MSSNY eNews: August 13, 2021

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Interested in Participating in MSSNY’s Telehealth Initiative?

Colleagues:

Telemedicine is undoubtedly here to stay. Many physicians who had limited experience with telemedicine prior to the COVID pandemic quickly learned to adapt to it. And we’ve discovered how helpful it is in many different situations, including monitoring our patients with chronic conditions and reaching populations who may have difficulty with transportation and access like the elderly, disabled, and underserved populations. Access to mental health care has improved in many locations with chronic shortages of physicians and therapists.

The key, in my opinion, is integrating telemedicine into physician practices so that those patients who benefit more from in person visits still have that option.

I am pleased to announce that MSSNY will be helping physicians provide the best use of these tools for extending access to our patients with our new telehealth initiative in cooperation with the Physicians’ Foundation and the American Medical Association.  MSSNY is seeking 5-10 physician and/or institutional based practices involved in various stages of telehealth.  This telehealth initiative is a yearlong project and will allow practices to optimize and measure telehealth in all settings. If you are interested in being part of this initiative, please contact Cayla Lauder, MSSNY Program Coordinator, at clauder@mssny.org or Pat Clancy, MSSNY Sr. VP/Managing Director of Public Health and Education, at pclancy@mssny.org.

As part of the project, 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, as part of this program, will be part of a national network and support needed 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.

And remember that MSSNY has a telemedicine member benefit partnership with CareClix. MSSNY members receive the discounted rate of $50 per month for the license fee with no start-up costs—for a total of $790 in savings. The CareClix user-friendly HIPPA compliant platform enables physicians to conduct routine virtual visits with patients in any location. CareClix believes that implementing and managing a Chronic Care Management module requires much more than just a traditional telemedicine platform with videoconferencing. To learn more about CareClix: careclix.com/for-providers/.

Joseph Sellers, MD, FAAP, FACP
MSSNY President.


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FDA Authorizes Extra Vaccine Doses for Immunocompromised Patients
The U.S. Food and Drug Administration yesterday amended the emergency use authorizations (EUAs) for both the Pfizer-BioNTech COVID-19 Vaccine and the Moderna COVID-19 Vaccine to allow for the use of an additional dose in certain immunocompromised individuals, specifically, solid organ transplant recipients or those who are diagnosed with conditions that are considered to have an equivalent level of immunocompromise. The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices is scheduled to meet today to discuss further clinical recommendations regarding immunocompromised individuals. Today’s action does not apply to people who are not immunocompromised.

“The country has entered yet another wave of the COVID-19 pandemic, and the FDA is especially cognizant that immunocompromised people are particularly at risk for severe disease. After a thorough review of the available data, the FDA determined that this small, vulnerable group may benefit from a third dose of the Pfizer-BioNTech or Moderna Vaccines,” said Acting FDA Commissioner Janet Woodcock, M.D. “Today’s action allows doctors to boost immunity in certain immunocompromised individuals who need extra protection from COVID-19. As we’ve previously stated, other individuals who are fully vaccinated are adequately protected and do not need an additional dose of COVID-19 vaccine at this time. The FDA is actively engaged in a science-based, rigorous process with our federal partners to consider whether an additional dose may be needed in the future.”

The Pfizer-BioNTech COVID-19 Vaccine is currently authorized for emergency use in individuals ages 12 and older, and the Moderna COVID-19 Vaccine is authorized for emergency use in individuals ages 18 and older. Both vaccines are administered as a series of two shots: the Pfizer-BioNTech COVID-19 Vaccine is administered three weeks apart, and the Moderna COVID-19 Vaccine is administered one month apart. The authorizations for these vaccines have been amended to allow for an additional, or third, dose to be administered at least 28 days following the two-dose regimen of the same vaccine to individuals 18 years of age or older (ages 12 or older for Pfizer-BioNTech) who have undergone solid organ transplantation, or who are diagnosed with conditions that are considered to have an equivalent level of immunocompromise.
Read the FDA press announcement in its entirety here.


MSSNY President Dr. Sellers’ Press Interview on Instilling Vaccine Confidence in Patients
MSSNY President Dr. Sellers was interviewed this week by Benita Zahn on Albany’s WNYT for a segment on Health Beat entitled “Getting People Vaccinated.” In a wide-ranging interview, Dr. Sellers talked about many vaccine-related topics, including the issue of combating vaccine misinformation and the important role physicians play in instilling vaccine confidence in patients. Watch the WNYT Health Beat interview with Dr. Sellers here.


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MSSNY Members are Invited to Join the White House Virtual Conversation on Health Systems, Providers, and the COVID-19 Vaccination Effort
The White House COVID-19 Response Team invites MSSNY members to a White House Virtual Conversation on Health Systems, Providers, and the COVID-19 Vaccination Effort. The event is next Wednesday, August 18, from 12:00 – 1:00 PM ET. The event will focus on the significant progress that has been made in activating providers in the vaccination effort, as well as a number of best practices health systems and providers have committed to in order to further increase vaccine confidence and uptake. Click here for a formal PDF invitation with details on the event and a link to view it.


New York’s Individual Health Insurance Market will Increase by 3.7% for 2022
Superintendent of Financial Services Linda A. Lacewell announced today that the New York State Department of Financial Services (DFS) premiums in New York’s individual health insurance market will increase by 3.7% for 2022. She also announced that, in the small group market, insurers requested premium increases of 14.0% on average, for 2022, which DFS reduced to 7.6%.  Over 1.1 million New Yorkers are enrolled in individual and small group plans. Read August 13 DFS press release here.


New Survey Highlights Importance of Physician Support Systems
The recent 2021 Survey of America’s Physicians, COVID-19 Impact Edition: A Year Later examines how COVID-19 has affected the nation’s physicians more than a year since the start of the pandemic, from increased burnout rates to the continued epidemic of physician suicide.

As the survey reveals the negative effects of COVID-19 on physicians’ wellbeing, the findings also highlight the key role of support systems. Nearly all (89%) physicians cite their family as essential in supporting their wellbeing, followed by friends (82%) and colleagues (71%).

Institutions also provide support in meaningful ways. Fifty-three percent of physicians said their medical practice or group has been helpful to their mental health and wellbeing, while 35% reported similar benefits from their hospital or health system.

Also, more than 70% of physicians indicated they believe a multi-pronged approach needs to be taken to address mental health conditions, burnout, and/or suicide prevention, including confidential therapy, counseling or a support phone line, the availability of peer-to-peer support groups, and evidence-based professional training to prevent burnout, behavioral health conditions, and suicide.

MSSNY’s Peer-to-Peer (P2P) program provides physicians, residents, and medical students the opportunity to talk with a peer about their life stressors.  Physicians may engage in a one-time confidential discussion with a peer supporter—an individual trained to share experiences, listen without judgment, and validate feelings. 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. 


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Check Out MSSNY’s CME Website for More than 60 CME Programs
MSSNY’s CME website, https://cme.mssny.org offers more than 60 CME programs. Of particular topical interest are the Emergency Preparedness modules on Brucellosis, Glanders, Melioidosis & Tularemia, and the one on Plague.  It was recently announced that a 10-year-old child in Colorado died after contracting plague.  Plague has been reported in six Colorado counties as well as being found in chipmunks in Lake Tahoe, California.  Additionally, recent reports show that melioidosis has been found for the first time in United States soil in Georgia, Kansas, Texas, and Minnesota leaving two dead.  The CDC is recommending that doctors be aware of melioidosis symptoms.  You can learn more about melioidosis and plague at the MSSNY CME site by viewing the Emergency Preparedness CME programs entitled: Brucellosis, Glanders, Melioidosis, and Tularemia and Plague.

View all MSSNY’s timely and relevant CME programs at https://cme.mssny.org.  Please note that you will need to create an account if you haven’t already done so.

For additional information or assistance with the website contact Melissa Hoffman at mhoffman@mssny.org.


MSSNY’s Bernstein Award Nominations Due September 7
The Medical Society of the State of New York is accepting nominations for the 2020 Albion O. Bernstein, MD Award.  The deadline for applications has been extended to September 7, 2021. This prestigious award is given to:

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

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

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

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

To request an application, please contact:

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


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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 2021 Ad Rate Sheet, please click here.


Office Space for Lease – Great Neck, NY
Large, fully equipped space available for lease up to 7 days per week. Includes onsite parking and is close to mass transit. Call 516-972-2986 for info.

Rheumatology Practice Opportunity – Great Neck, NY
Opportunity available at an established rheumatology practice in Great Neck, NY. Looking for a dedicated physician to join, share or merge practices. Fully equipped office with onsite parking and proximity to mass transit. Contact 516-972-2986 for more info.

AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MSSNY eNews: August 11, 2021 – MSSNY Congratulates Incoming Governor Kathy Hochul


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MSSNY Congratulates Incoming Governor Kathy Hochul
In a statement released to the press today, MSSNY President Dr. Joseph Sellers congratulated Lt. Governor Kathy Hochul as she prepares to take office as the first female Governor of New York.

Following is the MSSNY press statement:

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

“MSSNY congratulates Lt. Governor Kathy Hochul on her ascension to become the first female Governor in New York State history.  She has a significant history of working to protect our State’s public health, both in New York and while she was in Congress.

“With COVID-19 cases again significantly on the rise, New York’s physician community pledges our continued assistance to her Administration to help promote vaccine awareness as well as working with her to address the many other public health challenges we face impacting New Yorkers’ ability to receive needed medical care.”


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MSSNY Seeks Physicians and Practices to Participate in New Telehealth Initiative
The Medical Society of the State of New York is pleased to announce a new telehealth initiative in cooperation with the Physicians’ Foundation and the American Medical Association.  MSSNY is seeking 5-10 physician and/or institutional based practices involved in various stages of telehealth.  This telehealth initiative is a year-long project and will allow practices to optimize and measure telehealth in all settings.

Telehealth is now a viable platform for physicians to provide clinical services such as for management of patients with chronic conditions. MSSNY is interested in helping physicians, especially those in small practices, implement telehealth to augment services currently offered to patients.

In 2020, the Physicians Foundation launched a collaboration with the American Medical Association called The Telehealth Initiative (TTI). TTI was designed to bolster implementation support at the state- level by equipping state medical associations with telehealth programming that could build on existing offerings.

As part of the project, 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, as part of this program, will be part of a national network and support needed 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.

MSSNY is seeking interested physicians and practices interested in participating in the program and will commit to collaborating with the MSSNY, the Physicians Foundation, and the AMA, to optimize telehealth and measure the value of telehealth in their settings. The collaborative will provide training through virtual events as well as opportunities to network and learn from peers.

For those interested in being part of this initiative, please contact Cayla Lauder, Program Coordinator, at clauder@mssny.org or Pat Clancy, Sr. VP/Managing Director of Public Health and Education, at pclancy@mssny.org.


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CDC Study Finds Benefits of COVID-19 Vaccines Outweigh Risks
A study issued by the US Centers for Disease Control and Prevention (CDC) found the benefits of COVID-19 vaccines used in the U.S. outweigh the risk of serious adverse events seen in a relatively small number of Americans. The findings were published yesterday in the Morbidity and Mortality Weekly Report. The CDC found that the impact of a few cases of a rare nerve disorder, blood vessel clots, and heart infections following the shots was surpassed by thousands of prevented COVID-19 cases.


Win 2 Tickets to Dave Mathews Band Concert at Saratoga Performing Arts Center on September 18th
Through the generosity of MSSNY members Dr. Gregory Pinto and Dr. Natalie Adler of Saratoga, MSSNYPAC donors can enter to win two lawn seats for the Dave Matthews Band concert on Saturday, September 18, 2021 at 7:30 pm at the Saratoga Performing Arts Center.

Registration and qualified entry are required.  To register, text MSSNYPAC DMB to 52886 and follow the prompts.  To qualify, donate $100 to MSSNYPAC for each entry.  A single winner will be chosen on 9/8/21 among registrants who have donated $100 or more to MSSNYPAC between 9/14/20 and 9/7/21.

The higher your donation, the greater your chances to win!  Join, renew, or increase your membership today!  Contact Jennifer Wilks at mssnypac@mssny.org or 914-933-7722 with any questions.



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Public Health Experts Want President Biden to Take Immediate Action to Prevent New Coronavirus Variants
The Washington Post (8/10, Diamond, Abutaleb) reports scores of “public health experts, scientists and activists on Tuesday demanded that President Biden take urgent steps to confront the global spread of the coronavirus, warning that without immediate action to inoculate the rest of the world, newer variants are likely to emerge – including ones that may evade vaccines’ protection.” The experts, who numbered more than 175, wrote, “We urge you to act now. … Announcing within the next 30 days an ambitious global vaccine manufacturing program is the only way to control this pandemic, protect the precious gains made to date, and build vaccine infrastructure for the future.”


Garfunkel Banner Ad

 


Classified Ads Available for:

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

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

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


Office Space for Lease – Great Neck, NY
Large, fully equipped space available for lease up to 7 days per week. Includes onsite parking and is close to mass transit. Call 516-972-2986 for info.

Rheumatology Practice Opportunity – Great Neck, NY
Opportunity available at an established rheumatology practice in Great Neck, NY. Looking for a dedicated physician to join, share or merge practices. Fully equipped office with onsite parking and proximity to mass transit. Contact 516-972-2986 for more info.

AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MSSNY Congratulates Incoming Governor Kathy Hochul 

For Immediate Release
August 11, 2021  

 

MSSNY Congratulates Incoming Governor Kathy Hochul

 

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

“MSSNY congratulates Lt. Governor Kathy Hochul on her ascension to become the first female Governor in New York State history.  She has a significant history of working to protect our State’s public health, both in New York and while she was in Congress.

“With COVID-19 cases again significantly on the rise, New York’s physician community pledges our continued assistance to her Administration to help promote vaccine awareness as well as working with her to address the many other public health challenges we face impacting New Yorkers’ ability to receive needed medical care.”

 # # #

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

 

Media Contact:
Roseann Raia | Communications Division
Medical Society of the State of New York
865 Merrick Avenue
Westbury, NY 11590
516.488.6100 x302 | rraia@mssny.org

 

 

MSSNY eNews: August 6, 2021

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Voice Your Opinion at Reference Committee Hearings This Weekend

Colleagues:

MSSNY’s Reference Committee hearings to discuss House of Delegates (HOD) resolutions will be held virtually this weekend in advance of the HOD meeting in September. And because these meetings are being held virtually this year, MSSNY members have a unique opportunity to join the debate—without ever leaving home.

This is your chance to voice your opinion on the Resolutions that will be deliberated further at the HOD—and to have an impact on issues that are important to you.

The schedule for the House Committee on Bylaws and the Reference Committees is below. MSSNY’s Speaker Dr. William Latreille and Vice Speaker Dr. Maria Basile request that everyone who wishes to participate in the reference committee hearings pre-register. This applies to those who plan to listen and those who intend to provide testimony.  Each link below brings you to a registration page to each committee hearing.

I encourage all MSSNY members to sign up and engage in robust debate with your physician colleagues from all around New York State.

Friday, August 6 

House Committee on Bylaws – 5 PM

Governmental Affairs A – 6 PM

Saturday, August 7 

Socio-Medical Economics – 9 AM

Public Health & Education – 1 PM

Sunday, August 8

Reports of Officers & Admin Matters – 9 AM

Governmental Affairs B – 1 PM

Our Speaker and Vice Speaker ask everyone to remain professional and succinct in their testimony.  The opportunity to comment will be limited to 2 minutes and no one will be permitted to speak twice on the same item of business until everyone in the queue has spoken.

Each resolution is hosted on dropbox.com so that comments can be posted. We encourage you to do so since it allows the reference committee members to refer to those comments when it is time to draft their reports.  Click here for the complete list of MSSNY HOD Resolutions.

I look forward to seeing many of you at the Reference Committee hearings this weekend!

Joseph Sellers, MD, FAAP, FACP
MSSNY President.


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2021 MSSNY House of Delegates – Resolutions and Reports
The links below will direct you to dropbox.com where the 2021 MSSNY HOD Resolutions are hosted. While a Dropbox account is not required to view the resolutions, a Dropbox account is required to post any comments on the individual resolutions. A Dropbox account is free to sign up or you can also sign in with your existing Google or Apple account. Using the Dropbox desktop app and/or mobile app is also encouraged.

House Committee on Bylaws

House Committee on Bylaws Report – 2021 HOD
2021-1 Create MSSNY IMG – Ethnic Medical Associations Section

Government Affairs – A

50  Physician-driven Medical Assistant Specialty Training in the Office Setting
51  Uniform Standard of Care in Liability Cases
52  Hospital Closures in Vulnerable Neighborhoods in NYS
53  Patient Protection from  Insurance Company Contract Disputes
54  Site of Service Availability
55  Enforcement of Administrative Simplification Requirements
56  We’re Mad as Hell and We’re Not Going to Take it Any More
57  Prioritizing People First – Upholding our Oath & Code of Conduct by Endorsing the Improved and Enhanced Medicare for All Act
58  Prioritizing People First -Upholding our Oath & Code of Conduct by Endorsing the NY Health Act

Governmental Affairs Sunset Report

Government Affairs – B

100  Telehealth
101  Fifteen Month Lab Standing Orders
102  Increasing the Physician Workforce in New York State
103  Optimizing the Online SNAP to Advance Health Equity
104  COVID-Related Mental Health Coverage
105  Reciprocal Telehealth Agreements
106  Medicare Advantage Plan Mandate

Public Health & Education

150  Electric Scooters
151  Requiring Physician Participation in the Planning and Development of Accredited Continuing Education for Physicians
152  Fifteen Month Prescribing
153  Require Methadone Dispensers to report to I STOP – PMP
154  Nursing Home Medical Directors Registry
155  Physician Burnout
156  Eliminating Health Disparities in New York City
157  Support Physicians Providing Gender Affirming Care for Youth

Public Health and Education Sunset Report 

Reports of Officers-Admin Matters

200  September 11 as a National Holiday
201  UN International Radionuclide Therapy Day Recognition
202  IMG Membership
203  Physician-Scientist Committee
204  Promotional Period for Membership (“18 months for 12 months”)
205  MSSNY Membership Dues Multiyear Discount Program and Other Innovative Membership Levels

Report of Officers and Administrative Matters Sunset Report

Socio-Medical Economics

250  Insurance Coverage for Cooling – Cold Cap – Therapy
251  Prohibition of Insurer Processing Fee on Claims
252  Third-Party Insurer Abuse of Modifier 25 Policy
253  Compensation for Appealing Denials to Insurance Companies
254  CPT Denials- Service- Preauthorization Denials
255   Prior Authorization – CPT Codes for Fair Compensation
256  Improving Workman Compensation MTG Compliance by Insurers

Socio-Medical Economics Sunset Report 

Click here for a combined PDF of All Resolutions


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New Survey Reveals 55% of Physicians Know a Physician Who Considered, Attempted, or Died by Suicide
The Physicians Foundation yesterday released the results of a national survey, which finds that more than half (55%) of physicians know a physician who has considered, attempted or died by suicide in their career. The 2021 Survey of America’s Physicians, COVID-19 Impact Edition: A Year Later examines how COVID-19 has affected the nation’s physicians more than a year since the start of the pandemic, from increased burnout rates to the continued epidemic of physician suicide.

Over the past year, COVID-19 has greatly impacted physician wellbeing and mental health, with over 6 in 10 physicians (61%) reporting they experienced feelings of burnout. This is a significant increase from the 40% of reported physicians in 2018. Yet only 14% of physicians reported they sought medical attention for their mental health symptoms. If left untreated, burnout can cause more cases of depression, anxiety, post-traumatic stress disorder (PTSD), and substance use and lead to suicidal thoughts for physicians, directly impacting physician suicide rates.

Physician suicide has been a public health crisis long before the COVID-19 pandemic. While suicide is the ultimate consequence of rampant, unchecked burnout, there are many mental health challenges that physicians experience. For example, 46% of physicians noted they withdrew or isolated themselves from others, while 34% cited feelings of hopelessness or having no purpose as a result of COVID-19’s effects on their practice or employment situation.

Additionally, 8% of physicians indicated they have increased their use of medications, alcohol or illicit drugs weekly as a result of COVID-19’s effects on their practice or employment situation, showing a significant 10% decrease in reported increased usage as compared to last year.

Read the full survey results here. Next week’s MSSNY Enews will highlight additional information from the survey, including the key role of support systems.


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As HOD Reference Committee Testimonies Begin Today, Now Is The Time To Support MSSNYPAC
The core values of MSSNYPAC support are goodwill and diplomacy.  The policies being considered and debated today and throughout the weekend form the framework for the legislative agenda that MSSNY will adopt and pursue in the coming year.

MSSNYPAC represents the confluence of the healthcare policy formation process, the voices of politically active physicians and their allies in New York State, and the political reality that policy-makers are elected officials.  Your support of MSSNYPAC allows physicians increased access to policy-makers and provides opportunities to interact more personally, build friendly rapport, and find common ground. Join, renew or increase your support today at www.mssnypac.org/contribute.  Contributors during this weekend-long event will receive a thank-you gift pack by mail.

ATTENTION: Your donation could win you 2 tickets to see DAVE MATTHEWS BAND in Saratoga this September! Visit www.mssnypac.org/events to learn more about this special opportunity.


 Why I Am a MSSNY Member: Paul Orloff, MDPaul Orloff Banner


MSSNY Member Dr. Nassim Discusses his Experiences as a Physician with the US Olympic Team in Tokyo: Take a Listen!
This week, Dr. Nassim took a short break from his duties as a physician with the US Olympic team in Tokyo to speak with MSSNY about everything from what a typical day in the Olympic Village is like for him to the biggest medical challenge he has faced in Tokyo, and from public health lessons learned to his favorite Olympic sport! Take a listen to MSSNY Podcasts: A Conversation with Dr. Ariel Nassim at the Tokyo Olympics.


States Ranked by Percentage of Population Who Have Received at Least One COVID-19 Shot
Vermont has the highest percentage of its population who’ve received at least one COVID-19 vaccination, according to the CDC’s COVID-19 vaccine distribution and administration data tracker.

The CDC’s data tracker compiles data from healthcare facilities and public health authorities. It updates daily to report the total number of people in each state who have received at least one COVID-19 shot. The numbers reported by the CDC may vary from the numbers published on individual state public health websites, as there may be reporting lags between the states and the CDC.

As of 6 a.m. EDT June 8, a total of 171,731,584 Americans had received at least one shot, or 51.7 percent of the country’s population, according to the CDC’s data.

1. Vermont
Number of people vaccinated with at least one dose: 447,248
Percentage of population vaccinated with at least one dose: 71.68
  1. Massachusetts
    Number of people vaccinated with at least one dose: 4,679,528
    Percentage of population vaccinated with at least one dose: 67.89
  2. Hawaii
    Number of people vaccinated with at least one dose: 958,412
    Percentage of population vaccinated with at least one dose: 67.69
  3. Maine
    Number of people vaccinated with at least one dose: 866,222
    Percentage of population vaccinated with at least one dose: 64.44
  4. Connecticut
    Number of people vaccinated with at least one dose: 2,296,853
    Percentage of population vaccinated with at least one dose: 64.42
  5. Rhode Island
    Number of people vaccinated with at least one dose: 658,185
    Percentage of population vaccinated with at least one dose: 62.13
  6. New Jersey
    Number of people vaccinated with at least one dose: 5,485,974
    Percentage of population vaccinated with at least one dose: 61.76
  7. New Hampshire
    Number of people vaccinated with at least one dose: 826,476
    Percentage of population vaccinated with at least one dose: 60.78
  8. Pennsylvania
    Number of people vaccinated with at least one dose: 7,660,201
    Percentage of population vaccinated with at least one dose: 59.84
  9. New Mexico
    Number of people vaccinated with at least one dose: 1,229,899
    Percentage of population vaccinated with at least one dose: 58.66
  10. Maryland
    Number of people vaccinated with at least one dose: 3,540,416
    Percentage of population vaccinated with at least one dose: 58.56
  11. California
    Number of people vaccinated with at least one dose: 22,990,099
    Percentage of population vaccinated with at least one dose: 58.18
  12. Washington
    Number of people vaccinated with at least one dose: 4,425,789
    Percentage of population vaccinated with at least one dose: 58.12
  13. District of Columbia
    Number of people vaccinated with at least one dose: 409,540
    Percentage of population vaccinated with at least one dose: 58.03
  14. New York State
    Number of people vaccinated with at least one dose: 11,093,949
    Percentage of population vaccinated with at least one dose: 57.03

Read the entire list here.

–Anderson, Becker’s Hospital Review


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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 2021 Ad Rate Sheet, please click here.


Office Space for Lease – Great Neck, NY
Large, fully equipped space available for lease up to 7 days per week. Includes onsite parking and is close to mass transit. Call 516-972-2986 for info.

Rheumatology Practice Opportunity – Great Neck, NY
Opportunity available at an established rheumatology practice in Great Neck, NY. Looking for a dedicated physician to join, share or merge practices. Fully equipped office with onsite parking and proximity to mass transit. Contact 516-972-2986 for more info.

AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MSSNYeNews: August 4, 2021

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10 Great Summer Reads for Physicians
From the intricacies of the immune system to the first year of residency, these books cover the compelling, the strange, and the meaningful aspects of medicine — as well as the personal triumphs and tragedies of life as a doctor.

An Elegant Defense: The Extraordinary New Science of the Immune System: A Tale in Four Lives by Matt Ritchel

Elegant Defense BookGiven the impact of the coronavirus and COVID-19 vaccines on the immune systems of millions of people around the world, few topics may be as compelling or timely as immunology. Written before the pandemic but powerfully describing the intricate mechanism that can heal cuts, fight cancer, and battle viruses, An Elegant Defense weaves together biology, research, and medical history with four patients’ personal experiences — including a childhood friend of author Matt Ritchel. Ritchel, a Pulitzer Prize-winning New York Times journalist, takes readers on an intimate exploration of the body’s primary defense mechanism and its ability to heal or hurt.

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Cover of book: Real Doctor

The Real Doctor Will See You Shortly: A Physician’s First Year
by Matt McCarthy, MD
Bestselling author Matt McCarthy, MD, offers an inside look at the often humbling and even heart-wrenching first year of medical residency. Now an associate professor of medicine at Weill Cornell Medical College in Manhattan, McCarthy shares his journey by capturing encounters with specific patients. Among them are the terrifying struggle to keep one critical care patient alive and the chance to soothe another with tales from his pre-medicine days as a minor league baseball player. Writing with honesty and humor, McCarthy delves into key concerns for young physicians, including the fine balance between a commitment to patients and the need for self-care.


Stiff: The Curious Lives of Human Cadavers
by Mary Roach
Cover of book: CadaversIn Stiff, bestselling science writer Mary Roach manages to playfully describe body-snatching, decomposition, and other such sensitive topics without dishonoring the dead. As today’s medical educators weigh the value of virtual cadavers against once-living humans, Roach’s book offers a glimpse into the services that corpses have provided for centuries. In clear — yet sometimes creepy — detail, she describes their myriad uses, from car crash tests to plastic surgery practice. And, as Roach notes, “for every surgical procedure developed … cadavers have been there alongside the surgeons, making history in their own quiet, sundered way.”

 


Womb With a View: Tales from the Delivery, Emergency and Operating Rooms
by Rebecca Levy-Gantt, DO
Cover of book: WombChapters in this book by OB-GYN Rebecca Levy-Gantt, DO, bear some playful titles, including “My Upside Down Night With a Butt-Side Down Baby.” Throughout, Gantt shares moments of sublime joy, from her medical education to her private practice in Napa, California. But her slim memoir — it’s less than 100 pages — also captures many tough moments witnessing fragile lives enter the world. “When things go wrong in [OB-GYN], they often go horribly wrong, unexpectedly wrong,” leaving families, friends, and providers profoundly affected, she writes. Despite inevitable losses, Gantt remains passionate about her chosen field these many decades later. Of witnessing a birth for the first time, she recalls: “This, I thought, was pretty freaking amazing.”

 


Do No Harm: Stories of Life, Death, and Brain Surgery
by Henry Marsh, CBE, FRCS
Cover of book: Do No Harm
Henry Marsh, CBEM FRCS, one of Britain’s foremost neurosurgeons, has spent decades operating on the human brain: the home of all thought, feeling, reason, and memory. In Do No Harm, Marsh reviews some of his greatest triumphs and most painful failures, honestly sharing the stress of surgeries — sometimes lasting 10 hours or more — in which a minor misstep can cause horrible damage. This New York Times bestseller is an intimate look inside the organ Marsh calls “as great as the stars at night.” But it’s also a glimpse into the hearts of the physicians who have the blessing and the burden of tinkering inside it.

 



Hundreds of Interlaced Fingers: A Kidney Doctor’s Search for the Perfect Match

by Vanessa Grubbs, MD
Cover of book: Hundreds of Interlaced FingersWhen Vanessa Grubbs, MD, began dating Robert Phillips, she was a primary care physician and he was an aspiring politician with advanced kidney disease. Soon, she volunteered one of her kidneys to save the life of the man who would later become her husband. But Hundreds of Interlaced Fingers — named for Grubbs’ impression of how kidneys look — is another kind of love story as well. Grubb ultimately became fascinated by the kidneys and trained to become a nephrologist. In this intimate memoir, Grubb captures her own journey, beginning with her childhood as an African American girl growing up in a small North Carolina town. She also looks at medicine more broadly, including the painful difficulties of the transplant system and the inequities people of color face in it.

 


Open Heart: A Cardiac Surgeon’s Stories of Life and Death on the Operating Table
by Stephen Westaby, PhD, FRCS
Cover of book: Open HeartStephen Westaby, PhD, FRCS, has performed more than 11,000 cardiac surgeries. Yet the Oxford University cardiologist and researcher remains enthralled by the organ that pumps 31.5 million times each year. In Open Heart, he details such intricate maneuvers as repairing a hole in an infant’s heart — and does so with an artist’s eye. In fact, Westaby was once a painter. “I simply shifted from brush on canvas to scalpel on human flesh,” he writes. Both vocations require a keen attention to detail, which is one of his strong suits. Sometimes harder for him, admits Westaby, is the warm communication necessary for connecting with frightened patients and their families.

 


The First Cell: And the Human Costs of Pursuing Cancer to the Last
by Azra Raza, MD
Cover of book: First CellDespite COVID-19-related setbacks, 2020 saw the arrival of more than 20 new cancer medications. Azra Raza, MD, a cancer researcher and physician at Columbia University Irving Medical Center in New York City, would not necessarily applaud that outcome. She believes that many cancer medications are of dubious value — adding little time to a patient’s life at great financial and physical costs. Instead, she argues for more focus on detecting and treating cancer early. The cause for Raza is personal: She served as her husband’s oncologist until he died from leukemia two decades ago. In The First Cell, Raza interweaves powerful images — a mother curled up in the bed of her dying son, for example — with her opinions on such crucial questions as when treating a patient’s incurable cancer no longer makes sense.


Letter to a Young Female Physician: Notes from a Medical Life
by Suzanne Koven, MD
Cover of book: Young Female PhysicianWatching a new class of interns, Suzanne Koven, MD, a primary care physician at Massachusetts General Hospital in Boston, felt an urge to pen them a missive describing what she wished she had known early in her career. “Even more, I yearned to tell my younger self what I wished I’d known,” she notes in Letter to a Young Female Physician. Koven’s decades of experience include varied forms of sexism, including being told that “no self-respecting man would go to a lady urologist.” But her dedication to medicine is staunch, manifest in her decision to volunteer in a COVID-19 clinic despite concerns about her own health. Koven also honestly reveals her many moments of insecurity as a provider, as a mother, and as a daughter who failed to recognize her mother’s heart disease. From burnout to body image, she shares her personal journey toward a deeper appreciation of her gifts and a greater acceptance of her imperfections.


Complications: A Surgeon’s Notes on an Imperfect Science
by Atul Gawande, MD, MPH
Cover of book: ComplicationsPerforming surgery can be an exhilarating opportunity to heal and an intense gamble with dangerously high stakes, notes Atul Gawande, MD, MPH, a New Yorker columnist and surgeon at Boston’s Brigham and Women’s Hospital.

In Complications, Gawande shares chilling tales of physician errors and complex stories of medical mysteries. He holds up a mirror to both doctors and patients, from the burned-out doctor who regrettably refuses to quit to the boy with a football-sized tumor enveloping his lung. Gawande also explores major issues in medicine, including how hospitals can train young doctors while protecting patients from inexperience. Throughout, he makes clear that, with a closer look, one can see just “how messy, uncertain, and also surprising medicine turns out to be.”

This article was reprinted with permission from the Association of American Medical Colleges (AAMC).


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AMA Summary of the CY 2022 Physician Fee Schedule (PFS) Proposed Rule
The CY 2022 Physician Fee Schedule (PFS) proposed rule, released by the Centers for Medicare and Medicaid Services (CMS) on July 13, 2021, covers diverse topics, including the CY 2022 Rate Setting and Medicare Conversion Factor, Evaluation/Management (E/M) office visit services, telehealth and other services involving communications technology, and updates to the Quality Payment Program (QPP) through Merit-based Incentive Payment System (MIPS) activities, methodology, payment adjustments, and the Promoting Interoperability performance category, amongst other provisions.

Read the American Medical Association (AMA) summary of the proposed rule here.

CMS is requesting that comments be submitted no later than September 13, 2021. The AMA will share a draft comment letter in response to the proposed rule prior to this submission deadline.


NYSDOH Health Advisory: Clinical Considerations for COVID-19 Vaccine for Patients with Myocarditis and Pericarditis
Click here to read the full Health Advisory from the New York State Department of Health regarding clinical considerations for COVID-19 vaccine administration for people with a history of myocarditis and pericarditis.


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Lay Public Links Traditional White Coat with Physician Experience and Professionalism, Survey Study Indicates
In a study appearing in JAMA Network Open, about 500 laypeople were asked to rate professionalism and guess the job classes of male and female models in different types of clothing often worn by healthcare workers. HealthDay (8/3, Murez) reports that according to the survey, which sought public perceptions on physician attire and professionalism in the US, “the lay public still appears to associate the traditional white coat with experience and professionalism.” Survey responses revealed that a majority perceived physicians “in white coats as more experienced, professional and friendly than those wearing a fleece or a softshell jacket.”


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Are You a Physician who is Retiring or Changing Your Practice Situation as a Result of the Pandemic?
MSSNY has been approached by several media outlets interested in speaking with New York physicians who are retiring or changing their practice situation as a result of the pandemic. If you are in this situation and are interested in speaking with the press, please contact Julie Vecchione at jvecchione@mssny.org.


Calling All Dave Matthews Band Fans! Win 2 Tickets to Concert at Saratoga Performing Arts Center on September 18th!
Through the generosity of MSSNY members Dr. Gregory Pinto and Dr. Natalie Adler of Saratoga, MSSNYPAC donors can enter to win two lawn seats for the Dave Matthews Band concert on Saturday, September 18, 2021 at 7:30 pm at the Saratoga Performing Arts Center.

Registration and qualified entry are required.  To register, text MSSNYPAC DMB to 52886 and follow the prompts.  To qualify, donate $100 to MSSNYPAC for each entry.  A single winner will be chosen on 9/8/21 among registrants who have donated $100 or more to MSSNYPAC between 9/14/20 and 9/7/21.

The higher your donation, the greater your chances to win!  Join, renew, or increase your membership today!  Contact Jennifer Wilks at mssnypac@mssny.org or 914-933-7722 with any questions.


 

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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 2021 Ad Rate Sheet, please click here.


Office Space for Lease – Great Neck, NY
Large, fully equipped space available for lease up to 7 days per week. Includes onsite parking and is close to mass transit. Call 516-972-2986 for info.

Rheumatology Practice Opportunity – Great Neck, NY
Opportunity available at an established rheumatology practice in Great Neck, NY. Looking for a dedicated physician to join, share or merge practices. Fully equipped office with onsite parking and proximity to mass transit. Contact 516-972-2986 for more info.

AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MSSNY eNews: July 30, 2021 – No Surprises Act Update

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No Surprises Act Update

Colleagues:

MSSNY is fighting for physicians and patients over new federal rules implementing the No Surprises Act (NSA), the new federal law that limits surprise and emergency medical bills from out-of-network doctors, hospitals, and other providers.  Federal regulators recently issued an interim final rule to become effective in September 2021.  The new rule is the first of several rules that federal regulators will be issuing to implement the NSA.

In drafting the new rule, federal regulators made choices that may result in lower payments to physicians.

MSSNY is working with the AMA and national specialty societies to push back on the new rule, including speaking to federal regulators and submitting formal written comments. Last week, MSSNY representatives Dr. Michael Brisman and MSSNY Executive VP Troy Oechsner spoke with U.S. Treasury Department leaders.  As former regulator for the NY Department of Financial Services, Mr. Oechsner spoke of New York’s success in our state’s physician-friendly Surprise Billing Law, which MSSNY helped pass and which ensures both physicians and patients are treated fairly.  Dr. Brisman and Mr. Oechsner pointed to the importance of adequate physician payments to ensure patient access, particularly at rural or urban facilities that rely on out-of-network physician coverage.

One example of how the new rule may result in lower payments to physicians is the method for calculating the qualifying payment amount (QPA), which is a sum used in part to determine patient cost sharing and considered in the independent dispute resolution (IDR) review of payment conflicts between insurers and out-of-network physicians or other care providers.  Federal regulators chose a formula that keeps the QPA low by giving insurers certain flexibilities in calculating the QPA, in part by using broad definitions of “markets” and “geographic regions,” allowing reliance on small data sets, and low benchmarking for “new service codes” as well as by reducing the role of bonuses, risk sharing, penalties, and other incentive-based and retrospective payments or payment adjustments.

MSSNY is advocating for physicians and patients ahead of the second round of federal regulations, which are expected to address the IDR process, price comparison tools, and certain transparency requirements.  These rules may be the most crucial.  MSSNY will be working with the AMA and specialty societies to insist on rules that allow physicians to present a broad range of comparable costs such as the Usual Customary Rate and allow the IDR to weigh evidence equally.

More to come as our fight for you continues.

Joseph Sellers, MD, FAAP, FACP
MSSNY President.


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FDA Authorizes Extension of the Shelf Life for J&J COVID-19 Vaccine
On July 29, 2021, the U.S. Food & Drug Administration (FDA) authorized an extension of the shelf life for the Janssen/Johnson & Johnson (J&J) single-shot COVID-19 vaccine by 45 days, from 4.5 months to 6 months. The decision is based on data from ongoing stability assessment studies, which have demonstrated that the vaccine is stable at 6 months when refrigerated at temperatures of 36 to 46 degrees Fahrenheit (2 to 8 degrees Celsius).  This extension applies to refrigerated vials of J&J/Janssen COVID-19 vaccine that have been held in accordance with the manufacturer’s storage conditions.

Vaccination providers that have J&J vaccine in storage must:

  1. Visit https://vaxcheck.jnj/ and enter the lot number to get the latest expiration date.
  2. Mark the vials and carton with the new date displayed and also update the date in the NYSIIS or CIR inventory module.
  3. Determine if any vaccine has expired: If you have vaccine in storage that has an expiration date prior to July 29, 2021 (based on the most current expiration date),  those vials should be disposed of as medical waste and reported as wastage in NYSIIS/CIR (see NYSIIS wastage reporting guidance here).

ACOG and SMFM Recommend COVID-19 Vaccination for Pregnant Individuals
The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM), the two leading organizations representing specialists in obstetric care, recommend that all pregnant individuals be vaccinated against COVID-19. The organizations’ recommendations in support of vaccination during pregnancy reflect evidence demonstrating the safe use of the COVID-19 vaccines during pregnancy from tens of thousands of reporting individuals over the last several months, as well as the current low vaccination rates and concerning increase in cases.

Data have shown that COVID-19 infection puts pregnant people at increased risk of severe complications and even death; yet only about 22% of pregnant individuals have received one or more doses of the COVID-19 vaccine, according to the U.S. Centers for Disease Control and Prevention.

In making the strong recommendation in support of vaccination during pregnancy, both national organizations emphasize concerns about significant increases in COVID-19 cases due to the Delta variant and the regional low rates of vaccination in states across the country. Recent data have shown that more than 95% of those who are hospitalized and/or dying from COVID-19 are those who have remained unvaccinated. Pregnant individuals who have decided to wait until after delivery to be vaccinated may be inadvertently exposing themselves to an increased risk of severe illness or death. Those who have recently delivered and were not vaccinated during pregnancy are also strongly encouraged to get vaccinated as soon as possible.


Why I Am a MSSNY Member: Monica Sweeney, MD, MPH, FACP

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$790 in Annual Savings for MSSNY Members: CareClix Telemedicine Platform
MSSNY members receive the discounted rate of $50 per month for the license fee with no start-up costs—for a total of $790 in savings.

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

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

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

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

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


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Are You a Dave Matthews Band Fan? Win 2 Tickets to Concert at Saratoga Performing Arts Center on September 18th!
Through the generosity of MSSNY members Dr. Gregory Pinto and Dr. Natalie Adler of Saratoga, MSSNYPAC donors can enter to win two lawn seats for the Dave Matthews Band concert on Saturday, September 18, 2021 at 7:30 pm at the Saratoga Performing Arts Center.

Registration and qualified entry are required.  To register, text MSSNYPAC DMB to 52886 and follow the prompts.  To qualify, donate $100 to MSSNYPAC for each entry.  A single winner will be chosen on 9/8/21 among registrants who have donated $100 or more to MSSNYPAC between 9/14/20 and 9/7/21.

The higher your donation, the greater your chances to win!  Join, renew, or increase your membership today!  Contact Jennifer Wilks at mssnypac@mssny.org or 914-933-7722 with any questions.


Mental Health Disorders Tied to Increased Risk of COVID-19 Related Mortality, Review Finds
MedPage Today (7/27, Grant) reports, “Mental health disorders were associated with an increased risk of COVID-19-related mortality, according to a systematic review and meta-analysis of 16 studies from seven countries.” Researchers “noted that although they were able to determine the associations between severe mental health disorders and risk of COVID-19 mortality, it wasn’t possible to identify significant differences between specific mental health disorders.” The review was published in JAMA Psychiatry.


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80% of Female Surgical Residents Face Gender Bias & 4 More Study Findings
Women in surgical residency programs are far more likely to experience discrimination or sexual harassment than their male peers, a study published July 28 in JAMA Surgery found.

Researchers surveyed 6,764 residents enrolled in 301 general surgery programs nationwide about their experiences with gender discrimination and sexual harassment during the 2018-19 academic year.

Five findings:

  1. About 80 percent of female residents reported experiencing gender discrimination, compared to 17.1 percent of male residents.
  2. The most common type of gender discrimination was being mistaken for a nonphysician 一 often by patients or family members 一 with 77 percent of female residents reporting the experience. Just 4 percent of male residents reported the same.
  3. Women who were pregnant and men who had children were more likely to experience discrimination.
  4. Female residents were more likely to experience sexual harassment (42.5 percent) compared to male residents (21.5 percent).
  5. The most common form of harassment was crude, demeaning or explicit comments reported by 37.3 percent of female residents and 19.5 percent of male residents.

To view the full study, click here.

–Bean, Becker’s Hospital Review


Nearly 4 in 10 US Physicians Have Side Gigs: 6 Medscape Survey Findings
Nearly 4 in 10 U.S. physicians have side gigs, or “side hustles,” indicating a continued trend of physicians pursuing a passion project or an additional way to make income, according to a new report from Medscape.
The report, released July 14, is based on a survey of 2,533 physicians, conducted March 5 through May 14.
Six survey findings:
1. Thirty-seven percent of survey respondents reported a side gig, compared to 63 percent who did not.
2. Forty-five percent of survey respondents who have a side gig said financial losses from the COVID-19 lockdowns prompted them to pursue a side gig.
3. Forty-eight percent of survey respondents who have a side gig cited earning extra money as the main goal for their side gig.
4. Consulting, being an expert witness, or chart review were the most popular medically related side gigs.
5. Real estate and investing advice were the most popular nonmedical side gigs.
6. Seventy-two percent of survey respondents who have a side gig said their side gig is equally or more fulfilling than their primary job.
Read more about the survey here.
–Gooch, Becker’s Hospital Review


 


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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 2021 Ad Rate Sheet, please click here.


Office Space for Lease – Great Neck, NY
Large, fully equipped space available for lease up to 7 days per week. Includes onsite parking and is close to mass transit. Call 516-972-2986 for info.

Rheumatology Practice Opportunity – Great Neck, NY
Opportunity available at an established rheumatology practice in Great Neck, NY. Looking for a dedicated physician to join, share or merge practices. Fully equipped office with onsite parking and proximity to mass transit. Contact 516-972-2986 for more info.

AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MSSNY eNews: July 28, 2021 – Do You Know an Outstanding Physician?

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Do You Know an Outstanding Physician?
The Medical Society of the State of New York is accepting nominations for the 2020 Albion O. Bernstein, MD Award.  The deadline for applications has been extended to September 7, 2021. This prestigious award is given to:

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

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

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

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

To request an application, please contact:

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


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

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

Click the links below to access specifics on the program:
Continuum of Care Overview: High level overview of the Premier program and the value it provides GPO FAQ: Questions and answers to further introduce Premier and explain the program

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

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


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30 Great Vacation Ideas for Physicians
As July turns into August and “dog days of summer” are still to come, MedScape features 30 intriguing vacation locations for physicians that include everything from family vacations to learning vacations, rejuvenating vacations to adventure vacations, and budget vacations to splurge vacations.  The slideshow includes information from physicians about places they have visited and adventures they’ve had on their time off. Wishing all of our members a happy and healthy August!


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

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

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

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


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American Conference on Physician Health Sponsored by AMA, Mayo Clinic, and Stanford University
The 2021 American Conference on Physician Health (ACPH) joint scientific conference promotes scientific research and discourse on health system infrastructure, and the actionable steps organizations can take to improve physician well-being.

Sponsored jointly by the Mayo Clinic, Stanford University and the American Medical Association, this year’s conference theme is, “Achieving the quadruple aim: Resilient systems in times of crisis.” Participate in topical and relevant sessions with presenters and attendees from around the globe, while gaining valuable knowledge and information about best practices and tools to improve professional satisfaction in your medical practice.

Conference registration and hotel reservations 

  • Registration rates: Available through Thursday, Sept. 23.
  • To register for the conference and view agenda, visit the ACPH 2021 homepage.
  • Hotel room rates: Special pricing for ACPH attendees available until Sept. 13 ($299 USD/night).
  • Check out the ACPH conference website for all your planning needs—including the agenda, speaker bios, travel information, registration inclusions, and more!

2021 American Conference on Physician Health
Thursday, Oct. 7 through Saturday, Oct. 9
Hyatt Regency Scottsdale Resort & Spa at Gainey Ranch
Scottsdale, Az.


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

POPULAR FEATURES INCLUDE:

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

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

Register at http://mssny.abenity.com


 

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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 2021 Ad Rate Sheet, please click here.


Office Space for Lease – Great Neck, NY
Large, fully equipped space available for lease up to 7 days per week. Includes onsite parking and is close to mass transit. Call 516-972-2986 for info.

Rheumatology Practice Opportunity – Great Neck, NY
Opportunity available at an established rheumatology practice in Great Neck, NY. Looking for a dedicated physician to join, share or merge practices. Fully equipped office with onsite parking and proximity to mass transit. Contact 516-972-2986 for more info.

AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

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


 

 

 

 

MSSNY eNews: July 23, 2021 – It’s Time to Recharge Our Batteries

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It’s Time to Recharge Our Batteries

Colleagues:

As I write this, I am on a long-awaited beach vacation with my family. My message to you this week is simple: after the long year-and-a-half we have all endured, it is time for us to step away and recharge our batteries.  As physicians, we need to remember to take care of ourselves—so we are fully available for the care and well-being of our patients, families, and colleagues.

Taking a vacation is one way of stepping away and giving ourselves the opportunity to reset. But there are also many small things you can do to boost your personal well-being, including ensuring adequate nutrition, sleep, and exercise. Take a walk in the sunshine. Reconnect with a colleague. Hug your family.

The American Medical Association’s STEPS Forward program looks at the impact of well-being at both the individual and system level and offers strategies to promote individual well-being and resilience through the following steps:

  1. Get Organized
  2. Think About Your Physical State
  3. Think About Your Mental State
  4. Connect Socially
  5. Find Meaning In and Outside of Work
  6. Embrace Joy
  7. Reflect and Refine

For more information and to get started on your road to wellness, visit the AMA’s STEPS Forward website.

With the recent rise in the spread of the Delta variant in all 50 states, we still must protect ourselves, our families, and our friends by following the CDC’s COVID-19 guidelines.

Many of us missed taking time off last year. We are now able to travel and visit with family, friends, and those who have supported us in our careers. Enjoy, be well, and be safe!

Joseph Sellers, MD, FAAP, FACP
MSSNY President.


MSSNY Comments on Open Notes Rule in MedPageToday: “We Have to Be Careful About Unintended Consequences”
MSSNY President Dr. Joseph Sellers spoke to MedPageToday about Open Notes, the federal rule that requires clinical information like physicians’ notes and lab and imaging results to be made immediately available to patients.

“Communication of information is essential for our profession and our patients,” Joseph Sellers, MD, president of the Medical Society of the State of New York, told MedPage Today. “Having ways to get information to patients as effectively and timely as possible is great, but we have to be careful about unintended consequences.”

The criticism Sellers has heard from his medical colleagues centers around instances where patients get health information before physicians are able to help interpret it.

For instance, patients may receive pathology or imaging results electronically, prior to when their doctor is able to communicate with them via a phone call or office appointment.

A patient may find out bad news, and it may have been better for them to hear it first from their doctor, Sellers said. There may also be instances in which the complexity of test results makes them sound alarming, when they’re not. Or there are times when physicians can help break down details that are difficult for the average patient to understand and digest.

“I think that having that relationship between the physician and the patient is so important. It provides reassurance, it provides confidence to patients in the healthcare system,” Sellers said.

Read the MedPageToday article in its entirety here.


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Clear Masks Improve Patient-Physician Communication
Effective patient-physician communication is crucial for developing trust, explaining complex concepts, and engaging patients in shared decision-making while also recognizing concerns and expectations. A key component to communication, though, is nonverbal communication—such as facial expressions—which has been disrupted during the COVID-19 pandemic by mask wearing.

study published in JAMA Surgery points to the effectiveness of clear masks as a way to overcome this perceived barrier to effective communication. When surgeons wore clear masks rather than the standard covered masks, patients rated their surgeon significantly higher in providing understandable explanations, demonstrating empathy, and eliciting trust.

Picture of a doctor with a clear mask

 

Fifteen surgeons from a single academic institution were recruited by email. Before each clinic day, surgeons were randomized to wearing a clear or standard mask for each of their new patients, donning each mask type about half the time.

Last fall, 200 patients took part in this study. Each patient took a scripted, 10-question survey adapted from the Clinician and Group Consumer Assessment of Healthcare Providers and Systems survey. Other questions were added to assess surgeon empathy and trust, as well as a rating on the physician’s mask.

“Wearing clear versus covered masks suggests that not seeing the surgeon’s face negatively affects patient understanding, perceived empathy and trust,” says the study. “These findings should alert surgeons, because patient perceptions may not be detectable without purposeful attention to communication. We must make every effort to protect the sacred physician-patient relationship during these unprecedented times.”

Enhanced Communication and Trust
Overall, 93% of patients answered positively to the survey questions on communication, empathy, and trust. For the standard mask group, several questions were answered positively about 70% to 80% of the time. But for all questions, the clear-mask group answered positively at the same or greater frequency than the standard mask group.

The clear-mask group also had significantly more positive responses when answering two questions: Did the surgeon explain things in a way that was easy to understand, and did he or she seem to know the important information about the patient’s medical history?

On the explanation question, 95% of patients with surgeons wearing a clear mask said the doctor was easy to understand, compared with 78% of the patients whose surgeon donned a standard mask. Regarding the surgeon’s knowledge, 100% of patients in the clear-mask group responded positively, compared with 78% in the standard mask group.

Additionally, 99% of patients in the clear-mask group reacted positively about a surgeon’s empathy, compared with 85% in the covered mask group. Similarly, says the study, 94% of patients in the clear-mask group more frequently reported trusting their surgeon’s decisions, compared with 72% for the standard mask patient group.

Patient Excitement for Clear Masks
When asked about their impressions of the type of mask, 100% of the patients whose surgeon wore a clear mask had positive ratings. For standard masks, 72% of patients responded positively.

Patients were also asked to provide comments about their surgeon’s mask. Their opinions about clear masks were 93% were positive with one saying, “The clear mask was great. You should keep using it.” Only 5% of responses about the standard mask were positive, with many patients stating that they “don’t like masks” or that they were “sick of these masks.”

Mixed Results from Surgeons
Surgeons were also asked about their preference for mask type, with only 47% responding favorably to wearing clear masks compared to wearing standard masks during patient encounters. One-quarter of the surgeons said they would wear a clear mask if their patients preferred it.

However, many of the surgeons who took part in the study noted their own discomfort with the clear masks. They didn’t seem to fit as well, and they would fog up. Several surgeons also voiced concerns about the perceived level of protection provided by a clear mask even though the protection rating is equivalent to that of standard covered masks.

–Sara Berg, American Medical Association


Why I Am a MSSNY Member


Dr. Rana


KFF Report Finds Some Who Were Hesitant to Get a Vaccine in January Say They Changed Their Mind Because of Family, Friends and Their Personal Doctors
A new KFF COVID-19 Vaccine Monitor report finds that people who were initially hesitant to get a vaccine in January but ultimately did so often say that family, friends and their personal doctors helped change their minds.

The report features a second round of interviews with a nationally representative sample of adults six months after they first shared their vaccine intentions in January, early in the nation’s vaccine distribution effort. The new survey assesses whether or not they got a COVID-19 vaccine, the reasons behind their choice, and how they feel about their decision.

Half initially told KFF that they planned on getting vaccinated as soon as possible or had already received at least one dose. Now two-thirds say have been vaccinated, including the vast majority (92%) of those who had planned to get vaccinated “as soon as possible” in January, along with slightly more than half (54%) of those who wanted to “wait and see.” At the same time, three quarters (76%) of those who previously said they would get vaccinated “only if required” or would “definitely not” get a COVID-19 vaccine remain unvaccinated.


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Importantly, one in five (21%) of all adults are now vaccinated after expressing some level of hesitation in January, saying then that they planned on waiting to get vaccinated, would only get it if required, or would definitely not get vaccinated. Many in this group cite friends, family members, and their personal doctors as influencing their decision to get a vaccine. This includes seeing friends and family members get vaccinated without serious side effects (25%), pressure from friends and family (8%), being able to safely visit family members (3%), and conversations with their personal doctors (11%). Another one in ten (9%) say that easing of restrictions for vaccinated people was a factor.

In fact, some vaccinated adults cite protecting or being able to see their friends and family members as the main reason why they decided to get vaccinated. And two-thirds (65%) say they have personally tried to persuade friends and family members to get a shot.

One-third of all adults remain unvaccinated, including 16% of adults who had previously said they planned on getting vaccinated “as soon as possible” or wanted to “wait and see” see before getting a vaccine. When asked why they changed their minds, many cite the side effects of the vaccine as a key reason.

Available through the Monitor’s online dashboard, the new report also quotes the open-ended responses given by many of those surveyed reflecting the diversity of their views and experiences related to their views and decision around vaccination.

The KFF COVID-19 Vaccine Monitor is an ongoing research project tracking the public’s attitudes and experiences with COVID-19 vaccinations. Using a combination of surveys and qualitative research, this project tracks the dynamic nature of public opinion as vaccine development and distribution unfold, including vaccine confidence and hesitancy, trusted messengers and messages, as well as the public’s experiences with vaccination.


 

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29 Physician Specialties Ranked by Annual Compensation
During the COVID-19 pandemic, primary care physicians earned an average annual compensation of $242,000 and specialists earned an average of $344,000 — a decrease of $1,000 and $2,000, respectively, compared to before the public health crisis hit.

In its Physician Compensation Report 2021, Medscape collected responses from about 18,000 U.S. physicians across more than 29 specialties.

The latest Medscape survey was conducted from Oct. 6, 2020, through Feb. 11, 2021, after the COVID-19 crisis began.

Physicians experienced several hardships during the pandemic, including temporary office closures and restrictions on elective procedures. But in an article about its latest survey, Medscape said physician salaries were overall able to stay steady at the end of 2020, because of factors such as telemedicine reimbursement, government programs, capitation and staff reductions.

The following is annual physician compensation by specialty with the percent changes from the 2020 edition of the Medscape report, which is based on data collected from Oct. 4, 2019, through Feb. 10, 2020. This report reflects only full-time salaries. Note: The list includes a tie at No. 25. Percentages are rounded.

  1. Plastic surgery: $526,000 (10 percent increase)
  2. Orthopedics: $511,000 (0 percent)
  3. Cardiology: $459,000 (5 percent increase)
  4. Urology: $427,000 (2 percent increase)
  5. Otolaryngology: $417,000 (9 percent decrease)
  6. Radiology: $413,000 (3 percent decrease)
  7. Gastroenterology: $406,000 (3 percent decrease)
  8. Oncology: $403,000 (7 percent increase)
  9. Dermatology: $394,000 (4 percent decrease)
  10. Ophthalmology: $379,000 (0 percent)
  11. Anesthesiology: $378,000 (5 percent decrease)
  12. Surgery, general: $373,000 (2 percent increase)
  13. Critical care: $366,000 (3 percent increase)
  14. Emergency medicine: $354,000 (1 percent decrease)
  15. Pulmonary medicine: $333,000 (3 percent decrease)
  16. Pathology: $316,000 (0 percent)
  17. OB/Gyn: $312,000 (1 percent increase)
  18. Nephrology: $311,000 (1 percent increase)
  19. Physical medicine and rehabilitation: $300,000 (3 percent decrease)
  20. Neurology: $290,000 (3 percent increase)
  21. Rheumatology: $276,000 (5 percent increase)
  22. Psychiatry: $275,000 (3 percent increase)
  23. Allergy and immunology: $274,000 (9 percent decrease)
  24. Internal medicine: $248,000 (1 percent decrease)
  25. Infectious diseases: $245,000 (0 percent)
  26. Diabetes and endocrinology: $245,000 (4 percent increase)
  27. Public health and preventive medicine: $237,000 (2 percent increase)
  28. Family medicine: $236,000 (0 percent)
  29. Pediatrics: $221,000 (5 percent decrease)

–Gooch, Becker’s Hospital Review


CMS Pitches Physician Payment Rule for 2022: 9 Things to Know from Becker’s Hospital Review
CMS released its annual proposed changes to the Physician Fee Schedule for 2022, which expands certain Medicare telehealth provisions and updates the payment rate for physician services.

Nine things to know about the proposed rule:

  1. Payment rate update. With the budget neutrality adjustment to account for changes in relative value units, as required by law, and expiration of the 3.75 percent payment increase provided in 2021 by the Consolidated Appropriations Act, the proposed Physician Fee Schedule conversion factor for 2022 is $33.58, down from $34.89 in 2021.
    .
  2. Telehealth provision expansion. CMS proposed allowing certain services added to the Medicare telehealth list amid the pandemic to remain until Dec. 31, 2023, to give the agency more time to determine if the services should be permanently added following the public health emergency. CMS also said it will allow all Medicare patients to access telehealth services from their homes and is proposing to allow audio-only communication technology when used for the diagnosis, evaluation or treatment of mental health disorders.
    .
  3. Appropriate Use Criteria penalty phase delay.CMS is proposing to delay the implementation of a penalty phase of the Appropriate Use Criteria program. Currently the penalty phase is set to begin Jan. 1, but CMS proposed delaying it to Jan. 1, 2023, or the Jan. 1 that follows the end of the public health emergency.
    .
  4. Quality Payment Program changes. CMS proposed to increase the Merit-based Incentive Payment System performance threshold score providers must exceed to receive bonuses under the Quality Payment Program. CMS also unveiled the first seven optional MIPS value pathways that would begin in 2023. The seven payment pathways would be emergency medicine, chronic disease management, heart disease, anesthesia, lower-extremity joint repairs, rheumatology and stroke care.
    .
  5. Physician assistant billing. Beginning Jan. 1, physician assistants would be able to bill Medicare directly for their services and reassign payment for their services. Currently, Medicare can only make a payment to the employer or independent contractor of a PA.
    .
  6. Medicare Shared Savings program updates.CMS is proposing to give ACOs more time to transition to electronic reporting. In particular, CMS would allow ACOs to continue to use the web interface reporting option in 2022 and 2023 and phase in the new electronic clinical quality measure reporting requirement over three years. It was initially set to start in 2022.
    .
  7. Medicare Diabetes Prevention Program changes.CMS plans to waive the provider enrollment application fee for all organizations when they seek to enroll in Medicare as a Medicare Diabetes Prevention Program supplier on or after Jan. 1. CMS also proposed to shorten the prevention program services period to one year by removing the ongoing maintenance sessions phase. CMS also proposed redistributing a portion of the ongoing maintenance sessions phase payments to other core performance categories.
    .
  8. Comment solicitation.CMS is seeking provider input on two issues related to COVID-19. First, CMS wants input on what qualifies as the “home” in its preliminary policy to pay $35 add-on for certain beneficiaries when they receive a COVID-19 vaccine at home. Second, CMS is seeking comments on whether COVID-19 monoclonal antibody products should be treated the same way as other physician-administered drugs and biologics under Medicare Part B.9. Comment period. Comments on the proposed rule are due Sept. 13.

Access the full rule here.

–Paavola, Becker’s Hospital Review



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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 2021 Ad Rate Sheet, please click here.


Office Space for Lease – Great Neck, NY
Large, fully equipped space available for lease up to 7 days per week. Includes onsite parking and is close to mass transit. Call 516-972-2986 for info.

Rheumatology Practice Opportunity – Great Neck, NY
Opportunity available at an established rheumatology practice in Great Neck, NY. Looking for a dedicated physician to join, share or merge practices. Fully equipped office with onsite parking and proximity to mass transit. Contact 516-972-2986 for more info.

AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

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


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


 

 

 

 

MSSNY eNews: July 21, 2021 – Member Dr. Ariel Nassim Heads to Tokyo to Treat US Olympic Athletes

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MSSNY Member Dr. Ariel Nassim Heads to Tokyo to Treat US Olympic Athletes
When American athletes gather in Tokyo for the Summer Olympics, they will be joined by seven physicians, including MSSNY member Dr. Ariel Nassim, a specialist in internal and sports medicine with offices in Great Neck and Flushing.

Dr. Nassim will be stationed in the Olympic Village with 80% of the U.S. athletes. His typical day will start at about 8 a.m. with a medical team meeting to discuss health issues, such as upper respiratory tract infections, and whether any doctors need to attend that day’s matches.

“They invited me to the Pan Am Games, so I guess they appreciated the work I did,” Dr. Nassim, a member of the Medical Society of the State of New York [MSSNY], tells Newsday.  “I think my internal medicine background really came in handy for them as they often don’t have internists on staff.”

Read more in Newsday’s article, An Olympian Task Awaits Great Neck Physician for U.S. Team in Tokyo.


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AMA to Congress: Wake Up to Financial Peril Facing Medicare Payment System
The American Medical Association (AMA) raised concerns today that Congress seems “indifferent” to the fiscal uncertainty facing the Medicare physician payment system.

In a letter to congressional leaders, the AMA pointed out that physician practices face a 9.75 percent cut on January 1. Not only was Congress not taking up legislation to prevent this, but proposals are being floated that aim to wring out more money from payments to fund an infrastructure package.

“All this financial uncertainty comes at a time when physician practices are still recovering from the financial impact of the COVID-19 public health emergency, including continued infection control protocols that, while necessary, have increased the costs of providing care,” the AMA wrote in its letter. “The combination of all these policies would be challenging to endure in normal times. Yet, physician practices continue to be stretched to their limits clinically, emotionally, and financially as the pandemic persists well beyond 15 months. The enactment of further Medicare payment cuts will undoubtedly threaten patient access to care, especially considering the stark reality that, adjusted for inflation in practice costs, Medicare physician payment actually declined 22 percent from 2001 to 2020, or by 1.3 percent per year on average.”

The letter urged Congress to pass legislation to prevent the fiscal cliff awaiting on January 1 and to hold hearings on how to permanently improve the Medicare physician payment system, noting, “The state of the program is increasingly dysfunctional and, ultimately, it will be patients who suffer.”

Read the full text of the letter from AMA CEO James L. Madara, M.D. here.


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$790 in Annual Savings for MSSNY Members: CareClix Telemedicine Platform
MSSNY members receive the discounted rate of $50 per month for the license fee with no start-up costs—for a total of $790 in savings.

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

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

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

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

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


American Academy of Pediatrics Calls for Prioritizing In-Person Learning and Advises Schools to Prepare to Address Students’ Mental Health Needs
In updated guidance for the 2021-22 school year, the American Academy of Pediatrics strongly recommends in-person learning and urges all who are eligible to be vaccinated to protect against COVID-19.

In addition to vaccinations, the AAP recommends a layered approach to make school safe for all students, teachers and staff in the guidance here. That includes a recommendation that everyone older than age 2 wear masks, regardless of vaccination status. The AAP also amplifies the Centers for Disease Control and Prevention’s recommendations for building ventilation, testing, quarantining, cleaning and disinfection in the updated guidance.

AAP recommends universal masking because a significant portion of the student population is not yet eligible for vaccines, and masking is proven to reduce transmission of the virus and to protect those who are not vaccinated. Many schools will not have a system to monitor vaccine status of students, teachers, and staff, and some communities overall have low vaccination uptake where the virus may be circulating more prominently.

Research has shown that opening schools generally does not significantly increase community transmission with masking and other safety measures in place. Recently, COVID-19 variants have emerged that may increase the risk of transmission and result in worsening illness. Given the effectiveness of safety precautions when used consistently, children are at higher risk of suffering mental health issues and developmental setbacks if they miss out on in-school learning, according to AAP.

Other recommendations included in the AAP guidance are:

  • Schools should be prepared to adopt an all-encompassing approach for mental health support.
  • Adequate and timely COVID-19 testing resources must be available and accessible.
  • Strategies should be revised and adapted depending on the level of viral transmission and test positivity rate throughout the community and schools.
  • School policies should be adjusted to align with new information about the pandemic; administrators should refine approaches when specific policies are not working.[i]
  • School districts must be in close communication and coordinate with state and/or local public health authorities, school nurses, local pediatric practitioners, and other medical experts.

AAP also urges families to call their pediatrician and have children caught up on all vaccines they may have missed during the pandemic. This includes getting a vaccine to protect against influenza, which, like COVID-19, can cause severe illness and death.


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Important Information Regarding Johnson & Johnson COVID-19 Vaccine
On July 13, the U.S. Food and Drug Administration (FDA) announced revisions to the Emergency Use Authorization (EUA) fact sheets for the Janssen/Johnson & Johnson (J&J) COVID-19 vaccine to include information regarding an observed increased risk of Guillain-Barre Syndrome (GBS) after administration of the vaccine.  Based on an analysis of data from the Vaccine Adverse Event Reporting System (VAERS), there have been 100 preliminary reports nationwide of GBS following vaccination with the Janssen vaccine after approximately 12.5 million doses administered.

Although the available evidence suggests an increased risk of GBS after vaccination with J&J vaccine, there is not enough evidence to establish a causal relationship at present.  No similar signal has been identified for either the Pfizer or Moderna COVID-19 vaccines.

Updates to the EUA fact sheet for health care providers include a warning about GBS and information regarding the adverse event reports suggesting an increased risk for GBS.  The fact sheet for vaccine recipients has been updated to include information about GBS and explains that those who receive the Janssen vaccine should seek medical attention right away if they develop any of the following symptoms:

  • weakness or tingling sensations, especially in the legs or arms, that’s worsening and spreading to other parts of the body
  • difficulty walking
  • difficulty with facial movements, including speaking, chewing, or swallowing
  • double vision or inability to move eyes
  • difficulty with bladder control or bowel function.

Department of Health Advisory: New York State Has High Burden of Legionellosis
In 2018 New York reported more cases of legionellosis than any other state and twice the national incidence. Medical provider recognition of the possibility of Legionnaires’ disease (in persons with pneumonia), Pontiac fever (in persons without pneumonia) or Extrapulmonary Legionellosis (in persons with Legionella in sites outside of the lungs) coupled with appropriate diagnostic testing is critical to the identification and investigation of community clusters.

While legionellosis occurs year-round, the incidence of illness usually increases during the summer and early fall. Local health departments (LHDs), with the assistance of the NYSDOH, investigate potential timespace clusters of cases as they are recognized.

Legionnaires’ disease (LD) cannot be distinguished from other causes of pneumonia on clinical or radiologic grounds, including the virus that causes COVID-19. LD and COVID-19 both cause fever, fatigue, and respiratory illness (including pneumonia). In hospitalized or at-risk patients with suspected pneumonia, test for Legionella infection especially if testing for COVID-19 has been negative.

Read the full NYS DOH Advisory here.


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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 2021 Ad Rate Sheet, please click here.


AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

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


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


 

 

 

 

MSSNY eNews: July 16, 2021 – MSSNY Supports the Wellbeing of All Physicians

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MSSNY Supports the Wellbeing of All Physicians

Colleagues:

When I was informed about the three recent, tragic physician deaths at a NYC hospital, I immediately thought about the vital role MSSNY plays in supporting physicians—and how critical it is for all of us to get the word out to our colleagues about the help MSSNY provides.

MSSNY supports the health and wellbeing of all physicians through our Committee for Physicians Health (CPH)—which was founded in 1974 to provide non-disciplinary, confidential assistance to physicians, residents, medical students, and physicians’ assistants, including stress, substance abuse, and other psychiatric disorders—and more recently, with the addition of MSSNY’s revolutionary Peer to Peer Program.

As physicians, we know all too well the reality of stressors that range from the emotions that arise in the context of patient care to the demanding environment in which we practice medicine. Aside from the stressors in our own lives, I cannot begin to imagine trying to process the reality of three physician deaths in one hospital over a short period of time. How does a physician move on when faced with the loss of a colleague? Sometimes a fellow physician—who understands the unique challenges we routinely face—is best equipped to help.

MSSNY’s Physician Wellness and Resiliency Committee developed the Peer to Peer Program to provide physicians, residents, and medical students a completely confidential and anonymous opportunity to talk with a peer about some of life’s stressors. Under the Peer-to-Peer (P2P) program, physicians may engage in a one-time confidential discussion with a peer supporter—an individual trained to share experiences, listen without judgment, and validate feelings.

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.

Your membership in MSSNY allows us to support peers in need of support.

Joseph Sellers, MD, FAAP, FACP
MSSNY President.


MSSNY Legislative Podcast
Efforts on Behalf of NYS Physicians Continue into the Summer Months


US Surgeon General Issues Warning About Urgent Threat of Health Misinformation
Earlier this week U.S. Surgeon General Dr. Vivek Murthy issued his first Surgeon General’s Advisory of this Administration to warn the American public about the urgent threat of health misinformation. Health misinformation, including disinformation, have threatened the U.S. response to COVID-19 and continue to prevent Americans from getting vaccinated, prolonging the pandemic and putting lives at risk, and the advisory encourages technology and social media companies to take more responsibility to stop online spread of health misinformation.

“Health misinformation is an urgent threat to public health. It can cause confusion, sow mistrust, and undermine public health efforts, including our ongoing work to end the COVID-19 pandemic,” said U.S. Surgeon General Dr. Vivek Murthy. “As Surgeon General, my job is to help people stay safe and healthy, and without limiting the spread of health misinformation, American lives are at risk. From the tech and social media companies who must do more to address the spread on their platforms, to all of us identifying and avoiding sharing misinformation, tackling this challenge will require an all-of-society approach, but it is critical for the long-term health of our nation.”

Learn more and access the full advisory here.


Check with Your Legal Counsel Whether You Are Required to Follow Federal or State Employee Protection Standards
Physician offices should consult with their legal counsel to determine if they are required to comply with the recent federal OSHA Emergency Temporary Standard (ETS) rules for protecting employees from airborne Covid-19 transmission or instead required to comply with newly enacted state requirements for all employers who are not subject to federal rules.

MSSNY’s General Counsel law firm, Garfunkel Wild, recently prepared an alert OSHA Issues Emergency Rules For Healthcare Employers And Updated Guidance For All Employers | Garfunkel Wild, that provided a summary of the requirements for the OSHA ETS.  The alert notes that exempted from compliance with the OSHA ETS are “employers performing healthcare services on an outpatient basis in a non-hospital setting, if non-employees are screened prior to entry and people with suspected or confirmed COVID-19 are not permitted to enter.”

However, employers that are exempt from the OSHA ETS must establish an airborne infectious disease plan required by New York State for all employers. The New York State Department of Labor (NY DOL) recently put forth model forms for all New York employers to adopt NY HERO Act | Department of Labor. The law requires all employers regardless of size to have extensive new workplace health and safety protections in response to the COVID-19 pandemic.  The statute requires that employers adopt a safety plan within 30 days of the Department of Labor posting the model forms (August 5).  After adopting a plan, the employer is required to share the safety plan with employees within 30 days.

Importantly, MSSNY has received clarification from the NY DOL that “the standard published by the Department provides that it does not apply to ‘Any employee within the coverage of a temporary or permanent standard adopted by the Occupational Safety and Health Administration setting forth applicable standards regarding COVID-19 and/or airborne infectious agents and diseases.’  As such, employers within the coverage of the current OSHA ETS (which is currently limited to healthcare) are not currently required to take action or adopt a plan pursuant to the NY HERO Act.”

Therefore, whether a physician’s office is required to follow the federal OSHA ETS or the NY DOL standard may vary from office to office.  For example, a primary care practice that treats patients with suspected Covid-19 would likely be required to comply with the federal OSHA standard, but an orthopedic practice that instructs all patients with suspected Covid to not enter the office may not be required to follow the federal standard but instead be required to comply with the state standard.

Again, physicians should consult with their legal counsel for how best to ensure their offices comply with these state or federal requirements.


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Do You Know an Outstanding Physician?
The Medical Society of the State of New York is accepting nominations for the 2020 Albion O. Bernstein, MD Award.  The deadline for applications has been extended to September 7, 2021. This prestigious award is given to:

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

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

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

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

To request an application, please contact:

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


Workers Compensation Proposes Rule to Formally Cover Telehealth; In-Person Treatment Required for Every Third Clinical Encounter
The New York Workers Compensation Board has proposed a regulation to formally permit the Workers Compensation program to cover health care services to injured workers delivered via telehealth.  Among the key components of the proposed regulation for covering telehealth services:

  • Every third clinical encounter must be an in-person assessment by the treating medical provider.
  • The medical provider who provided treatment and care at the initial clinical encounter must also provide the treatment and care at any telehealth clinical encounter.
  • When subsequent medical treatment and care will be performed by a medical provider other than the medical provider who treated at the initial clinical encounter, the subsequent treating medical provider must have an in-person clinical encounter with the claimant prior to providing medical treatment and care via telehealth, and thereafter every third clinical encounter with that subsequent treating provider must be an in-person clinical encounter.
  • Telehealth is not permissible for services administered by physical therapists, occupational therapists, acupuncturists, and chiropractors.
  • Permanency evaluations may not be performed via telehealth.

For more information, please review the proposed regulations here: Proposed Amendment of 12 NYCRR 325-1.13 (Telehealth)Comments can be sent to regulations@wcb.ny.gov until September 12.


MSSNY Immediate Past President Bonnie Litvack, MD Discusses COVID-19 Vaccines with CNYCentral
Following is an excerpt from MSSNY Immediate Past President and member of the state’s vaccine task force Bonnie Litvack, MD’s interview with CNYCentral about COVID-19 vaccines:

“The state has told us they’re getting out of the vaccine business,” said Dr. Bonnie Litvack, the immediate past president of the New York State Medical Society.

Dr. Litvack is a member of the state’s COVID-19 vaccine task force. She said while the state will be prepared to reignite mass vaccination sites should they become necessary, so far, the plan would be to make your local pediatrician or pharmacy the place to go for a booster.

“The last discussions that we’ve had on that, is that vaccines would go back to the normal process of getting vaccines. Which would be through your doctor’s offices and pharmacies as you normally get your normal shots and booster shots,” said Dr. Litvack.

Health professionals like Dr. Litvack are urging New Yorkers to get vaccinated. In Onondaga County, just under 60% of the county’s entire population is fully vaccinated. Anyone without a vaccine is still vulnerable, especially to the highly transmissible Delta variant of the virus.

“If you are unvaccinated, you are vulnerable to it. In communities that have high numbers of unvaccinated people, the community is vulnerable,” said Dr. Litvack.



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Take the Survey on the NYS Bureau of Narcotic Enforcement’s New Morphine Milligram Equivalents Calculator
NYS Bureau of Narcotic Enforcement (BNE) has recently developed a Morphine Milligram Equivalents (MME) Calculator, which is located on the New York State PMP (NYSPMP). They also developed a web-based survey to gather input from PMP users regarding anticipated use of the NYSPMP MME Calculator.

BNE is seeking MSSNY assistance in getting information on the use of the calculator.  The survey offers an opportunity for feedback from NYSPMP users in a format that will only take 10-15 minutes. The survey is available now and can be found by going to this link: https://forms.office.com/g/rQEi5fJfCs

The following QR code may be more convenient for some PMP users:

QR code for a survey

In addition to distributing the survey link, it would be helpful if you could include the attached document (Accessing the New York State Morphine Milligram Equivalents Calculator.pdf) to help PMP users locate the calculator, if they are not already aware of its location.

If you have questions, contact:

For help locating the calculator, click Accessing the New York State Morphine Milligram Equivalents Calculator.


New York State Opioid Prevention Program’s Opioid Annual Report
The New York State – Opioid Annual Data Report, 2020 contains data on deaths, emergency department visits, and hospitalizations involving opioid overdoses, as well as data on opioid prescribing, admissions to substance use disorder treatment programs for heroin and other opioids, and on naloxone administration encounters.

Data-to-Action Reports:

These Data-to-Action Reports are short communications on important topics that provide specific opioid-related data to mobilize public health action. Reports include key messages, quick facts describing the topics, figures illustrating relevant data, language describing recommendations, evidence-based approaches, and suggested actions and resources.

Opioid Data Dashboard: In addition, the Opioid Surveillance Data Dashboard application was updated on the NYSDOH website. This dashboard makes opioid-related data easily accessible to health officials and the public, and displays data for opioid indicators interactively at both state and county levels. The dashboard is designed to be a key resource for enhancing the utilization of opioid surveillance data, and assisting in the response to the opioid crisis.

The reports are available on the opioid data webpage (http://www.health.ny.gov/statistics/opioid/) on the NYSDOH website.

If you have questions and feedback, contact opioidprevention@health.ny.gov.


2022 Medicare Physician Fee Schedule Proposed Rule
As reported earlier this week, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2022 Medicare Physician Fee Schedule.  The AMA report to state medical societies noted that, while it will analyze and develop a summary of the 1,700+ page proposal, it is important to highlight that the 2022 Medicare conversion factor would be reduced by approximately 3.75% from $34.8931 to $33.5848. This is largely a result of the expiration of a 3.75% increase to the conversion factor at the end of calendar year 2021, as enacted by Congress to prevent what otherwise would have been a devastating cut to many physicians in their Medicare payments.

Working together with the AMA and the federation of medicine, MSSNY will strongly advocate that Congress avert this significant cut and extend the 3.75% increase for 2022. Please note that the impact table in the proposed rule does not seem to include the 3.75% reduction in the conversion factor.

Access the proposed rule (PDF).

Additional resources:

Click here to view the AMA specialty impact table.


Classified Ads Available for:

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

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

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


AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

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


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


 

 

 

 

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