MSSNY Pulse: June 24, 2022

Message from MSSNY President Parag Mehta, MD:
MSSNY Recoups 5.9 Million Dollars on Behalf of MSSNY Member in Insurance Company Takeback

Colleagues:

Our most memorable positive moments are moments of joy, when we feel connected or feel proud. As president of MSSNY I am fortunate to experience such feelings during my visits to various county medical society meetings. I am inspired again and again by the leaders and influencers all around our great state.

Recently I met the presidents and immediate past presidents of several counties, including Queens, New York, Richmond, and Nassau. Congratulations to Drs. Keith LaScalea, Lawrence Melnikar, David Fishman and best of luck to Drs. Erick Eiting, Jagdish Gupta, and Joseph Cooke.

Dr. Madhu Gudavalli, Dr. Gupta and Dr. Melniker

Dr. Cooke &Dr. Fishman

Drs. Eiting and LaScalea

MSSNY leadership and I had a dialogue this week with presidents of the county societies, MSSNY committee chairs and our county executive directors about diversity, member engagement, and upcoming programs for physicians. We will have an ongoing discussion about diversity and inclusion. I encourage you to watch these short videos on implicit bias from UCLA.

This week, MSSNY was frustrated by the US Supreme Court’s decision striking down the New York gun law and condemned the Supreme Court’s decision overturning Roe. Also this week, MSSNY applauded the FDA’s ban on Juul e-cigarette products.

MSSNY Recoups Almost 6 Million Dollars in Insurance Company
Takeback on Behalf of MSSNY Member

On another note, we have very exciting news to share this week. We just received word that our Director of Physician Payment and Practice successfully recouped a $5,936,939.42 insurance takeback for a MSSNY member’s practice. Yes, almost 6 million dollars!

Please see the Physician Payment and Practice section further down in Pulse to read the letter the member wrote to us in its entirety, which explains the entire ordeal. In short, Heather Lopez, MSSNY’s Director of Physician Payment and Practice, stepped in on behalf of a MSSNY member and ultimately succeeded in bringing the insurance overpayment to a zero balance. “[Insurance company name omitted] went on to deny every claim submitted for five years and extrapolated their findings with the rationale that the operative reports were not signed and requested a total overpayment of $5,936,939.42. This would have essentially forced our orthopedic private practice to close,” writes the MSSNY member who requested that his name be withheld. “Not knowing where to begin, I reached out to MSSNY and was put in contact with Heather Lopez, the Director of Physician Payment & Practice for MSSNY. After explaining to her the situation, she immediately became a staunch advocate on my behalf. Throughout this process, I was comforted in the fact that as a member of MSSNY, I was well represented.”

Parag Mehta, MD
MSSNY President


Universal Health Care Could Have Saved More Than 330,000 U.S. Lives During COVID
Americans spend more on health care than people in any other nation. Yet, the American medical insurance system causes many preventable deaths and unnecessary costs. COVID-19 has only exacerbated this already dire public health issue, as evidenced by the U.S.’s elevated mortality compared with other high-income countries. According to a new study published by Proceedings of the National Academy of Sciences, from the pandemic’s beginning until mid-March 2022, universal health care could have saved more than 338,000 lives from COVID-19 alone.

The study compared the mortality risks of insured and uninsured Americans and the risk of death from COVID-19 and all other causes of death. The researchers compiled population characteristics of all uninsured Americans during the pandemic, considering age-specific life expectancy and the elevation in mortality associated with a lack of insurance. They calculated that 131,438 deaths could have been preventable from COVID in 2020 alone. And more than 200,000 additional deaths from COVID-19 could have been averted since then, bringing the total through March 12, 2022, to more than 338,000.

Universal Healthcare as Pandemic Preparedness: The Lives and Costs That Could Have Been Saved during the COVID-19 Pandemic. (PNAS, 6/13, Galvani, Alison).



Craig L. Katz, MD. Receives Excellence in Emergency Preparedness and Disaster/Terrorism Response Award
Congratulations to Craig L. Katz, MD, who received MSSNY’s David B. L. Meza, III, MD Award for Excellence in Emergency Preparedness and Disaster/Terrorism Response. Dr. Arthur Cooper presented the award to Dr. Katz during the MSSNY Council meeting on June 23.

In presenting the award, Dr. Cooper noted that Dr. Katz’s commitment to educating fellow physicians about the importance of their role during a public health crisis has been intricate during the Covid-19 epidemic. He developed programming on Psychological First Aid Following Disasters, Mental Health, and the Impact of Disasters, the Psychological and Epidemiological Aspects of Vaccine and Stress and Distress. During that time, Dr Katz was also assisting MSSNY in training peer supporters for MSSNY’s Peer-to-Peer program.

Dr. Meza, in whose honor this award is named, served the medical community in many capacities for much of his career and was a founding member of the MSSNY emergency preparedness committee.  In line with Dr. Meza’s beliefs in educating fellow physicians, Dr. Katz has developed most of MSSNY’s educational programming on psychological trauma due to mass casualty events, such as bioterrorism.

Dr. Katz is a Clinical Professor of Psychiatry, Medical Education, System Design and Global Health at the Icahn School of Medicine at Mount Sinai in New York City. He is the founding director of Mount Sinai’s Program in Global Mental Health and serves as the vice-chair of MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response.


Climate Change, Fossil-Fuel Pollution, and Children’s Health
The combustion of fossil fuels causes both air pollution and greenhouse-gas emissions, accelerating climate change. Given the frequent co-occurrence of various fossil-fuel exposures, their interactions and cumulative environmental impacts are a growing concern. Children are at risk, but the most significant burden falls on socially and economically disadvantaged people. According to a new study published by the New England Journal of Medicine, the fetus, infant, and child are especially vulnerable to exposure to air pollution and climate change, which are already taking a significant toll on children’s physical and mental health. Protection of children’s health requires that health professionals understand the multiple harms to children from climate change and air pollution and use available strategies to reduce these harms.

Climate Change, Fossil-Fuel Pollution, and Children’s Health. (Perera, Frederica and Nadeau, Kari)



Designing Hospitals that Promote Staff Wellbeing
During Covid, hospitals have seen increased employee turnover rates, which is costly to morale and the bottom line. According to Becker’s Hospital Review, in 2020, the turnover rate for registered nurses increased 2.8 percentage points to 18.7% industry-wide. Each percentage change translates to approximately $270,000 lost or saved per hospital. These numbers have prompted hospitals to rethink their approach to the physical environment and incorporate research-based design strategies that improve the well-being of both patients and the staff guiding their recovery. Behavioral health challenges existed before the pandemic and will persist after it’s over. Only by creating spaces and implementing solutions that simultaneously promote staff well-being and patient healing can they effectively retain and recruit staff and reduce the financial impact of burnout and turnover. Designing buildings to enhance employees’ well-being will help keep them satisfied and productive.

Designing Hospitals that Promote Staff Wellbeing (HBJ, 6/15, Saba, Joan).


An Analysis of Plastic Surgeons’ Social Media Use and Perceptions
Social media allows the interactions among people in which they create, share, and exchange information and ideas in virtual communities and networks. According to the Aesthetic Surgery Journal, the most common reason for incorporating social media into one’s practice has been marketing or branding; most surgeons believed it was inevitable that social media would enter the professional sphere. Results from the ASJ study support this fact because the overwhelming majority of respondents cited “creating an online presence” and “practice expansion” as reasons for maintaining professional social media accounts.

The enthusiasm surrounding professional social media use is not universal among all surgeons. For instance, older surgeons are more likely to believe social media worsens the image of the field. Despite its potential as an effective communication and marketing tool, the openness and familiarity of this platform may also leave users and their reputations vulnerable to abuse or damage.

An Analysis of Plastic Surgeons’ Social Media Use and Perceptions (ASJ, 7/19, Economides, MD, James).



MSSNY Submits Recommendations to Department of Financial Services (DFS) on Implementation of New Law Regulating Pharmacy Benefit Managers (PBMs)
MSSNY recently submitted detailed recommendations for implementation of the new law that was supported by MSSNY that will require greater financial transparency from pharmacy benefit managers (PBMs) and enhance state oversight over PBMs. The law will require PBMs be licensed by DFS, that they adhere to standards established by the agency and disclose all revenue streams and terms and conditions that are placed on their networks of pharmacies. MSSNY has long supported greater oversight and regulation of PBMs as a vital step to addressing restrictive formularies and excessive prior authorization requirements that interfere with patients’ ability to access the medications needed to treat their condition.

Highlights of MSSNY’s recommendations included requesting DFS to adopt rules regarding PBMs use of prior authorization and step therapy protocols to provide full transparency through mandated reporting and to the extent their authority permits, limit PBM intrusion into the physician-patient relationship. MSSNY also expressed its support for the new law’s requirements that PBMs be licensed by DFS and that they adhere to standards established by the Department, as well as disclosure of all revenue streams and terms and conditions that they place on their networks of pharmacies.

MSSNY comments also stressed that DFS rules should specifically define the fiduciary obligations owed to vendors, including health plans, and how that obligation ultimately relates to the patients covered by insurers who secure the prescription medications that the PBM controls access to.

MSSNY requested that DFS require PBMs to report to both health plans and the public a number of key data points as it relates to interactions by patients and their health care providers with PBMs, such as: prior authorization and step therapy rules and policies; The number of prior authorization and step therapy reviews conducted by the PBM identified by drug and cost amount as well as aggregate; The number of prior authorization and step therapy denials vs approvals conducted by the PBM identified by drug and cost amount as well as aggregate; and the time spent by physicians and consumers dealing with prior authorization and step therapy requirements, including but not limited to phone wait times and number of calls, broken down by physicians and consumers and drug.

MSSNY looks forward to continued dialogue with DFS staff in the coming months, to providing additional specific input that ensures patients have affordable access to the most effective treatments and will update members as new policies are established.


Physicians Urged to Request Governor Hochul to Veto De-Stabilizing Expansion of Wrongful Death Awards
All physicians are urged to contact Governor Hochul Reject Expansion of Liability (p2a.co) to request that she veto legislation (S.74-A, Hoylman/A.6770, Weinstein) that could greatly increase physician medical liability premiums by significantly expanding the types of damages awardable in a wrongful death action. The bill was passed over the strenuous opposition of numerous and varied groups, including MSSNY, specialty societies, hospital associations, FQHCs, the Business Council of New York, medical liability and property & casualty insurers, The New York State Association of Counties, and the New York Conference of Mayors.

Specifically, the legislation would increase the already expansive damages awardable in such actions to include compensation for grief or anguish, the loss of love and companionship, loss of services and support, and the loss of nurture and guidance. One actuarial study has suggested that this bill has the potential to increase New York’s already outrageously high medical liability premiums by over 30%.

MSSNY has argued that legislation like this should only be considered in the context of a comprehensive effort to address New York’s excessive liability costs. While some advocates claim that over 40 states have laws that permit recoveries similar to what is proposed in this legislation, they do not mention that most of these other states have adopted provisions to contain excessive medical liability insurance costs, including limits on damages. New York has no such law, which is why our medical liability insurance and payout costs far exceed every other state in the country. This is one of the major reasons why New York regularly receives the dubious distinction of being one of the worst states in the country to be a doctor (Best & Worst States for Doctors (wallethub.com)).

Again, please contact Governor Hochul here: Reject Expansion of Liability (p2a.co) to make sure that we #DontChasePhysiciansOutofNY



MSSNY President Dr. Mehta Quoted in Spectrum/State of Politics Article About FDA’s Juul Move
An article in Spectrum News/State of Politics entitled “New York Health Advocates Cheer FDA’s Juul Move” notes that New York health advocates and state lawmakers who have sought to limit the spread of vaping products in the state cheered the federal Food and Drug Administration’s decision on Thursday to pull Juul products off the shelves.

“Today’s decision is another step in protecting our nation’s youth from using e-cigarettes,” said Parag Mehta, the president of the Medical Society of the State of New York. “It will play a significant role in preventing tobacco companies from using e-cigarette products to addict yet another generation of children to nicotine. As physicians, we know the importance of developing healthy habits in childhood. Today’s decision is an important step in helping our children achieve wellness throughout their lives.”


Dr. Sellers Speaks to Capital Tonight About COVID Vaccines for Young Children
MSSNY Immediate Past President Dr. Joseph Sellers spoke to Spectrum News Albany’s Capital Tonight this week about the COVID-19 vaccine for children under 5, recommending that parents that have concerns about the vaccine should discuss it with their pediatrician. “My message is: Talk to your doctor,” he said. “Talk to the person who you trust to take care of your children, the person who is there when your kids are sick, the person who is there to help your children have the best growth development and the healthiest and happiest life.”


Dr. Valenti Discusses Monkeypox Transmission on WRHU-FM Morning Show
Also in the news, check out MSSNY’s Infectious Disease Committee Chair, Dr. William Valenti discussing Monkeypox transmission and prevention on Hofstra University’s’ WRHU-FM morning show


MSSNY Recoups Almost 6 Million Dollars in Insurance Company Takeback on Behalf of MSSNY Member
Following is a letter written by a MSSNY member who was informed this week that Heather Lopez’s work on his practice’s behalf resulted in the cancellation of an almost 6-million-dollar insurance company takeback:

“Dear MSSNY:

I am writing this letter as a letter of appreciation to the Medical Society of the State of New York. In October 2021, I received a letter of correspondence from [Insurance company name omitted]. It stated: ‘We recently completed a post payment claim review for some of your patients who are [Insurance company name omitted] members, for services provided on 9/29/2015 – 12/22/2020. This review was conducted by [Insurance company name omitted] to verify that you followed all established coding and billing requirements and to help ensure you received correct payment for the services provided.’ [Insurance company name omitted] went on to deny every claim submitted for five years and extrapolated their findings with the rationale that the operative reports were not signed and requested a total overpayment of $5,936,939.42. This would have essentially forced our orthopedic private practice to close.

Not knowing where to begin, I reached out to MSSNY and was put in contact with Heather Lopez, the Director of Physician Payment & Practice for MSSNY. After explaining to her the situation, she immediately became a staunch advocate on my behalf. After sending [Insurance company name omitted] a letter of appeal, they sent me back a final overpayment decision in the amount of $4,549,601.34. Throughout this journey, Ms. Lopez kept on top of the situation, often emailing [Insurance company name omitted] requesting updates. I was then contacted by the claim specialist who, after bringing the matter to her ‘supervisors,’ told me we can settle this by paying $156,000. What amazed me was that this was not a foreign email scam, but rather a sanctioned [Insurance company name omitted] ‘investigation’ under the guise of compliance and proper coding.

Throughout this process, I was comforted in the fact that as a member of MSSNY, I was well represented. Ms. Lopez reviewed the operative reports and corresponding CPT codes, even going so far as putting the codes through software programs in order to determine that they were not bundled as [Insurance company name omitted] had alleged. The company then requested a negotiated settlement conference, which they promptly canceled when they found out that MSSNY’s Director of Physician Payment & Practice would be participating in the call. When the call finally did take place, Ms. Lopez actively participated and voiced her concerns. We went through each allegation, disproving [Insurance company name omitted]’s arbitrary determinations. They finally agreed to dismiss the case with the take back request reduced to $0. I have been in practice for 23 years. Throughout this time I never would’ve thought that my membership in MSSNY would be as valuable to me as it has proved to be.”


Cigna Modifier 25 No Longer Taking Effect August 13, 2022.
MSSNY stands ready to discuss further with Cigna ways to address inappropriate use of the modifier 25. MSSNY has heard from several other physician organizations concerned with Cigna’s modifier -25 policy, many of which have either contacted Cigna directly or are in the process of highlighting the concerns and requesting the policy be rescinded.

Accordingly, MSSNY urges Cigna to rescind the policy before it becomes effective. We believe a more collaborative approach to identifying alternative methodologies for cost containment, including provider education on proper coding practices that do not bluntly penalize physicians using the modifier appropriately, will prove more effective and less costly in the long term. With the shift to value-based care, this is a time where plans and physicians should be identifying ways to work together. MSSNY welcomes that opportunity.

Please be advised that you will receive a letter from Cigna if you are a Cigna provider.


AMA Webinar on the Foundations of Racism in Medicine
On June 29th, from 7 – 8:30 pm ET, the American Medical Association will host a 90-minute webinar on the foundations of racism in medicine. Dr. Emily Cleveland Manchanda, the Director for Social Justice Education and Implementation at the AMA, will give a 60-minute didactic presentation followed by 30-minutes of Q&A. The presentation will include descriptions of:

  1. Basic terminology around race and racism
  2. Manifestations of racism in medicine at interpersonal, institutional, and systemic levels
  3. Recommendations for additional reading and learning for physicians to continue their health equity education

The webinar will be uploaded to AMA’s EdHub, and 1.0 CME credit will be offered.

Emily Cleveland Manchanda is the Director for Social Justice Education and Implementation within the Center for Health Equity at the American Medical Association (AMA) and an emergency physician at Boston Medical Center. At the AMA, she leads and oversees the AMA Center for Health Equity’s education portfolio. Her work focuses on coordinating effective action across sectors to promote social justice and equity in health, pushing health systems to address social and structural drivers of health, and creating a pipeline of leaders equipped to effectively advance justice in healthcare for patients, families, staff, communities, and populations.


Charles J. Sellers & Co. Finds the Best Rate for Our Members
Charles J. Sellers & Co., serving physician members for over 75 years, delivers special discounts and benefits for MSSNY members on personal and business insurance, including Disability Income and Overhead, Life, Long Term Care, Business Owners, Workers Compensation, NYS Disability/Paid Family Leave, Cyber, Home, Auto, and Umbrella.

Contact: Kathleen.Sellers@sellersinsurance.com 



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 2022 Ad RateSheet, please click here.


Office Space To Share / Financial District NYC.
LOCATION:
111 John St., Ste 1460, NYC 10038 (between Cliff & Pearl St.)
A block away from the South Street Seaport. Easy access to office Central hub for all subway lines (A, C, 2, 3, 4, 5, J, Z, E), a quick walk from NJ path train.

Beautifully renovated, 1,300 sq ft. modern space. Available Monday, Wednesday, Friday and weekends.

Private rooms with pocket doors. Access to building 24/7, security/door man in the lobby, very safe. Daily rate $450. Contact (917) 514-1299 text/call.


Medical Office for Share in Medical Park with Free Big Parking Lot in Westchester County
Medical office for sublet in Medical Park with free big parking lot, located at West Harrison, border of White Plains in Westchester County. Office includes a big waiting room with a kitchen, doctors office, exam room, and reception area. All rooms are available for whole days of Monday, Tuesday, Wednesday, Saturday, Thursday (Thursday full day on every 1st and 3rd week and Thursday morning on every 2nd and 4th week each month, or we can discuss more options). Monthly rent $600 for once a week usage, $1100 for twice a week usage, $1500 for three-day a week usage. Newly renovated and fully furnished. Text May if you are interested 646-338-4803


Board Certified Internal or Family Medicine Physician
Join our caring team and our mission to provide the highest standard of healthcare to each of our patients. Medical office in Eastern Nassau County looking a for a hard-working, responsible Physician to join our team.

Responsibilities include care for, diagnosing and managing patients.

Please send Curriculum Vitae to drg2555@yahoo.com.


MANHATTAN MEDICAL SUITE FOR SALE –Prestigious Coop on 45 East 62nd St. between Madison & Park!!
https://www.nestseekers.com/2122082/coop-manhattan
This approximately 1100 square foot medical suite has a grand reception area that is large enough for 2 or 3 people to work from. There is an additional nook area currently used for paper chart files that could also be utilized to update charts online or for bookkeeping. The waiting room has approximately 10 ft ceilings and a marble fireplace. The mahogany veneered office also has high ceilings. The reception area and hallway have a drop ceiling that was installed to accommodate duct work for air conditioning. There are 1.5 bathrooms. Medical equipment is also available for sale. The property needs a cosmetic renovation update.

To schedule a showing: melissaA@nestseekers.com or Call: Melissa Alonso with Nestseekers International: 646.403.7311

IDEAL LOCATION: 45 East 62nd – Prime Lennox Hill
PRICE: $1,100,000 with 50% Financing Permitted
Monthly Maintenance: $4775


Medical Office for Rent (Poughkeepsie) and Share (Tuckahoe)
Poughkeepsie Office Suite 1100+ sq ft, w/ five office consult-exam rooms, waiting and receptionist area, restroom & private restroom, 1 block away from MidHudson Regional Hospital. Tuckahoe office 2 1500+ sqft suites for share, 3 exam rooms with procedure room, storage room. 1 block away from train station.

Please call or text 646-302-3085 or email peter200058@yahoo.com


Medical Office Suite for Rent (Downtown, New York City) – Ready to Move In!
On Canal Street, NYC : near Mulberry and Mott Street. Busy area near Subways. In a professional 7day/week concierge building . Office Suite 1002+ sq ft, beautiful & bright w/ five office consult-exam rooms, Spacious waiting and receptionist area, utility room & private restroom. MUST SEE! Please Call for showing at: 917-378-2699 or email: cnyc2828@gmail.com. Ask for Sammie.



Rendr – Transforming Healthcare – Leadership Opportunity: Associate Chief Medical Office, SVP of Population Health, Bilingual English and Chinese (Mandarin or Cantonese) preferred
Job Position: Associate Chief Medical Office, SVP of Population Health in this role, you will lead and provide a wide range of support through population health, quality measures, practice transformation, Rendr360 department, House Calls, and other projects. Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicine under the guidance of dedicated medical leadership. www.rendrcare.com.


Board Certified Cardiologist Position
Exceptional private practice cardiology employment opportunity. Manhattan Cardiology is a state-of-the-art cardiology practice located in the heart of Midtown Manhattan. The position is 100% outpatient cardiology with minimal call and excellent compensation structure and benefits. The practice is looking to add an enthusiastic and hardworking cardiologist to join our team.

Board certification is preferred in general cardiology, echocardiography, and ideally RPVI.

Job Type: Full Time with a very competitive salary and excellent benefits awaits the qualified candidate.

Please send resumes to nikkoh@manhattancardiology.com.


Board Certified Internal or Family Medicine Physician
Be a part of our care team and join our mission to provide the highest standard of healthcare to each one of our patients. Medical Offices of Manhattan is looking for a full time enthusiastic, hard-working and responsible Board-Certified Internal or Family Medicine Physician.

Responsibilities include caring for, diagnosing and managing patients. Board certification is a must. The position is 100% outpatient with minimal call and an excellent salary with benefits.

Please send resumes to nikko@momnyc.com.


Physician Assistant/Nurse Practitioner
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan and Manhattan Cardiology is seeking for an enthusiastic, hardworking Board Certified Physician Assistant or Nurse Practitioner.

Responsibilities include caring for, diagnosing, and managing patients in both the primary care and cardiology setting. The Physician Assistant or Nurse Practitioner will collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikkoh@manhattancardiology.com.


GI Physician Assistant/Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for an experienced and hardworking GI Physician Assistant.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens in collaboration with the Gastroenterologists and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Psychiatric Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking our newest team member, a Psychiatric Mental Health Nurse Practitioner to join our fast-growing team of mental health professionals.

Responsibilities includes managing both complex psychiatric and common medical problems, assess and diagnose illness states and initiate psychotropic medication (as needed) and other therapeutic interventions and collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


In Network Registered Dietician
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan is seeking an In Network Registered Dietician to join our care team for immediate need.

Responsibilities includes but not limited to conducting nutritional assessment, developing and implementing patient specific care plans and recommending nutrition care plans to patients as well as recommending therapeutic diet modifications and /or supplemental feedings to patients. Must have a degree in Nutrition or Dietetics, should be RD license, Registration by the Commission on Registration (CDR) as a Registered Dietitian (RD) in New York State plus specialized certifications as needed.

The position is 100% outpatient with excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Board Certified Gastroenterologist Position:
Exceptional private practice gastroenterologist employment opportunity. Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for a board certified, experienced and hardworking Gastroenterologist.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com

 

Press Releases 2022

Press Releases 2022

 

June 24
Physicians Condemn Supreme Court Decision Overturning Roe as Misguided and Dangerous

June 23
NY State Medical Society Frustrated by Today’s SCOTUS Decision Striking Down New York Gun Law

June 23
NY State Medical Society Applauds FDA Decision to Order Juul E-Cigarettes Off the Market

June 6
Legislative Session Mixed Bag for Future of Healthcare in New York

May 25
Medical Society Offers Condolences to Texas Victims’ Families, Supports Waiting Period and Background Checks for Firearms Purchases

May 13
Medical Society Reaffirms Longstanding Policy that Supports Legalized Abortion

May 3
Medical Society Congratulates Rep Delgado on his Selection by Governor Hochul to be Next Lieutenant Governor

March 15
Statement from New York Physician & Hospital Organizations Calling on Legislature to Include Teleheahth Payment Parity in Final Enacted Budget for FY 2022-23

March 14
NYSPA / MSSNY / NASW-NYS Urge Governor & Legislature to Include Funding for Critical Program Educating Community Primary Care & Mental Health Practitioners & Specialistws to Care for Veterans

February 25
Medical Society Supports Court Decision to Strike Down Unfair Federal Regulations on Surprise Billing Dispute Process

February 24
MSSNY Applauds Passage of Dr. Lorna Breen Health Care Provider Protection Act

February 15
MSSNY Supports New Bill to Stem Prior Authorizations

January 21  
MSSNY Applauds Senate Confirmation of Mary Bassett, MD, MPH as NYS Department of Health Commissioner

January 5
MSSNY Looks Forward to Further Discussion with Governor and State Legislature on Health Care Initiatives Outlined in State of the State Address

January 5 As Opponents of COVID Vaccine Mandate Rally in Albany Today, MSSNY Amplifies its Support of Vaccines

 

MSSNY Pulse: June 17, 2022

Message from MSSNY President Parag Mehta, MD:
MSSNY Celebrates Juneteenth and Father’s Day

Colleagues:
This Sunday is Juneteenth, when the country commemorates the end of slavery in the United States on June 19, 1865. Two months after the surrender of Confederate General Robert E. Lee, Union troops arrived in Texas to take control of the state and enforce the Emancipation Proclamation. Let us join in efforts to address hate, racism, and inequality.

We will also celebrate Father’s Day on Sunday. We honor our MSSNY fathers as they love and guide their children during these challenging times. So many physician dads have gone above and beyond during the ongoing pandemic as they provide care to their patients while simultaneously managing home life and raising children. We wish all MSSNY fathers a joyful Father’s Day.

I’d like to conclude by acknowledging the retirement of Evangeline “Vangie” Rosado-Tripp, the out-going Executive Director of the Queens County Medical Society. Vangie has ably and cheerfully served MSSNY and Queens County for the last nine years. All of us here at MSSNY will miss Vangie’s spirit and wish her a long and happy retirement.

And, finally, I’d like to hear from you—our MSSNY members. Please email me your comments and suggestions at MSSNYpresident@mssny.org.

Parag Mehta, MD
MSSNY President


MSSNY Participates in AMA Annual Meeting in Chicago
MSSNY’s NY delegation, led by Dr. Charles Rothberg and Dr. Joseph Sellers, participated in the AMA’s 175th House of Delegates meeting in Chicago June 10-15.  Congratulations to MSSNY’s Joshua Cohen, MD, who was elected as a member of Council on Science and Public Health.

During the meeting, the AMA addressed several important topics ranging from gun violence, abortion and criminalization, climate control, equity, childcare, and physician payment reform.

Following are a few key policies enacted at the meeting:

Jack Resneck, MD was inducted as the new AMA President. In his inaugural address, he noted that physicians must be guided by hope, not fear.

In addressing gun violence, AMA Immediate Past President Gerald E. Harmon, MD said “This cannot be our new normal. Gun violence is out of control. Enough is enough.”

“Ignoring the problem will only lead to more bloodshed—to more senseless deaths and grieving families,” added Dr. Harmon, a family physician in South Carolina.



Disparities in Health Care Spending and Utilization Among Black and White Medicaid Enrollees
Black enrollees generated lower spending and used fewer services, including recommended care for acute and chronic conditions, but had substantially higher emergency department use, according to a new study published in JAMA Network. These differences remained large after adjusting for enrollee-level confounders and persisted when comparing enrollees treated by the same health care professionals or medical institutions.

Despite lower utilization, Black enrollees had higher rates of Healthcare Effectiveness Data and Information Set (HEDIS) preventive screenings than White enrollees. These findings were broadly consistent for adults and children, across all 3 of the study states, in rural and urban regions, and across zip codes that varied by residential racial segregation and socioeconomic deprivation.

In this cross-sectional study of US Medicaid enrollees in 3 states, Black enrollees generated lower spending and used fewer services, including recommended care for acute and chronic conditions, but had substantially higher emergency department use. The study results suggest that additional efforts are needed to understand and promote equitable access within Medicaid.

Disparities in Health Care Spending and Utilization Among Black and White Medicaid Enrollees. (JAMA Network, 6/10, Wallace, Lollo, Duchowny, Lavallee, Ndumele).


New York Medical Liability: The Road We’re On
Join MLMIC Insurance Company on June 24th for a unique webinar presentation and panel discussion on how the pandemic impacted our industry, and where experts see medical liability and the courts moving forward. This Non-CME Informational/Educational presentation will feature experts from underwriting, claims, actuarial services, risk management, regulatory, and legal, so we can better understand the road we’re on — together.

This presentation will cover:

  • Healthcare trends and their effect on medical professional liability
  • The pandemic and changes to the medical and legal landscape
  • Uncertainty in healthcare and underwriting challenges
  • NYS Legislative changes impacting healthcare
  • The prognosis for medical professional liability

REGISTER



Educational Outcomes of Childhood Survivors of Critical Illness
Over the past decade, research on post-intensive care syndrome has highlighted the consequences many survivors experience after critical care, affecting emotional, mental, psychomotor, and cognitive functions. Survival for critically ill children has continuously improved, with current mortality rates as low as 2.18%. As life expectancy improves, so do the effects of childhood trauma. The Australian and New Zealand Intensive Care Society’s recent statewide population-based study assessed educational outcomes in the third year of primary school in 5,017 children admitted to PICU before their fifth birthday.

The researchers found that one in seven survivors did not meet the national minimum standard in the school assessment performed during year 3 of primary school. The subjects failed to meet minimal academic requirements, which are likely to derail educational and occupational trajectories well into adulthood, affecting survivors and society. Their findings indicate a substantial long-term cognitive burden related to critical illness, warranting research on rehabilitation and school support for survivors of critical illness.

Educational Outcomes of Childhood Survivors of Critical Illness—A Population-Based Linkage Study*(6/1, Tomaszewski, Ablaza, Straney).


MSSNY Joins Physicians Foundation and AMA in Telehealth Initiative
MSSNY and the AMA will work together to develop relevant educational content, resources, measurement tools, and evaluation support to help practices with telehealth implementation. MSSNY will be part of a national network to establish and maintain strong relationships with physicians, practices, and health systems interested in implementing, optimizing, or sustaining telehealth. In addition to providing ongoing support, this year’s program will emphasize the importance of realizing the true value of virtual care.

As a collaborating partner, team leaders will participate in a “kick-off” meeting with leaders from practice sites in New York and in other states. Each practice site will be participating in completing the Return on Health Framework with aims at assessing practice/physician experience using telehealth. There is the option for practice sites to measure across time which can demonstrate either change across time within a value stream or expanding measurement of value more comprehensively. On the backend, the AMA will monitor data submitted and pull submissions to share with practices and the cohort 2. Access to educational resources from the AMA, expert mentoring to discuss optimization and sustaining telehealth into practice, virtual events and discussions for physicians and care teams to share experiences will be provided to all participants.

If you are interested in becoming a practice site and partnering with MSSNY on this important initiative which can be used to drive legislative policy, please email clauder@mssny.org.

MSSNY worked with Hudson Headwaters Health Network, a leader in the telehealth realm in NYS, to create a CME program around their success using telehealth. This program discussed evidence-based strategies to implement and optimize telehealth programs, recognize resources to ensure physician practice sustainability and payment, and identify solutions that are available to alleviate systemic challenges to telehealth implementation, and is available to our members, as well as the practice sites involved in this initiative.



Nutritional Support for Pediatric Severe Traumatic Brain Injury
In critically ill children with severe traumatic brain injury (sTBI), nutrition may help facilitate optimal recovery. Ongoing research regarding nutritional practices in the pediatric intensive care unit (PICU) focus on identifying a patient’s most appropriate energy goal, the mode and timing of nutrient delivery that results in improved outcomes, and balancing these goals against inherent risks associated with nutrition therapy.

Within the PICU population, children with sTBI experience complex physiologic derangements in the acute post-injury period that may alter metabolic demand, leading to nutritional needs that may differ from those in other critically ill patients. Currently, there are few studies examining nutrition practices in PICU patients, and even fewer studies focusing on pediatric sTBI patients.

Available data suggests that contemporary neurocritical care practices may largely blunt the expected hypermetabolic state after sTBI, and that early enteral nutrition may be associated with lower morbidity and mortality. In concordance with this data, the most recent guidelines for managing pediatric sTBI released by the Brain Trauma Foundation recommend the initiation of enteral nutrition within 72 hours to improve outcomes.

Nutritional Support for Pediatric Severe Traumatic Brain Injury (5/17, Elliot, Shoykhet).


Law to Require Co-Prescribing Naloxone for Certain Patients Taking Opioid Medications Takes Effect June 27
As previously reported, at the end of 2021, Governor Hochul signed into law a bill that requires physicians and other health care practitioners to co-prescribe an opioid antagonist for the first opioid prescription of the year to a patient where the patient 1) has a history of substance abuse disorder; 2) has concurrent use of a benzodiazepine or non-benzodiazepine sedative hypnotics or 3) is taking at least 90 MME per day in prescribed opioids. The requirement does not apply to patients in a hospital, nursing home, mental health facility, or hospice.

The law takes effect June 27, 2022.



Ask Governor Hochul to Sign “Clinical Peer Review” Legislation Into Law
Please contact Governor Hochul and urge her to sign into law A.879 (Gottfried)/S.8113 (Cleare). This is an important patient protection bill that seeks to ensure that those who make “medical necessity” determinations on behalf of a health insurance company are appropriately qualified to make those decisions.

Under current law, the only qualification required for a person who, on behalf of a health plan, may contradict the treatment recommendation of the patient’s treating physician is that such reviewer be a licensed physician. There is no requirement that the reviewing physician have the same qualifications as a physician who would typically render or facilitate the treatment that is being recommended for the patient. Shockingly, the physician does not even need to be licensed to practice in New York State and may not have the sufficient training or experience necessary to decide whether the treatment or prescription medication that has been recommended is appropriate, which can result in unnecessary care delays for patients.

This bill would ensure that a health plan may not deny a request for needed patient care unless the reviewing physician is adequately qualified to review the treatment requested or provided, by requiring that such reviewing physician be board-certified or board eligible in the same or similar specialty as the physician who typically recommends the treatment or manage the condition that is under review. It would also require that such physician have a New York license to practice medicine and provide much-needed, additional protections to ensure that these patients will have coverage for the care they are expecting and entitled to receive.


Urge Governor Hochul to Sign Copay Accumulator Bill
Legislation has passed the Senate and Assembly to assist patients by ending so-called “co-pay accumulators”. The practice forbids any payment from a third party, which goes directly to the health plan, to count towards the patient’s maximum out-of-pocket limit. This practice can be especially challenging for patients that have health insurance plans with high deductibles or high copayment requirements. Please take a moment to send a letter to Governor Hochul urging her to sign A1741-A/S.5299-A into law to protect patients by ending the use of “co-pay accumulators” by health insurers!



Newsday Spotlights MSSNY’s Newly Elected Leadership
Newsday’s People on the Move featured announcements for newly elected President Parag Mehta, MD, President-Elect Paul A. Pipia, MD and Assistant Treasurer Frank Dowling, MD. Dr. Mehta’s announcement was also featured in Long Island Business News’ New Hires and Promotions on Long Island (6/10, Bolger), as well as in the New India TimesSouth Asian Times and Desi Talk.


MSSNY Podcast on Monkeypox
Dr. William Valenti, chair of MSSNY’s Infectious Diseases Committee has recorded a podcast on the monkeypox outbreak currently spreading globally. Listen here to learn more about this infectious outbreak. And be sure to stay posted for more information as the situation unfolds.



MSSNY Helps Buffalo Practice Navigate Insurance Hassles
Buffalo NMM is a Neuromusculoskeletal Medicine specialty practice in Western New York. It is a small one-provider office with over a thousand patients and handles its billing like many small practices. Four major insurance companies accepted at Buffalo NMM were denying half of their submitted codes with little to no explanation, making the appeals process extremely difficult and leaving the practice with some serious decisions. The small Neuromusculoskeletal practice considered dropping the four insurance companies or switching to cash only. A MSSNY member physician at Buffalo NMM called on Heather Lopez, MSSNY’s Director of Physician Payment & Practice. Heather guided the billing department of the small practice through the roadblocks set by the insurance companies. Since her involvement, Buffalo NMM has now received explanations for the denials, guidance on how to enter the claims in the future, and support from local representatives closely following the appeal process.

“Since working with Heather, we feel more confident about the issues we were having, as she gave us larger insight into the bigger picture. She advised us on the proper steps to take, both small and large,” said the NMM billing manager. “She encouraged us to continue working with her to raise our office’s issues to the national level, as they were issues that offices similar to our specialty were having as well. Heather provided clear guidance on how to inquire with these companies and receive the explanations and information we needed to move forward. Heather’s knowledge and experience is of great value.”


Nuclear Radiation & Chemical Agents: An Update
Did you know that effects of radiation exposure can show up within a few hours or within a few months depending on the extent of exposure? Additionally, while treaties are in place prohibiting the use of chemical weapons and calling for the destruction of stockpiles, it is unknown how many of these weapons of mass destruction remain. To learn more, register for “Nuclear Radiation & Chemical Agents: An Updateon June 22 at 7:30a.m. Arthur Cooper, MD will serve as faculty for this webinar.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

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.



CareClix Offers Members Assistance with Virtual Health
CareClix provides access to all the capabilities and benefits of virtual health. You can set your schedule, collect co-payments, and conduct telephone, message, and real-time video consults through your own patient portal at a price you can afford. Sign up today!



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 2022 Ad RateSheet, please click here.


Office Space To Share / Financial District NYC.
LOCATION:
111 John St., Ste 1460, NYC 10038 (between Cliff & Pearl St.)
A block away from the South Street Seaport. Easy access to office Central hub for all subway lines (A, C, 2, 3, 4, 5, J, Z, E), a quick walk from NJ path train.

Beautifully renovated, 1,300 sq ft. modern space. Available Monday, Wednesday, Friday and weekends.

Private rooms with pocket doors. Access to building 24/7, security/door man in the lobby, very safe. Daily rate $450. Contact (917) 514-1299 text/call.


Medical Office for Share in Medical Park with Free Big Parking Lot in Westchester County
Medical office for sublet in Medical Park with free big parking lot, located at West Harrison, border of White Plains in Westchester County. Office includes a big waiting room with a kitchen, doctors office, exam room, and reception area. All rooms are available for whole days of Monday, Tuesday, Wednesday, Saturday, Thursday (Thursday full day on every 1st and 3rd week and Thursday morning on every 2nd and 4th week each month, or we can discuss more options). Monthly rent $600 for once a week usage, $1100 for twice a week usage, $1500 for three-day a week usage. Newly renovated and fully furnished. Text May if you are interested 646-338-4803


CPH Banner


Board Certified Internal or Family Medicine Physician
Join our caring team and our mission to provide the highest standard of healthcare to each of our patients. Medical office in Eastern Nassau County looking a for a hard-working, responsible Physician to join our team.

Responsibilities include care for, diagnosing and managing patients.

Please send Curriculum Vitae to drg2555@yahoo.com.


MANHATTAN MEDICAL SUITE FOR SALE –Prestigious Coop on 45 East 62nd St. between Madison & Park!!
https://www.nestseekers.com/2122082/coop-manhattan
This approximately 1100 square foot medical suite has a grand reception area that is large enough for 2 or 3 people to work from. There is an additional nook area currently used for paper chart files that could also be utilized to update charts online or for bookkeeping. The waiting room has approximately 10 ft ceilings and a marble fireplace. The mahogany veneered office also has high ceilings. The reception area and hallway have a drop ceiling that was installed to accommodate duct work for air conditioning. There are 1.5 bathrooms. Medical equipment is also available for sale. The property needs a cosmetic renovation update.

To schedule a showing: melissaA@nestseekers.com or Call: Melissa Alonso with Nestseekers International: 646.403.7311

IDEAL LOCATION: 45 East 62nd – Prime Lennox Hill
PRICE: $1,100,000 with 50% Financing Permitted
Monthly Maintenance: $4775


Medical Office for Rent (Poughkeepsie) and Share (Tuckahoe)
Poughkeepsie Office Suite 1100+ sq ft, w/ five office consult-exam rooms, waiting and receptionist area, restroom & private restroom, 1 block away from MidHudson Regional Hospital. Tuckahoe office 2 1500+ sqft suites for share, 3 exam rooms with procedure room, storage room. 1 block away from train station.

Please call or text 646-302-3085 or email peter200058@yahoo.com


Medical Office Suite for Rent (Downtown, New York City) – Ready to Move In!
On Canal Street, NYC : near Mulberry and Mott Street. Busy area near Subways. In a professional 7day/week concierge building . Office Suite 1002+ sq ft, beautiful & bright w/ five office consult-exam rooms, Spacious waiting and receptionist area, utility room & private restroom. MUST SEE! Please Call for showing at: 917-378-2699 or email: cnyc2828@gmail.com. Ask for Sammie.



Rendr – Transforming Healthcare – Leadership Opportunity: Associate Chief Medical Office, SVP of Population Health, Bilingual English and Chinese (Mandarin or Cantonese) preferred
Job Position: Associate Chief Medical Office, SVP of Population Health in this role, you will lead and provide a wide range of support through population health, quality measures, practice transformation, Rendr360 department, House Calls, and other projects. Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicine under the guidance of dedicated medical leadership. www.rendrcare.com.


Board Certified Cardiologist Position
Exceptional private practice cardiology employment opportunity. Manhattan Cardiology is a state-of-the-art cardiology practice located in the heart of Midtown Manhattan. The position is 100% outpatient cardiology with minimal call and excellent compensation structure and benefits. The practice is looking to add an enthusiastic and hardworking cardiologist to join our team.

Board certification is preferred in general cardiology, echocardiography, and ideally RPVI.

Job Type: Full Time with a very competitive salary and excellent benefits awaits the qualified candidate.

Please send resumes to nikkoh@manhattancardiology.com.


Board Certified Internal or Family Medicine Physician
Be a part of our care team and join our mission to provide the highest standard of healthcare to each one of our patients. Medical Offices of Manhattan is looking for a full time enthusiastic, hard-working and responsible Board-Certified Internal or Family Medicine Physician.

Responsibilities include caring for, diagnosing and managing patients. Board certification is a must. The position is 100% outpatient with minimal call and an excellent salary with benefits.

Please send resumes to nikko@momnyc.com.


Physician Assistant/Nurse Practitioner
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan and Manhattan Cardiology is seeking for an enthusiastic, hardworking Board Certified Physician Assistant or Nurse Practitioner.

Responsibilities include caring for, diagnosing, and managing patients in both the primary care and cardiology setting. The Physician Assistant or Nurse Practitioner will collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikkoh@manhattancardiology.com.


GI Physician Assistant/Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for an experienced and hardworking GI Physician Assistant.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens in collaboration with the Gastroenterologists and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Psychiatric Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking our newest team member, a Psychiatric Mental Health Nurse Practitioner to join our fast-growing team of mental health professionals.

Responsibilities includes managing both complex psychiatric and common medical problems, assess and diagnose illness states and initiate psychotropic medication (as needed) and other therapeutic interventions and collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


In Network Registered Dietician
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan is seeking an In Network Registered Dietician to join our care team for immediate need.

Responsibilities includes but not limited to conducting nutritional assessment, developing and implementing patient specific care plans and recommending nutrition care plans to patients as well as recommending therapeutic diet modifications and /or supplemental feedings to patients. Must have a degree in Nutrition or Dietetics, should be RD license, Registration by the Commission on Registration (CDR) as a Registered Dietitian (RD) in New York State plus specialized certifications as needed.

The position is 100% outpatient with excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Board Certified Gastroenterologist Position:
Exceptional private practice gastroenterologist employment opportunity. Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for a board certified, experienced and hardworking Gastroenterologist.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com

 

MSSNY Pulse: June 10, 2022

Message from MSSNY President Parag Mehta, MD:
MSSNY Celebrates Pride Month

Welcome to MSSNY Pulse, our updated newsletter format! Formerly called eNews, we have renamed and redesigned the newsletter so it is easier for you to find and read the information you’re looking for. Look for further changes in the coming weeks as we tweak the content and the landing page on the website where the full content is located.

As we celebrate Pride Month in support of our LGBTQ+ community this month, I’d like to congratulate the Chair of MSSNY’s Infectious Disease Committee Dr. William Valenti. Tomorrow night in Chicago, the AMA Foundation Board of Directors will honor Dr Valenti with the 2021 Excellence in LGBTQ Health Award. This annual Excellence in Medicine awards program honors physicians who represent the highest values of altruism, compassion, and dedication to patient care.

Dr. William Valenti

Dr. Valenti epitomizes this care and was at the forefront of caring for patients early in the HIV/AIDS epidemic.   He has dedicated his entire career to groundbreaking, compassionate work in HIV/AIDS treatment, education, policy, and research since the early 1980’s when the first cases of HIV/AIDS began to appear, primarily in LGBTQ communities. In 1988, Dr. Valenti co-founded Community Health Network (CHN), now known as Trillium Health, and his network has become the national model of health care for HIV/AIDS treatment.  The Medical Society of the State of New York is humbled by Dr. Valenti’s service to his patients and is proud to call him our Infectious Disease Chair.

MSSNY was the first medical organization to form an AIDS Advisory Panel—now the Infectious Disease Committee—which has helped to develop policy on the state level that has led to the normalizing of medical procedures for the LGBTQ+ population.

The MSSNY Health Equity Committee presented “Health of Sexual and Gender Minorities,” led by Carl Streed, MD, at the annual House of Delegates meeting last month.  This CME program identified opportunities to meet health care needs and disparities in health care access and health care outcomes among SGM persons and examined minority stress as a contributor to health disparities.

MSSNY stands in support of our LGBTQ+ community.

Parag Mehta, MD
MSSNY President


MSSNY House of Delegates Highlights
Following are highlights of the actions of the 2022 MSSNY House of Delegates:

COVID Hazard Pay
The Medical Society of the State of New York will work with the American Medical Association and the federation of medicine to seek a state and/or federal program to provide hazard pay bonuses to physicians and other health care staff delivering care during a state and/or federal disaster emergency.

Minors Consent to Vaccination
The Medical Society of the State of New York will seek legislation to allow all adolescents aged 12 or older to independently consent to any FDA-approved vaccination without parental or guardian consent.

Requirements for COVID 19 Vaccination at NY Public Schools
The New York State Delegation to the American Medical Association will introduce a resolution at the AMA encouraging states to make COVID-19 vaccination a requirement for school attendance for children and college/university students once the FDA grants full approval for COVID-19 vaccination for all relevant age groups.

Updating the NYS Vaccination Requirements for College/University Students
The Medical Society of the State of New York supports a COVID-19 vaccine requirement for students attending colleges and universities in New York State.

Insurance Reform
MSSNY reaffirmed the following policies:

  • Carriers’ Failure to Obey PHL 4406-c (5A) Release of Fee Schedule
  • Time Limit for Retrospective Denials
  • Liability of Managed Care Entities as Well as Their Employees, Agents, Ostensible Agents and Representatives
  • We’re Mad as Hell and We aren’t Going to Take it Anymore
  • Insurance Companies Dis-enrollment of Participating Physicians

Protection of Peer Review
MSSNY will advocate through legislation or other legal means to overturn the court ruling in Siegel v. Snyder that inappropriately expanded the discovery of comments during peer review proceedings and re-affirmed MSSNY policies Peer Review Protection and Confidentiality of Documents Submitted to Peer Review Committee.

Creation of IMG Section and Minority Affairs Section
MSSNY will create an IMG Section and a Minority Affairs Section.

Sheltering From Unfair Health Insurance Practice
MSSNY will continue in its efforts to seek legislation, regulation, or other appropriate means to prohibit retrospective refund requests by health plans in all circumstances except fraud.  Short of achieving a complete ban on retrospective refund requests, MSSNY seek legislation, regulation, or other appropriate means to limit to 90 days the time within which a health plan can seek such a refund, or other significant restrictions on the ability of health plans to seek such refunds, such as limiting the time that a health plan can seek a refund to the same time that a physician has to file a claim with such health plan.



Medical Students and Residents Participate in Poster Symposium
The 15th Annual Poster Symposium, hosted by the Medical Society of the State of New York, took place on May 20 at the 2022 House of Delegates. Students and Residents from three categories (Medical Students, Clinical, and Vignettes) presented their research in posters and paper/oral presentations. Congratulations to Michael BrownAarti Maharaj, MD, and Suhali Kundu, MD, for taking home first prize in their categories. Below are additional results and photos.

Medical Students:


First Place: Michael Brown (New York Medical College)
“Effects of Adenosine on Lipid Accumulation in a Human Hepatoma Cell Culture Model When Challenged with Fatty Acid”

Second Place: Christopher Markantonis (New York Medical)
“Utility of Intravenous Alteplase and Mechanical Thrombectomy in Central Retinal Arterial Occlusions – A Nationwide Analysis”

Honorable Mention: Ankita Das (New York Medical College)
“Craniotomy for Infratentorial Meningioma is Associated with Increased Complications and Longer Length of Stay”

Honorable Mention: Nicholas Mui (New York Medical College)
“The Gut-Brain Connection: Inflammatory Bowel Disease Increases Risk of Acute Ischemic Stroke”

Honorable Mention: Lillian Xie (New York Medical College)
“Impact of Burn Injuries on Outcomes in Patients with Acute Ischemic Stroke – A Nationwide Propensity Score Analysis”

Clinical Medicine:


First Place: Aarti Maharaj, MD (Maimonides Medical Center)
“Trends and Outcomes of Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome (Analysis of the National Inpatient Sample, 2010-2019)”

Second Place: Claudia Duarte, MD (Maimonides Medical Center) “Vancomycin Given Appropriately in Patients with Neutropenic Fever”

Honorable Mention: Jose Dominguez, MD (Westchester Medical Center) & Sima Vazquez, MS, (New York Medical College)
“Socioeconomic Characteristics of Pediatric Traumatic Brain Injury Patients”

Honorable Mention: Jason Hourizadeh, DO (St. Johns Riverside Hospital )
“Clinical Utility of Emergency Use Baricitinib in Adult Patients with Respiratory Failure due to COVID-19: Real-World Experience in Two Ethnically-Diverse Community Hospitals”

Honorable Mention: Soumya Shivashankar, MD (Montefiore Medical Center )
“Advance Directives (ADs) Can be Implemented in Patients with Heart Failure: A Quality Improvement (QI) Project”

Vignettes:


First Place: Suhali Kundu, MD (Maimonides Medical Center)
“COVID-19 Pneumonia Reactivating Tuberculosis”

Second Place: Radhika Mehta, MD (SUNY Upstate Medical University)
“Case of Autoimmune Hemolytic Anemia Secondary to Acute COVID-19 Infection”

Third Place: Marutha Arulthasan, MD (Maimonides Medical Center)
Multiple Pulmonary Nodules in a Patient with Multiple Sclerosis

Honorable Mention: Brent Boodhai, MD (Maimonides Medical Center) “Rapidly Growing Non-Tuberculous Mycobacterial Infection of a Prosthetic Hip Joint”


David Vozza Joins MSSNY as Outside General Counsel; Will Provide Discounted Rates to Members
David N. Vozza of Norris McLaughlin, P.A., has joined MSSNY as outside general counsel. Vozza concentrates his practice in health care litigation, regularly defending healthcare professionals in disciplinary and regulatory actions before federal and state agencies. He has experience working with physician clients in payor audits, fraud investigations, privileges, and general health care litigation. Vozza is a frequent speaker on important issues impacting health care employees at hospitals throughout New York State.

Norris McLaughlin P.A. is a regional law firm with offices in New York, New Jersey, and Pennsylvania. With over 120 attorneys practicing in multiple areas of law, including healthcare, Norris will serve as an exclusive benefit to MSSNY and its physician members, offering significantly discounted rates, free consultations, free coding reviews, and more.

AHA Violence Campaign
American Hospital Association’s Hospitals Against Violence framework helps hospital and health system leadership address the issues of violence in their workplaces, with an emphasis on educating and protecting the workforce.



Senate And Assembly Pass Several MSSNY-Supported Bills To Address Aberrant Health Insurer Practices
As reported last week, the State Legislature passed several important measures prior to the end of Session to help patients overcome health insurer restrictions that impose needless hassles interfering with obtaining needed treatment and prescription medications.  MSSNY strongly supported these bills and is urging Governor Hochul to sign these bills into law.

  • 879 (Gottfried)/S.8113 (Cleare) would prohibit a health insurer from denying a claim or pre-approval request for patient care unless the reviewing physician is board-certified or board eligible in the same or similar specialty as the physician who typically recommends the treatment or manages the condition that is under review. It would also require that the health plan’s reviewing physician have a New York license to practice medicine.
  • 1741-A (Gottfried)/S.5299-A (Rivera) would prohibit health insurers from preventing patients from using copay cards or coupons to help meet their often-enormous deductibles. Enactment of this legislation would help patients, particularly those on chronic medication therapies, to realize the full benefit of these discount cards and help them meet their deductible requirements earlier in a calendar year.  MSSNY has been working with several patient and physician advocacy groups to support this important legislation, including the American Cancer Society, the Multiple Sclerosis Society, and the Bleeding Disorders Coalition.  Read the joint press release here: Joint Press Release (fightcancer.org)
  • 3276 (Gunther)/S.5909 (Kaminsky) would prevent health insurers from imposing step therapy or fail first protocols on coverage for prescription medications to address patient mental health conditions. In 2016, MSSNY worked with several patient advocacy groups to enact a law that established strict criteria to better enable a physician, on behalf of their patient, to override a health insurer step therapy/fail first protocol.  This legislation would go further than the 2016 law, ensuring that these health insurer step therapy protocols would not apply to mental health medications in the first place.  Read MSSNY’s memo in support here: S5909-A3276 support (mssny.org)
  • 2085-A (Dinowitz)/S.906-B (Sanders) would lower the age to 45 for health insurers to cover recommended patient colorectal cancer screening tests, including a colonoscopy.


Physicians Urged to Request Governor Hochul to Veto De-Stabilizing Expansion of Wrongful Death Awards
All physicians are urged to contact Governor Hochul (Reject Expansion of Liability p2a.co) to request that she veto legislation (S.74-A, Hoylman/A.6770, Weinstein) that could greatly increase physician medical liability premiums by significantly expanding the types of damages awardable in a wrongful death action. The bill was passed over the strenuous opposition of numerous and varied groups, including MSSNY, specialty societies, hospital associations, FQHCs, the Business Council of New York, medical liability and property & casualty insurers, The New York State Association of Counties, and the New York Conference of Mayors.

Specifically, the legislation would increase the already expansive damages awardable in such actions to include compensation for grief or anguish, the loss of love and companionship, loss of services and support, and the loss of nurture and guidance. One actuarial study has suggested that this bill has the potential to increase New York’s already outrageously high medical liability premiums by nearly 40%.

MSSNY has argued that legislation like this should only be considered in the context of a comprehensive effort to address New York’s excessive liability costs. While some advocates claim that over 40 states have laws that permit recoveries similar to what is proposed in this legislation, they do not mention that most of these other states have adopted provisions to contain excessive medical liability insurance costs, including limits on damages. New York has no such law, which is why our medical liability insurance and payout costs far exceed every other state in the country. This is one of the major reasons why New York regularly receives the dubious distinction of being one of the worst states in the country to be a doctor (Best & Worst States for Doctors (wallethub.com).

Again, please contact Governor Hochul here: Reject Expansion of Liability (p2a.co) to make sure that we #DontChasePhysiciansOutofNY.



MSSNY Quoted in Crain’s End of Session Article
Crain’s New York Business (6/7, Kaufman, Neber) reports New York “state lawmakers took action on a wide swath of health care access and affordability issues in the legislative session, which ended Saturday after an overtime marathon of votes in the Assembly.” Several measures “approved by both houses this session took aim at administrative practices by health care providers and insurance carriers that opponents say drive up medical costs for patients and employers.” Medical Society of the State of New York President Parag Mehta, MD, “said in a statement that the legislative session was a ‘mixed bag.’” Dr. Mehta “cited several bills that he said would reduce ‘excessive hassles’ in accessing medical care and prescription drugs, but shared concerns of ‘huge adverse consequences’ from a bill, A.6770/S.74-A, to expand damages permitted in wrongful death actions.”


MSSNY Announces an Updated Podcast on Monkeypox

Did you know there are now more than 1,000 monkeypox cases worldwide?  MSSNY will keep you current on the everchanging landscape of infectious diseases.  Dr. William Valenti, chair of MSSNY’s Infectious Diseases Committee has recorded an update podcast on the monkeypox outbreak currently spreading globally.  Listen here to learn more about changes in this infectious outbreak.  And as always, stay posted for more information as the situation unfolds.

Photos show what a monkeypox rash looks like,
and how it progresses over time.


a) early vesicle,
3mm diameter

b) small pustule,
2mm dimeter

c) umbilicated postule,
3-4 mm diameter

d) ulcerated lesion,
5mm diameter

e) crusting of a mature
lesion

f) partially removed scab



New CPT Codes Added to Prior Authorization List for UnitedHealthcare Commercial Plans
Starting September 1st select United plans will have new CPT codes that now require prior authorization. Please ensure your staff is aware of this update.

Plans include:

River Valley
Neighborhood Health Partnership
UHC West
MidAtlantic Health Plans
Oxford HealthPlan
UnitedHealthcare Individual and Family Plans (IFP)

The following codes will be added to the prior authorization list effective Sept. 1, 2022:  https://www.uhcprovider.com/en/resource-library/news/2022/codes-prior-auth-commercial.html


The Relationship Between Medicine & Government During a Public Health Emergency
The COVID-19 pandemic has illuminated many intricacies in the relationship between government and medicine.  Learn more about EUA’s, the Incident Command System (ICS), and executive orders by registering for “The Relationship Between Medicine & Government During a Public Health Emergency” on June 15 at 7:30 a.m.  Wajiha Kazmi, Esq., attorney at New York State Department of Health, with serve as faculty for this webinar.
Educational objectives are:

  • Examine the role of executive orders during a public health emergency.
  • Discuss emergency use authorizations (EUA’s) and how they expedite resolution of public health emergencies.
  • Analyze the Incident Command System (ICS) and its relevance to planning and preparing for a public health emergency.
  • Illustrate and define the relationship between medicine and government during a public health emergency.



Nuclear Radiation & Chemical Agents: An Update
Did you know that effects of radiation exposure can show up within a few hours or within a few months depending on the extent of exposure?  Additionally, while treaties are in place prohibiting the use of chemical weapons and calling for the destruction of stockpiles, it is unknown how many of these weapons of mass destruction remain.  To learn more, register for “Nuclear Radiation & Chemical Agents: An Updateon June 22 at 7:30a.m.  Arthur Cooper, MD will serve as faculty for this webinar.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

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.


Why Sign Something You May Regret?
As we reach the end of the fiscal year, contracts are expiring, and you might be wondering about your current agreement. A physician-founded and physician-driven company, Resolve is bringing change to employment contracts by providing data and transparency into the physician market. Using the most accurate data on compensation and other contract terms sourced from actual contracts, Resolve delivers the insights and expertise to help physicians negotiate for what they truly deserve and take control of their careers. Members of MSSNY are entitled to exclusive member pricing with Resolve. Please visit their website for more information.


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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 2022 Ad RateSheet, please click here.


Office Space To Share / Financial District NYC.
LOCATION:
111 John St., Ste 1460, NYC 10038 (between Cliff & Pearl St.)
A block away from the South Street Seaport. Easy access to office Central hub for all subway lines (A, C, 2, 3, 4, 5, J, Z, E), a quick walk from NJ path train.

Beautifully renovated, 1,300 sq ft. modern space. Available Monday, Wednesday, Friday and weekends.

Private rooms with pocket doors. Access to building 24/7, security/door man in the lobby, very safe. Daily rate $450. Contact (917) 514-1299 text/call.


Medical Office for Share in Medical Park with Free Big Parking Lot in Westchester County
Medical office for sublet in Medical Park with free big parking lot, located at West Harrison, border of White Plains in Westchester County. Office includes a big waiting room with a kitchen, doctors office, exam room, and reception area. All rooms are available for whole days of Monday, Tuesday, Wednesday, Saturday, Thursday (Thursday full day on every 1st and 3rd week and Thursday morning on every 2nd and 4th week each month, or we can discuss more options). Monthly rent $600 for once a week usage, $1100 for twice a week usage, $1500 for three-day a week usage. Newly renovated and fully furnished. Text May if you are interested 646-338-4803


Board Certified Internal or Family Medicine Physician
Join our caring team and our mission to provide the highest standard of healthcare to each of our patients. Medical office in Eastern Nassau County looking a for a hard-working, responsible Physician to join our team.

Responsibilities include care for, diagnosing and managing patients.

Please send Curriculum Vitae to drg2555@yahoo.com.



MANHATTAN MEDICAL SUITE FOR SALE –Prestigious Coop on 45 East 62nd St. between Madison & Park!!
https://www.nestseekers.com/2122082/coop-manhattan
This approximately 1100 square foot medical suite has a grand reception area that is large enough for 2 or 3 people to work from. There is an additional nook area currently used for paper chart files that could also be utilized to update charts online or for bookkeeping.  The waiting room has approximately 10 ft ceilings and a marble fireplace. The mahogany veneered office also has high ceilings. The reception area and hallway have a drop ceiling that was installed to accommodate duct work for air conditioning.  There are 1.5 bathrooms. Medical equipment is also available for sale. The property needs a cosmetic renovation update.

To schedule a showing: melissaA@nestseekers.com or Call: Melissa Alonso with Nestseekers International: 646.403.7311

IDEAL LOCATION: 45 East 62nd – Prime Lennox Hill
PRICE: $1,100,000 with 50% Financing Permitted
Monthly Maintenance: $4775


Medical Office for Rent (Poughkeepsie) and Share (Tuckahoe)
Poughkeepsie Office Suite 1100+ sq ft, w/ five office consult-exam rooms, waiting and receptionist area, restroom & private restroom, 1 block away from MidHudson Regional Hospital. Tuckahoe office 2 1500+ sqft suites for share, 3 exam rooms with procedure room, storage room. 1 block away from train station.

Please call or text 646-302-3085 or email peter200058@yahoo.com


Medical Office Suite for Rent (Downtown, New York City) – Ready to Move In!
On Canal Street, NYC : near Mulberry and Mott Street. Busy area near Subways. In a professional 7day/week concierge building . Office Suite 1002+ sq ft, beautiful & bright w/ five office consult-exam rooms, Spacious waiting and receptionist area, utility room & private restroom. MUST SEE! Please Call for showing at: 917-378-2699 or email: cnyc2828@gmail.com. Ask for Sammie.



Rendr – Transforming Healthcare – Leadership Opportunity: Associate Chief Medical Office, SVP of Population Health, Bilingual English and Chinese (Mandarin or Cantonese) preferred Job Position: Associate Chief Medical Office, SVP of Population Health in this role, you will lead and provide a wide range of support through population health, quality measures, practice transformation, Rendr360 department, House Calls, and other projects. Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicineunder the guidance of dedicated medical leadership. www.rendrcare.com.


Board Certified Cardiologist Position
Exceptional private practice cardiology employment opportunity. Manhattan Cardiology is a state-of-the-art cardiology practice located in the heart of Midtown Manhattan. The position is 100% outpatient cardiology with minimal call and excellent compensation structure and benefits. The practice is looking to add an enthusiastic and hardworking cardiologist to join our team.

Board certification is preferred in general cardiology, echocardiography, and ideally RPVI.

Job Type: Full Time with a very competitive salary and excellent benefits awaits the qualified candidate.

Please send resumes to nikkoh@manhattancardiology.com.


Board Certified Internal or Family Medicine Physician
Be a part of our care team and join our mission to provide the highest standard of healthcare to each one of our patients. Medical Offices of Manhattan is looking for a full time enthusiastic, hard-working and responsible Board-Certified Internal or Family Medicine Physician.

Responsibilities include caring for, diagnosing and managing patients. Board certification is a must. The position is 100% outpatient with minimal call and an excellent salary with benefits.

Please send resumes to nikko@momnyc.com.


Physician Assistant/Nurse Practitioner
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan and Manhattan Cardiology is seeking for an enthusiastic, hardworking Board Certified Physician Assistant or Nurse Practitioner.

Responsibilities include caring for, diagnosing, and managing patients in both the primary care and cardiology setting. The Physician Assistant or Nurse Practitioner will collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikkoh@manhattancardiology.com.


GI Physician Assistant/Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for an experienced and hardworking GI Physician Assistant.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens in collaboration with the Gastroenterologists and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Psychiatric Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking our newest team member, a Psychiatric Mental Health Nurse Practitioner to join our fast-growing team of mental health professionals.

Responsibilities includes managing both complex psychiatric and common medical problems, assess and diagnose illness states and initiate psychotropic medication (as needed) and other therapeutic interventions and collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


In Network Registered Dietician
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan is seeking an In Network Registered Dietician to join our care team for immediate need.

Responsibilities includes but not limited to conducting nutritional assessment, developing and implementing patient specific care plans and recommending nutrition care plans to patients as well as recommending therapeutic diet modifications and /or supplemental feedings to patients. Must have a degree in Nutrition or Dietetics, should be RD license, Registration by the Commission on Registration (CDR) as a Registered Dietitian (RD) in New York State plus specialized certifications as needed.

The position is 100% outpatient with excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Board Certified Gastroenterologist Position:
Exceptional private practice gastroenterologist employment opportunity. Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for a board certified, experienced and hardworking Gastroenterologist.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com

 

MSSNY eNews: June 3, 2022

Message from MSSNY President Parag Mehta, MD:
Harmony, Wellness, Empowerment

While we cannot predict our future, we can help to create one through our actions. We need to know who we are, including our principles and beliefs, and the culture we aspire to. As physicians, I believe that we are healers, leaders, educators and change agents. As I begin my year as president of MSSNY, my guiding principles are harmony, wellness, and empowerment. Together we will create a culture of confidence and trust, opportunities to learn and grow, and an atmosphere in which we encourage new leadership.

Memorable, fun-filled, and action-packed House of Delegates

For the first time since 2019, we met in person in Tarrytown for the 215th MSSNY House of Delegates (HOD). It was a great feeling to see everyone in person. I salute all of you for your resilience, courage, and compassion for tirelessly treating the people of NY. Thank you to MSSNY’s Speaker and Vice Speaker, the reference committee chairs, the Delegates and staff for working tirelessly to make the HOD the success it was. I’d like to extend my personal congratulations to the elected officers and AMA delegates.

Graduation season

Many universities are getting back to celebrating commencement ceremonies in person this year. Congratulations to all graduating students. The youth of this nation can change the world. We need our youth to address misinformation, hatred, gun violence, and equity. As Mahatma Gandhi so appropriately said, “In a gentle way you can shake the world.”

In an inspirational commencement address at Harvard University last weekend, Attorney General Merrick B. Garland said “those of you who will dedicate a part of your lives to community service can stitch back together the fabric of our civil society…We must persuade our neighbors and our communities to reject the idea that violence or threats of violence are acceptable. We must work to dissipate the hatred that fuels such violence…. Democracy cannot survive if its citizens forsake the rule of law in favor of violence or threats of violence. We are all in this together. We must protect each other.”

As the Attorney General so aptly said, we are all in this together.

Parag Mehta, MD
MSSNY President


MSSNY Tip of the Week:
Having Issues Getting Workers’ Comp Deposition Fees Paid?

Under Part 301 of Title 12 of the Official Compilation of Codes, Rules, and Regulations of New York, medical witnesses are entitled to witness fees. If you or your practice do not receive a payment within ten days of the completed deposition, you need to send a letter to the insurer’s claim administrator. The letter should include the workers’ compensation case number, the deposition date, and a request for payment within ten days of the letter.

Suppose the insurer’s administrator does not make payment within ten days after the letter. In that case, you should send correspondence to the New York State Workers’ Compensation Board requesting assistance via hard copy or email. In each correspondence, be sure to include the following (otherwise the Board will be unable to take any action): a cover letter addressed to the Workers’ Compensation Board, laying out the date(s) of the testimony given, the date(s) you requested payment, a statement that you still have not received compensation for your testimony and copies of any demand letters sent to the carrier informing the carrier of over-due compensation. At least one of these demand letters should have been sent to the carrier after October 2018 and should specifically indicate that: your testimony was given on a particular date or dates; there was a direction for payment within ten days of the testimony, but payment still has not been made, and asking for payment within ten days of the receipt of the letter.

If you send the correspondence to the Board via email, you must include your cover letter as an attachment to your email; if you have your cover letter only in the body of the email, it will not be adequately processed. Please email wcbclaimsfiling@wcb.ny.gov. If you send the correspondence via hard copy, it must be addressed to the Board’s centralized mailing address:

NYS Workers’ Compensation Board
Centralized Mailing Address
PO Box 5205
Binghamton, NY 13902-5205

If it is substantiated, the Board will issue an Administrative Determination directing the standard witness fee payment. If the claim administrator still has not made payment 30 days after the Administrative Determination, the health care provider may contact the Board by mail or email to request further action. For more details, please visit the Workers’ Compensation Board website.

If you have questions about this or any other insurance concern, contact MSSNY’s Director of Physician Payment and Practice, Heather Lopez, at 518.465.8085 X332 | hlopez@mssny.org



Senate and Assembly Pass Bills to Limit Insurer Interference with Patients Receiving Needed Care
The Senate and Assembly passed several important measures prior to the end of Session to help patients overcome health insurer restrictions that impose needless hassles interfering with obtaining needed treatment and prescription medications.  MSSNY will be urging Governor Hochul to sign these bills into law.

  • 879 (Gottfried)/S.8113 (Cleare), would prohibit a health insurer from denying a claim or pre-approval request for patient care unless the reviewing physician is board-certified or board eligible in the same or similar specialty as the physician who typically recommends the treatment or manages the condition that is under review. It would also require that the reviewing physician have a New York license to practice medicine.
  • 1741 (Gottfried)/S.5299 (Rivera), would prohibit health insurers from preventing patients from using copay cards or coupons to help meet their often- enormous deductibles. Enactment of this legislation would help patients, particularly those on chronic medication therapies, to realize the full benefit of these discount cards and help them meet their deductible requirements earlier in a calendar year.  MSSNY has been working with a number of patient and physician advocacy groups to support this important legislation, including the American Cancer Society, the Multiple Sclerosis Society, and the Bleeding Disorders Coalition.  Read the joint press release here: Joint Press Release (fightcancer.org)
  • 3276 (Gunther)/S.5909 (Kaminsky), would prevent health insurers from imposing step therapy or fail first protocols on coverage for prescription medications to address mental health conditions. In 2016, MSSNY worked with a number of patient advocacy groups to enact a law that established strict criteria to better enable a physician, on behalf of their patient, to override a health insurer step therapy/fail first protocol.  This legislation would go a step further, ensuring that these health insurer step therapy protocols would not apply to mental health medications in the first place.  Read MSSNY’s memo in support here: S5909-A3276 support (mssny.org)


Legislature Passes De-Stabilizing Expansion of Wrongful Death Awards; Please Urge Governor Hochul to Veto
Despite strenuous opposition from MSSNY, specialty societies, hospital associations, FQHCs, medical liability and property & casualty insurers, counties, and mayors, the Senate and Assembly passed legislation (S.74-A, Hoylman/A.6770, Weinstein) that would significantly expand the types of damages awardable in a wrongful death action and expand who could bring such lawsuits.  Specifically, the legislation would increase the already expansive damages awardable in such actions to include compensation for grief or anguish, the loss of love and companionship, loss of services and support, and the loss of nurture and guidance.

Because actuarial studies have suggested that this bill has the potential to increase New York’s already outrageously high medical liability premiums by nearly 40%, MSSNY is urging Governor Hochul to veto this short-sighted legislation.  Physicians can send a letter to Governor here:   Reject Expansion of Liability (p2a.co)

MSSNY has argued that legislation like this should only be considered in the context of a comprehensive effort to address New York’s excessive liability costs. While some advocates claim

that New York’s existing wrongful death law is an outlier compared to other states, they do not mention that most of these other states have adopted provisions to contain excessive medical liability insurance costs, including limits on damages. New York has no such law, which is why our medical liability insurance and payout costs far exceed every other state in the country. This is one of the major reasons why New York regularly receives the dubious distinction of being one of the worst states in the country to be a doctor (Best & Worst States for Doctors (wallethub.com)).

Again, please contact Governor Hochul here: Reject Expansion of Liability (p2a.co) to make sure that we #DontChasePhysiciansOutofNY.



Women’s Reproductive Rights Package Passes NYS Legislature
The New York State Legislature passed a series of bills aimed at protecting women’s reproductive freedom, as well as protecting physicians from some of the legal consequences of providing health care services that are legal in New York State but could become illegal in other states (based upon potential future Supreme Court decisions).   The following measures were passed:

  • Freedom from Interference with Reproductive Health Advocacy and Travel Exercise: S9039A/A10094-A, sponsored by Senator Alessandra Biaggi and Assemblymember Chris Burdick. Would protect the rights of individuals seeking abortion care or gender-affirming care in New York State.
  • Extradition and Discovery Non-Cooperation: S9077/A10372, sponsored by Senator Liz Krueger and Assemblymember Charles Lavine. Forbids New York State from cooperating with out-of-state legal cases involving abortion except in limited circumstances.
  • Prohibiting Medical Misconduct Charges for Performing Reproductive Health Care: S9079A/A.9687, sponsored by Senator Anna Kaplan and Assemblymember Linda Rosenthal. Prohibits professional misconduct charges against licensed medical professionals for providing legal abortion and reproductive health services to patients who reside in states where such services are illegal. MSSNY is supportive of this measure.
  • Protection of Malpractice Coverage: S9080B/A.9718 B, sponsored by Senator Michelle Hinchey and Assemblymember Linda Rosenthal. Prohibits medical malpractice insurers from taking adverse action against a healthcare provider in New York State for performing legal healthcare reproductive services, protecting providers, and ensuring that people can safely access abortion and other related services in New York State. MSSNY is supportive of this concept.
  • Address Confidentiality Program: S9384A/A9818A, sponsored by Senator Cordell Cleare and Assemblymember Amy Paulin. Would expand the eligibility of the Address Confidentiality Program to include reproductive health care services providers, employees, volunteers, patients, or their immediate family members.
  • Study of the Impact of Limited-Service Pregnancy Centers: S470/A5499, sponsored by Senator Brad Hoylman and Assemblymember Deborah Glick. Directs the Commissioner of Health to assemble a temporary task force to study and issue a report examining the unmet health and resource needs facing pregnant people in New York State, as well as the impact of limited-service pregnancy centers on the access and quality of care pregnant people receive.

These measures now go to Governor Kathy Hochul for her signature.


Health Care Mandate Bills Pass the Legislature
Despite expressed concerns from MSSNY together with several specialty societies about legislating the practice of medicine, a handful of bills requiring physicians and other health care providers to take specific actions in various patient care situations have passed both Houses of the Legislature. MSSNY will be urging the Governor to request that chapter amendments be adopted to reduce the additional documentation burden, necessary to prove compliance, these bills will impose at a time when physicians are already drowning in excessive paperwork that is contributing to physician burnout.  These bills include:

  • 2521-C, Rivera/A.3470-C, Gottfried would require hospitals and other health care providers to inform patients of facility fees not covered by insurance. This bill also requires employed health care providers to disclose in advance if their employer health system is charging a facility fee. While MSSNY and several specialty societies strongly objected to the aspect of the legislation that would require an employed physician to disclose fees charged by their employer, the C-print of this legislation was a significant improvement over an earlier, untenable, version which would have required physicians and hospitals to jointly bill.
  • 4640, Rivera/A.273, Gottfried would require physicians and other care providers, prior to writing an initial prescription for an opioid medication to treat neuromusculoskeletal pain, to “consider and discuss with the patient” non-opioid treatment alternatives. These alternatives include, but are not limited to, non-opioid medications, physical therapy, massage therapy, chiropractic, acupuncture, and exercise.  The bill provides that such steps would not be required for post-surgical pain management, treating patients with cancer, for end-of-life care, or in an emergency.
  • 6287-B, Mannion/A.7560-A, Rosenthal would require OB-GYNs and midwives to provide information to their pregnant patients regarding the risks of cytomegalovirus (CMV) on their first visit during the pregnancy. The materials to be shared would be developed by the New York State Department of Health.

The Legislature also gave passage to legislation (S.67-A, Hoylman/A.3298-A, Epstein) that would require physicians treating a patient for their epilepsy and at elevated risk of sudden unexpected death due to epilepsy (SUDEP) to provide the patient with written materials about the risk of SUDEP.  Importantly, the final version of the legislation was a significant improvement over earlier versions by exempting those providing emergency care from the requirement, narrowing the cohort of patients for when the requirement would apply, ensuring the materials to be distributed would be developed by non-profit organizations with expertise in neurology and epilepsy, and ensuring that there would no penalties for an initial non-willful violation of the requirement.  MSSNY and the New York State Neurological Society worked with Senator Hoylman’s office in an effort to improve the bill.



Legislature Passes Bill to Require Health Insurers to Implement Real Time Benefit Tool
Both Houses have passed a bill (A5411-D, McDonald/S.4620-C, Breslin) that would require health insurers to implement a system that will enable real-time, patient specific, prescription drug out-of-pocket cost details to be provided to physicians at the point of prescribing.  The information to be provided in a real time benefit tool (RTBT) would include:

  • patient-specific eligibility information;
  • patient-specific prescription cost and benefit data, such as applicable formulary, benefit, coverage, and cost-sharing data for the prescribed drug and clinically appropriate alternatives, when appropriate;
  • patient-specific cost-sharing information that describes variance in cost-sharing based on the pharmacy dispensing the prescribed drug or its alternatives, and in relation to the patient’s benefit (such as the out-of-pocket maximum);
  • information regarding lower cost clinically appropriate treatment alternatives; and applicable utilization management requirements.

If signed into law, the requirement would take effect July 1, 2023.  MSSNY indicated its support for the concept of this type of administrative simplification mechanism but also raised questions regarding the logistics and potential cost for physician electronic medical record vendors to implement these new RTBT interfaces.


Living Donor Bills Pass the NYS Legislature
Legislation, sponsored by Assemblymember Richard Gottfried and Senator Gustavo Rivera, has passed the NYS Legislature and would increase living organ, tissue, and body parts donation by removing financial barriers and educating the public about living donation. Entitled the NYS Living Donor Support Act, A. 146/S. 1594, would also provide a mechanism for reimbursing expenses for living donors who are residents of the state.  Eligible expenses include financial costs incurred by living donors such as lost wages, sick and vacation days, childcare, travel, lodging and/or medical expenses.  MSSNY has long-standing policy calling for employers to provide support for the needs of employees who become living donors.  The bill does require a nephrologist or primary care physician treating a patient for end stage renal disease to provide information to that patient regarding transplantation if they are a candidate for a transplant.  The measure moves onto Governor Hochul for her signature.



Firearm Safety Package Passed by NYS Legislature
In recognition of the mass shooting in Buffalo that killed 10 people and the shooting in Uvalde, Texas shooting that killed 19 children and 2 teachers, the New York State Legislature took action during the closing days of the legislative session to tighten various provisions of the state’s gun laws.   These measures include:

  • 1023-A/S.4970-A, sponsored by Amy Paulin and Senator Brian Kavanagh. Would require all state and local law enforcement agencies to report seized or recovered guns to the criminal gun clearinghouse; participate in ATFs collective data sharing program; test-fire seized or recovered guns for the national integrated Ballistic Information Network; and enter the make, model, caliber, and serial number of the gun into the national crime information center. The measure would also require gun dealers to implement a security plan for securing firearms, rifles, and shotguns; prohibit persons under eighteen and not accompanied by a parent from certain locations of a gun dealer’s premises; provide training to all employees on the conduct of firearm, rifle, and shotgun transfers, including identification of and response to illegal purchases; adhere to record keeping requirements; and require the state police to conduct inspections of gun dealers every three years.
  • 6716-A/S89-B, sponsored by Assemblymember Monica Wallace and Senator Todd Kaminsky. Makes threatening mass harm a criminal offense.
  • 7926-A/S.4116-A, sponsored by Assemblymember Linda Rosenthal and Senator Brad Hoylman. Requires the DCJS to certify or decline to certify that microstamping-enabled pistols are technologically viable, and if certified as viable, to establish programs and processes for the implementation of such technology. This bill also establishes the crime of an unlawful sale of a non-microstamping-enabled firearm
  • A7865-A/S.4511-A, sponsored by Assemblymember Patricia Fahy and Senator Anna Kaplan. Requires social media networks in New York to provide a clear and concise policy regarding how they would respond to incidents of hateful conduct on their platform and maintain easily accessible mechanisms for reporting hateful conduct on those platforms.
  • 10428-A/S.9229-A, sponsored by Assembly Majority Leader Crystal People-Stokes and Senator Brad Hoylman. Would eliminate the grandfathering of large capacity ammunition feeding devices that were lawfully possessed prior to the enactment of the Safe Act or manufactured prior to 1994.
  • 10497/S.9407-B, sponsored by Assemblymember Jonathan Jacobson and Senator Brian Kavanagh. Would make it unlawful to purchase and sell body vests to anyone who is not engaged in an eligible profession.
  • 10501/S.9465, sponsored by Assemblymember Demond Meeks and Senator Jamaal Bailey. Would create a new Task Force on Social Media and Violent Extremism in the Attorney General’s office to study and investigate the role of social media companies in promoting and facilitating violent extremism and domestic terrorism online.
  • 10502/S.9113-A, sponsored by Assemblymember Kevin Cahill and Senator James Skoufis. Would expand who may file an Extreme Risk Protection Order (ERPO) petition to include health care practitioners who have examined the individual within the last six months; requires police and district attorneys to file ERPO petitions upon credible information that an individual is likely to engage in conduct that would result in serious harm to himself, herself, or others; requires the State Police and the Municipal Police Training Council to create and disseminate policies and procedures to identify when an ERPO petition may be warranted; amends the firearm licensing statute to make it clear that when an individual has been reported by a mental health practitioner, and a county mental health commissioner has concurred with such practitioner that the individual is likely to engage in conduct that would result in serious harm to themself or others, such report is considered in determining whether or not to issue a firearm license to the individual; and, expands the mental health practitioners who can make such reports.
  • 10503/S.9458, sponsored by Assemblymember Chantel Jackson and Senator Kevin Thomas. Would require an individual to obtain a license prior purchasing a semiautomatic rifle. This is prospective and applies to purchases made on and after the effective date.
  • 10504/S.9456, sponsored by Assemblymember Kenny Burgos and Senator Luis Sepulveda. Would expand the definition of a “firearm” to include any weapon not defined in the penal law that is designed or may readily be converted to expel a projectile by action of an explosive.

The measures now go to Governor Kathy Hochul for signature.


Bill Passes to Create Primary Care Reform Commission
Among the flurry of health care bills that passed both Houses at the end of Session was legislation (A7230-B, Gottfried/S.6534-C, Rivera) (A7230 | (nyassembly.gov) to create a “Primary Care Reform Commission” to make recommendations to increase  spending on primary care and to strengthen primary care infrastructure.  As noted in the sponsor’s memo, representation for the group would include: experts on health care financing, reimbursement, and regulation from primary care providers, federally qualified health centers and professional practice groups, as well as representatives with relevant expertise from businesses operating within New York, public and commercial health plans including managed care plans, and primary care professional and advocacy organizations.

MSSNY had written a letter on the legislation that supports the concept of the bill to increase primary care spending, but requested that there be some designated representation by specialty care physicians as they regularly coordinate patient care with primary care physicians and other primary care providers.  The version of the bill that passed the Legislature deleted a provision with which MSSNY had raised concerns. This version would have directed the Commission to arrive at recommendations whereby primary care spending would be at least 12.5% of health care spending by 2026.  As with our advocacy in support of fair Medicare payment, MSSNY has argued that we need to increase spending on community-based physician health care altogether, not re-distribute spending, given the enormous practice struggles facing physicians of all specialties.


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Legislature Passes Bill to Provide Some New Protections Against OMIG Audits
The Senate and Assembly have passed legislation (A.7889-A, Gottfried/S.4486-B, Harckham) to provide some additional due process protections to health care providers audited by the Office of Medicaid Inspector General (OMIG).  Specifically, the bill would:

  • Require the OMIG to wait at least 60 days after issuing a final audit report before starting a recovery action on any overpayments, and to provide a minimum of 10 days advance written notice to the affected provider.
  • Prohibit OMIG from making a recovery from a provider based solely on an administrative or technical defect without any intent to falsify or defraud, except where OMIG has informed the provider of the error and given the provider 30 days to correct it, and the provider did not correct the error.
  • Require OMIG to provide an exit conference or detailed written explanation of any draft audit findings to the provider.
  • Require OMIG to only use statistically reasonable and valid extrapolation methods for audits in circumstances where extrapolation is permitted.
  • Prohibit repeating a review or audit of the same contracts, cost reports, claims, bills, or expenditures unless the OMIG has new information, good cause to believe the previous audit was erroneous, or a significantly different scope of investigation.
  • Require OMIG to apply all laws, regulations, policies, guidelines, standards, and interpretations that were in place at the time the claim or conduct occurred.


Medical Matters CME Webinars: The Relationship Between Medicine & Government During a Public Health Emergency
The COVID-19 pandemic has illuminated many intricacies in the relationship between government and medicine.  Learn more about EUA’s, the Incident Command System (ICS), and executive orders by registering for The Relationship Between Medicine & Government During a Public Health Emergency on Wednesday June 15, 2022, at 7:30 a.m.  Wajiha Kazmi, Esq., attorney at New York State Department of Health, with serve as faculty for this webinar.

Educational objectives are:

  • Examine the role of executive orders during a public health emergency.
  • Discuss emergency use authorizations (EUA’s) and how they expedite resolution of public health emergencies.
  • Analyze the Incident Command System (ICS) and its relevance to planning and preparing for a public health emergency.
  • Illustrate and define the relationship between medicine and government during a public health emergency.


Webinar – Nuclear Radiation & Chemical Agents: An Update
Did you know that effects of radiation exposure can show up within a few hours or within a few months depending on the extent of exposure?  Additionally, while treaties are in place prohibiting the use of chemical weapons and calling for the destruction of stockpiles, it is unknown how many of these weapons of mass destruction remain.  To learn more, Register now for “Nuclear Radiation & Chemical Agents: An Update” on June 22, 2022 at 7:30a.m.  Arthur Cooper, MD will serve as faculty for this webinar.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

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.                                           



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 2022 Ad RateSheet, please click here.


 

Board Certified Internal or Family Medicine Physician
Join our caring team and our mission to provide the highest standard of healthcare to each of our patients. Medical office in Eastern Nassau County looking a for a hard-working, responsible Physician to join our team.

Responsibilities include care for, diagnosing and managing patients.

Please send Curriculum Vitae to drg2555@yahoo.com.


MANHATTAN MEDICAL SUITE FOR SALE –Prestigious Coop on 45 East 62nd St. between Madison & Park!!
https://www.nestseekers.com/2122082/coop-manhattan
This approximately 1100 square foot medical suite has a grand reception area that is large enough for 2 or 3 people to work from. There is an additional nook area currently used for paper chart files that could also be utilized to update charts online or for bookkeeping.  The waiting room has approximately 10 ft ceilings and a marble fireplace. The mahogany veneered office also has high ceilings. The reception area and hallway have a drop ceiling that was installed to accommodate duct work for air conditioning.  There are 1.5 bathrooms. Medical equipment is also available for sale. The property needs a cosmetic renovation update.

To schedule a showing: melissaA@nestseekers.com or Call: Melissa Alonso with Nestseekers International: 646.403.7311

IDEAL LOCATION: 45 East 62nd – Prime Lennox Hill
PRICE: $1,100,000 with 50% Financing Permitted
Monthly Maintenance: $4775


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Medical Office for Rent (Poughkeepsie) and Share (Tuckahoe)
Poughkeepsie Office Suite 1100+ sq ft, w/ five office consult-exam rooms, waiting and receptionist area, restroom & private restroom, 1 block away from MidHudson Regional Hospital. Tuckahoe office 2 1500+ sqft suites for share, 3 exam rooms with procedure room, storage room. 1 block away from train station.

Please call or text 646-302-3085 or email peter200058@yahoo.com


Medical Office Suite for Rent (Downtown, New York City) – Ready to Move In!
On Canal Street, NYC : near Mulberry and Mott Street. Busy area near Subways. In a professional 7day/week concierge building . Office Suite 1002+ sq ft, beautiful & bright w/ five office consult-exam rooms, Spacious waiting and receptionist area, utility room & private restroom. MUST SEE! Please Call for showing at: 917-378-2699 or email: cnyc2828@gmail.com. Ask for Sammie.



Rendr – Transforming Healthcare – Leadership Opportunity: Associate Chief Medical Office, SVP of Population Health, Bilingual English and Chinese (Mandarin or Cantonese) preferred Job Position: Associate Chief Medical Office, SVP of Population Health in this role, you will lead and provide a wide range of support through population health, quality measures, practice transformation, Rendr360 department, House Calls, and other projects. Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicineunder the guidance of dedicated medical leadership. www.rendrcare.com.


Board Certified Cardiologist Position
Exceptional private practice cardiology employment opportunity. Manhattan Cardiology is a state-of-the-art cardiology practice located in the heart of Midtown Manhattan. The position is 100% outpatient cardiology with minimal call and excellent compensation structure and benefits. The practice is looking to add an enthusiastic and hardworking cardiologist to join our team.

Board certification is preferred in general cardiology, echocardiography, and ideally RPVI.

Job Type: Full Time with a very competitive salary and excellent benefits awaits the qualified candidate.

Please send resumes to nikkoh@manhattancardiology.com.


Board Certified Internal or Family Medicine Physician
Be a part of our care team and join our mission to provide the highest standard of healthcare to each one of our patients. Medical Offices of Manhattan is looking for a full time enthusiastic, hard-working and responsible Board-Certified Internal or Family Medicine Physician.

Responsibilities include caring for, diagnosing and managing patients. Board certification is a must. The position is 100% outpatient with minimal call and an excellent salary with benefits.

Please send resumes to nikko@momnyc.com.


Physician Assistant/Nurse Practitioner
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan and Manhattan Cardiology is seeking for an enthusiastic, hardworking Board Certified Physician Assistant or Nurse Practitioner.

Responsibilities include caring for, diagnosing, and managing patients in both the primary care and cardiology setting. The Physician Assistant or Nurse Practitioner will collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikkoh@manhattancardiology.com.


GI Physician Assistant/Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for an experienced and hardworking GI Physician Assistant.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens in collaboration with the Gastroenterologists and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Psychiatric Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking our newest team member, a Psychiatric Mental Health Nurse Practitioner to join our fast-growing team of mental health professionals.

Responsibilities includes managing both complex psychiatric and common medical problems, assess and diagnose illness states and initiate psychotropic medication (as needed) and other therapeutic interventions and collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


In Network Registered Dietician
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan is seeking an In Network Registered Dietician to join our care team for immediate need.

Responsibilities includes but not limited to conducting nutritional assessment, developing and implementing patient specific care plans and recommending nutrition care plans to patients as well as recommending therapeutic diet modifications and /or supplemental feedings to patients. Must have a degree in Nutrition or Dietetics, should be RD license, Registration by the Commission on Registration (CDR) as a Registered Dietitian (RD) in New York State plus specialized certifications as needed.

The position is 100% outpatient with excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Board Certified Gastroenterologist Position:
Exceptional private practice gastroenterologist employment opportunity. Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for a board certified, experienced and hardworking Gastroenterologist.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com

 

MSSNY eNews: May 27, 2022

Senate and Assembly Pass Bills to Limit Insurer Interference with Patients Obtaining Needed Medications
The New York State Senate passed two important measures this week supported by MSSNY to help patients overcome health insurance restrictions that may interfere with patients obtaining needed medications. Both bills were passed by the Assembly earlier this Session, so they will be sent to Governor Hochul later in the year for her signature.

The first bill, A.1741/S.5299, would prohibit health insurers from preventing patients from using copay cards or coupons to help meet their often-enormous deductibles and cost-sharing requirements.  This legislation would help patients, particularly those on chronic medication therapies, to realize the full benefit of these discount cards and help them meet their deductible requirements earlier in a calendar year.  MSSNY has been working with a number of patient and physician advocacy groups to support this important legislation, including the American Cancer Society, the Multiple Sclerosis Society, and the Bleeding Disorders Coalition.  Read the joint press release: Joint Press Release (fightcancer.org)

The second bill, A.3276/S.5909, would prevent health insurers from imposing step therapy or fail first protocols on coverage for patient prescriptions to address mental health conditions.  In 2016, MSSNY worked with a number of patient advocacy groups to enact a law that established strict criteria to better enable a physician, on behalf of their patient, to override a health insurer step therapy/fail first protocol.  This legislation would go a step further, ensuring that these step therapy protocols would not be imposed at all for medications to treat mental health conditions.  Read MSSNY’s memo in support: S5909-A3276 support (mssny.org)


Do Not Wait. Please Urge Your Legislators to Reject Drastic Liability Expansion Bill that May Drive Up Your Premiums by Over 40%!!
Physicians are urged to immediately contact their legislators to request that they reject legislation (S.74-A/A.6770) strongly opposed by MSSNY, hospital associations, municipalities, and numerous other groups. This legislation would create untenable increases in New York’s already gargantuan medical liability insurance costs by exponentially increasing the types of damages awardable in all wrongful death actions, including lawsuits against physicians. A letter and/or tweet can be sent from here: Don’t Chase Physicians out of NY! (p2a.co).

The bill has advanced to the Assembly floor and to the Senate Finance Committee.  There is substantial pressure being placed on the Legislature to pass this bill in the remaining days of the 2022 Session.

One recent actuarial estimate indicated that passage of this legislation could require a liability premium increase of over 40%, which translates to tens of thousands of dollars in new costs for physicians, many of whom already pay tens or hundreds of thousands of dollars per year in their insurance costs. Under ordinary circumstances, these kinds of increases would be unsustainable and could have huge 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 pandemic, legislation to impose such premium increases would be unconscionable.  It could prompt significant disruptions in patient access to care.

While some say New York is an outlier compared to other states by not having this type of law, what they neglect to mention is that most of these other states also have enacted comprehensive   medical liability insurance reform, including limits on damages, that contain the enormous costs this proposal would impose.  New York has no such laws, which is why our medical liability insurance and payout costs far exceed every other state in the country, making New York regularly ranked as one of the worst states in the country to be a physician. Best & Worst States for Doctors (wallethub.com)Best & Worst States for Doctors (wallethub.com)

Please let your legislators know that comprehensive legislation is needed to bring down New York’s excessively high medical liability premiums, which far exceed every other state in the country, instead of stand-alone bills that would drive up these costs.



Podcast: The End of the 2022 NYS Legislative Session, Challenges and Successes.
Listen to MSSNY’s May 27th podcast as Senior Vice-President & Chief Legislative Counsel Moe Auster discusses the end of the 2022 NYS Legislative Session, challenges and successes.


Health Care Mandate Bills Pass the Legislature This Week
Despite concerns expressed by MSSNY together with several specialty societies about legislating the practice of medicine, a handful of bills requiring physicians and other health care providers to take specific actions in various patient care situations have passed both Houses of the Legislature.

  • 2521-C/A.3470-C would require enhanced disclosure by hospitals and other health care providers to patients of facility fees not covered by insurance, including requiring employed health care providers to disclose in advance if their employer health system is charging a facility fee. While MSSNY and several specialty societies have strongly objected to the aspect of the legislation to require an employee physician to disclose fees charged by their employer, the C-print of this legislation was a significant improvement over an earlier, untenable, version which would have required physicians and hospitals to jointly bill.
  • 4640/A.273 would require physicians and other care providers, prior to writing an initial prescription for an opioid medication to treat neuromusculoskeletal pain, to “consider and discuss with the patient” non-opioid treatment alternatives. These alternatives include but are not limited to non-opioid medications, physical therapy, massage therapy, chiropractic, acupuncture and exercise.  The bill provides that such steps would not be required when opioid prescriptions are written to treat post-surgical pain management, treating patients with cancer, for end-of-life care, or in an emergency.
  • 6287-B/A.7560-A would require OB-GYNs and midwives to provide information to their pregnant patients regarding the risks of cytomegalovirus (CMV) on their first visit during the pregnancy. The materials to be shared would be developed by the New York State Department of Health.

MSSNY will be reaching out to the Governor’s office to urge that these bills either be vetoed, or that chapter amendments be adopted, to reduce the additional documentation burden, necessary to prove compliance, these bills will impose at a time when physicians are already drowning in excessive paperwork that is contributing to physician burnout.

There are countless other practice mandate bills still under active consideration in the Session’s final days.



Legislature Passes Bill to Provide Some New Protections Against OMIG Audits
The Senate and Assembly passed legislation (A.7889-A, Gottfried/S.4486-B, Harckham) this week to provide some additional due process protections to health care providers audited by the Office of Medicaid Inspector General (OMIG).  Specifically, the bill would:

  • Require the OMIG to wait at least 60 days after issuing a final audit report before starting a recovery action on any overpayments, and to provide a minimum of 10 days advance written notice to the affected provider.
  • Prohibit OMIG from making a recovery from a provider based solely on an administrative or technical defect without any intent to falsify or defraud, except where OMIG has informed the provider of the error and given the provider 30 days to correct it, and the provider did not correct the error.
  • Require OMIG to provide an exit conference or detailed written explanation of any draft audit findings to the provider.
  • Require OMIG to only use statistically reasonable and valid extrapolation methods for audits in circumstances where extrapolation is permitted.
  • Prohibit repeating a review or audit of the same contracts, cost reports, claims, bills, or expenditures unless the OMIG has new information, good cause to believe the previous audit was erroneous, or a significantly different scope of investigation.
  • Require OMIG to apply all laws, regulations, policies, guidelines, standards, and interpretations that were in place at the time the claim or conduct occurred.


Colorectal Cancer Insurance Screening Bill Passes New York State Legislature
Legislation has passed the New York State Legislature that would require health insurance providers to provide coverage for colorectal cancer screening(s) in accordance with American Cancer Society guidelines for average risk individuals. As of May 2021, the guidelines recommend beginning screening at age 45 for such individuals. A20985A/S906B, sponsored by Assemblymember Jeffrey Dinowitz and Senator Sanders, will now go to Governor Kathy Hochul for signature. The Medical Society of the State of New York supported this measure and joined with various public health organizations and specialty societies in support.


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Measure to Establish Cultural Competence Training for Medical Professionals Passes NY State Senate
A measure (S.1352, Serrano) to establish cultural awareness and competence training for medical professionals has passed in the New York State Senate.  The Assembly companion bill (A.9828A, Cruz) remains in the Assembly Higher Education Committee. The Medical Society of the State of New York has policy that generally supports 50 hours of continuing medical education for all physicians, but that is based on the physician specialty and choice to meet their practice needs.


Bill Allowing Pharmacists to Administer Injectable Medicines Advances in NYS Legislature
A bill that would allow pharmacists to administer some injectable medications for substance use disorders and mental health is advancing in the state Legislature. This measure, A. 3040B/S. 4080B, is in the Assembly Rules Committee and is on the calendar in the Senate. Sponsored by Assemblymember John McDonald and Senator Neil Breslin, the measure would allow pharmacists to inject medications into the deltoid muscle for the treatment of mental health and substance use disorder, upon receipt of a prescription for such medication. The Medical Society of the State of New York appreciates that this bill has been improved from past versions to limit where the injection can occur to the deltoid muscle and ensuring that it only pursuant a prescription by a prescriber. However, MSSNY is concerned that this legislation would set a significant new precedent of pharmacists providing medical treatment.   While improvements to access of mental health and substance use treatment is an urgent matter, patients must still be seen on a regular basis for medication management. Much of the medication management for mental health has to do with titration of medications, reassurance of the importance of continuing medications, and changing medications when they are not being effective or patient noncompliance due to side effects. A pharmacist neither has the training nor the ability to manage mental health medications, including, including physical diagnosis and history taking.


 


Sepsis Summit to Be Held June 15 in Albany NY
The Home Care Association of NYS will host a Sepsis Summit on June 15, 2022, at the Hilton Hotel in Albany.  The summit, which will run from 9:00AM -3:15 PM, is open to physicians throughout the state.  Sepsis impacts individuals across the entire continuum of care, with 80-90% of sepsis related infections occurring in home and community.  Sepsis deaths are preventable, but the solution requires participation and collaboration across the entire health care system.  Register for the summit at: https://hca-nys.org/the-statewide-call-to-action-all-sector-sepsis-summit/

State and national officials, as well as industry leaders, will present the most current developments, innovations, and vision addressing sepsis research, interventions, new models, and directions. This year’s summit focuses on sepsis across the health care system, in special needs populations and settings, and strategies for collaborative response. Leading the discussion will be co-founders and leaders of ENDSEPSIS – Rory Staunton Legacy and Sepsis Alliance.   As a partner in this statewide initiative and the summit, the Medical Society of the State of New York encourages physicians to attend this time program.


The Relationship Between Medicine & Government During a Public Health Emergency
The COVID-19 pandemic has illuminated many intricacies in the relationship between government and medicine.  Learn more about EUA’s, the Incident Command System (ICS), and executive orders by registering for The Relationship Between Medicine & Government During a Public Health Emergency on Wednesday June 15, 2022, at 7:30 a.m.  Wajiha Kazmi, Esq., attorney at New York State Department of Health with serve as faculty for this webinar.
Educational objectives are:

  • Examine the role of executive orders during a public health emergency.
  • Discuss emergency use authorizations (EUA’s) and how they expedite resolution of public health emergencies.
  • Analyze the Incident Command System (ICS) and its relevance to planning and preparing for a public health emergency.
  • Illustrate and define the relationship between medicine and government during a public health emergency.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org

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. 


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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 2022 Ad RateSheet, please click here.


MANHATTAN MEDICAL SUITE FOR SALE –Prestigious Coop on 45 East 62nd St. between Madison & Park!!
https://www.nestseekers.com/2122082/coop-manhattan
This approximately 1100 square foot medical suite has a grand reception area that is large enough for 2 or 3 people to work from. There is an additional nook area currently used for paper chart files that could also be utilized to update charts online or for bookkeeping. The waiting room has approximately 10 ft ceilings and a marble fireplace. The mahogany veneered office also has high ceilings. The reception area and 3 exam rooms have a drop ceiling that was installed to accommodate more electricity for the current owner’s use for laser machines. There are 1.5 bathrooms. Medical equipment is also available for sale. The property needs a cosmetic renovation update. To schedule a showing: melissaA@nestseekers.com or Call: Melissa Alonso with Nestseekers International: 646.403.7311
IDEAL LOCATION: 45 East 62nd – Prime Lennox Hill
PRICE: $1,100,000 with 50% Financing Permitted
Monthly Maintenance: $4775


Medical Office for Rent (Poughkeepsie) and Share (Tuckahoe)
Poughkeepsie Office Suite 1100+ sq ft, w/ five office consult-exam rooms, waiting and receptionist area, restroom & private restroom, 1 block away from MidHudson Regional Hospital. Tuckahoe office 2 1500+ sqft suites for share, 3 exam rooms with procedure room, storage room. 1 block away from train station.

Please call or text 646-302-3085 or email peter200058@yahoo.com


Medical Office Suite for Rent (Downtown, New York City) – Ready to Move In!
On Canal Street, NYC : near Mulberry and Mott Street. Busy area near Subways. In a professional 7day/week concierge building . Office Suite 1002+ sq ft, beautiful & bright w/ five office consult-exam rooms, Spacious waiting and receptionist area, utility room & private restroom. MUST SEE! Please Call for showing at: 917-378-2699 or email: cnyc2828@gmail.com. Ask for Sammie.



Rendr – Transforming Healthcare – Leadership Opportunity: Associate Chief Medical Office, SVP of Population Health, Bilingual English and Chinese (Mandarin or Cantonese) preferred Job Position: Associate Chief Medical Office, SVP of Population Health in this role, you will lead and provide a wide range of support through population health, quality measures, practice transformation, Rendr360 department, House Calls, and other projects. Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicineunder the guidance of dedicated medical leadership. www.rendrcare.com.


Board Certified Cardiologist Position
Exceptional private practice cardiology employment opportunity. Manhattan Cardiology is a state-of-the-art cardiology practice located in the heart of Midtown Manhattan. The position is 100% outpatient cardiology with minimal call and excellent compensation structure and benefits. The practice is looking to add an enthusiastic and hardworking cardiologist to join our team.

Board certification is preferred in general cardiology, echocardiography, and ideally RPVI.

Job Type: Full Time with a very competitive salary and excellent benefits awaits the qualified candidate.

Please send resumes to nikkoh@manhattancardiology.com.


Board Certified Internal or Family Medicine Physician
Be a part of our care team and join our mission to provide the highest standard of healthcare to each one of our patients. Medical Offices of Manhattan is looking for a full time enthusiastic, hard-working and responsible Board-Certified Internal or Family Medicine Physician.

Responsibilities include caring for, diagnosing and managing patients. Board certification is a must. The position is 100% outpatient with minimal call and an excellent salary with benefits.

Please send resumes to nikko@momnyc.com.


Physician Assistant/Nurse Practitioner
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan and Manhattan Cardiology is seeking for an enthusiastic, hardworking Board Certified Physician Assistant or Nurse Practitioner.

Responsibilities include caring for, diagnosing, and managing patients in both the primary care and cardiology setting. The Physician Assistant or Nurse Practitioner will collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikkoh@manhattancardiology.com.


GI Physician Assistant/Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for an experienced and hardworking GI Physician Assistant.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens in collaboration with the Gastroenterologists and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Psychiatric Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking our newest team member, a Psychiatric Mental Health Nurse Practitioner to join our fast-growing team of mental health professionals.

Responsibilities includes managing both complex psychiatric and common medical problems, assess and diagnose illness states and initiate psychotropic medication (as needed) and other therapeutic interventions and collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


In Network Registered Dietician
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan is seeking an In Network Registered Dietician to join our care team for immediate need.

Responsibilities includes but not limited to conducting nutritional assessment, developing and implementing patient specific care plans and recommending nutrition care plans to patients as well as recommending therapeutic diet modifications and /or supplemental feedings to patients. Must have a degree in Nutrition or Dietetics, should be RD license, Registration by the Commission on Registration (CDR) as a Registered Dietitian (RD) in New York State plus specialized certifications as needed.

The position is 100% outpatient with excellent salary with benefits.

Please send resumes to nikko@momnyc.com


 

 

MSSNY eNews: May 25, 2022

MSSNY Statement on Texas Shooting
MSSNY sent the following statement to the press today:

Statement Attributable to:
Parag Mehta, MD
President, Medical Society of the State of New York

“Less than two weeks after the heartbreaking mass shooting in our own community of Buffalo, we are again distraught by yet another mass shooting. MSSNY offers our deep condolences to the victims’ families. The horrific event in Texas yesterday—this time causing the unimaginable deaths of 19 innocent children and two teachers—reminds us of the urgent need for a waiting period and background checks for firearms purchases.

“MSSNY supports legislation that requires a waiting period and background checks prior to the purchase of all firearms, including the person-to-person transfer, internet sales, and interstate transactions of all firearms. In addition, MSSNY supports a ‘red flag’ concept in New York State.

“As a father, I say enough is enough.  These measures must be enacted as soon as possible to help prevent further tragedies from occurring.”


MSSNY’s House of Delegates Highlights

MSSNY’s 215th House of Delegates meeting was held at the Westchester Marriot in Tarrytown last weekend. Check back in next week’s edition of eNews for a summary of the resolutions that were passed during the proceedings. In the meantime, following is the new slate of officers elected over the weekend, followed by some photos highlighting the weekend events. Check MSSNY’s social media channels for more photos and highlights from the weekend: Facebook, Twitter, Instagram, and LinkedIn.

Officers (Each for term of 2022-2023)
President Parag H. Mehta, MD, Kings
President-Elect Paul A. Pipia, MD, Nassau
Vice-President Jerome C. Cohen, MD, Broome
Secretary Howard H. Huang, MD, Jefferson
Assistant Secretary Joshua M. Cohen, MD, New York
Treasurer Mark J. Adams, MD, Monroe
Assistant Treasurer Frank G. Dowling, MD, Suffolk
Speaker William R. Latreille, MD, FACP, Franklin
Vice-Speaker Maria A. Basile, MD, Suffolk
Councilors (Four for term 2021-2024)
First District Penny Stern, MD, Queens
Second District Daniel Choi, MD, Suffolk
Third District Jose David, MD, Albany
Ninth District Daniel Gold, MD, Westchester

OMSS Councilor (Term 2022-2025) – L. Carlos Zapata, MD, Queens
RFS Councilor (One year term 2022-2023) – Randall Porter, MD, Monroe
MSS Councilor (One year term 2022-2023) – Leanna Knight, Monroe

Trustees (One Five Year Term 2022-2027) – Bonnie L. Litvack, MD, Westchester

 


 


Congratulations to MSSNY’s Poster Symposium Winners!


MSSNY Immediate Past President Quoted in Buffalo News Following Buffalo Mass Shooting
The Buffalo (NY) News (5/20, Scanlon) reports, “The mass shooting in Buffalo last weekend provided yet another example why many in the health field – frustrated that gun safety debates all too often start and end with talk of more background checks and renewed automatic weapons bans – look to reframe the gun-violence conversation as one focused on finding a broader array of data-driven solutions.” Medical Society of the State of New York President Joseph Sellers, MD, FAAP, FACP, said, “We have a crisis in racism, a crisis in gun violence, but also a crisis in the lack of services, including a lack of access to mental health care.” Dr. Sellers “believes a regional approach…would be a great first step to build more consensus nationwide.”



State’s Highest Court Rules MLMIC Policyholder Entitled to Dividend Over Employer
Last week, the New York State Court of Appeals issued a decision Columbia Memorial Hospital v. Hinds: Justia that upheld several Appellate Court decisions that concluded that a MLMIC policyholder is entitled to the proceeds of MLMIC’s de-mutualization, absent contrary terms in their contract of employment, insurance policy, or separate agreement, that the proceeds belong to the employer or entity that paid the premiums.  There had been several disputes across the state whether the dividends should be paid to the policyholder or to the employer or entity that paid the premium.  Physician policyholders whose dividends were placed into escrow due to a dispute over entitlement to these funds should reach out to their legal counsel or to MLMIC at Conversion_coordinator@mlmic.com to determine next steps.


MSSNY Collaboration Featured in ACCME Academy Course
On May 23, 2022, the Accreditation Council for Continuing Medical Education (ACCME) released a new course on their learning management system, ACCME Academy, based on a collaboration between MSSNY, the Texas Medical Association (TMA), and Washington State Medical Association (WSMA).  MSSNY’s CME Manager, Miriam Hardin, PhD, had teamed up with Casey Harrison, MBA, Director of Physician Education at TMA and Kendra Peterson, Associate Director, Education and Accreditation at WSMA to lead a working group for the ACCME 2021 Meeting. The working group produced a “CE Mentorship” toolkit, which can be used to administer mentorship programs within or across organizations.

ACCME has included an announcement about the course in the May 24, 2022 issue of their email Newsletter.  ACCME has designed the course to orient CME professionals on how to navigate and leverage the mentorship toolkit.

The collaboration has continued in 2022, with a mentorship pilot program open to CME providers accredited by MSSNY, TMA, and WSMA.  In April of 2022, Casey, Kendra, and Miriam led an “Inspire and Teach” online session for the ACCME 2022 Meeting, reporting on the pilot program.  The session has generated interest from other State Medical Society Accreditors, for a potential expansion of mentorship program in 2023.


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MSSNY Member’s Letter to Editor Published in New York Times:
The following letter was published in the New York Times on May 20:

Re “Adams Resists New Mandates as Covid Rises

We just don’t get it. Every time we “open up” and remove protective measures, Covid soars. Over a million Americans have died from the virus, depriving their loved ones of their presence. And needless hospitalization costs more than prevention and taxes the health system, already enormously overwhelmed.

As physicians, we aim to prevent disease. New York City’s mayor thinks that it is better to treat Covid (with expensive drugs that don’t always work and can cause serious side effects) than to take the necessary steps to avoid it. And it may be more than just the mayor’s “tickle in my throat” if you wind up in the I.C.U. or get long Covid.

Yes, the economy is vital, but more disease makes fewer people able to shop or eat out or go to work. And we don’t yet know the long-term effects on the brain and body. So prevention is key, and we need to follow the advice of public health experts who should be in control of this, not politicians.

It is not a burden to get vaccinated and boosted and wear a good-quality mask. It is a responsibility to our fellow citizens and ourselves. We used to care about each other. Taking these steps would help us finally emerge from this scourge.

Stephen Danziger, Brooklyn
The writer, a physician, is a member of the Covid-19 Task Force of the Medical Society of the County of Kings (Brooklyn)


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 2022 Ad RateSheet, please click here.


MANHATTAN MEDICAL SUITE FOR SALE –Prestigious Coop on 45 East 62nd St. between Madison & Park!!
https://www.nestseekers.com/2122082/coop-manhattan
This approximately 1100 square foot medical suite has a grand reception area that is large enough for 2 or 3 people to work from. There is an additional nook area currently used for paper chart files that could also be utilized to update charts online or for bookkeeping.  The waiting room has approximately 10 ft ceilings and a marble fireplace. The mahogany veneered office also has high ceilings. The reception area and 3 exam rooms have a drop ceiling that was installed to accommodate more electricity for the current owner’s use for laser machines. There are 1.5 bathrooms. Medical equipment is also available for sale. The property needs a cosmetic renovation update. To schedule a showing: melissaA@nestseekers.com or Call: Melissa Alonso with Nestseekers International: 646.403.7311
IDEAL LOCATION: 45 East 62nd – Prime Lennox Hill
PRICE: $1,100,000 with 50% Financing Permitted
Monthly Maintenance: $4775


Medical Office for Rent (Poughkeepsie) and Share (Tuckahoe)
Poughkeepsie Office Suite 1100+ sq ft, w/ five office consult-exam rooms, waiting and receptionist area, restroom & private restroom, 1 block away from MidHudson Regional Hospital. Tuckahoe office 2 1500+ sqft suites for share, 3 exam rooms with procedure room, storage room. 1 block away from train station.

Please call or text 646-302-3085 or email peter200058@yahoo.com



Medical Office Suite for Rent  (Downtown, New York City) – Ready to Move In!
On Canal Street, NYC : near Mulberry and Mott Street. Busy area near Subways. In a professional 7day/week concierge building . Office Suite 1002+ sq ft, beautiful & bright w/ five office consult-exam rooms, Spacious waiting and receptionist area, utility room & private restroom.  MUST SEE!  Please Call for showing at: 917-378-2699 or email: cnyc2828@gmail.com. Ask for Sammie.


Rendr- Transforming Healthcare – Leadership Opportunity: Associate Chief Medical Office, SVP of Population Health, Bilingual English and Chinese (Mandarin or Cantonese) preferred
Job Position: Associate Chief Medical Office, SVP of Population Health in this role, you will lead and provide a wide range of support through population health, quality measures, practice transformation, Rendr360 department, House Calls, and other projects.  Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicineunder the guidance of dedicated medical leadership. www.rendrcare.com.


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Board Certified Cardiologist Position
Exceptional private practice cardiology employment opportunity. Manhattan Cardiology is a state-of-the-art cardiology practice located in the heart of Midtown Manhattan. The position is 100% outpatient cardiology with minimal call and excellent compensation structure and benefits. The practice is looking to add an enthusiastic and hardworking cardiologist to join our team.

Board certification is preferred in general cardiology, echocardiography, and ideally RPVI.

Job Type: Full Time with a very competitive salary and excellent benefits awaits the qualified candidate.

Please send resumes to nikkoh@manhattancardiology.com.


Board Certified Internal or Family Medicine Physician
Be a part of our care team and join our mission to provide the highest standard of healthcare to each one of our patients. Medical Offices of Manhattan is looking for a full time enthusiastic, hard-working and responsible Board-Certified Internal or Family Medicine Physician.

Responsibilities include caring for, diagnosing and managing patients. Board certification is a must. The position is 100% outpatient with minimal call and an excellent salary with benefits.

Please send resumes to nikko@momnyc.com.


Physician Assistant/ Nurse Practitioner
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan and Manhattan Cardiology is seeking for an enthusiastic, hardworking Board Certified Physician Assistant or Nurse Practitioner.

Responsibilities include caring for, diagnosing, and managing patients in both the primary care and cardiology setting. The Physician Assistant or Nurse Practitioner will collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikkoh@manhattancardiology.com.


GI Physician Assistant/ Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for an experienced and hardworking GI Physician Assistant.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens in collaboration with the Gastroenterologists and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Psychiatric Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking our newest team member, a Psychiatric Mental Health Nurse Practitioner to join our fast-growing team of mental health professionals.

Responsibilities includes managing both complex psychiatric and common medical problems, assess and diagnose illness states and initiate psychotropic medication (as needed) and other therapeutic interventions and collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


In Network Registered Dietician
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan is seeking an In Network Registered Dietician to join our care team for immediate need.

Responsibilities includes but not limited to conducting nutritional assessment, developing and implementing patient specific care plans and recommending nutrition care plans to patients as well as recommending therapeutic diet modifications and /or supplemental feedings to patients. Must have a degree in Nutrition or Dietetics, should be RD license, Registration by the Commission on Registration (CDR) as a Registered Dietitian (RD) in New York State plus specialized certifications as needed.

The position is 100% outpatient with excellent salary with benefits.

Please send resumes to nikko@momnyc.com


 

 

MSSNY eNews: May 18, 2022

MSSNY Continuing Push for Passage of Copay Accumulator Legislation by End of Legislative Session
Physicians are urged to contact (take action) their legislators to urge the passage of legislation (A.1741/S.5299) that would prohibit health insurers from preventing patients from using copay cards or coupons to help these patients meet their often enormous deductibles.

Importantly, the bill passed the New York State Assembly this afternoon, and is on floor of the Senate where hopefully it will be taken up next week. MSSNY has been working with several patient and physician advocacy groups to support this important legislation.  Read our joint press release here.

Last week, MSSNY President Dr. Joseph Sellers, MD, joined the bill sponsors and various patient advocacy groups urging action on this legislation before session ends on June 2nd.


Urge Your Legislators to Reject Untenable Measures to Drive Up Physician Liability Premiums by Over 40%
Physicians are urged to contact their legislators to request that they reject legislation (S.74-A/A.6770) that is strongly opposed by MSSNY, hospital associations, and numerous other groups. This legislation would create untenable increases in New York’s already excessive medical liability costs by greatly expanding the types of damages awardable in all wrongful death actions, including lawsuits against physicians. Please visit our Grassroots Action Center (GAC) to take action and let your legislators know to oppose this legislation. A letter and/or tweet can be sent from here: Don’t Chase Physicians out of NY! (p2a.co).

The bill has advanced to the Assembly floor and to the Senate Finance Committee.

One recent actuarial estimate indicated that passage of this legislation could require a liability premium increase of over 40%, which translates to tens of thousands of dollars in new costs for physicians, many of whom already pay tens or hundreds of thousands of dollars per year in their insurance costs. This could make it impossible for many physicians to stay in practice in New York.  Under ordinary circumstances, these kinds of increases would be unsustainable and could have huge 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 pandemic, legislation to impose such premium increases would be unconscionable. It could prompt significant disruptions in patient access to care.

While some advocates have claimed that New York’s existing wrongful death law is an outlier compared to other states, what they do not mention is that most of these other states also have comprehensive provisions to contain excessive medical liability insurance costs, including limits on damages.  New York has no such law, which is why our medical liability insurance and payout costs far exceed every other state in the country, making New York regularly ranked as one of the worst states in the country to be a physician. Best & Worst States for Doctors (wallethub.com)Best & Worst States for Doctors (wallethub.com)

Please let your legislators know that comprehensive legislation is needed to bring down New York’s excessively high medical liability premiums, which far exceed every other state in the country, instead of stand-alone bills that would drive up these costs.


 


Are You Having Issues with Empire/Anthem Claims?
Have you found yourself having issues specific to claims? Please see below information from Empire/Anthem to ensure you have the most up-to-date information regarding how to escalate your concerns in the proper order.

Did you know?

Provider Relations is not the first point of contact for billing/claims issues and cannot accept inquiries that have not first gone through the following escalation process: Claims and billing inquiries must be processed in the Provider Services Call Center per the numbers indicated above. (Note that you should allow 30-45 days for resolution/response.)

If the Call Center Representative does not sufficiently address your issue, please request to speak to a supervisor or manager. If the manager cannot assist you immediately, you will receive a call-back within two business days, excluding holidays and weekends. If the manager’s response does not resolve the issue, you may escalate your concerns and fill out a web form to the Provider Experience Team link below. You must include the inquiry number/reference number, Provider Services response, name of the manager/supervisor you spoke with, member name, ID and prefix, DOS, claim number, and details on the issue to Provider Experience.

For more complex matters, contracted medical providers should email the Provider Experience Team and complete the Provider Maintenance form. A representative will be assigned to you and will make contact within 48 hours.

Log in or register for Availity here. Availity can be used to verify member benefits and eligibility, accept claims, view claims status, and submit and view prior authorization requests. You can also live chat with a representative in Availity. Login to the Availity Portal and select Anthem from the payer spaces drop-down menu. Then select Chat with Payer and complete the pre-chat form to start your chat.

If you have questions about this or any other insurance concern, contact MSSNY’s Director of Physician Payment and Practice, Heather Lopez, at 518.465.8085 X332 | hlopez@mssny.org


Numerous Physician Mandate Bills Under Consideration in the Final Weeks of Session
As we head into the final 2 weeks of the legislative session, physicians are urged to contact their legislators (Oppose Mandates (p2a.co)) to request that they reject the array of bills under active consideration in the Senate and Assembly that would impose requirements on physicians delivering care to their patients.

MSSNY has been working together with numerous affected specialty societies (Letter) to highlight their collective concerns that, while each of these proposals may have good intentions, in totality they are creating significant new documentation requirements that place the physician’s licensure in jeopardy if there is an instance where they fail to document that they completed a task.

Despite expressed concerns from MSSNY and various specialty societies, one of these objectionable bills (S.2521-C/A.3470-C) passed both Houses this week to require enhanced disclosure by hospitals and other health care providers to patients of facility fees not covered by insurance, including requiring employed health care providers to disclose in advance if their employer health system is charging a facility fee. While MSSNY and several specialty societies have strongly objected to the aspect of the legislation to require an employee to disclose fees charged by their employer, the C-print of this legislation was a significant improvement over an earlier, untenable, version which would have required physicians and hospitals to jointly bill.

Some of the remaining mandate bills under consideration include:

  • S.213/A.1615 – Requires physicians to obtain the school attended by their pediatric patients.
  • S.2103-B/A.5841-B – Requires physicians to obtain a detailed patient/family member consent for a nursing home resident prior to the receipt of a psychotropic medication, or detailed documentation of the need to provide such medication without consent.
  • S.2736/A.217 – Requires physicians and other maternal care providers to provide information to pregnant patients regarding the risks of a caesarean section to patients scheduled to have a C-section.
  • S.4640/A.273 – Requires physicians and other care providers to document that they considered and discussed numerous alternatives to opioid treatment prior to writing an opioid prescription for a patient.
  • S.6287-B/A.7560-A – Requires OB-GYNs to provide information to their pregnant patients regarding the risks of cytomegalovirus (CMV).
  • S.7865/A.5976-A – Requires physicians and other maternal care providers providing pre- and post-natal care or pediatric care to invite the mother to fill out a questionnaire to detect maternal depression.
  • S.8455/A.9380 – Requires physicians and other maternal care providers to provide information to patients about the potential consequences of an episiotomy.

Please remain alert for further updates on these issues.



CMS-1500 Form: Important Reminders for Physicians
Are you ready for the July 1, 2022CMS-1500 form implementation? The Workers’ Compensation Board (Board) is transitioning to the CMS-1500 form, which will streamline the medical billing process and reduce the paperwork requirements in the workers’ compensation system. The more straightforward billing process will require health care providers to use the CMS-1500 form for all workers’ compensation medical billing, including the medical narrative attachment of the injured worker’s temporary impairment percentage, work status, and the casual relationship of the injury. The report is at risk of being legally defective if you do not prominently include the medical narrative. You will not receive payment, and you will be leaving the injured worker unable to receive benefits and treatment. To ensure forms are submitted promptly, it is encouraged to use an XML submission partner.

Bills for ancillary services such as radiology, anesthesiology, or surgery have unique attachment requirements.

You must first sign up for the medical portal to register for XML Submissions. You must then apply for electronic submission of medical bills to payers and the Board. Now discuss the submission details with an approved XML submission partner. Begin reaping the benefits of quicker payments, confirmation of invoices within seven days, and submission assistance.

On July 1, 2022, the following forms will be discontinued:

  • Doctor’s Initial Report (Form C-4, Form EC-4)
  • Continuation to Carrier/Employer Billing Section (Form C-4.1)
  • Doctor’s Progress Report (Form C-4.2, Form EC-4.2)
  • Ancillary Medical Report (Form C-4AMR, Form EC-4AMR)
  • Doctor’s Narrative Report (Form EC-4NARR)
  • Occupational/Physical Therapist’s Report (Form OT/PT-4, Form EOT/PT-4)
  • Psychologists Report (Form PS-4)
  • Ophthalmologist’s Report (Form C-5)

Pursuant to 12 NYCRR 325-1.25(b)(1), effective July 1, 2022, bills submitted on any of the above forms shall not be eligible for an award issued through the medical dispute process under the provisions of the Workers’ Compensation Law.

For more information, please visit the Board’s website or email CMS1500@wcb.ny.gov. For clinical feedback and questions, email provider@wcb.ny.gov.


New York State Department of Health Updated COVID-19 Advisory
New York State Department of Health (NYSDOH) updated its advisory on the infection prevention and control recommendations that all healthcare settings in New York should follow during the COVID-19 pandemic. Except for when alternate NYSDOH guidance is available, NYSDOH recommends that all healthcare settings adhere to the infection prevention and control guidance issued by the Centers for Disease Control and Prevention (CDC) in Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic.

Healthcare facility personnel are advised to regularly and frequently review the NYSDOH website, the New York State Health Commerce System, the CDC Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic and, for nursing homes, the Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes for updates to NYS and CDC guidance.

General questions or comments about this advisory can be sent to: covidhospitaldtcinfo@health.ny.gov, covidnursinghomeinfo@health.ny.gov, or icp@health.ny.gov.


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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 2022 Ad RateSheet, please click here.


Medical Office Suite for Rent  (Downtown, New York City) – Ready to Move In!
On Canal Street, NYC : near Mulberry and Mott Street. Busy area near Subways. In a professional 7day/week concierge building . Office Suite 1002+ sq ft, beautiful & bright w/ five office consult-exam rooms, Spacious waiting and receptionist area, utility room & private restroom.  MUST SEE!  Please Call for showing at: 917-378-2699 or email: cnyc2828@gmail.com. Ask for Sammie.


Rendr- Transforming Healthcare – Leadership Opportunity: Associate Chief Medical Office, SVP of Population Health, Bilingual English and Chinese (Mandarin or Cantonese) preferred
Job Position: Associate Chief Medical Office, SVP of Population Health in this role, you will lead and provide a wide range of support through population health, quality measures, practice transformation, Rendr360 department, House Calls, and other projects.  Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicineunder the guidance of dedicated medical leadership. www.rendrcare.com.



Board Certified Cardiologist Position
Exceptional private practice cardiology employment opportunity. Manhattan Cardiology is a state-of-the-art cardiology practice located in the heart of Midtown Manhattan. The position is 100% outpatient cardiology with minimal call and excellent compensation structure and benefits. The practice is looking to add an enthusiastic and hardworking cardiologist to join our team.

Board certification is preferred in general cardiology, echocardiography, and ideally RPVI.

Job Type: Full Time with a very competitive salary and excellent benefits awaits the qualified candidate.

Please send resumes to nikkoh@manhattancardiology.com.


Board Certified Internal or Family Medicine Physician
Be a part of our care team and join our mission to provide the highest standard of healthcare to each one of our patients. Medical Offices of Manhattan is looking for a full time enthusiastic, hard-working and responsible Board-Certified Internal or Family Medicine Physician.

Responsibilities include caring for, diagnosing and managing patients. Board certification is a must. The position is 100% outpatient with minimal call and an excellent salary with benefits.

Please send resumes to nikko@momnyc.com.


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Physician Assistant/ Nurse Practitioner
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan and Manhattan Cardiology is seeking for an enthusiastic, hardworking Board Certified Physician Assistant or Nurse Practitioner.

Responsibilities include caring for, diagnosing, and managing patients in both the primary care and cardiology setting. The Physician Assistant or Nurse Practitioner will collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikkoh@manhattancardiology.com.


GI Physician Assistant/ Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for an experienced and hardworking GI Physician Assistant.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens in collaboration with the Gastroenterologists and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com



Psychiatric Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking our newest team member, a Psychiatric Mental Health Nurse Practitioner to join our fast-growing team of mental health professionals.

Responsibilities includes managing both complex psychiatric and common medical problems, assess and diagnose illness states and initiate psychotropic medication (as needed) and other therapeutic interventions and collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


In Network Registered Dietician
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan is seeking an In Network Registered Dietician to join our care team for immediate need.

Responsibilities includes but not limited to conducting nutritional assessment, developing and implementing patient specific care plans and recommending nutrition care plans to patients as well as recommending therapeutic diet modifications and /or supplemental feedings to patients. Must have a degree in Nutrition or Dietetics, should be RD license, Registration by the Commission on Registration (CDR) as a Registered Dietitian (RD) in New York State plus specialized certifications as needed.

The position is 100% outpatient with excellent salary with benefits.

Please send resumes to nikko@momnyc.com


 

 

MSSNY eNews: May 13, 2022

Message from MSSNY President Dr Joseph Sellers:
Looking Forward to Our In-Person HOD Meeting Next Week

Colleagues:
Next week’s House of Delegates meeting—our first in-person meeting since the beginning of the pandemic—will mark the end of my term as MSSNY President. I have thoroughly enjoyed my term and am proud of the work that we have collectively done to improve the lives of both our members and the patients in our care.

I attended my first HOD in 1990 as the delegate chosen to represent the newly formed young physician section. I quickly learned that this gathering of physicians and medical students from across the state and from the full breadth of medical specialties offers us an opportunity to develop the policies and priorities that will shape our medical society for the coming year. Our profession and our patients will once again benefit from the hard work of our dedicated delegates as we meet in Westchester next Saturday.

I am delighted to be turning over the president’s gavel and medallion next week to Dr. Parag Mehta. Dr. Mehta brings wisdom, experience, and energy to the presidency. I pledge to him my support for the coming year in any way that he needs.

In addition to Dr. Mehta, our Officers, our Counselors, and our Trustees are all ready and able to carry forward the work of MSSNY as directed by the delegates at our annual meeting. We have much to accomplish but have the team in place to achieve our goals.

One of the privileges of being MSSNY president has been the ability to work with our outstanding EVP, Troy Oechsner, our division leaders and our staff. Their enthusiasm and knowledge are unmatched among professional organizations in our state. The success of MSSNY in supporting our physicians and our patients is a result of having these dedicated allies.

In closing, I wish to extend special thanks to Julie Vecchione, MSSNY’s Vice President of Communications, who has helped me express my thoughts in the eNews introduction each Friday this past year. I hope that our readers have found our words informative.

Joseph Sellers, MD, FAAP, FACP
MSSNY President


MSSNY Members Invited to Participate in “Stories from Physicians on the Front Line”
MSSNY members are invited to participate in an initiative by The Physicians Foundation: America’s Health: Stories from Physicians on The Frontline. America’s Health is a platform that allows physicians to share personal stories on the front lines of medicine in the form of short videos. The goal for this initiative is to help inspire other physicians to share their experiences and create an open dialogue within the physician community.

Any physicians are welcome to share their experiences and/or perspectives on issues that are facing physicians, such as reducing health disparities, improving physician wellbeing, the future of the practice post COVID-19 and more!

If you’re interested in participating, share a video to be featured as part of the America’s Health initiative. While we try to keep the videos to approximately 90 seconds long, please film as much or as little as you like. The Physicians Foundation can edit the content into snippets for multiple uses, if applicable.

This document outlines best practices for filming your video, with some tips on how to get the best quality video.



Deadline Extended to Complete Provider Relief Fund Late Reporting for Period 2 – May 18, 2022
The deadline for providers to request to submit a late Provider Relief Fund (PRF) Reporting Period 2 (RP2) has been extended to May 18th at 11:59 pm ET.

Physicians who received more than $10,000 in provider relief funds and did not submit their Period 2 report must act immediately by submitting a late Reporting Period 2 report request by Wednesday, May 18, 2022 at 11:59 pm ET. Provider Relief Fund (PRF) Period 2 spanned from July 1, 2020, thru December 31, 2020, and included physicians who see patients with Medicaid and CHIP coverage. Attached is an overview of the information needed to request to report late. If a provider did not submit a Period 2 report and does not hear from HRSA, click here to learn more about the late reporting request form or call (866) 569-3522.

When completing the late reporting request, a provider must choose an extenuating circumstance(s) that prevented compliance with the original reporting deadline. HRSA has released the following as allowable extenuating circumstances:

  • Severe illness or death– a severe medical condition or death of a provider or key staff member responsible for reporting hindered the organization’s ability to complete the report during the Reporting Period.
  • Impacted by natural disaster – a natural disaster occurred during or in close proximity of the end of the Reporting Period damaging the organization’s records or information technology.
  • Lack of receipt of reporting communications – an incorrect email or mailing address on file with HRSA prevented the organization from receiving instructions prior to the Reporting Period deadline.
  • Failure to click “submit”– the organization registered and prepared a report in the PRF Reporting Portal but failed to take the final step to click “submit” prior to deadline.
  • Internal miscommunication or error – Internal miscommunication or error regarding the individual who was authorized and expected to submit the report on behalf of the organization and/or the registered point of contact in the PRF Reporting Portal.
  • Incomplete Targeted Distribution payments – the organization’s parent entity completed all General Distribution payments, but a Targeted Distribution(s) was not reported on by the subsidiary.

While attesting to an extenuating circumstance is required, no supporting document or proof is required. More information and a step-by-step guide from the AMA are available here.

If HRSA approves the extenuated circumstances form, the provider will receive a notification to proceed with completing the Reporting Period 2 report shortly thereafter. The AMA will continue to advocate for greater flexibility and more information to ensure physician practices have an adequate opportunity to come into compliance. 


Podcast: Upcoming CME Opportunities for Physicians on May 20th and How You Can Help to Defeat Numerous Adverse Bills in Albany
Listen to MSSNY’s May 13th podcast as Senior Vice-President & Chief Legislative Counsel Moe Auster discusses Upcoming CME Opportunities for Physicians on May 20th and How You Can Help to Defeat Numerous Adverse Bills in Albany.



MSSNY Continuing Push for Passage of Copay Accumulator Legislation by End of Legislative Session
MSSNY continues to work with several patient and physician advocacy groups to push for passage of legislation (A.1741, Gottfried/S.5299, Rivera) that would prohibit health insurers from preventing patients from using copay cards or coupons to help meet their insurer-imposed deductibles. Read our joint press release here.

These coupons are tremendously important for helping patients, particularly those on long term medication therapies, meet their out-of-pocket health care costs.  Please take a minute to visit our Grassroots Action Center (GAC) to take action and let your legislators know you support for this important patient-protection legislation.

The bill is on the floor of both Houses awaiting a vote.  Last week, MSSNY President Dr. Joseph Sellers, MD, joined the bill sponsors and various patient advocacy groups urging action on this legislation before session ends on June 2nd.


Urge Your Legislators to Reject Untenable Measure to Drive Up Physician Liability Premiums by Over 40%
Physicians are urged to contact their legislators to request that they reject legislation (S.74-A/A.6770) that is strongly opposed by MSSNY, hospital associations, and numerous other groups. This legislation would create untenable increases in New York’s already excessive medical liability costs by greatly expanding the types of damages awardable in all wrongful death actions, including lawsuits against physicians. Please visit our Grassroots Action Center (GAC) to take action and let your legislators know oppose this legislation. A letter and/or tweet can be sent from here: Don’t Chase Physicians out of NY! (p2a.co).

The bill has advanced to the Assembly floor and to the Senate Finance Committee.

One recent actuarial estimate indicated that passage of this legislation could require a liability premium increase of over 40%, which translates to tens of thousands of dollars in new costs for physicians, many of whom already pay tens or hundreds of thousands of dollars per year in their insurance costs. This could make it impossible for many physicians to stay in practice in New York.  Under ordinary circumstances, these kinds of increases would be unsustainable and could have huge 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 pandemic, legislation to impose such premium increases would be unconscionable.  It could prompt significant disruptions in patient access to care.

While some advocates have claimed that New York’s existing wrongful death law is an outlier compared to other states, what they do not mention is that most of these other states also have comprehensive provisions to contain excessive medical liability insurance costs, including limits on damages.  New York has no such law, which is why our medical liability insurance and payout costs far exceed every other state in the country, making New York regularly ranked as one of the worst states in the country to be a physician. Best & Worst States for Doctors (wallethub.com)

Please let your legislators know that comprehensive legislation is needed to bring down New York’s excessively high medical liability premiums, which far exceed every other state in the country, instead of stand-alone bills that would drive up these costs.


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Numerous Physician Mandate Bills Under Consideration in the Final Weeks of Session
As we head into the final 3 weeks of the legislative session, physicians are urged to contact their legislators (Oppose Mandates on Physicians (p2a.co)) to request that they reject the numerous bills under active consideration in the Senate and Assembly that would impose requirements on physicians (and other providers) delivering care to their patients.

MSSNY has been working together with numerous affected specialty societies (Letter) to highlight their collective concerns that, while each of these proposals may have good intentions, in totality they are creating significant new documentation requirements that place the physician’s licensure in jeopardy if there is an instance where they fail to document that they completed a task.  This could have a significant impact on decisions made by physicians, including whether or not to practice in New York. Some of these bills include:

  • 213/A.1615 – Requires physicians to obtain the school attended by their pediatric patients.
  • 2103-B/A.5841-B – Requires physicians to obtain a detailed patient/family member consent for a nursing home resident prior to the receipt of a psychotropic medication, or detailed documentation of the need to provide such medication without consent.
  • 2521-C/A.3470-C – Requires employed health care providers to disclose if their employer health system is charging a facility fee.
  • 2736/A.217 – Requires physicians and other maternal care providers to provide information to pregnant patients regarding the risks of a caesarean section to patients scheduled to have a C-section.
  • 4640/A.273 – Requires physicians and other care providers to document that they considered and discussed numerous alternatives to opioid treatment prior to writing an opioid prescription for a patient.
  • 6287-B/A.7560-A – Requires OB-GYNs to provide information to their pregnant patients regarding the risks of cytomegalovirus (CMV).
  • 7865/A.5976-A – Requires physicians and other maternal care providers providing pre- and post-natal care or pediatric care to invite the mother to fill out a questionnaire to detect maternal depression.
  • 8455/A.9380 – Requires physicians and other maternal care providers to provide information to patients about the potential consequences of an episiotomy.

Please remain alert for further updates on these issues.


Bills Under Consideration to Protect Physicians Providing Legal Reproductive Services
With uncertainty regarding the legality of providing reproductive health care services in several states across the country, the New York State Legislature is advancing legislation that would protect physicians and other healthcare providers that provide these health services. S.9709/A. 9687, sponsored by Senator Anna Kaplan and Assemblywoman Linda Rosenthal, would prohibit disciplinary actions against licensed medical professions for providing abortion and reproductive health services for patients who reside in states where those services are illegal.  This measure is currently in the Higher Education committee in both houses.  S.9080/A. 9718, sponsored by Senator Michele Hinchey and Assemblywoman Linda Rosenthal, would prohibit medical malpractice insurance companies from taking any adverse action against a health care provider who provides reproductive health care.  This measure is in the Insurance Committee in both Houses.   MSSNY is supportive of both these concepts and is in regular communication with many legislators about these, and other measures, to protect access to reproductive healthcare.

Earlier this week, MSSNY President Dr. Joseph Sellers, MD, issued a statement on MSSNY supporting reproductive health care for all individuals:

“The Medical Society of the State of New York (MSSNY) recognizes the fact of legalized abortion and supports the right of all women to safe and legal abortion and direct access to obstetric and gynecologic services. MSSNY believes that reproductive choice, as any medical decision, is one of an informed consent between the patient and his/her physician. Abortion is a medical procedure and should be performed only by a duly licensed physician in conformance with standards of good medical practice.  MSSNY opposes legislative proposals that use federal or state health care funding mechanisms to deny established and accepted medical care to any segment of the population and opposes any legislation that criminalizes the exercise of clinical judgment in the delivery of medical care.”


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MSSNY Urging Assembly Insurance Committee to Take Action on Important Legislation to Curb Use Prior Authorization by Insurance Companies
Physicians continue to urge key members of the Assembly to take action on two critically important prior authorization reform bills before the end of the 2022 legislative session.  Please take a minute to visit MSSNY’s Grassroots Action Center (GAC) to take action and urge your state Senator and Assembly member to support passage of both bills.

Both bills have advanced to the Senate floor but remain stuck in the Assembly Insurance Committee.

The first bill, A.9908-A, McDonald/S.8299 Breslin, establishes a “Gold Card” program in which insurers exempt physicians, and other care providers, from Prior Authorization (PA) requirements if they receive at least 90% approval for PAs for specific health care treatments. The legislation is similar to a law enacted last year in Texas, which was designed to prevent unnecessary roadblocks to patient care and reward the following of evidence-based treatment guidelines.

The second bill, A.7129-A, Gottfried/S.6435-A, Breslin, also addresses the crushing burden of the prior authorization process by requiring health plan utilization review criteria be evidence-based and peer reviewed, reducing the insurer timeframe for reviewing prior authorization requests, and limiting when an insurer can withdraw or repeat a previously granted prior authorization. The standards within this bill are based on recommendations made by several respected health care advocacy organizations to improve patient care.

Excessive Prior Authorization hassles continue to be a major impediment to patient care.  The American Medical Association (AMA) recently released an updated survey which showed that more than 9 in 10 physicians (93%) reported care delays while waiting for health insurers to authorize necessary care, and 82% said patients abandon treatment due to authorization struggles with health insurers. Moreover, more than half (51%) of physicians reported that prior authorization had interfered with a patient’s job responsibilities, and more than one-third (34%) of physicians reported that prior authorization led to a serious adverse event such as hospitalization, disability, or even death, for a patient in their care.


Legislature Passes Bill to Limit Liens/Garnishments for Medical Debt Judgments
Both the New York State Senate and Assembly have passed legislation (S.6522-A/A.7363-A) that would prohibit a hospital or health care provider from placing a lien against a person’s primary residence in an action arising from medical debt judgments, as well as prohibiting wage garnishment for medical debt judgments.  It was reported in Crains Health Pulse this week that an analysis from the Community Service Society of NY stated that, between 2015 and 2019, 139 hospitals across the state filed nearly 31,000 lawsuits against patients for outstanding payments owed to the hospital.  The bill has not yet been delivered to the Governor for her consideration.


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NYS Department of Financial Services Issues New Guidance for Pharmacy Benefit Managers
The NYS Department of Financial Services (DFS) recently issued guidance for Pharmacy Benefit Managers (PBMs). The purpose of this guidance is to provide information regarding the implementation of legislation enacted last year, supported by MSSNY, which requires PBMs to register with the NYS DFS and file annual reports. Governor Hochul also issued a press release noting that, with the passage of the enacted 2023 State Budget, there was a $5 million appropriation for DFS to fund and staff a new Pharmacy Benefits Bureau.

According to the new guidance, the deadline for PBMs to obtain registration with DFS is June 1, 2022. As long as the PBM submits an application on or before this date, including payment of the registration application fee, the PBM will hold a temporary registration valid from June 1, 2022, and expiring seven days after the NYS DFS Pharmacy Benefits Bureau makes a determination on the application.

Every PBM operating in the state is required to file a registration application with NYS DFS. Under Insurance Law §§ 2902-2904, a PBM is defined as “any entity that performs pharmacy benefit management services for a health plan.” Since the law only applies to entities acting “for a health plan,” registration requirements do not apply to individual employees of a PBM or employees of a health plan which perform PBM services for that health plan.

The PBM regulation defines their services as “the management or administration of prescription drug benefits for a health plan, directly or through another entity.” For a full list of functions which constitute PBM services, click here.  They include claims processing or payment of claims to pharmacies for dispensing prescription drugs; clinical or other formulary or preferred drug list development or management; and drug utilization review or prior authorization for drug benefits.

MSSNY will continue to monitor the implementation of this important new law with the goal of ensuring that patients are protected from arbitrary and cumbersome limitations on access to necessary prescription medications that are recommended by their physicians.


Virtual CME at MSSNY 2022 House of Delegates-Registration Now Open
MSSNY is offering four CME webinars during the 2022 House of Delegates on Friday May 20th from 7:30am-12:00pm.  View the flyer for these programs here.

7:30-8:30am
Medical Matters: What’s Your Diagnosis? Infectious Diseases
Faculty: William Valenti, MD
Educational Objectives:

  • Identify the modes of transmission of infectious agents.
  • Discuss presumptive treatment of infectious diseases in advance of diagnostic testing results.
  • Describe two scenarios and review questions and answers.
    (This program is supported in whole by a DHHS grant entitled New York State Hospital Preparedness Program)

8:40-9:40am
Women in Medicine 2022: Up the Down Staircase
Faculty: Carol Ann Bernstein, MD
Educational Objectives:

  • Identify significant stressors contributing to burnout as they specifically impact women physicians in the era of Covid.
  • Increase knowledge of potential strategies that can be used to support women physicians, especially when working in dynamically changing and stressful clinical environments.
  • Identify potential systemic solutions, as well as practical techniques, that promote growth and resilience in women physicians.

9:50 – 10:50am
The Health of Sexual and Gender Minorities
Faculty: Carl Streed, MD, MPH, FACP
Educational Objectives:

  • Identify disparities in health care access among SGM persons.
  • Identify disparities in health care outcomes among SGM persons.
  • Examine minority stress as a contributor to health disparities.
  • Identify opportunities to meet the health care needs of SGM persons.

11:00am-12:00pm
Veterans Matters: COVID-19 and its Impact on Veterans
Faculty: Frank Dowling, MD
Educational Objectives:

  • Identify the wide ranging medical and mental health impact of COVID on veterans.
  • Discuss of veterans who have experienced COVID related post-traumatic stress
  • Recognize the role of physicians in assessing the impact of the pandemic in veteran patients.
    (This program is supported in whole by a grant from the New York State Office of Mental Health.)

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

The Medical Society of the State of New York designates each 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.


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Mental Health Awareness Month: Peer to Peer (P2P) Program
Stress and burnout among physicians have been well documented for years. The COVID-19 pandemic is exacerbating the public health problem of physician burnout in New York state. Throughout the pandemic, physicians and other health professionals have faced concerns about safety, overworking, and feelings of loss. Without an intervention, it is possible that a high number of physicians over the next few years may develop chronic stress reactions, anger, clinical depression, substance abuse, post-traumatic stress disorder, and suicidality.

Mental Health Awareness Month is a great reminder to prioritize an environment of support and wellness within your organization. Reviewing EAP policies to minimize barriers to care-seeking, identifying risk factors and warning signs for suicide, and forming a crisis response team and plan of action before a suicide occurs are just a few of the steps your practice can take to help prevent physician suicide and improve professional well-being.

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!

If someone you know is struggling with life stressors, reach out to the P2P program to connect them to a peer supporter!

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


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 2022 Ad RateSheet, please click here.


Medical Office Suite for Rent (Downtown, New York City) – Ready to Move In!
On Canal Street, NYC : near Mulberry and Mott Street. Busy area near Subways. In a professional 7day/week concierge building . Office Suite 1002+ sq ft, beautiful & bright w/ five office consult-exam rooms, Spacious waiting and receptionist area, utility room & private restroom. MUST SEE! Please Call for showing at: 917-378-2699 or email: cnyc2828@gmail.com. Ask for Sammie.



Rendr – Transforming Healthcare – Leadership Opportunity: Associate Chief Medical Office, SVP of Population Health, Bilingual English and Chinese (Mandarin or Cantonese) preferred Job Position: Associate Chief Medical Office, SVP of Population Health in this role, you will lead and provide a wide range of support through population health, quality measures, practice transformation, Rendr360 department, House Calls, and other projects. Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicineunder the guidance of dedicated medical leadership. www.rendrcare.com.


Board Certified Cardiologist Position
Exceptional private practice cardiology employment opportunity. Manhattan Cardiology is a state-of-the-art cardiology practice located in the heart of Midtown Manhattan. The position is 100% outpatient cardiology with minimal call and excellent compensation structure and benefits. The practice is looking to add an enthusiastic and hardworking cardiologist to join our team.

Board certification is preferred in general cardiology, echocardiography, and ideally RPVI.

Job Type: Full Time with a very competitive salary and excellent benefits awaits the qualified candidate.

Please send resumes to nikkoh@manhattancardiology.com.


Board Certified Internal or Family Medicine Physician
Be a part of our care team and join our mission to provide the highest standard of healthcare to each one of our patients. Medical Offices of Manhattan is looking for a full time enthusiastic, hard-working and responsible Board-Certified Internal or Family Medicine Physician.

Responsibilities include caring for, diagnosing and managing patients. Board certification is a must. The position is 100% outpatient with minimal call and an excellent salary with benefits.

Please send resumes to nikko@momnyc.com.


Physician Assistant/Nurse Practitioner
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan and Manhattan Cardiology is seeking for an enthusiastic, hardworking Board Certified Physician Assistant or Nurse Practitioner.

Responsibilities include caring for, diagnosing, and managing patients in both the primary care and cardiology setting. The Physician Assistant or Nurse Practitioner will collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikkoh@manhattancardiology.com.


GI Physician Assistant/Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking for immediate hiring for an experienced and hardworking GI Physician Assistant.

Responsibilities includes managing Adult Gastroenterology patients with varying disease processes, including but not limited to GERD, IBD, bowel pattern changes, abdominal pain, and diseases related to the liver, pancreas, GI tract, and gallbladder; develops, implements, and manages therapeutic treatment regimens in collaboration with the Gastroenterologists and must possess excellent communication skills, with a focus on a team approach to patient-centered care

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


Psychiatric Nurse Practitioner
Medical Offices of Manhattan, a multi-specialty medical office is seeking our newest team member, a Psychiatric Mental Health Nurse Practitioner to join our fast-growing team of mental health professionals.

Responsibilities includes managing both complex psychiatric and common medical problems, assess and diagnose illness states and initiate psychotropic medication (as needed) and other therapeutic interventions and collaborate with the team in diagnosing and creating plans for each patient.

The position is 100% outpatient with minimal call and excellent salary with benefits.

Please send resumes to nikko@momnyc.com


In Network Registered Dietician
A growing multispecialty practice in Manhattan, Medical Offices of Manhattan is seeking an In Network Registered Dietician to join our care team for immediate need.

Responsibilities includes but not limited to conducting nutritional assessment, developing and implementing patient specific care plans and recommending nutrition care plans to patients as well as recommending therapeutic diet modifications and /or supplemental feedings to patients. Must have a degree in Nutrition or Dietetics, should be RD license, Registration by the Commission on Registration (CDR) as a Registered Dietitian (RD) in New York State plus specialized certifications as needed.

The position is 100% outpatient with excellent salary with benefits.

Please send resumes to nikko@momnyc.com


 

 

MSSNY eNews: May 6, 2022

Message from MSSNY President Dr Joseph Sellers:
Word to the Wise When Considering Malpractice Insurance Options

Colleagues:
As renewal season approaches, please allow me to provide a few words of advice regarding our trusted and exclusive partner at MLMIC. Formed under the auspices of the Medical Society of the State of New York in 1975 when all commercial carriers left the State because of declining profits, MLMIC, now a Berkshire Hathaway Company, has remained incomparably committed to New York.

Here are some things that I suggest you consider when choosing your malpractice coverage:

  • What is the company’s familiarity with the state of New York?
  • What is the company’s New York track record in defending their clients against claims?
  • Does the company have decades of commitment to New York for your peace of mind knowing that the company won’t fold up and leave the state like so many companies have through the years?

There is a reason that MSSNY continues to proudly to exclusively endorse MLMIC Insurance Company. To this day, MLMIC has successfully defended more New York physicians than any other New York insurer. For over 45 years, MLMIC has been a strong, tireless advocate for New York physicians and has effectively lobbied for legislative reform to address those issues that continue to plague healthcare professionals in the state of New York. Also, MLMIC has made the most consistent and significant contributions of any malpractice insurer to MSSNY’s Physician’s Wellness Program and the Committee for Physicians Health which provide confidential assistance for medical professionals suffering from substance abuse and other psychiatric disorders while protecting public safety.

Now, MLMIC is also a Berkshire Hathaway company with an A+ financial rating by A.M. Best, giving me peace of mind knowing that MLMIC will remain in the state of New York supporting our healthcare heroes – as they have for more than 45 years. We strongly encourage you to contact MLMIC (800-ASK-MLMIC or LHertz@mlmic.com) and gain the details regarding their Preferred Savings Programs and other MLMIC discounts which can save qualifying physicians up to 30% in Medical Professional Liability.

Joseph Sellers, MD, FAAP, FACP
MSSNY President


Why I Am a MSSNY Member



Provider Relief Fund Late Reporting for Period 2 Due by May 13
Physicians who received more than $10,000 in provider relief funds and did not submit their Period 2 report must act immediately by submitting a late Reporting Period 2 report request by Friday, May 13, 2022 at 11:59 pm ET. Provider Relief Fund (PRF) Period 2 spanned from July 1, 2020, thru December 31, 2020, and included physicians who see patients with Medicaid and CHIP coverage. Attached is an overview of the information needed to request to report late. If a provider did not submit a Period 2 report and does not hear from HRSA, click here to learn more about the late reporting request form or call (866) 569-3522.

When completing the late reporting request, a provider must choose an extenuating circumstance(s) that prevented compliance with the original reporting deadline. HRSA has released the following as allowable extenuating circumstances:

  • Severe illness or death – a severe medical condition or death of a provider or key staff member responsible for reporting hindered the organization’s ability to complete the report during the Reporting Period.
  • Impacted by natural disaster – a natural disaster occurred during or in close proximity of the end of the Reporting Period damaging the organization’s records or information technology.
  • Lack of receipt of reporting communications – an incorrect email or mailing address on file with HRSA prevented the organization from receiving instructions prior to the Reporting Period deadline.
  • Failure to click “submit” – the organization registered and prepared a report in the PRF Reporting Portal but failed to take the final step to click “submit” prior to deadline.
  • Internal miscommunication or error – Internal miscommunication or error regarding the individual who was authorized and expected to submit the report on behalf of the organization and/or the registered point of contact in the PRF Reporting Portal.
  •  Incomplete Targeted Distribution payments – the organization’s parent entity completed all General Distribution payments, but a Targeted Distribution(s) was not reported on by the subsidiary.

While attesting to an extenuating circumstance is required, no supporting document or proof is required. More information and a step-by-step guide from the AMA are available here.

If HRSA approves the extenuated circumstances form, the provider will receive a notification to proceed with completing the Reporting Period 2 report shortly thereafter. The AMA will continue to advocate for greater flexibility and more information to ensure physician practices have an adequate opportunity to come into compliance.


Altfest Launches YouTube Channel “Wealth Matters for Physicians” to Promote Physician Financial Wellness
Altfest Personal Wealth Management, selected 14 times as one of Barron’s Top 100 Financial Advisors, is pleased to announce the launch of its financial wellness YouTube channel dedicated to educating and empowering physicians to optimize their financial lives.

Wealth Matters for Physicians features timely and actionable investment and personal financial planning videos. The topics, chosen by their relevancy and interest to physicians, will cover the full spectrum of investment and personal financial planning subjects – including market outlooks and which investment areas are currently appealing, leading tax reduction strategies, business succession and retirement planning, estate planning, student debt management, and many more.



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Podcast: Areas of Focus for Remainder of Legislative Season
Listen to MSSNY’s May 6th podcast as Senior Vice-President & Chief Legislative Counsel Moe Auster discusses areas of focus for the remainder of legislative session.


MSSNY Partners with Specialty Societies and Groups in Support of Prior Authorization Reform and Other Key Issues
Physicians are urged to continue to contact their legislators to express their support for multiple legislative initiatives to address prior authorization hassles.  You can send a letter here: Prior Authorizations hassles must be fixed!  (p2a.co).

On May 3rd, MSSNY participated in an advocacy day with the New York State Radiological Society (NYSRS). Key issues included the “Gold Card” bill (S.8299, Breslin/A.9908-A, McDonald) to exempt physicians from health insurer prior authorization requirements if the physician receives at least 90% approval by that insurer for pre-authorizations for a particular health care treatment, and legislation (A7129-A Gottfried/S6435-B Breslin) to prohibit repeat prior authorization requirements and require that health review criteria be peer reviewed and evidence-based.

On May 4 and May 5, MSSNY joined the New York Cancer & Blood Specialists for several advocacy meetings with key legislators in support of the two prior authorization bills above.  For all of these meetings, physician leaders and MSSNY staff emphasized the extraordinary number of treatments now subject to prior authorizations, and the hassles associated with obtaining these authorizations, that are interfering with patients obtaining the care they need.


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MSSNY President Joins Patient and Other Physicians Organizations at News Conference to Push for Passage of Copay Accumulator Legislation
This week, MSSNY President Dr. Joseph Sellers joined several legislators, as well as patient and physician organizations, for a news conference in the State Capitol to urge passage of Copay Accumulator legislation (A.1741, Gottfried/S.5299, Rivera) as soon as possible. The Senate Insurance Committee voted to advance the bill to the full Senate at its last meeting on Monday, April 25.  The identical Assembly bill is on the Assembly floor.

This important bill would prohibit health insurers from preventing patients from using a copay card or coupon to count towards their out-of-pocket deductibles.  Many patients, particularly those on long-term therapies, rely on financial assistance programs, such as a copay coupons or cards, to reduce the cost of their medication. However, insurers are employing this new tactic to undermine these financial assistance programs by preventing their application towards meeting the enormous deductibles patients face. MSSNY strongly supports policy to ensure that third party financial support will help patients to meet the cost of their medications.

Please visit MSSNY’s Grassroots Action Center (GAC) to take action and let your legislators know that you support passage of this important legislation!


Urge Your Legislators to Reject Legislation That Would Drive Huge New Increases in Medical Liability Insurance
Physicians are urged to contact their legislators to request that they reject legislation (S.74-A/A.6770) strongly opposed by MSSNY, hospital associations, and numerous other groups. This legislation 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: Don’t Chase Physicians out of NY! (p2a.co). This week, the Assembly Codes Committee advanced this legislation to the full Assembly, and next week the Senate Judiciary Committee is considering the legislation.

One recent actuarial estimate indicated that passage of legislation such as this could require a liability premium increase of over 40%, which translates to tens of thousands of dollars in new costs for physicians who already pay thousands of dollars per year in their insurance costs. This could make it impossible for many physicians to stay in practice in New York.  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 pandemic, legislation to impose such premium increases would be unconscionable.

While some advocates have claimed that New York’s existing wrongful death law is an outlier compared to other states’ laws, what they do not mention is that most of these other states also have comprehensive provisions to contain excessive medical liability insurance costs, including limits on damages.  New York has no such law, which is why our medical liability insurance and payout costs far exceed every other state in the country, making New York regularly ranked as one of the worst states in the country to be a physician. Best & Worst States for Doctors (wallethub.com)

Please let your legislators know that comprehensive legislation is needed to bring down New York’s excessively high medical liability premiums, which far exceed every other state in the country, instead of stand-alone bills that would drive up these costs.


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MSSNY Participates in Lobby Day on Immunizations
The Medical Society of the State of New York participated in virtual meetings with lawmakers from across the state as a member of the Let’s Get Immunized NY (LGINY) campaign.  These meetings reinforced the importance of immunizations and urged legislators not to roll back New York State’s strong vaccine policy and access. MSSNY and LGINY also called for passage of S75A, Hoylman/A279A, Gottfried which would establish a more robust vaccination registry for New York adults aged 19 and older across the state.  Individuals will have the ability to opt out of the registry if they so choose. Physicians are encouraged to read MSSNY’s memo on S. 75A/A279a and to communicate support of this measure.


Numerous Physician Mandate Bills Under Consideration in the Final Weeks of Session
As we head into the final 4 weeks of the legislative session, there are numerous bills under active consideration in the Senate and Assembly that would impose requirements on physicians (and other providers) delivering care to their patients, as well as countless other mandates on medical practice in New York.  MSSNY has been working together with affected specialty societies to highlights its concerns that, while each of these proposals may have good intentions, in totality they are creating significant new documentation requirements that place the physician’s licensure in jeopardy if there is an instance where they fail to document that they completed a task.  This could have a significant impact on decisions made by physicians, including whether or not to practice in New York. Some of these bills include:

  • 67/A.3298 – Would require physicians treating a patient for epilepsy to provide information regarding the risk of Sudden Unexpected Death in Epilepsy.
  • 213/A.1615 – Requires physicians to obtain the school attended by their pediatric patients.
  • 2103-B/A.5841-B – Requires physicians to obtain a detailed patient/family member consent for a nursing home resident prior to the receipt of a psychotropic medication, or detailed documentation of the need to provide such medication without consent.
  • 2521-C/A.3470-C – Requires employed health care providers to disclose if their employer health system is charging a facility fee.
  • 2736/A.217 – Requires physicians and other maternal care providers to provide information to pregnant patients regarding the risks of a caesarean section to patients scheduled to have a C-section.
  • 4640/A.273 – Requires physicians and other care providers to document that they considered and discussed numerous alternatives to opioid treatment prior to writing an opioid prescription for a patient.
  • 6287-B/A.7560-A – Requires OB-GYNs to provide information to their pregnant patients regarding the risks of cytomegalovirus (CMV)
  • 7865/A.5976-A – Requires physicians and other maternal care providers providing pre- and post-natal care or pediatric care to invite the mother to fill out a questionnaire to detect maternal depression.
  • 8455/A.9380 – Requires physicians and other maternal care providers to provide information to patients about the potential consequences of an episiotomy.

Please remain alert for further updates on these issues.


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Virtual CME at MSSNY 2022 House of Delegates-Registration Now Open
MSSNY is offering four CME webinars during the 2022 House of Delegates on Friday May 20th from 7:30am-12:00pm.  View the flyer for these programs here.

7:30-8:30am
Medical Matters: What’s Your Diagnosis? Infectious Diseases
Faculty: William Valenti, MD
Educational Objectives:

  • Identify the modes of transmission of infectious agents
  • Discuss presumptive treatment of infectious diseases in advance of diagnostic testing results
  • Describe two scenarios and review questions and answers
    (This program is supported in whole by a DHHS grant entitled New York State Hospital Preparedness Program)

8:40-9:40am
Women in Medicine 2022: Up the Down Staircase
Faculty: Carol Ann Bernstein, MD
Educational Objectives:

  • Identify significant stressors contributing to burnout as they specifically impact women physicians in the era of COVID-19.
  • Increase knowledge of potential strategies that can be used to support women physicians, especially when working in dynamically changing and stressful clinical environments.
  • Identify potential systemic solutions as well as practical techniques that promote growth and resilience in women physicians.

9:50 – 10:50am
The Health of Sexual and Gender Minorities
Faculty: Carl Streed, MD, MPH, FACP
Educational Objectives:

  • Identify disparities in health care access among SGM persons
  • Identify disparities in health care outcomes among SGM persons
  • Examine minority stress as a contributor to health disparities
  • Identify opportunities to meet the health care needs of SGM persons

11:00am-12:00pm
Veterans Matters: COVID-19 and its Impact on Veterans
Faculty: Frank Dowling, MD
Educational Objectives:

  • Identify the wide ranging medical and mental health impact of COVID-19 on veterans
  • Discuss growing number of veterans who have experienced COVID-19 related post-traumatic stress
  • Recognize the role of physicians in assessing the impact of the pandemic in veteran patients
    (This program is supported in whole by a grant from the New York State Office of Mental Health.)

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

The Medical Society of the State of New York designates each 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.


Physician Suicide:  Reconceptualizing “Do No Harm”
Upstate University Hospital will host a virtual Healthcare Transformation Grand Rounds presentation entitled “Physician Suicide:  Reconceptualizing “Do No Harm” on Wednesday, May 11, from noon – 1:30 pm.  All professions and specialties are invited to attend.

The presentation will include a showing of the film “Do No Harm” followed by a panel discussion featuring:

  • Jarrod Bagatell, MD – Director, Employee/Student Health
  • Leslie Kohman, MD, FACS – Chief Wellness Officer
  • Seethalakshmi Ramanathan, MD, MPA – Associate Professor of Psychiatry and Behavioral Sciences
  • Kaushal Nanavati, MD – Assistant Dean for Wellness
  • Thomas Schwartz, MD – Chair, Psychiatry and Behavioral Sciences

In the United States, the rate of death by suicide among physicians is higher than the general population.  It is estimated that 300-400 physicians die by suicide every year.  Despite the high prevalence of suicide, mental illness and suicide among physicians and healthcare workers remain under-recognized.

At the conclusion of this presentation, participants will be able to:

  • Recognize the prevalence of suicide risk among current and future physicians
  • Describe risk factors for suicidal crises among physicians
  • Discuss mitigation strategies and local resources that are available for physicians experiencing mental health problems.

CME credits are being offered.  Advance registration is required.


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 2022 Ad RateSheet, please click here.


Medical Office Suite for Rent (Downtown, New York City) – Ready to Move In!
On Canal Street, NYC : near Mulberry and Mott Street. Busy area near Subways. In a professional 7day/week concierge building . Office Suite 1002+ sq ft, beautiful & bright w/ five office consult-exam rooms, Spacious waiting and receptionist area, utility room & private restroom. MUST SEE! Please Call for showing at: 917-378-2699 or email: cnyc2828@gmail.com. Ask for Sammie.



Rendr – Transforming Healthcare – Leadership Opportunity: Associate Chief Medical Office, SVP of Population Health, Bilingual English and Chinese (Mandarin or Cantonese) preferred Job Position: Associate Chief Medical Office, SVP of Population Health in this role, you will lead and provide a wide range of support through population health, quality measures, practice transformation, Rendr360 department, House Calls, and other projects. Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicineunder the guidance of dedicated medical leadership. www.rendrcare.com.


Rendr – Transforming Healthcare – Primary Care Opportunity: Internal or Family Medicine Physician, Bilingual English and Chinese (Mandarin or Cantonese)
Job Position: Internal Family Medicine Physician please send resumes to: careers@rendrcare.com. We are offering employment opportunities to Internal or Family Medicine Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicine under the guidance of dedicated medical leadership. www.rendrcare.com.


Rendr – Transforming HealthcareLeadership Opportunity:Clinical Operations Medical Director, Bilingual English and Chinese (Mandarin or Cantonese) preferred
Job Position: Clinical Operations Medical Director in this role, you will provide clinical oversight and help lead our team of providers to assure high standards of care for our patients. The ideal candidate will be dedicated to improving the health of the communities we serve and will be a practicing physician as well as an established medical leader with proven experience improving clinical operations and building strong teams. Please send resumes careers@rendrcare.com. We are offering leadership opportunities to Physicians who are interested in providing high-quality clinical care to our patients in the diverse communities that we serve. As a rapidly growing network, we provide a supportive environment for our physicians to practice medicine under the guidance of dedicated medical leadership. www.rendrcare.com.

 

 

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