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

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Our Patients Deserve Timely, Consistent, and Affordable Care  

Colleagues:

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

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

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

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

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

Joseph Sellers, MD, FAAP, FACP
MSSNY President


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

Among these bills include:

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

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

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

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


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

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

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

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

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

The following organizations joined MSSNY in supporting the bill:

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


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

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

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

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


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

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

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

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

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


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

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

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


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

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


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

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

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


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

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

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

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

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


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

Myriad disaster events take place all around us daily.  Learn more about how to perform a number of categories of triage (including biological triage) when you find yourself in proximity to a disaster by registering for Medical Matters: Triage in a Disaster Event.  This webinar will take place on Wednesday, May 26th at 7:30 am.  Arthur Cooper, MD and Zackary Hickman, MD will serve as faculty for this program.  Click here to register for this webinar.

Educational objectives

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

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

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


eNews

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

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


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

Among the qualitative findings:

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

In terms of cost, researchers found:

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

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

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

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

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

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


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

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


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

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

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

POPULAR FEATURES INCLUDE:

  • Nearby Offers: Use our show & save mobile coupons to quickly access savings on the go.
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  • Showtimes: Find movies, watch trailers, and save up to 40% at a theater near you.
  • Monthly Giveaways: Win cash, movie tickets, electronics and more with our monthly contests.

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

Register at http://mssny.abenity.com


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

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

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

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


Classifieds

Classified Ads Available for:

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

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 • fax 516-488-2188

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


MSSNY Director of Membership and Marketing – Apply Now


Great Neck office to sublet

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

 

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


 

 

 


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


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

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


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


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


 

NYS Jobs LogoReview Vacancy

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

Position Information 

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

Schedule 

Workweek

Hours Per Week

Mon-Fri

37.5

Workday

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

Location 

County Albany
Street Address CCH; Division of Family Health

Corning Tower, ESP

City Albany
State NY
Zip Code 12237

Job Specifics 

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

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


Dir 3 position ad



NYS Jobs Ad LogoReview Vacancy

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

Position Information

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

Schedule

Workweek

Hours Per Week

Mon-Fri

40

Workday

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

Location

County Albany
Street Address Office of Public Health

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

City Albany OR New York

 

State NY
Zip Code 12237

Job Specifics

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

Preferred Qualifications:

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