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

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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



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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)


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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) 

             


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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.


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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

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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.


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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.


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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.


 

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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


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Classifieds

Classified Ads Available for:

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

For help, information, or to place your ad, call 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


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Capital Update

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


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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)


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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)


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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)


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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


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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!

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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 


 

 

 

 

 

MSSNY eNews: May 19, 2021 – Medical Schools Overestimate Number of Graduates who Specialize in Primary Care, Experts Say

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Medical Schools Overestimate Number of Graduates who Specialize in Primary Care, Experts Say
Many medical school graduates who complete their residency in primary care switch into different specialties later. That makes medical schools’ estimates of its graduates entering family medicine largely inaccurate, NPR reported May 18.

“You don’t know what somebody is going to do until they finish residency,” Mark Deutchman, MD, a family medicine professor at the University of Colorado in Denver told NPR.

While medical schools report about 40 percent of graduates enter a primary care residency, that later turned into just 22 percent, according to a study led by Dr. Deutchman published last year in Family Medicine. The research involved 17,509 medical students from 14 U.S. universities who graduated between 2003-14.

The American Association of Medical Colleges told NPR the findings may not provide an accurate picture, highlighting that 30 new medical schools have opened in the U.S. since 2006.

Ada Stewart, MD, president of the American Academy of Family Physicians said while medical schools have been graduating record numbers of physicians into family medicine residencies over the last decade, many end up switching into higher paying specialties.

“We may have to look at a more focused analysis of how many individuals are actually going into the specialty of family medicine,” Dr. Stewart told NPR.

Jobs in higher paying specialties are largely in cities, further compounding the primary care shortage in rural areas, experts told the news outlet.
–Erica Carbajal, Becker’s Hospital Review


DOH Eliminates Pre-Surgery COVID-19 Testing for Individuals Who are Vaccinated
The New York State Department of Health has issued new guidance for elective procedures.  Under the guidance, pre-elective procedure COVID -19 testing is not required for patients who are fully vaccinated or have recovered from laboratory-confirmed COVID-19 during the previous three months. There is no need to test asymptomatic recently recovered patients to prove they are now negative. However, pre-elective procedure testing remains encouraged by NYSDOH for all asymptomatic patients scheduled for elective surgery/procedures.  A copy of the guidance is here.


AMA Prior Authorization Physician Survey
A recent study of 1,000 practicing physicians in December of 2020 found that 30% of physicians noted prior authorizations have resulted in a serious adverse event for a patient in their care.

  • 94%of physicians said the prior authorization process delays patients’ access to necessary care.
  • 90% of physicians reported that prior authorizations have a negative effect on patients’ clinical outcomes.
  • 85%of the physicians surveyed said the burden associated with prior authorization is high or extremely high.
  • 79%of physicians said the prior authorization process at least sometimes leads to treatment abandonment.
  • Click here to view the full report.


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New MSSNY Leadership from Long Island Featured in Newsday
Dr. Parag Mehta of Manhasset Hills, senior vice chairman of the department of medicine and the chief medical information officer at New York Presbyterian Brooklyn Methodist Hospital in Brooklyn, has been elected president-elect of the Medical Society of the State of New York in Westbury.

Dr. Paul Pipia of Syosset, chairman of the department of physical medicine and rehabilitation as well as the department of neurology at Nassau County Medical Center in East Meadow, has been elected vice president of the Medical Society of the State of New York in Westbury.

Dr. Frank Dowling of Oakdale, a psychiatrist with a private practice in Garden City and Islandia, has been elected secretary of the Medical Society of the State of New York in Westbury. Link to Newsday’s LI People on the Move


Five Steps to Create Meaningful Patient Connections
Time constraints and administrative demands in health care often impede the human connection that is central to clinical care, contributing to physician burnout and patient dissatisfaction.

To improve clinical encounters with patients, physicians can learn from the Presence 5 project, which aims to develop a simple, scalable evidence-based intervention that helps enhance the patient-physician connection. The effort was described in detail in a JAMA article last year.

“The Presence 5 practices are intuitive to many clinicians, representing what is at the core of medical care and healing,” said Donna Zulman, MD, MS, assistant professor in the Division of Primary Care and Population Health at Stanford University School of Medicine, during a recent AMA webinar on fostering physician humanism and connection. “But in the context of today’s busy medical practice with its endless distractions, adopting a ritual to explicitly focus on presence and connection can help build trusting relationships and can have a positive impact, not only on the patient, but on the clinician as well.”

Here are the five practices that have the potential to enhance physician presence and create meaningful connections with patients.

Prepare with Intention
“This is about familiarizing yourself with the patient you are about to meet and creating a ritual to focus your attention,” said Dr. Zulman, who in addition to her role at Stanford is associate director of the Center for Innovation to Implementation at the Veterans Affairs Palo Alto Health Care System. “A specific strategy that can be helpful is to perform a brief chart review, emphasizing key elements of the social history, to remind yourself of the person you are about to see,” she added.

Listen Intently and Completely
“The goal of this practice is to position one’s self to fully hear a patient’s story and perspective,” said Dr. Zulman. That means “sit down, lean forward, position yourself to listen, recognizing that your patient is your most valuable source of information.”

“When it comes to nonverbal communication, thoughtful body positioning has been shown to support relationship building, trust and patient satisfaction,” she said. “If you need to be seated at a computer, position your body towards the patient as much as possible and avoid interrupting a patient.”

Agree on What Matters Most
“A simple form of this practice involves beginning the visit with an open-ended question such as, ‘What would you like to discuss today?’” said Dr. Zulman. “Then develop an agenda that incorporates the patient’s priorities.

“At the end of the visit, you want to review the agenda and elicit any unaddressed priorities,” she added, noting that asking, “Is there something else you want to discuss today?” is particularly effective phrasing to elicit unaddressed concerns.

Connect with your Patient’s Story
“This practice is all about considering the social, cultural, behavioral circumstances that influence your patient’s health,” said Dr. Zulman. It’s also about “finding positive connections, acknowledging your patient’s efforts and celebrating success.”

“The first step is to be curious about your patient’s life story. This not only draws out important information that can guide your clinical care, but this mindset also can help you interrogate potential biases that you might have,” she said. “Use positive language, including statements of approval, reassurance and partnership.”

Explore Emotional Cues
“Notice, name and validate your patient’s emotions to become a trusted partner,” said Dr. Zulman. “There’s so much we can learn from tuning into a patient’s verbal and nonverbal emotional cues such as changes in tone of voice, facial expressions and body language.

“One of our collaborators for this project talked about how she considers the patient’s face to be a road map of emotion,” she added. “Ask your patient how they are feeling about their health concerns and stressors, and reflect, validate and confirm your perceptions of a patient’s emotions.”

Learn more from the AMA STEPS Forward™ webinar series, which focuses on physician well-being, practice redesign and implementing telehealth during COVID-19.

–Sara Berg, AMA


Researchers Say People with Obesity Who Tend to Stay Up Late at Night at Higher Risk for Diabetes
HealthDay (5/17, Mozes) reports researchers found that people with obesity who have “a tendency to stay up late at night” are at higher risk for developing diabetes. The findings were presented at the virtual meeting of the European Congress on Obesity.


Updated Sellers 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 • 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 14, 2021 – Instrumental in Recouping Health Republic Losses for Physicians

 

Colleagues:

Last week’s welcome news about the Health Republic settlement is yet another example of MSSNY working tirelessly on behalf of our physicians. The $220.8 million settlement amount will allow the Liquidator to pay all policyholder level claims in full.

In 2015, when Health Republic Insurance collapsed, MSSNY worked with the state’s hospital associations and various specialty societies to express deep concerns to the NYS Assembly and Senate leadership about the financial consequences to physician practices and patients across New York State.  We strongly urged the State Legislature and Governor’s office to work together to ensure continuity of coverage for our patients, as well as to ensure that physicians and other care providers were made whole for the needed medical care that they provided to Health Republic insureds.

Demonstrating the depth of the impact of Health Republic’s financial collapse, a MSSNY survey of physician practices conducted at the time showed 42% had outstanding claims to Health Republic, of which:

  • 11% were owed $100,000 or more
  • 20% were owed $25,000 or more
  • 49% were owed $5,000 or more

The situation with Health Republic should serve as a lesson to all New Yorkers about the urgent need for the creation of a Health Guarantee Fund in New York State. We need a safety net for our patients enrolled in insurance plans—and the physicians who provide the care—against similar health insurer liquidations that could occur in the future. MSSNY will continue to urge the Governor and the New York State Legislature to enact legislation to establish such a fund.

We will continue to work with DFS to provide necessary information to impacted physicians regarding the time and manner by which such outstanding payments will be distributed to satisfy Health Republic’s financial obligations.  In the interim, you should continue to check here for more information.

MSSNY is here for you. We have a proud history of fighting for physicians across many fronts and achieving numerous victories that pay for your membership dues many times over. Let’s all work together to strengthen our beloved profession as we work to keep our patients healthy. 

Joseph Sellers, MD, FAAP, FACP
MSSNY President


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Capital Update

MSSNY Weekly Podcast


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

This week the Senate passed S.5299 (Rivera), would enable third party financial assistance programs to count towards patients meeting their deductible costs. The same-as legislation A.1741 (Gottfried) was recently advanced by the Assembly Insurance Committee and is before the full Assembly.

Moreover, this week the Assembly Ways & Means Committee advanced to the full Assembly legislation (A.4668, People-Stokes) that 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. The same-as legislation (S.4111, Breslin) recently passed the Senate.

Other bills being advanced by MSSNY include:

  • 4177/S.2528 – would provide needed due process protections for physicians whose network participation contract is 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. In Assembly Insurance and Senate Health Committees (see related article)
  • 951/S.1575 – would enable independently practicing physicians the ability to jointly negotiate network participation terms with market dominant health insurance companies. In Assembly and Senate Health Committees
    (AUSTER, CARY)

Please Urge Your Legislators to Oppose Legislation that Rejects Physician-Led Team Care
Legislation (S.3056-A) was advanced from the Senate Higher Education Committee to the Senate floor 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.  Senator John Liu (D-Queens) voted against the legislation, and Senate Higher Education Committee Chair Toby Stavisky (D-Queens) voted without recommendation.

Physicians can send a letter urging legislators to oppose this legislation from here: Protect Physician-Led Team Care for Patients (p2a.co).  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.

MSSNY joined with several 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)


Please Urge Your Legislators to Reject Legislation That Would Drive Huge New Increases in Medical Liability Insurance
Legislation (S.74-A) is before the Senate Judiciary Committee next week 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.  You can send a letter to your legislator from here urging them to oppose this disastrous legislation.  Reject Expansion of Recoverable Damages in Wrongful Death Actions.

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)


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Senate Health Committee to Consider Bill to Reduce Barriers for Patients by Streamlining Prior Authorization Process
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 is on the Senate Health Committee agenda for consideration this coming Tuesday, May 18th.

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 plan.

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.
NYS Psychiatric Association (NYSPA)         (CARY, AUSTER)


Revised NYS COVID 19 Guidance Expands Immunization to 12-15 Years of Age; Reporting to Vaccine Tracker No Longer Required
The New York State Department of Health has issued guidance that allows physicians and other providers, enrolled in the NYS and NYC COVID-19 vaccination programs, to provide immunizations to individuals aged 12-15 years of age, the Pfizer COVID-19 vaccine.   The guidance also includes the following:

  • Vaccine Tracker: Effective immediately, reporting to the NYS COVID-Vaccine Tracker is no longer required.
  • Universal Doses: Effective May 11, New York State moved to a “Universal Dose” administration process for all multi-dose COVID-19 vaccine types. All doses are now considered universal doses, which means that doses can be used as either a first dose or a second dose, regardless of if they were originally shipped to providers as a first dose or a second dose.
  • Responsible Wastage: While enrolled providers must continue to follow best practices to use every dose possible, it should not be at the expense of missing an opportunity to vaccinate every eligible person when they are ready to get vaccinated.

A copy of the guidance can be found here: Click Here (CLANCY)


DOH Eliminates Pre-Surgery COVID-19 Testing for Individuals Who are Vaccinated
The New York State Department of Health has issued new guidance for elective procedures.  Under the guidance, pre-elective procedure COVID -19 testing is not required for patients who are fully vaccinated or have recovered from laboratory-confirmed COVID-19 during the previous three months. There is no need to test asymptomatic recently recovered patients to prove they are now negative. However, pre-elective procedure testing remains encouraged by NYSDOH for all asymptomatic patients scheduled for elective surgery/procedures.  A copy of the guidance is here. (CLANCY)


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

Newly added: 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.

Additional COVID-related podcasts include:

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 go to Click Here to listen.

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


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)


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eNews

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.


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 specialty 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.


MSSNY Past President Dr. Madejski Discusses Vaccine Hesitancy in Buffalo News
In an article in the Buffalo News about patient reactions to getting the COVID-19 vaccine, MSSNY Past President Dr. Thomas Madejski says that he explains to vaccine hesitant patients that he respects their right to decline the vaccination but then works on the science.  “Eight out of 10 times I’m able to work through [hesitancy],” he tells the paper. “I explain my personal experience with the vaccine, which was nothing with the first dose and some mild symptoms for 24 hours with a fever and myalgia with the second dose. I tell them it’s been better studied than the previous couple vaccinations that were approved because more than 100 million people have been vaccinated. There’s a much better risk-benefit ratio to being vaccinated than getting COVID.”


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Physicians Turn to Social Media for Professional Advancement, Survey Finds
While both female and male physicians report using social media to build their professional networks, there are differences in how it benefits each gender, according to survey findings published May 13 in JAMA Network Open.

A sample of 577 respondents were included in the study. Of those, 321 identified as women and 256 identified as men. The survey was administered between February and March.

Five findings:

  1. Men (69 percent) and women (67 percent) were equally likely to report using social media to build their professional networks.
  2. Similarly, 70 percent of men and 68 percent of women respondents agreed that social media led to increased collaboration within their specialties. Findings indicating that social media increased collaboration across specialties and institutions were also similar.
  3. Forty-eight percent of male physicians said social media helped expand their research portfolio, compared to 36 percent of women.
  4. Men (39 percent) were more likely to report that social media use resulted in a speaking engagement than women (30 percent.)
  5. Seventy-three percent of women said they used social media to build a support network, compared to 55 percent of men.

“The findings of this survey suggest that social media use by women physicians may not improve gender equity,” researchers said. “It may be the case that the same biases that lead to fewer opportunities for professional advancement for women persist in the online physician community.”

Researchers noted several study limitations, including that questions are liable to subjectivity.


MSSNY’s Recent Webinar, Social Media in Medicine: a Beginners Guide for Physicians 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

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 12, 2021 – MSSNY Launches Disaster Relief Fund

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An Appeal for Donations to MSSNY’s Disaster Relief Fund
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.


AMA Analysis Shows Most Physicians Work Outside of Private Practice
The majority of patient care physicians worked outside of physician-owned medical practices in 2020, according to a newly released biennial analysis of physician practice arrangements by the American Medical Association (AMA). This is the first time the share of physicians in private practices has dropped below 50% since the AMA analysis began in 2012.

Although data collected by the AMA from 3,500 U.S. physicians through the 2020 Physician Practice Benchmark Survey show the continuation of shifts toward larger medical practices and away from physician-owned practices,  the magnitude of change since 2018 suggest these trends have accelerated. The survey was conducted from September to October 2020, roughly six months into the COVID-19 pandemic, and therefore may not reflect the full impact the pandemic will have on physician practice arrangements.

The AMA survey data show 49.1% of patient care physicians worked in physician-owned practices, down from 54% of physicians in the 2018 AMA survey. The drop of nearly five percentage points is the largest two-year change measured since the AMA survey began in 2012. The ongoing shift toward larger practice size also appears to have accelerated between 2018 and 2020. The share of physicians in practices with at least 50 physicians increased from 14.7% in 2018 to 17.2% in 2020, also the largest two-year change measured by the AMA survey since 2012.

“There are several contributing factors to the ongoing shifts in practice size and ownership that include mergers and acquisitions, practice closures, physician job changes, and the different practice settings chosen by younger physicians compared to those of retiring physicians,” said AMA President Susan R. Bailey, M.D. “To what extent the COVID-19 pandemic was a contributing factor in the larger than usual changes between 2018 and 2020 is not clear. Physician practices were hit hard by the economic impact of the early pandemic as patient volume and revenues shrank while medical supply expenses spiked. The impact of these economic forces on physician practice arrangements is ongoing and may not be fully realized for some time.”

The new AMA analysis illustrates the wide variety of practice types, sizes, and ownership arrangements in which physicians work. Due to this diversity, no single practice type, size, or ownership structure can or should be considered the typical physician practice, according to the analysis. Key findings on the shifting distribution of physician practice arrangements are compiled by:

Employment Status
Employed physicians were 50.2% of all patient care physicians in 2020, up from 47.4% in 2018 and 41.8% in 2012. In contrast, self-employed physicians were 44% of all patient care physicians in 2020, down from 45.9% in 2018 and 53.2% in 2012. The percentage of physicians who were independent contractors has been steady, fluctuating in the narrow band between 5% (2012) and 6.7% (2018).

Practice Ownership
With the steady decline since 2012 in the share of physicians working in private practices, there has been a concurrent increase in the share of physicians working directly for a hospital or for a practice at least partially owned by a hospital or health system. Almost 40% of patient care physicians worked either directly for a hospital or for a practice with at least partial hospital or health system ownership in 2020, up from 34.7% in 2018 and 29% in 2012. Physicians working directly for a hospital were 9.3% of all patient care physicians, an increase from 8% in 2018 and 5.6% in 2012. Physicians working in practices at least partially owned by a hospital or health system were 30.5% of all patient care physicians, an increase from 26.7% in 2018 and 23.4% in 2012. For the first time the AMA survey included an option for private equity and found 4% of patient care physicians worked in practices owned by private equity firms.

Practice Size
Despite the trend toward larger practices, most physicians (53.7%) still work in small practices of 10 or fewer physicians. This share has fallen continuously from 61.4% in 2012. The survey found that physicians age 55 and older were significantly more likely to work in small practices than physicians under the age of 40. The large difference between age groups suggests that one reason for the shift in practice size is that retiring physicians who leave small practices are not being replaced on a one-for-one basis by younger physicians. The same reason also appears to be a factor in the shift in practice ownership.

Business Structure
New in the 2020 AMA survey, physicians in private practice were asked about their business structure. The type of business structure has tax and liability implications for the practice owners. Together, two business structures accounted for over half of physicians in private practice: limited liability companies (27.8%) and S corporations (24.7%). Fifteen percent of physicians in private practice indicated that their business was a C corporation. The shares of physicians in partnerships and in sole proprietorships were similar, each around 10%.

The new analysis is the latest addition to the AMA’s Policy Research Perspective series that examines long term changes in practice arrangements and payment methodologies. The new AMA study, as well as previous studies in the Policy Research Perspective series, are available to download from the AMA website.


NYS Moving to “Universal Dose” Administration for Multi-Dose COVID-19 Vaccine
Beginning on May 11th, New York State is moving to a “Universal Dose” administration process for all multi-dose COVID-19 vaccine types.  All doses are now considered universal doses, which means that doses can be used for a first dose or a second dose, irrespective as to whether they were originally shipped to providers as a first dose or a second dose. First and second doses may also be drawn interchangeably from the same vial. With all doses being a universal dose, please utilize a first in, first out rule to manage inventory. This includes storing newly received vaccine in the freezer until it is needed.  COVID-19 vaccine providers should continue to follow their jurisdiction’s (NYC or NYS) vaccine ordering and inventory guidance to request their weekly vaccine allocations.

These changes also will be reflected in the next update to the NYS COVID-19 Vaccine Program Guidance.

If you have any questions, please contact COVIDvaccinenotused@health.ny.gov.


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NYS Department of Health May 13 COVID-19 Update for Physicians
Join the NYS DOH for a COVID-19 update on Thursday, May 13th at 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 and code: 844-512-2950 Access code 8526377#
These changes will be reflected in the next update to the NYS COVID-19 Vaccine Program Guidance. Contact COVIDvaccinenotused@health.ny.gov with questions.


New COVID 19 Volunteer Physician App for Recruitment in India and US
Face2Face Health is a digital telehealth and education platform run by longtime MSSNY member and New York County Medical Society Board member Dr. Ami Shah.  The organization has created a COVID-19 volunteer app to sign up physicians to provide free advice to thousands of Indians in need and urgently needs physician volunteers.

Visit f2fhealth.com/helpindia for more information and to download the app. Volunteer Physicians control their volunteer time and will be automatically matched by the system algorithm. All disclaimers that this is ADVICE ONLY will be in place.


New Analysis Shows Benefits of Electronic Prior Authorization
America’s Health Insurance Plans (AHIP) | March 2021
A study conducted by RTI International, working with AHIP and six health insurers, followed 40,000 prior authorizations and then surveyed 300 providers and staff members using electronic prior authorization.

  • 71% of providers surveyed who used electronic means for most prior authorizations reported faster time to patient care.
  • 24% of manual requests took more than 48 hours before a decision was made by the insurer compared to 15% of those prior authorization requests submitted electronically.
  • 54% of experienced providers (those familiar with using electronic methods of prior authorization) reported fewer phone calls with the use of electronic prior authorization and 62% indicated less time spent on the phone overall. These providers also reported sending fewer faxes and less time was spent sending documents via fax.
  • Click here to view the full report.

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Save an Extra 10-15% with MLMIC Preferred Saving Programs
MLMIC Insurance Company has collaborated with groups and organizations across the state to help physicians get New York’s #1 medical professional liability insurance at an even lower cost. Save an additional 10-15% for up to 30% in total savings. Learn more.


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Classifieds

Classified Ads Available for:

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

For help, information or to place your ad, call 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 


 

 

 

 

 

Council June 3, 2021

MSSNY COUNCIL AGENDA
Thursday, June 3, 2021, 9:00 a.m. (Virtual)

                                                                       

A.  Call to Order and Roll Call

B.  APPROVAL of the following Council Minutes Council Minutes:

  1. April 15, 2021
  2. May 1, 2021

C.  New Business

1. President’s Report.
  a. APPROVAL 2021/2022 MSSNY Committee Selection

  b. Legislative & Physician Advocacy Committee
     Gregory Pinto, MD, Commissioner of Governmental Affairs
                 (For Council Approval)

     Resolution 100 and 105
      •  Role of Private Equity in Medicine
      •  Wall Street Acquisition of Medical Practices

  c. Preventive Medicine and Family Health Committee Resolutions
     Joshua Cohen, MD, Commissioner of Science & Public Health
     (For Council Approval)
    Resolutions 107 & 114

    • Pharmacy Refill Requests
    • Automated Refills by Pharmacy without patient authorization

  d. Committee on Health Disparities
      Joshua Cohen, MD, Commissioner of Science & Public Health
      (For Council Approval)
  • Name Change for the Committee on Health Disparities

  e. Committee on Health Disparities Resolution
      Presented by Joshua Cohen, MD, Dr. Linda Clark & Dr, Erik Eiting
      (For Council Approval)
  • Addressing Racism and Intersectionality in Medicine

  f. Quality Improvement and Patient Safety Committee
      Presented by Dr. Thomas Lee & Moe Auster, Esq.
      (For Council Approval)
  • Resolution 67 – Continuing Certification as a condition of
     Employment or
Reimbursement

  g. Infectious Disease Committee Resolution
    Presented by Dr. Joshua Cohen & Dr. William Valenti
     (For Council Approval)

      Ensuring affordability and equity in COVID-19 Vaccine Boosters

  h. American Association of Physicians of Indian Origin(AAPI)
    (For Council Approval)
    COVID-19 Crisis in India Resolution 

  i. At Large Members to MSSNY’s Executive Committee of the Council:

    • Luis Seija, Jr., MD
    • Jocelyn Young, DO

(For Council Information)

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

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

D.  Reports of Officers

  1. Office of the President – Joseph R. Sellers, MD (verbal report)
  2. Office of the President-Elect – Parag H. Mehta, MD (verbal report)
  3. Office of the Vice-President – Paul A. Pipia, MD (verbal report)
  4. Office of the Immediate Past President – Bonnie L. Litvack, MD |
        (verbal report)
  5. Office of the Treasurer– Mark J. Adams, MD,
        Financial Statement for the period 1/1/2021 – 4/30/2021
        (For Council Approval)     
    6. Office of the Speaker – William R. Latreille, Jr., MD

E.  Reports of Councilors (Informational)

  1.  Kings & Richmond Report – Adolph B. Meyer, MD
  2.  Manhattan & Bronx Report – David M. Jakubowicz, MD
  3.  Nassau County Report – David Podwall, MD
  4.  Queens County Report – Saulius J. Skeivys, MD
  5.  Suffolk County Report – Daniel E. Choi, MD
  6.  Third District Branch Report – Brian P. Murray, MD
  7.  Fourth District Branch Report – Gregory L. Pinto, MD
         (No written report submitted)
  8.  Fifth District Branch Report – Barry Rabin, MD
  9.  Sixth District Branch Report – Celeste A. Johns, MD
         (No written report submitted)
  10. Seventh District Branch Report – Janine L. Fogarty, MD
  11. Eighth District Branch Report– Mark R. Jajkowski, MD
  12. Ninth District Branch Report – Thomas T. Lee, MD
  13. Medical Student Section Report – Leanna Knight
         (No written report submitted)
  14. Organized Medical Staff Section Report – Stephen F. Coccaro, MD
         (No written report submitted)
  15. Resident & Fellow Section Report – Luis E. Seija, MD
         (No written report submitted)
    16. Young Physician Section Report –  Jocelyn C. Young, DO

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

  1. Commissioner of Continuing Medical Education, Mark J. Adams, MD
        (No written report submitted)

 3. Commissioner of Governmental Relations, Gregory L. Pinto, MD
   a. Scope of Practice Committee Minutes, April 20, 2021
b. Quality Improvement & Patient Safety Minutes, May 12, 2021
c. Long Term Care Minutes, May 6, 2021
d. Report from the Division of Governmental Affairs

  1. Commissioner of Membership, David M. Jakubowicz, MD
        Report from the Division of Membership 
    .
  2. Commissioner of Science & Public Health, Joshua M. Cohen, MD
        a. Committee on Addiction & Psychiatric Minutes, May 7, 2021 
        b. Committee on Health Disparities April 23, 2021
    c. Committee on Infectious Diseases, April 29, 2021
    d. Committee on Preventive Health and Family Medicine, May 13, 2021
    .
  3. Commissioner of Socio Medical Economics, Brian P. Murray, MD
        (No written report submitted)

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

  1. Membership Dues Revenue Schedule
  2. Group Institutional Dues Report
  3. MSSNY’s Goals & Measures PowerPoint

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

I.  Report of the Alliance, Joan Cincotta
     Alliance Report

J.  Other Information/Announcements
    1. Comments on the No Surprises Act
2. Interest Rate for Adjudicated Medical Debts 

K.  Adjournment

 

 

MSSNY eNews: May 7, 2020 – Physician Engagement, Wellness, and Stewardship

 

Dr. Joseph R. Sellers was elected the 214th president of the Medical Society of the State of New York on Saturday, May 1st at a special MSSNY virtual Council meeting. Following is the speech he gave following his election:.

Colleagues:

Thank you all for giving me the honor of service as the 214th President of the Medical Society of the State of New York. With your help and God’s will, I will do all I can to deserve your trust. My good friend, Dr. Parag Mehta once told me that the two most important days in your life are the day that you are born and the day you find your purpose.

I was born upstate in Buffalo, the youngest of seven siblings. My father, Charlie Sellers, worked with his father, also Charlie Sellers, selling disability and life insurance—including member benefit endorsed plans to physicians of the Erie County Medical Society. Along with my siblings, I attended elementary school under the care of the Daughters of the Heart of Mary. With my brothers, I attended high school with the Jesuit Fathers. While my siblings went on to study business, accounting, and law before joining the family business, I wanted to be a scientist.

After the University of Rochester, I returned to the Jesuits at Georgetown University School of Medicine, enrolling in an MD/PhD program. However, as soon as I was given the privilege of taking a patient’s history and performing a physical exam, I discovered my calling—my purpose in life—was to be a practicing physician in clinical medicine. Fast forward through pediatric and internal medicine residencies, teaching medical students and residents, taking on practice administrative duties and community leadership roles—it is still the experience of having patients share with me their burdens and their dreams, of working with them to get to their goals, of making a difference one encounter at a time that gets me up in the morning and keeps me going through evenings of pajama time in Epic.

And so, my sister and brother physicians, we may differ in the details of our daily routines, where and how we practice—but we all share that calling, that purpose of caring for patients.

Which brings us to tonight and the annual leadership transition within MSSNY. For 214 years, our medical society has stood strong to protect, to strengthen, and to nurture the ability of physicians to care for patients in New York State. And just as our patients need strong, supportive, and nurturing physicians to help them through life, we physicians need the support and advocacy of a strong MSSNY.

Our recent presidents have introduced the concept of foundational pillars upon which to build our Medical Society. Tonight, I would like to share my modification of our pillars. 

Engagement

Thanks to our MSSNY leadership and staff, we have made great strides in bringing our profession under one tent. We are working together, whether early, mid, or late career, in independent practice or employed by hospitals and groups, whether urban or rural, Upstate or Downstate, whatever our ethnic or religious affiliations, whether cis, trans, straight or gay, and whatever specialty we have chosen to practice—we are increasingly working together, finding common ground, and advancing a professional and patient-supportive agenda.

I call on us to continue this work by finding areas that are ripe for medical support and by engaging with other healthcare professions, all of whom we stood with through the pandemic—including nurses, hospitals, podiatrists, and pharmacists. When we can agree on actions to help our patients and their caregivers, let’s stand together. One area of engagement needs to be given our priority: working with the communities who suffer from disparities in health outcomes.

Wellness

Our profession has been subjected to stresses from every corner. Regulations by non-physicians who somehow consider themselves experts in medicine; cost controls by insurers that do not seem to lower premiums but do increase CEO bonuses and corporate profits; EMRs designed by folks who squandered an opportunity to improve quality and safety. If only they included some people who actually practice medicine!

Our MSSNY presidents who served in 2017, 2018, and 2019 worked to develop resources to support our over-burdened physicians. And so, as a once in a century pandemic threatened to overwhelm us, our most recent president, Dr. Bonnie Litvack, was ready with a peer-to-peer support program and a practice transformation initiative to steady our profession. We have a great deal more to accomplish in this area. Just as we hold all of our actions and resolutions to a fiscal note that ensures we are good stewards of MSSNY finances, I will ask our leadership to hold our policies and initiatives to a “wellness note,” assessing whether we are enhancing the wellbeing of those with whom we share our calling.

Stewardship

We have a great legacy in MSSNY with over two centuries of serving our profession and our patients. The pandemic has tested our ability to be resilient and has forced us to keep our focus on a somewhat short-term field of view. I am challenging our leadership and staff to step back and take a slightly larger view of our path forward.

I will work with our Executive Vice President, Troy Oechsner, with help from our immediate past president, Dr. Bonnie Litvack, to develop goals for our MSSNY divisions, our committees, and our Council for the next 11 months. We will develop some key performance indicators to measure our progress towards our annual goals and will ask for a report card to be shared at our Council meetings.

Taking a longer look into our future, as requested by our MSSNY BOT at its most recent meeting, I will ask our leadership to help us to develop a three- to five-year roadmap to a future state where we are as dynamic and effective as possible in supporting the practice of medicine. I will be counting on President-Elect Dr. Parag Mehta and Vice President Dr. Paul Pipia to help lead these efforts and to ensure that our efforts are sustained by our future leadership.

Thank you all, my MSSNY friends and family. Let’s go forward and continue our work in MSSNY’s 214th year to make the profession strong and our patients’ lives better. I ask for your help and prayers.

Joseph Sellers, MD, FAAP, FACP
MSSNY President


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MSSNY Weekly Podcast


MSSNY Joins NYSRS in Lobby Visits to Address Prior Authorization Burdens and Protect Patient Access to Physician-Led Team Care
MSSNY physician leaders and staff joined physician leaders of the New York State Radiological Society this week in legislative visits to highlight a number of priority bills supported and opposed by both associations.

The groups emphasized its strong support for legislation to ensure patients receive the care they need and to reduce the extraordinary administrative burdens physicians must endure in receiving needed approvals and submitting claims to health insurers, including legislation (A.951/S.1575) that would permit independently practicing physicians to collectively negotiate with health insurers, and legislation (A.7129/S.6435-A) that would reduce prior authorization hassles.

The groups also articulated opposition to legislation that would cause serious disruption to our health care delivery system as it continues to recover from the impact of the pandemic, including legislation (A.6770/S.74-A) that would expand damages awardable in wrongful death actions and increase New York’s already exorbitant medical liability premiums by nearly 50%, and legislation (A.3470-A/S.2521-A) that contains a component that would create administrative chaos by requiring hospitals and non-employed hospital-based physicians to jointly bill patients for cost-sharing amounts, despite an insurance system that has created separate lanes for paying for these services.

The groups also emphasized the importance of protecting physician-led team care, including opposing legislation that would permit physician assistants to independently perform fluoroscopy (A.1847/S.1591); legislation (A.2294/S.2019) to permit podiatrists to provide wound care on a patient’s leg that are not contiguous with the foot, and eliminate the requirement of nurse practitioners to maintain documented collaborative relationships with physicians in the same specialty (A.1535-A/S.3056-A).          (DIVISION OF GOVERNMENTAL AFFAIRS)


MSSNY Continues to Advocate for Needed Health Insurer Reform Legislation to Ensure Patients Receive Needed Treatment and Medications
With only 5 weeks left in the Legislative Session, MSSNY continues to work with several patient and physician advocacy groups in support of legislation to address aberrant health insurer practices that adversely impact the ability of patients to receive the care and medications they need.  These bills include:

  • 951/S.1575 – would enable independently practicing physicians the ability to jointly negotiate network participation terms with market dominant health insurance companies. In Assembly Health and Senate Health Committees.
  • A.1741/S.5299 – would enable third party financial assistance to count towards patients meeting their deductible costs. On Assembly floor and Senate floor.
  • 4111/S4668 – would significantly limit the ability of health insurers to make adjustments to their prescription drug formularies during a policy year. Passed Senate and in Assembly Ways & Means Committee.
  • 4177/S.2528 – would provide needed due process protections for physicians whose network participation contract is 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. According to a recent survey from the American Medical Association, almost 70% of responding physicians reported that health insurers had either reverted to past prior authorizations policies or never relaxed these policies during the height of the pandemic.  94% reported care delays while waiting for health insurers to authorize necessary care, and 30% reported that prior authorization requirements have led to a serious adverse event for a patient in their care.  In Assembly Insurance -and Senate Health Committees. (AUSTER, CARY)

Please Urge Your Senator to Oppose Legislation that Rejects Physician-Led Team Care
Legislation (S.3056-A) is before the Senate Higher Education Committee next week 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. 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.

With only a few years of education, no residency requirement and only 500-720 hours of clinical training, nurse practitioners, their education is far less rigorous than physician training.  By sharp contrast, physicians complete 4 years of medical school plus 3-7 years of residency, including 10,000-16,000 hours of clinical training. 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 national survey concluded that 68% of respondents believe it is very important for physicians to be involved in diagnoses and treatment decisions, with an additional 27% of voters believing it is at least somewhat important (95% total).

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)                                                                        


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MSSNY Continues to Press for Payment Parity for Telehealth Services
Physicians are urged to continue to contact their legislators to support legislation (A.6256/S.5505) Urge Legislators to Support Payment Parity in Telehealth that would ensure that payments to physicians for delivering Telehealth services including video, and audio-only visits, are on par with those received for in-office appointments. MSSNY recently teamed up with several other organizations including the New York State Psychiatric Association (NYSPA), and the American College of Obstetricians and Gynecologists (ACOG), Division II, to meet with the Chair of the Assembly Insurance Committee, Assemblyman Kevin Cahill (D- Kingston), to discuss this legislation  The Senate version of the bill, S.5505 (Rivera- D, Bronx), is on the agenda for the next meeting of the Senate Finance Committee, which is scheduled for this Tuesday, May 11th (CARY)


New York State Department of Health Commissioner Zucker to Conduct COVID-19 Vaccine Webinar for Physicians on How to Convince Patients to Get Immunized
The NYS Department of Health will be hosting a COVID-19 vaccination program webinar for physicians and advanced practice providers with Dr. Zucker on Monday, May 10 from 4:00 to 5:00 PM.

Below is the link to:

“A Q&A with NYS Health Commissioner Dr. Howard Zucker:

How doctors can convince our patients to get vaccinated and to vaccinate their children.

Registration is not required.

Physicians may click this link to log in on Monday(CLANCY)


Monoclonal Antibody Therapies Continues to Remain Treatment Option for COVID-19
On Friday, April 16, the U.S. Food and Drug Administration (FDA) revoked the emergency use authorization (EUA) for bamlanivimab, when administered alone, to be used for the treatment of mild-to-moderate COVID-19 in adults and certain pediatric patients who are at high risk of disease progression or hospitalization.

Please see the full FDA statement here.  REGEN-COV as well as bamlanivimab and etesevimab (administered together) continue to be available under EUA. There is no shortage of monoclonal antibody product. Sites that are administering monoclonal antibodies can order bamlanivimab and etesevimab, etesevimab to pair with the current supply of bamlanivimab that the site has available, or REGEN-COV from the authorized distributer using the direct ordering process.

Please contact COVID19Therapeutics@hhs.gov with any questions.  Please remain alert for further updates from HHS  on monoclonal antibody therapies authorized for emergency use. For additional information please go here: Combat COVID      (CLANCY)


NYS Department of Health Issues Updated Guidance on COVID-19 Vaccines
The New York State Department of Health on May 6th has updated its guidance for the administration of the COVID-19 vaccine.  Specifically, the guidance addresses the issue of offer second doses of COVID-19 vaccines to people who received their first shot from a different provider.

The updated guidance for the NYS COVID-19 Vaccine Program covers the procedures for circumstances where the patient is unable to return to the same location where they received the first dose of vaccine.  A copy of the guidance is here.  A DOH resource on all updated guidance can be found here: Update  (CLANCY)


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New York State Cancer Consortium and the NYS HPV Coalition Is Sponsoring Webinar On Screening During the Pandemic
The NYS Cancer Consortium’s Colorectal Cancer Action Team and the NYS HPV Coalition is sponsoring a webinar on Tuesday, May 25, 2021 Noon to 1 pm on cancer screening and HPV vaccination.  Speakers will cover national data, offer specific strategies, and share new resources to promote a return to screening and earlier than usual HPV vaccination. New York State providers will provide local context and discuss their experience during a moderated discussion and brief Q and A period.  A copy of the flyer and registration can be found here.     (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)


MSSNY Medical Matters Program on Triage in a Disaster Event

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

There have been innumerable disaster events taking place all around us on a regular basis.  Learn more about how to perform triage when you find yourself in proximity to different types of disaster by registering for Medical Matters: Triage in a Disaster Event.

This webinar will take place on Wednesday May 26th at 7:30am.  Arthur Cooper, MD and Zackary Hickman, MD will serve as faculty for this program.  Click here to register for this webinar.

 Educational objectives

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

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

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


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

Wednesday, May 12th @ 7:30 am 

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

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

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

Educational Objectives:

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

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

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

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.                                                      


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Congratulations to MSSNY’s Newly Elected 2021-22 Leadership
On Saturday, May 1st MSSNY held a special virtual Council meeting to elect our 2021-2022 officers. Following is a list of the new officers, with links to the press releases that were sent following the election:

Joseph R. Sellers, MD, FAAP, FACP, Elected President of the Medical Society of the State of New York

Parag Mehta, MD Elected President-Elect of the Medical Society of the State of New York

Paul Pipia, MD Elected Vice President of the Medical Society of the State of New York (MSSNY) 

Frank Dowling, MD Elected Secretary of the Medical Society of the State of New York 

Joshua M. Cohen, MD, MPH, FAHS, Elected Assistant Secretary of the Medical Society of the State of New York 

Mark J. Adams, MD, MBA, FACR Elected Treasurer of the Medical Society of the State of New York

Howard H. Huang, MD Elected Assistant Treasurer of the Medical Society of the State of New York

William Latreille, MD Elected Speaker of the Medical Society of the State of New York

Maria A. Basile, MD Elected Vice Speaker of the Medical Society of the State of New York

MSSNY Zoom meeting


Crain’s Health Pulse Coverage of New MSSNY Leadership
WHO’S NEWS: Dr. Joseph R. Sellers has been elected president of the Medical Society of the State of New York, the nonprofit professional organization announced Monday. Sellers, who leads the Bassett Medical Group in Cooperstown, previously served as president-elect. The organization also selected Dr. Parag Mehta as president-elect, Dr. Paul A. Pipia as vice president and Dr. Mark J. Adams as treasurer. Dr. William Latreille was reelected as speaker.

Crain’s Health Pulse, 5/4/2021


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 COVID 19 Volunteer Physician App for Recruitment in India and US
Face2Face Health is a digital telehealth and education platform run by longtime MSSNY member and New York County Medical Society Board member Dr. Ami Shah.  The organization has created a COVID-19 volunteer app to sign up physicians to provide free advice to thousands of Indians in need and urgently needs physician volunteers. The app will be live on Monday May 10.

Visit http://f2fhealth.com/helpindia for more information and to download the app. Volunteer Physicians control their volunteer time and will be automatically matched by the system algorithm. All disclaimers that this is ADVICE ONLY will be in place.


Press Coverage of MSSNY Statement Re Health Republic Settlement
Buffalo (NY) Business First (5/5, Drury) reports The New York Department of Financial Services “announced a $220.8 million judgment resolving a lawsuit filed in late 2017 against the federal government tied to the collapse of Health Republic Insurance of New York.” As a result, healthcare providers in the Buffalo area “will finally see millions of dollars in reimbursements tied to a defunct health insurer – but some may be out more than half of the dollars they were owed.”

When Health Republic collapsed in late 2015, “MSSNY said providers across the state were owed more than $200 million.” MSSNY also said “the Health Republic collapse devastated some physician practices who provided care to patients, including 12,000 from Western New York who were covered by Health Republic.”


CPH Banner


Health Republic Settlement: All Outstanding Physician Claims Will be Paid
The New York State Superintendent of Financial Services announced yesterday that Health Republic Insurance of New York, Corp. in liquidation (“Health Republic”) has obtained a judgment to recover $220,838,583 from the United States.  The judgment resolves a lawsuit commenced by the Superintendent as Liquidator of Health Republic against the Federal Government in the United States Court of Federal Claims in 2017.

Health Republic was a not-for-profit health insurer providing affordable health insurance to New Yorkers under the Patient Protection and Affordable Care Act (“ACA”).  The company participated in a number of ACA federal programs designed to help insurers address the uncertainty of underwriting in the initial years of the new health insurance marketplace.

In the first three years of the ACA, however, the Federal Government failed to honor its obligation to pay full balances due under a significant program known as Risk Corridors. The Superintendent in her capacity as Liquidator commenced this lawsuit in 2017 demanding that the Federal Government pay the amounts it was mandated to pay under this program.

The $220.8 million settlement amount will allow the Liquidator to pay all policyholder level claims in full, including many New York hospital systems and other health care providers. In addition, the Liquidator anticipates that there will be sufficient assets to pay New York State and local government claims of approximately $19.1 million and a substantial portion of general creditor claims according to the priority scheme established under New York Insurance Law Article 74.

Check on the claims submitted to the liquidator at the Health Republic Insurance of New York Liquidation Website.


Classifieds

Classified Ads Available for:

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

For help, information or to place your ad, call 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 5, 2021- Health Republic Settlement: All Outstanding Physician Claims Will be Paid


MLMC Banner


Health Republic Settlement: All Outstanding Physician Claims Will be Paid
The New York State Superintendent of Financial Services announced yesterday that Health Republic Insurance of New York, Corp. in liquidation (“Health Republic”) has obtained a judgment to recover $220,838,583 from the United States.  The judgment resolves a lawsuit commenced by the Superintendent as Liquidator of Health Republic against the Federal Government in the United States Court of Federal Claims in 2017.

Health Republic was a not-for-profit health insurer providing affordable health insurance to New Yorkers under the Patient Protection and Affordable Care Act (“ACA”).  The company participated in a number of ACA federal programs designed to help insurers address the uncertainty of underwriting in the initial years of the new health insurance marketplace.  In the first three years of the ACA, however, the Federal Government failed to honor its obligation to pay full balances due under a significant program known as Risk Corridors.  The Superintendent in her capacity as Liquidator commenced this lawsuit in 2017 demanding that the Federal Government pay the amounts it was mandated to pay under this program.

The $220.8 million settlement amount will allow the Liquidator to pay all policyholder level claims in full, including many New York hospital systems and other health care providers.  In addition, the Liquidator anticipates that there will be sufficient assets to pay New York State and local government claims of approximately $19.1 million and a substantial portion of general creditor claims according to the priority scheme established under New York Insurance Law Article 74.

Check on the claims submitted to the liquidator at the Health Republic Insurance of New York Liquidation Website.

As noted below, MSSNY President Dr. Joseph Sellers issued a statement praising the DFS for their efforts given the significant impact this liquidation had on many physician practices, and the efforts taken by MSSNY and other organizations urging that physicians be reimbursed for these claims.


MSSNY Press Statement on Health Republic Settlement
The following statement was sent to the press on 5/4/21:

Statement Attributable to:
Joseph R. Sellers, MD, FAAP, FACP
President, Medical Society of the State of New York
“We thank the New York State Department of Financial Services for their tireless efforts over the last years to ensure that physicians, hospitals and other care providers with outstanding claims to Health Republic Insurance Company are reimbursed for the care they delivered to patients covered by Health Republic.  We have confidence that DFS’s settlement announcement to provide funding for outstanding claims is the beginning of the final chapter of this story that had left countless physicians with tens of thousands, or in some cases, hundreds of thousands of dollars, in unpaid claims and devastated practices.

“We will continue to work with DFS to provide necessary information to impacted physicians regarding the time and manner by which such outstanding payments will be distributed to satisfy Health Republic’s financial obligations.  We also continue to urge that, to prevent against similar occurrences in the future, that the New York State Legislature and Governor work to establish a ‘Health Guarantee Fund’ that protect patients and their health care providers against similar health insurer liquidations that could occur in the future.”


The Complexities of Physician Supply and Demand: Projections From 2018 To 2033 
This study examines physician workforce supply and demand to evaluate the need to increase enrollment at the medical school level and push for changes federally for both funding and other support for medical schools. Demand for physicians continues to exceed workforce supply.

  • The total projected physician shortfall range by 2033 is between 54,100 and  139,000 physicians, broken out as follows:
    • shortage ranges are between 21,400 and 55,200 for primary care physicians;
    • between 17,100 and 28,700 for surgical specialties;
    • between 9,300 and 17,800 for non-surgical medical specialties (e.g., gastroenterology, neurology, etc.); and
    •  between 17,100 and 41,900 for other specialties (e.g., anesthesiology, radiology, psychiatry, etc.)
  • These projections suggest a shortage across the non-primary care specialties of between 33,700 and 86,700.
  • If the supply of hospitalists remains similar to its current trend, supply will reach between 3,800 and 8,000 higher than current demand scenarios expect.
  • Click here to view the full report.

Association of American Medical Colleges | June 2020


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TONIGHT: MSSNY’s Social Media in Medicine Webinar is at 6 pm-Join Us!
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.
Register now for Virtual Webinar

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

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

Topics Include:

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

NYSDOH COVID-19 Policy for Predrawn Vaccine
Although standards for vaccine administration typically do not include predrawing (also known as “prefilling”) of syringes due to concerns over compromising or wasting vaccine, the Centers for Disease Control and Prevention (CDC) has permitted predrawing for COVID-19 vaccines, subject to certain qualifications. Specifically, the CDC recommends transporting COVID-19 vaccines in vials but notes that if there are instances when the only option is to transport vaccine in a predrawn syringe, providers should follow U.S. Pharmacopeia (USP) guidance for vaccine preparation and transport. Healthcare entities that have determined that it is appropriate to use predrawn syringes should develop policies and protocols to avoid compromising and wasting vaccine and to maintain the cold chain, consistent with the recommendations detailed herein. Read the DOH guidance in its entirety.


DOH Recommendations on Resuming Use of the Janssen/Johnson & Johnson COVID-19 Vaccine
Following discussions with New York State’s Clinical Advisory Task Force, NYS Health Commissioner Dr. Howard Zucker recommended on April 24, 2021 that New York State accept the federal recommendations and resume Johnson & Johnson vaccinations effective immediately. Read the DOH Health Advisory regarding recommendations to resume use of the Janssen/Johnson & Johnson COVID-19 vaccine.


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


.

Sellers 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 will be held virtually on May 13th, 19th & 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.


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 



 

 

 

 

 

Medical Society Applauds DFS for Efforts in Ensuring Reimbursement for Health Republic Claims 

For Immediate Release
May 4, 2021

Medical Society Applauds DFS for Efforts in Ensuring Reimbursement for Health Republic Claims 

Statement Attributable to:
Joseph R. Sellers, MD, FAAP, FACP
President
Medical Society of the State of New York

“We thank the New York State Department of Financial Services for their tireless efforts over the last years to ensure that physicians, hospitals and other care providers with outstanding claims to Health Republic Insurance Company are reimbursed for the care they delivered to patients covered by Health Republic.  We have confidence that DFS’s settlement announcement to provide funding for outstanding claims is the beginning of the final chapter of this story that had left countless physicians with tens of thousands, or in some cases, hundreds of thousands of dollars, in unpaid claims and devastated practices.

“We will continue to work with DFS to provide necessary information to impacted physicians regarding the time and manner by which such outstanding payments will be distributed to satisfy Health Republic’s financial obligations.  We also continue to urge that, to prevent against similar occurrences in the future, that the New York State Legislature and Governor work to establish a ‘Health Guarantee Fund’ that protect patients and their health care providers against similar health insurer liquidations that could occur in the future.”

# # #

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


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

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