmacists to administer immunizations that have been recommended by the Advisory Committee on Immunizations Practices of the Centers for Disease Control and Prevention, has moved to Senate floor.  Similar legislation (A.6476-A, Hyndman) is pending in the Assembly Higher Education Committee. While we appreciate the increasing role that pharmacists can play in broadening patients’ ability to receive necessary protective vaccines, MSSNY is concerned that this legislation goes too far. This measure would not only greatly expand the number of vaccines that pharmacists would be allowed to administer to adults it would also remove the discretion of the State Legislature in the future to add or subtract vaccinations to the list of those that can be administered by a pharmacist. Instead, it would turn that discretion over to the federal government.

To be clear, MSSNY does not object to adding individual vaccinations on a case-by-case basis as information becomes available as to the appropriateness of pharmacist delivery, but objects to an across-the-board change. This legislation would increase from 7 to 16 the number of vaccines on the ACIP schedule that a pharmacist could administer, plus whatever vaccines may be added by the federal agency in the future. Many of these immunizations are given as a series with specific time parameters and calling back a patient; even where contact information is available, is at times difficult.

MSSNY recognizes that with the team effort to facilitate COVID-19 immunizations many patients did return to the pharmacy to receive their second Covid vaccination, but according to national and state statistics, there were still significant numbers of patients that did not return for the second immunizations.  Moreover, MSSNY has raised concerns regarding pharmacists’ lack of reporting of these immunizations to the patient’s physicians or to the NYSIIS database.      (CLANCY)


Rx Banner


Legislation to Require Reporting of Adult Immunizations to NYSIIS/CIR Moving in Both Houses
A measure that would require all physicians and other health care providers to report adult immunizations to the NY State Immunization Information System (NYSIIS) and the New York City Immunization Registry (CIR) is moving in the NYS Legislature.  S. Bill 75/A. Bill279, sponsored by Senator Brad Hoylman, and Assemblymember Richard Gottfried, in on the Senate floor and has moved from the Assembly Health Committee to the Codes Committee.  This measure builds off the 2014 law that required all child immunizations to be recorded into the respective registry.

The Medical Society of the State of New York supports this bill based upon a MSSNY 2019 House of Delegates adopted policy that states that the: “The Medical Society of the State of New York will advocate for universal reporting of adult vaccine doses to the New York State Immunization Information System (NYSIIS), either directly or via health information exchanges, and for removal of the requirement for patient permission to report adult vaccines, as is now the case for reporting of all patient data to health information exchanges.” The legislation is also supported by the New York State Academy of Family Physicians and New York Chapter of the American College of Physicians. (CLANCY)


Governor Announces that NYS will Follow CDC Guidance for Fully Vaccinated People;  Masks Still Required in All Healthcare Settings
Governor Andrew M. Cuomo announced this week that New York State will adopt the CDC’s “Interim Public Health Recommendations for Fully Vaccinated People” for most business and public settings. Consistent with the CDC guidance, Pre-K-12 schools, public transit, homeless shelters, correctional facilities, nursing homes, and healthcare settings will continue to follow the state’s existing COVID-19 guidelines until more New Yorkers are fully vaccinated. The NYS Department of Health has also updated its surgical guidance for non-elective surgery and that guidance is here.

The department has also posted information for physicians on how to promote vaccine confidence within their patients: https://coronavirus.health.ny.gov/system/files/documents/2021/05/doctors-vaccines.pdf.

DOH has also updated its compilation of all guidance and information related to the COVID-19 Pandemic. (CLANCY)


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 in 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)


Alfest Banner


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

Myriad disaster events take place all around us daily.  Learn more about how to perform a number of categories of triage (including biological triage) when you find yourself in proximity to a disaster by registering for Medical Matters: Triage in a Disaster Event.  This webinar will take place on Wednesday, May 26th at 7:30 am.  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)


eNews

2020 MIPS Cost Performance Category Reweighted to Zero Percent of Final Score
The Centers for Medicare & Medicaid Services (CMS) announced yesterday that the 2020 MIPS Cost Performance Category will be reweighted to 0% of the final score even if eligible physicians or groups submitted 2020 data in other MIPS categories in light of the impact of the COVID-19 pandemic. For over a year, the AMA has been recommending that CMS zero out this category during the pandemic for several reasons, including concerns that decreases in patient visits and increases in the costs of caring for patients with COVID-19 could unfairly penalize physicians. The AMA applauds CMS for holding physicians harmless from unfair evaluations in the MIPS Cost Performance Category as a result of the COVID-19 pandemic.

The AMA also strongly supports CMS’ decision to release the 2018 and 2019 cost measure benchmark files, which they will review closely to identify the target spending for those years, how the benchmarks capture any variations in spending, and whether the benchmarks are leading to fair and valid comparisons among physicians. Again, the AMA has been recommending to CMS for a while that the agency should publish the data. In April, the AMA and 47 national medical specialty societies sent a letter urging CMS to immediately release the MIPS cost benchmarks to increase transparency in how the agency evaluates physician performance in the Cost Performance Category in MIPS and to allow physicians and other stakeholders to assess the measures for validity and opportunities to reduce spending. We anticipate this information will be informative for specialty societies that are engaged in the ongoing development of new episode-based cost measures and MIPS Value Pathways (MVPs).


New Study: Physician Leaders Share Experiences Participating in MIPS
In a study conducted by Weill Cornell Medicine and sponsored by the Physicians Foundation and the AMA, researchers conducted 30 in-depth, semi-structured interviews with physician leaders in small and medium internal medicine and general surgery practices and large multispecialty practices about their experiences participating in Medicare’s Merit-based Incentive Payment System (MIPS). Click here to read qualitative results of physicians’ experience with the program, and here to read quantitative insights into the cost of participating in MIPS and MIPS APMs.

Among the qualitative findings:

  • MIPS is viewed as a continuation of previous programs and a precursor of future programs.
  • Performance measures are more relevant to primary care practices than other specialties.
  • Leaders are conflicted on whether the program improves patient care.
  • Participation creates administrative burden, exacerbated by frequent programmatic changes.
  • Incentives are small relative to the effort.
  • External support for participation can be helpful.

In terms of cost, researchers found:

  • Annual cost of participation is about $12,000 per physician.
  • Annual time spent by clinicians and staff is about 200 hours per physician.
  • Costs per physician were predictably higher for smaller practices and for APM participants.

An Appeal for Donations to Support Disaster Relief
The Medical Society of the State of New York has established three separate funds for disaster relief donations under our Medical Educational and Scientific Foundation (MESF).

Proceeds will go directly to organizations providing direct aid in areas of need. Please click on a link below to direct your donation:

COVID-19 India Relief Fund
Donations will be sent to organizations assisting India with urgent needs, including oxygen equipment, medications, PPE, testing supplies, and ventilators.

COVID-19 General Relief Fund
Donations will be sent to US or international organizations where the need is greatest.

General Disaster Relief Fund
Donations will be held and distributed when needs arise.


New to Social Media? MSSNY’s Recent Webinar, Social Media in Medicine: a Beginners Guide for Physicians Now Available on MSSNY Website
MSSNY President-Elect Parag H. Mehta, MD and MSSNY YPS Immediate Past Chair Daniel E. Choi, MD present Social Media in Medicine: A Beginners Guide for Physicians. View the webinar on the MSSNY Website.
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


Garfunkel Banner Ad


Mindfulness for Physicians
Join the Nassau County Medical Society and Northwell Health’s Center for Wellness and Integrative Medicine, an educational, wellness and retreat center dedicated to the evolution of mind, body and spirit, for a virtual meditation series. Mindfulness in the Medical Profession on May 27th at 6 pm.

As physicians have put their lives on the line to care for patients during COVID-19, these sessions aim to create a space where they can care for themselves and implement meditation as a mindfulness in their everyday lives. For further details or registration assistance, please email information@nassaucountymedicalsociety.org or call (516) 832-2300.

Join MSSNY’s Member Perks Program!
Exclusive perks and over $4,500 in savings on everything from pizza and the zoo, to
movie tickets, oil changes, hotels, and car rentals!

POPULAR FEATURES INCLUDE:

  • Nearby Offers: Use our show & save mobile coupons to quickly access savings on the go.
  • eTickets On Demand: Save up to 40% with no hidden fees.
  • Showtimes: Find movies, watch trailers, and save up to 40% at a theater near you.
  • Monthly Giveaways: Win cash, movie tickets, electronics and more with our monthly contests.

And, with over 302,000 available discounts across 10,000 cities in the United States and Canada, you’ll never be far from savings!

Register at http://mssny.abenity.com


The American Board of Medical Specialties Seeks Comments on Draft Standards for Continuing Certification
The American Board of Medical Specialties (ABMS) has opened an 80-day “Draft Standards for Continuing Certification – Call for Comments” to obtain input and feedback from all stakeholders who possess, use, or rely upon the board certification credential as an indicator of a diplomate’s professionalism and proficiency in specialized knowledge and skills. The “Call for Comments” will be open from Tuesday, April 20, 2021 through Thursday, July 8, 2021 at 11:59 p.m. CST. Feedback received will guide and inform the development of the final Draft Standards for Continuing Certification (“Draft Standards”), which will be considered by the ABMS Board of Directors in October 2021.

ABMS establishes the standards its 24 Member Boards use to develop and implement educational and assessment programs used in the certification of diplomate specialists. The new Draft Standards reflect foundational changes to the manner in which ABMS and its Member Boards deliver on their mission, bringing value to both the profession and the public at large. They were developed after a year of deliberation with key stakeholders in response to the recommendations of the Continuing Board Certification: Vision for the Future Commission as well as of the wider stakeholder community.

The Draft Standards are structured to support and provide diplomates with the tools they need to stay current in medical knowledge; prepare them to address emerging medical and public health issues; and help them identify and address opportunities for practice improvement within the systems in which they work, all in a manner that enhances relevance and reduces burden. The Draft Standards also address the needs of patients, families, and communities by assuring that board certified diplomates maintain the knowledge and skills necessary to deliver the quality specialty care upon which they rely.

To review and comment on the Draft Standards, please visit the Draft Standards for Continuing Certification section on the ABMS Website and submit your comments by 11:59 p.m. CST on Thursday, July 8, 2021. Please feel free to share the “Draft Standards for Continuing Certification – Call for Comments” with your colleagues and others who may have an interest in them and encourage them to share their feedback to ensure that all stakeholder perspectives are considered in the finalization of the standards that will guide the specialty care practice of the future.


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 at 516-488-6100 ext. 302 • fax 516-488-2188

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


MSSNY Director of Membership and Marketing – Apply Now


Great Neck office to sublet

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.

 

Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 

 


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.


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


Dir 3 position ad



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 


 

 

 

 

 

1 2 3 61