MSSNY eNews: April 29, 2022

Message from MSSNY President Dr Joseph Sellers:
Measles Cases on the Rise Worldwide

Colleagues:
This week, UNICEF and WHO warned of a “perfect storm” of conditions for measles outbreaks in children. As physicians, we know—and as I told Fox News in an interview—the concern is that when measles cases rise, we worry not only about measles outbreaks. I explained to the reporter that physicians worry that the children who are not vaccinated against measles are likely not vaccinated against other childhood illnesses as well. Measles—which is so contagious—is the first sign of an under-vaccinated population.

The UNICEF and WHO report is concerning indeed. Worldwide measles cases increased by 79 percent in the first two months of 2022, compared to the same period in 2021. Almost 17,338 measles cases were reported worldwide in January and February 2022, compared to 9,665 during the first two months of 2021.

There are so many contributing factors to this situation, including pandemic-related disruptions and increasing inequalities in access to vaccines. In addition, conflicts and crises around the world that cause disruptions in immunizations and lack of clean water and sanitation increase the risk of vaccine-preventable disease outbreaks.

MSSNY has been a leader in immunization campaigns and is a strong proponent of individual vaccinations in both children and adults. Vaccination has been—and continues to be—the most important public health measure of our lifetime.

Joseph Sellers, MD, FAAP, FACP
MSSNY President


Hassles with Insurance Companies? MSSNY’s Director of Physician Practice and Payment Can Help!
Following is a note we received recently from a member:
Twice over the past few months I have asked MSSNY’s Director of Physician Payment and Practice Heather Lopez for help resolving issues that my staff and I were unable to resolve on our own.  The first was regarding my need to get clarification of an ambiguous general billing policy of an insurance company, which she was able to get the answer for me rather quickly.  The second problem she solved for me was a miracle.  For over a year now, my staff and I have been fighting an insurance company, which denied payment for a rendered service for a reason that was completely unfair, but despite all our arguments and pleas, we could not get the insurance company to reverse their non-payment decision.  I contacted Ms. Lopez about this case and she went to work on it promptly and got the insurance company to reverse their decision and make payment to me—all within a month. 

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



Do You Have Unanswered Questions for CMS? Join Open Forum
On the second Tuesday of each month, CMS holds a monthly call for physicians—an opportunity to bring your questions to an open forum. The next call is Tuesday, May 10 at 6 pm.

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MSSNY Member’s Letter to the Editor Published in Wall Street Journal
Ms. Finley’s op-ed (California’s Medical ‘Misinformation’ Crusade Could Cost Lives)  understates the danger of California’s legislation. Every innovation in medicine goes against existing standards of care. Today’s standard becomes substandard as new treatments develop. Medicine progresses when doctors have the freedom to practice their profession without interference from political agendas.

In my field of ophthalmology, millions of patients undergo the implantation of an intraocular lens. These surgeries often result in better vision than patients had before developing their cataracts. Yet until the mid-1970s, inserting a foreign body inside the human eye was considered well outside the standard of care. Without innovative surgeons willing to go against accepted thinking, patients would not have benefited from these lenses.

Any proposed law against innovation will end progress. California’s law must be defeated.

Michael T. Goldstein, M.D.


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Senate Insurance Committee Advances Three Bills to Increase Patient Access
At its most recent committee meeting on Monday, April 25th, the Senate Insurance Committee reported to the Senate floor three bills strongly supported by MSSNY that will remove barriers and increase patient access to the most appropriate treatment.

The first, S.8299 (Breslin)/A.9908-A (McDonald), establishes a “Gold Card” program in which physicians, and other care providers will be exempted from Prior Authorization requirements from a health insurer for a specific health care treatment if they receive at least 90% approval for their prior authorizations for that treatment. The legislation is similar to a law enacted last year in Texas, which was designed to prevent unnecessary roadblocks to patient care and reward the following of evidence-based treatment guidelines.  Physicians are urged to a letter in support here: Take Action (p2a.co)

The second bill S.5299 (Rivera)/A.1741 (Gottfried) prohibits insurers from preventing patients from using a copay card or coupon to cover count towards their out-of-pocket deductibles.  Many patients rely on financial assistance programs, such as a copay coupon or card, to reduce the cost of their medication. However, insurers are employing this new tactic to undermine these financial assistance programs by preventing their application towards meeting the enormous deductibles patients face. Physicians can send a letter in support here: Take action!

The third bill, S.5909 (Kaminsky)/A.3276 (Gunther), would exempt mental health medications from health insurer step therapy requirements.


Physician Associations Team Together to  Advocate that Medical Residents and Fellows Are Eligible for Bonuses
MSSNY is working together with several specialty societies and medical residents to urge the Commissioner of Health to exercise her discretionary authority to ensure that physician residents and fellows are deemed eligible for the frontline health care worker bonuses established as part of the recently enacted State Budget.  A letter and tweet in support can be sent from the MSSNY Grassroots Action Site here: Allow Residents and Fellows to be Eligible for Frontline Healthcare Worker Bonuses (p2a.co)

The issue arises from the fact that the State Budget included a provision that funds one-time bonus payments of up to $3,000 for front line health care workers employed by hospitals and certain other Medicaid enrolled health care providers, who have a base salary of less than $125,000, and have worked for 6 months straight for one employer during the “vesting” period.  It included several types of health care job titles, but importantly also gave discretion to the Commissioner to add additional job titles.

As a result, several thousand medical residents across the State of New York joined in a communication to Governor Hochul asking for their inclusion in the bonus pool.

MSSNY also joined together with several specialty societies in submitting a letter to Commissioner of Health Dr. Mary Bassett stating that the lack of express inclusion of residents and fellows in the bonus pool is inconsistent with the stated goal of the bonuses.  In urging the Commissioner to include residents and follows, the letter notes the Legislature’s intent that the bonuses apply generally to all members of the health care workforce who “…have seen us through a once–in–a–century public health crisis and turned our state into a model for battling and beating COVID–19.  To attract talented people into the profession at a time of such significant strain while also retaining those who have been working so tirelessly these past two years, we must recognize the efforts of our health care and mental hygiene workforce and reward them financially for their service…”

Please remain alert for further updates on this important issue.


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Several Categories of Physician Medicaid Fees Being Increased Starting July 1
Physician Medicaid fees for Evaluation & Management and Medicine CPT codes will be increased to 70% of Medicare, for services July 1, 2022, and after, as announced by the NYS Department of Health during a webinar this week detailing changes enacted in the. While this is low when compared to the growth in the costs of delivering patient care, many of these patient services provided by physicians are currently paid at below 50% of Medicare.

As part of the webinar, the DOH also announced that the enacted Budget  removed the requirement for physicians and other care providers to request DOH to increase beneficiary benefit limits.  DOH indicated the reason for the change was to reduce some of the administrative burdens that physicians and other care providers have with the Medicaid program.

The DOH webinar also discussed several other important changes arising from the recently enacted State Budget, including expanded eligibility for the State Essential Plan and increasing eligibility for no-cost Child Health Insurance Plus coverage.


Numerous Physician Mandate Bills Under Consideration in the Final Weeks of Session
As we head into the final 5 weeks of the legislative session, there are numerous bills under active consideration in the Senate and Assembly that would impose requirements on physicians (and other providers) delivering care to their patients, in addition to the other countless mandates on medical practice in New York.  MSSNY has been working together with the affected specialty societies to highlights its concerns to the Legislature that, while each of these proposals may have good intentions, in totality they are creating significant new documentation requirements that place the physician’s licensure in jeopardy if there is an instance where they fail to document that they completed a task.  This could have a significant impact on decisions made by physicians including whether or not to practice in New York. Some of these bills include:

  • 67/A.3298 – Would require physicians treating a patient for epilepsy to provide information regarding the risk of Sudden Unexpected Death in Epilepsy.
  • 213/A.1615 – Would require physicians to obtain the school attended by their pediatric patients.
  • 2521-C/A.3470-C – Would require employed health care providers to disclose if their employer health system is charging a facility fee.
  • 2736/A.217 – Requires physicians and other maternal care providers to provide information to pregnant patients with information regarding the risks of a caesarean section to patients scheduled to have a C-section.
  • 4640/A.273 – Would require physicians and other care providers to document that they considered and discussed numerous alternatives to opioid treatment prior to writing an opioid prescription for a patient.
  • 6287-B/A.7560-A – Would require O-GYNs to provide information to their pregnant patients regarding the risks of cytomegalovirus (CMV).
  • 7865/A.5976-A – Would require physicians and other maternal care providers providing pre- and post-natal care or pediatric care to invite the mother to fill out a questionnaire to detect maternal depression.
  • 8455/A.9380 – Requires physicians and other maternal care providers to provide information to patients about the potential consequences of an episiotomy.

Please remain alert for further updates on these issues.


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MSSNY, Family Physicians Raise Concerns with Legislation to Permit PAs to Directly Bill Medicaid Managed Care
MSSNY, the  NYS Academy of Family Physicians, and the NY Chapter of the American College of Physicians have written to the NYS Assembly to raise strong objections with legislation that would permit physician assistants (PAs) to be designated as a primary care practitioner under Medicaid Managed Care.  While the bill does not in and of itself change statutory supervision requirements for PAs, it would potentially give them the ability to directly bill insurers for patient health care services, despite the fact that PAs typically practice as an employee in a hospital or in a physician practice.  Since PAs do not practice independently, they should not be allowed to bill an insurance company independently from their employer.

The bill advanced from the Assembly Ways & Means Committee to the Assembly floor this week.  The legislation passed the State Senate earlier this session.  Physicians can send a letter to their
Assembly members Preserve Physician-led, Team-based Healthcare (p2a.co) to express concerns with legislation (A.6056/S.5956).

While they are essential components of the health care team, including in the delivery of primary care, PAs are not authorized under law to practice without physician supervision. Current executive orders have provided for a temporary waiver of some supervision requirements (which MSSNY has strongly opposed).  However, the goal of these EO provisions was to provide greater flexibility in hospitals for the management of excess patient load due to COVID-19, not to provide independent practice on a permanent basis.

In its memo, MSSNY raised concerns that this legislation was creating a potential pathway for PAs to practice independently without physician oversight, which has been rejected in numerous states because of the need to protect physician-led team-based care for patients.  Furthermore, numerous studies have shown that advanced care practitioners provide more costly care, including.


MSSNY Raises Concerns with Legislation to Require Health Care Employee Disclosure of Health System Facility Fees
Last year, legislation which would have required hospitals and hospital-based physicians to submit consolidated bills was significantly revised to delete this very concerning provision.  This was a significant development, as MSSNY together with several other specialty societies, had raised significant concerns to the Senate and Assembly that this joint billing requirement would have put non-employed physicians at the mercy of the hospitals since the legislation does not specify how payments to hospitals from this “single bill” would then be distributed to these physicians.

This week, the pared-down legislation (S.2521-C/A.3470-C) was reported from the Senate Health Committee to the Senate floor.  This version would require a health care provider who enters into “a business relationship with a hospital or health system that will result in the provider’s patients being subject to facility fees”, to notify its patients of the change and that facility fees will now be applicable to services received from the health care provider. MSSNY, together with several specialty societies, submitted a letter raising concerns with this revised legislation, urging that this disclosure requirement should be placed on the health system charging the facility fee, instead of the physician providing the service.  The letter notes the concern is that these types of charges imposed by a health system are often not known by the physician employee delivering patient care.  


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NYS Department of Health Updates County Health Indicators by Race and Ethnicity
The NYS Department of Health has announced updates to  three major dashboard applications, as well as the County Health Indicators by Race and Ethnicity and the County Perinatal Data Profiles. These resources present data at the state, county, and sub-county level where available. They  mark the completion of updates for county-level dashboards and resources intended to assist in planning and use for the current round of County Health Assessments.

The County Health Indicators by Race/Ethnicity (CHIRE):
These tables use the most recent data from NYS Vital Statistics, SPARCS and the Cancer Registry, and from the US Census, to present 46 indicators about general population description, birth, death, hospitalization, and cancer, by race/ethnicity, for New York State, New York City, and for each county. Each region and county have their own set of tables.

The Leading Causes of Death Dashboard: 
NYS vital statistics data was used to produce ten-year trends of deaths and death rates for leading causes of death and leading causes of premature death, in New York State, New York City, and in counties. For the state, data is  available by gender, age and race/ethnicity. For the regions, data is  available by gender and age. For the counties, data is available by gender. The dashboard also includes ten-year trends in life expectancy, for the state by gender.

The Maternal and Child Health dashboard:
Federal and statewide data systems were analyzed to update maternal, infant, child, and

adolescent health at the state and county-level, on the Maternal and Child Health dashboard. This dashboard is an interactive visual presentation of indicators tracking maternal, infant, and child health data at state and county levels. The state dashboard homepage displays a quick view of the most current data for 41 indicators and compares them with data from previous time periods to assess progress. State level historical (trend) data can be easily accessed, and data for many state level indicators is  also available by socio-economic status. County data (maps, tables and bar and trend charts) is  also available for 13 indicators.

The Asthma Control Program Data Dashboard:
The state asthma dashboard homepage displays a quick view of the most currently available data as compared to the previous year for the 40 tracking indicators. It provides users with easily accessible historical (trend) data, drill-down data to county and sub-county (ZIP code) levels, and visualizations for major socio-demographic factors (e.g., age group, race/ethnicity, sex, region, income, education). Each of the 62 counties have

their own dashboard with data for 31 indicators, including sub-county (ZIP code) level data for 8 indicators.

An export tab has been added to easily output data at the state, county, and subcounty levels, and by demographic group.

The County/ZIP Code Perinatal Data Profiles:
Vital statistics data from a three-year period is  used to produce ZIP Code based tables of commonly requested perinatal data, such as total births, premature births, low birth weight births, births to unmarried parents, infant deaths, teen birth, and pregnancy rates. The tables are available for the state, regions, county, and ZIP Codes within each county. NYSDOH has worked diligently to update and improve these applications and resources, which make data easily accessible to program partners, practitioners, health officials, and the public. Please direct questions and requests for additional information to phiginfo@health.ny.gov.


NYS Arthritis Program to Host Webinar on Improving Arthritis Management
The NYS Department of Health Arthritis Program will conduct a webinar, “Prescribing Physical Activity to Improve Arthritis Management” on Monday, May 9, 2022 from 9-10 a.m. The webinar can be viewed at https://livestream.com/wmht/phl0509. Handouts and the link for the evaluation and post-test for continuing education credits are located at the School of Public Health website.  Email coned@albany.edu or call 518-402-0330 if assistance is needed.


Join MSSNY in Kicking Off Wellness
MSSNY will be hosting a series of physician wellness webinars covering various topics within the realm of wellness over the next few months.
Women in Medicine 2022: Up the Down Staircase: May 20, 8:40-9:40am
Carol Bernstein, MD will serve as faculty. Register now!

Educational objectives:

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

Additional information or assistance with registration may be obtained by contacting Cayla Lauder at clauder@mssny.org.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Peer to Peer (P2P) Program
The Medical Society of the State of New York now offers to physicians, residents, and medical students a completely confidential and anonymous opportunity to talk with a peer about some of life stressors. MSSNY’s Physician Wellness and Resiliency Committee launched a Peer 2 Peer

(P2P) program to assist their colleagues who are need of help in dealing with work and family stressors. With the advent of the COVID-19 pandemic, some of the emotional issues related to this event, may also be troubling for our colleagues.

MSSNY has established a confidential helpline phone number (1-844-P2P-PEER) and an email address (p2p@mssny.org) so that physicians may be connected with a peer24/7 . 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!

A training session to become a peer supporter will be scheduled for the coming month. If you wish to become a trained peer supporter, please reach out to Cayla Lauder, MPH, Public Health Associate, at clauder@mssny.org.

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

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

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


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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
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For the MSSNY 2022 Ad RateSheet, please click here.


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


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

 

 

MSSNY eNews: April 22, 2022

Message from MSSNY President Dr Joseph Sellers:
Have Prior Auth Hassles Hindered Care for Your Patients?

Colleagues:
With the New York State Budget now behind us, it’s time to refocus our efforts on the six remaining weeks in the legislative session.

The “Gold Card” legislation, which was introduced in the Assembly by Assemblymember John McDonald (D-Albany) and in the Senate by Senator Neil Breslin (D-Albany), would establish a program in which insurers will exempt physicians from a health insurer’s Prior Authorization (PA) requirements for a specific treatment if they receive at least 90% approval for PAs for that specific health care treatment.  With the Senate Insurance Committee to consider the legislation next week, all physicians are urged to contact their Senators to express support: Take Action!

As physicians, we are all too familiar with how excessive prior authorization hassles can impede patient care. In fact, a recent AMA survey showed that more than 9 in 10 physicians (93%) reported care delays while waiting for health insurers to authorize necessary care, and 82% said patients abandon treatment due to authorization struggles with health insurers. More than half (51%) of physicians reported that prior authorizations had interfered with a patient’s job responsibilities, and more than one-third (34%) of physicians reported that prior authorization led to a serious adverse event such as hospitalization, disability, or even death, for a patient in their care.

The bill is a new and important part of MSSNY’s ongoing advocacy efforts to confront excessive prior authorization requirements that interfere with patient care delivery and access to the most effective treatments.

It’s time for us to take action. Please share any examples you have of prior authorization hassles that have hindered necessary patient care so that we can bring your anecdotes to the legislators and to regulators with authority to stem the abusive practices of health insurers.

Again, please take a minute to visit MSSNY’s Grassroots Action Center (GAC) to urge your state Senator and Assemblymember to sign on in support of A.9908-A, McDonald/S.8299, Breslin: Take Action!

Joseph Sellers, MD, FAAP, FACP
MSSNY President


Urgent Reminder: Provider Relief Fund Requests for Late Reporting Due AT MIDNIGHT
Physicians who received more than $10,000 in provider relief funds and did not submit their Period 1 report must act immediately by submitting a late Reporting Period 1 report request by Friday, April 22, 2022 at 11:59 pm ET. HRSA has informed the AMA that there are approximately 16,000 providers in this situation, accounting for about 2% of Provider Relief Funds disbursed in Period 1. While physician practices should have received information about how to submit a request directly from HRSA via email and US postal mail, we are aware many providers have not been contacted. The emails were sent from UHG_HRSA@ProviderEmail.uhc.com. If a provider did not submit a Period 1 report and does not hear from HRSA, click here to learn more about the late reporting request form or call (866) 569-3522.

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

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

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

If HRSA approves the extenuated circumstances form, the provider will receive a notification to proceed with completing the Reporting Period 1 report shortly thereafter. Providers will have 10 days from the notification receipt date to submit the late Period 1 report in the PRF Reporting Portal. The AMA will continue to advocate for greater flexibility and more information to ensure physician practices have an adequate opportunity to come into compliance.


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10 Most Diverse Medical Schools: US News & World Report
As part of its annual best graduate schools lists, U.S. News & World Report worked with the Robert Graham Center, a division of the American Academy of Family Physicians, to rank the most diverse medical schools.

The rankings, released March 29, are based on fall 2021 medical and osteopathic school-level race and ethnicity enrollment information reported to U.S. News in fall 2021 and early 2022 by the schools. The rankings include 126 medical and osteopathic schools and consider the percentage of each medical school’s fall 2021 total enrollment who are underrepresented minority students and how that percentage compares with state and national race-ethnic-group proportions. Access more information about the methodology here.

Note: The list includes ties.

  1. Howard University College of Medicine (Washington, D.C.)
  2. Herbert Wertheim College of Medicine at Florida International University (Miami)
  3. The UC Davis School of Medicine (Sacramento, Calif.)
  4. The Robert Larner College of Medicine at the University of Vermont (Burlington)
  5. University of New Mexico School of Medicine (Albuquerque)
  6. Kaiser Permanente Bernard J. Tyson School of Medicine (Pasadena, Calif.)
  7. Lewis Katz School of Medicine at Temple University (Philadelphia)
  8. University of Miami Leonard M. Miller School of Medicine (Miami)
  9. Brody School of Medicine at East Carolina University (Greenville, N.C.)
  10. Pritzker School of Medicine at University of Chicago

–Gooch, Becker’s Hospital Review


MSSNY Supporting Copay Accumulator Legislation
The Senate Insurance Committee will vote on legislation at its next meeting on Monday, April 25th to  prohibit insurers from preventing patients from using a copay card or coupon to count towards their insurance deductibles through a relatively new insurance benefit design known as “Copay Accumulators”.

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

Despite New York State’s strong record in providing affordable access to health insurance, many New Yorkers still struggle to pay for their prescription drugs and for those battling chronic illnesses like cancer, diabetes, multiple sclerosis, and others, the burden is often overwhelming.

Patients taking medications to help recover from illness or to manage life-threatening and chronic medical conditions often face significant out-of-pocket cost-sharing requirements such as high deductibles, health insurer-imposed Copay Accumulators have a significant adverse affect upon patients living with chronic conditions like cancer, diabetes, Multiple Sclerosis, and a host of others.

MSSNY strongly supports policy to ensure that third party financial support will help patients to meet the cost of their medications. Please take a minute to visit our Grassroots Action Center (GAC) to take action let your legislators know that you support passage of this important legislation!


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Biosimilars Awareness and Patient Access Assessment
Patients living with chronic or complex diseases have benefited in recent years from innovative biological medicines, which are manufactured from living cells and highly effective for many patients. Today, there are even more options on the market with so-called Biosimilars, which are biological medicines approved by the Food & Drug Administration (FDA) as “highly similar” to an original biologic therapy.

Like many states, New York enacted a law that permits a pharmacist to substitute an FDA-approved biosimilar for an original biologic therapy, provided there is notice to the prescribing physician within 5 days of the substitution. With that law expiring in 2022, and the State Legislature likely to consider an extension or changes to that law, there is a great need for MSSNY to learn about physicians’ experiences with the application of this law, as well as their experiences regarding health insurers’ similar or disparate coverage of innovator and biosimilar therapies.

To help us better understand this growing area of medicine from your perspective as physicians, we need your help and less than 5 minutes of your time by taking this very brief survey today.


MSSNYPAC at the HOD
MSSNYPAC Chairs Dr. Thomas Lee and Dr. Rose Berkun invite local physicians, medical students, delegates, and guests who will be attending the MSSNY House of Delegates or in the Tarrytown area on Friday, May 20 to attend the MSSNYPAC membership meeting at the Tarrytown Marriot.  We will discuss the recent legislative accomplishments, legislative priorities for the remainder of the 2022 Legislative Session and the essential role MSSNYPAC plays in supporting physician relationships with candidates seeking election or re-election the NYS Senate, NYS Assembly and statewide offices. Contact Jennifer Wilks at mssnypac@mssny.org or call/text 914-933-7722 for further information or to RSVP.  Donate online today at www.mssnypac.org.


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Join Healthcare Appreciation Week at Yankee Stadium
Baseball season is off and running! Healthcare Appreciation Day at Yankee Stadium will be held the week of May 6th– May 11th. Healthcare workers and their families may take advantage of a special offer for these nights that includes 20-45% discounted tickets, a commemorative scrub top, as well as a complimentary hot dog and drink. Purchase tickets.


CDC Issues Health Advisory About Cluster of Children with Hepatitis
The Centers for Disease Control and Prevention (CDC) has issued a Health Alert Network (HAN) Health Advisory notifying clinicians about a recently identified cluster of children with hepatitis and adenovirus infection.


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Classified Ads Available for:

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

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

For the MSSNY 2022 Ad RateSheet, please click here.


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


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


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


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

 

 

MSSNY eNews: April 8, 2022

Message from MSSNY President Dr Joseph Sellers:
Physicians Are Worthy of the Same Compassion We Give Our Patients

Colleagues:
Last week, I was moved by an essay in the New York Times by Dr. Seema Jilani entitled Why So Many Doctors Treat Their Mental Health in Secret, and submitted a Letter to the Editor. Although the Times did not print the letter, I want to share it with all of you here:

Thank you for addressing the critical issue of physician mental health with this eloquent, poignant, and brave essay. Dr. Jilani’s words evoke strong emotion in those of us who are proud to serve as physicians.  We endure years of education and training because we have a calling to heal. But the COVID-19 pandemic has taken a toll on what has always been a stressful profession—and so many struggle in silence.

The Committee for Physician Health, a division of The Medical Society of the State of New York (MSSNY), provides non-disciplinary, confidential assistance to physicians, residents, and medical students with stress, difficult adjustment, substance abuse and other psychiatric disorders.

And in July 2020, just as the pandemic was heating up, MSSNY launched a program to provide physicians, residents, and medical students the opportunity to speak with a peer about life stressors.  The Peer-to-Peer program offers a confidential discussion with a physician peer supporter—an individual trained to share experiences, listen without judgment, and validate feelings.

As Dr. Jilani so aptly states, “physicians are worthy of the same compassion we give our patients.”

Joseph Sellers, MD, FAAP, FACP
MSSNY President


Legislature Closes in on Passing Budget
After being a week overdue, the State Legislature was giving final passage to a $220 billion Budget package today.  At press time, while some bills remain to be printed and staff is continuing to pore through the thousands of pages of publicly available Budget bills, of importance to physicians, it includes:

  • Telehealth Payment Parity.  A law strongly advocated for by MSSNY (together with several specialty societies) requiring health insurers to pay equal for telehealth services that they would pay for comparable in-person services.  The law will have to be extended in 2 years (see related article).
  • Increasing Physician Loan Repayment. A 75% increase in funding (to nearly $16 million) for the Doctors Across New York student loan repayment program, where physicians can receive up to $120,000 in student loan relief for providing care (for at least 3 years) in an underserved area.
  • Medicaid Payment Increases. A restoration of the 2020 1.5% cut to Medicaid payments and a further across the Board 1% payment increase.
  • Med Mal Excess Restored.  A straight one-year extension of the Excess Medical Malpractice Insurance program. MSSNY worked with specialty societies to fight back against an Executive Budget proposal that would have required physicians to pay upfront for this very expensive coverage and then be reimbursed.
  • Insurance Reforms. Targeted health insurance reforms including requiring all New York state regulated health insurers to complete credentialing review within 60 days of the physician’s network participation application, as well as another measure to ensure all health insurers follow rules that limit excessive medical record requests.
  • Insurance Coverage Expansion.  Increasing New Yorkers’ eligibility for the Essential Plan with those with incomes up to 250% FPL; elimination of premiums for CHIP coverage for families up to 223% FPL; and one-year post-partum Medicaid coverage.

Importantly, as well, the final Health Budget bill also deleted Executive Budget proposals for which MSSNY had raised concerns, including:

  • No Rx Prior Authorization. Imposing new prior authorization requirements for prescriptions written for patients covered by Medicaid and Medicaid Managed Care
  • No Interstate Compact. Permitting New York to join the Interstate Medical Licensure compact

However, despite strong MSSNY opposition and other groups, the following proposals were included in the agreed upon Health Budget.

  • Nurse Practitioners. Extending in statute for 2 years the current Executive Order provision that exempts Nurse Practitioners with more than 3,600 hours experience from having to maintain proof of collaborative relationships with physicians practicing in the same specialty;
  • Additional Criteria for IDR. As part of a comprehensive proposal to update New York’s surprise bill law to incorporate mandatory elements of the federal No Surprises Act, while the provisions importantly eliminated the requirement for a patient to execute an Assignment of Benefits, it also included median in-network payment data as one of the express criteria to be considered by the Independent Dispute resolution entity in addition to the usual and customary charge of the physician and the particular expertise of that physician.

Also of note, the Budget allocates a pool of funds within the Department of Health to provide bonuses for health care employees who make less than $125,000 per year.  Employers required to participate in the program include health care entities subject to a Certificate of Need process, or which have at least 20% of their patients covered under Medicaid.  The bonuses range from $500 for a part-time worker to $3,000 for a full-time worker, over a 6-month period.

MSSNY staff will continue its review of the many Budget provisions and will provide a further comprehensive update next week.


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Telehealth Payment Parity Included in FY2022-23 Budget
After many months of strongly advocating for payment parity for Telehealth services, included in the final Budget is a provision that will require health insurers to pay physicians on par with what they’re paid for an in-person visit when providing the same care using Telehealth services. The policy covers all modalities of Telehealth. With the provisions scheduled to sunset in 2 years, the Budget bill also calls for a study by DFS and DOH to study the impact of payment parity using utilization data from health insurers.

While we will need to again advocate for this important physician and patient protection in 2 years, it is a very significant first step.  MSSNY thanks Governor Kathy Hochul, Senators Gustavo Rivera and Peter Harckham, and Assemblymembers Richard Gottfried and Carrie Woerner for their leadership on this issue. MSSNY also worked closely with the American College of Obstetricians and Gynecologists (ACOG), the New York State Psychiatric Association (NYSPA), the New York Chapter American College of Physicians (NYACP), New York State Academy of Family Physicians (NYSAFP), and a range of other specialty societies representing physicians across New York State, as well as the Healthcare Association of New York State (HANYS).


Physicians May Request Extra Time to Report Provider Relief Funds, HRSA Says
Due largely to AMA and specialty society advocacy, the Health Resources and Services Administration (HRSA) has decided to reopen the reporting time for recipients of Period 1 Provider Relief Funds. In the AMA’s March 31, letter to HRSA, the AMA and 31 national medical specialty societies noted small and rural practices appeared to be particularly impacted by the potential recoupment, and that physician practices were unaware of the deadline.

Those physicians who received more than $10,000 in provider relief funds and failed to submit their period 1 report should act immediately. Between Monday, April 11 and Friday, April 22, 2022, at 11:59 pm ET, providers who have not submitted their Period 1 report may submit a late Reporting Period 1 report request. Physician practices should receive information about how to submit a request directly from HRSA via email. If a provider did not submit a Period 1 report and does not hear from HRSA, the provider may initiate communication by calling (866) 569-3522. During this reopening period, a provider must choose an extenuating circumstance(s) that prevented compliance with the original reporting deadline. While attesting to an extenuating circumstance is required, no supporting document or proof is required.

If HRSA approves the extenuated circumstances form, the provider will receive a notification to proceed with completing the Reporting Period 1 report shortly thereafter. Providers will have 10 days from the notification receipt date to submit the late Period 1 report in the PRF Reporting Portal. The AMA will continue to advocate for greater flexibility and more information to ensure physician practices have an adequate opportunity to come into compliance.


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MSSNY Supports Legislation to Ban Use of Step Therapy Protocols for Mental Health
Legislation (A.3276, Aileen M. Gunther- D, Monticello) passed the Assembly this week that will prohibit the use of step therapy protocols for coverage for the diagnosis and treatment of mental health conditions including prescription drug coverage. Identical legislation (S.5909, Todd Kaminsky- D, Rockville Centre) is before the Senate Insurance Committee.

Step Therapy, also known as “Fail First” policies, force patients to try treatment deemed less costly by the insurer in place of the therapy originally prescribed by their physician, and to “fail first” before the insurer will cover the original treatment. Too often, this requires patients to take medications that they have previously tried without success, wait months for approval to switch to another option after failing with a given drug, and frequently to suffer adverse effects from taking an inferior medication. In 2016, MSSNY successfully advocated with a number of patient advocacy groups in strong support of a far-reaching law that established defined criteria to facilitate the ability of a physician to override a health insurer’s step therapy protocol.

Studies on the impact of step therapy policies have found they can actually increase total health care costs in the long run through increased emergency room visits and hospitalization as a result of taking the wrong medication. These policies are particularly dangerous for patients with mental health conditions, where they’re associated with a higher risk of patients abandoning their treatment, often with dire consequences like homelessness and incarceration.

MSSNY will continue to advocate for this bill in the Senate.


Physician Judges Needed: MSSNY’s Resident/Fellow and Medical Students Poster Symposium

The Resident and Fellow Section is seeking volunteers to serve as in-person judges for its Poster Symposium.  Judging will take place at MSSNY’s House of Delegates in Tarrytown on Friday, May 20 from 1:00 PM – 4:00 PM in the Tarrytown Ballroom.  If you are interested in serving as an in-person judge please contact Kathy Rohrer at krohrer@mssny.org


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Join MSSNY In Kicking Off Wellness
MSSNY will be hosting a series of physician wellness webinars covering various topics within the realm of wellness over the next few months.

Improving Well-Being and Reducing Burnout Among Health Care Workers: April 26 @ 7:30am

Michael Privitera, MD and Arthur Hengerer, MD will serve as faculty. Register now!

Educational objectives:

  • Define and give examples of extraneous cognitive load
  • Explain rationale of why reducing extraneous cognitive load burden may be more impactful in improving patient safety than education alone
  • Give two examples of application of cognitive ergonomics that can reduce the risk of clinician burnout and latent medical error

Women in Medicine 2022: Up the Down Staircase: May 21, 8:40-9:40am

Carol Bernstein, MD will serve as faculty. Register now!

Educational objectives:

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

Additional information or assistance with registration may be obtained by contacting Cayla Lauder at clauder@mssny.org.

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

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


Stresses & Distresses in the Time of COVID-19: Medical Matters CME Webinar

The COVID-19 pandemic has caused innumerable mental health sequelae that will likely be present for years to come.  To learn more, register for Stresses & Distresses in the Time of COVID-19 on Wednesday April 20, 2022, at 7:30 a.m. Craig Katz, MD, vice-chair of MSSNY’s Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Register now. 

Educational objectives:

  • Illustrate the many sources of stress that society is enduring in recent years
  • Identify the many ways different ways the resulting distress can be experienced
  • Discuss what clinical approaches are available for helping

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

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

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


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 2022 Ad RateSheet, please click here.


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


HOD Banner



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


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


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

 

 

MSSNY eNews: April 1, 2022

Message from MSSNY President Dr Joseph Sellers:
In-Person House of Delegates Meeting in May!

Colleagues:
After two long years of more Zoom meetings than we care to count, we are all looking forward to once again connecting with colleagues in-person at MSSNY’s House of Delegates meeting on May 21.

We’re doing things a bit differently this year—although the HOD itself will be held in-person, we will hold the Reference Committee meetings virtually well in advance of the House. The first meeting is this Sunday, April 3 and the meetings continue through next week. Following is the schedule of meetings:

Sunday, April 3@ 9 AM/Governmental Affairs B
Monday, April 4@ 6 PM/Governmental Affairs A
Tuesday, April 5@ 6:30 PM/Bylaws
Wednesday, April 6@ 6:30 PM/Reports of Officers
Thursday, April 7 @6 PM/Socio-Medical Economics
Saturday, April 9@ 9 AM/Public Health and Education

Since any MSSNY member can participate in Reference Committee meetings, this presents a unique opportunity for members to join the meetings without traveling. Please remember to register for each hearing to ensure receipt of the Zoom link and to allow the Chairs to identify the participant, resolution authors, and conflicts of interest. A 90-second limitation on testimony will be in effect.  Separate registration is required for each reference committee hearing and is unique to the individual registered.

We have a fantastic House of Delegates planned—including a grand celebration befitting a two-year absence of meeting in person—and we’d like to remind you to place Journal ads or ask your colleagues, friends, and institutions to place an ad celebrating MSSNY members for their dedicated service throughout the COVID-19 pandemic. Visit the HOD Sponsor page for more information.

The Journal will be distributed to all MSSNY delegates and other leaders.  Ads are at the following rates:

  • Half Page =$500
  • Color Full Page =$1,000
  • Silver Full Page =$1,500
  • Gold Full Page =$2,000

We are looking forward to a productive House of Delegates meeting—and to reconnecting with friends and colleagues.

Joseph Sellers, MD, FAAP
MSSNY President

President-Elect Dr. Parag Mehta
(Be advised, video is very quiet. Increased volume may be required.)

 


Physician Payments Plummet after State Health Plan Upends Surprise-Billing Process: Crain’s New York Reports
MSSNY, together with the NYS Society of Anesthesiologists and the NYS Society of Plastic Surgeons, has written to the Governor to express its deep concerns with the position taken by the NY Department of Civil Service (DCS) that NYSHIP/Empire Plan is no longer subject to NY insurance law regulations when the Empire Plan reimburses out-of-network physicians for medically necessary services covered by the Empire Plan, including the State IDR process for resolving disputes.   The letter noted that, if not addressed promptly, surgical and medical specialty practices will suffer long-term irreparable harm that will cause many of them to go out of business or drastically reduce their services.  The letter also notes that this decision could harm patients, who will see the availability of high-quality medical services significantly reduced.

Today’s Crain’s New York features comments from MSSNY Executive Vice-President Troy Oechsner noting the physician community’s alarm with this arbitrary and unfair action taken by DCS and United Healthcare. The article also features MSSNY member and Long Island anesthesiologist Dr. Steve Schulman, who noted that his “medical group is now at risk of losing millions of dollars in reimbursements for services it has provided to Empire Plan enrollees” and that this could have “a ripple effect on patients’ access to surgical services and specialty medical care”.  He further noted, “If payments are delayed and significantly lower than expected, practices may close.”

The article also mentions that several physician groups, together with NYSHIP/Empire Plan enrollees, filed a lawsuit this week against DCS and United Healthcare arguing that the Empire Plan is subject to state law, including the surprise bill law.  MSSNY is not a party to the lawsuit.


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Legislature & Governor Still Negotiating State Budget
Despite today’s due date, legislative leaders and the Governor are continuing to negotiate key details of the many aspects of the New York State Budget.  With the State coming close to a deadline that could impact payment to state employees, legislators are scheduled to return to Albany on Monday to begin pass the various Budget bills, once they are finally agreed upon. Here is a summary of the top issues “in play” affecting physicians and their patients:

Telehealth Payment Parity. Both the Executive Budget proposal and the Senate’s Budget proposal included language supported by MSSNY to require health insurers to pay telehealth services at levels equal to in-person services.  The Assembly did not include this provision in their one-House Budget, but negotiations are ongoing.  MSSNY’s support, together with ACOG-District 2, the New York State Psychiatric Association and other specialty societies, was highlighted in a story by the Albany-area ABC-TV affiliate .

Because this issue is still being negotiated, physicians are urged to send a letter in support here: Support Payment Parity for Telehealth Services (p2a.co)

Public Health Investments. Both one-House Budget proposals agreed with the Executive Budget proposal to significantly increase funding for the Doctors Across New York student loan repayment program, and to implement a 1% across the board Medicaid payment increase.

Both Houses also agreed with various initiatives to increase and maintain access to comprehensive health insurance, including increasing the upper income threshold eligibility for the State’s Essential Plan health insurance program, and eliminating premium requirements for eligibility for the CHIP program for families making less than 223% FPL.

Excess Medical Malpractice Insurance Program. The final Budget is likely to include another one-year extension of the current Excess Insurance Program.

Scope of Practice Proposals. Both one-House Budget proposals did not include language opposed by MSSNY that would create further silos in healthcare by permitting pharmacists to perform numerous lab tests without physician coordination and eliminating current statutory requirements for nurse practitioners (NPs) to maintain collaborative relationships with physicians.

The Assembly Budget proposal would permanently extend the existing law that requires NPs with more than 3,600 hours experience to comply with simplified collaboration standards that do not require a written practice agreement but ensure there are defined collaborative relationships with a physician practicing in the same specialty. The Senate indicated that “each scope of practice deserves a robust conversation outside the context of the Executive Budget.”

MSSNY’s concerns with these proposals were detailed in a Crains Health Pulse article (Scope Creep concerns (crainsnewyork.com).  Physicians can send a letter in support of protecting physician-led team care here: Protect Physician-Led Team-Based Care (p2a.co)

Licensing/Oversight Proposals. Both Houses did not include a proposal to transfer oversight of the several health professions from the Department of Education to the Department of Health. However, the issue remains under discussion.

Interstate Medical Licensure Compact. The Assembly did not include a proposal to permit New York to join the Interstate Medical Licensure Compact. The Senate included the proposal in its one-house Budget.

Surprise Bill Law Changes. Both one-House Budget proposals did not include language contained within the Governor’s Budget to make changes to New York’s surprise bill law to ensure it meets the requirements of the federal No Surprises Act (NSA) recently passed by Congress.  Most of these changes have been implemented through Circular letters issued last December by the NY Department of Financial Services. While MSSNY did not object to formalizing these necessary changes to statute that had been advanced in the Executive Budget, it did oppose one aspect of that proposal – not required by the NSA – that would require the Independent Dispute Resolution entity to consider the insurer’s self-determined median in-network payment amounts.

Once the Budget bills are enacted, MSSNY will provide physicians with a summary of the top issues that impact physicians and their patients.


MSSNY Seeks NYS Funding for the Veterans Mental Health Training Initiative
MSSNY staff and leadership continue to advocate for funding the Veterans Mental Health Training Initiative (VMHTI) within the NYS budget. Since 2008, this program had been funded through a legislative add-on to provide skills, development, and education for primary care physicians and other mental health providers to treat veterans within their practice. This initiative is a partnership between the Medical Society of the State of New York, The New York State Psychiatric Association, and the National Association of Social Workers-New York State.

These associations work to deliver free training to service providers across New York. They also work with counties implementing the NYS Joseph P. Dwyer Veterans Peer Support programs, which provide holistic care for returning veterans. Through this initiative, MSSNY has been able to provide seminars, webinars, and other online programming to MSSNY’s county medical societies and hospitals. MSSNY is asking physicians send a letter on the VMHTI through its Grassroots Action Center (GAC) to ensure that this funding is included in the state budget.



CMS Releases Guidance on Virtual Credit Cards and EFT/ERA Payments
The Centers for Medicare & Medicaid Services (CMS) has released new guidance on Virtual Credit Cards (VCC) and electronic funds transfer (EFT)/electronic remittance advice (ERA) payment transactions, as well as business associate compliance  with the Health Insurance Portability and Accountability Act’s (HIPAA) Administrative Simplification requirements.  Last fall, MSSNY joined with the AMA and medical societies across the country   advocating to CMS in a sign-on letter  raising concerns with health insurers forcing physicians to pay percentage-based EFT fees for electronic payments.

As reported by the AMA, CMS’ new guidance notes that:

  • VCCs may be used for payment but health plans may not force physicians to accept them.
  • As business associates to health plans, payment vendors must comply with the HIPAA-mandated transactions.
  • EFT value-add services may “adversely affect” the HIPAA-mandated standard transaction and thus health plans may not force providers to accept them from a vendor as a condition of receiving electronic payments.

The AMA further recommends that physicians review the new guidance and talk to their health plans about any services they are currently receiving that they do not want. Physicians should distinguish between fees their own business associates may provide and fees the health plan requires. Additionally, physicians filing Administrative Simplification Enforcement and Testing Tool (ASETT) complaints should be sure to name the health plan in their complaint, as the health plan is ultimately responsible for compliance with HIPAA.

MSSNY will continue to work with the AMA in monitoring additional developments on this issue as well as working with physicians to have insurers violating these policies be investigated by regulatory enforcement agencies.


CMS Re-Implements 1% Medicare Sequestration Cut
At the end of 2021, MSSNY worked with the AMA and medical societies across the country in  support of legislation passed by Congress to prevent a cumulative 10% cut to Medicare payments that included extending a temporary halt of the 2% Medicare sequester cut.  The federal legislation provided an extension of full sequestration relief until March 31, 2022.  As reported by the AMA, starting today April 1, physicians, hospitals, and other health care providers will receive only partial relief from Medicare sequestration as a 1% Medicare sequester goes into effect for the next three months. Then, on July 1, there will be a return of the full 2% Medicare sequester.

The AMA and other stakeholders recently sent a letter to Congress asking that sequestration relief be extended through the end of the public health emergency. However, the AMA reports that there was little support in Congress to prevent further sequestration cuts, and that the phased-in return of sequestration is a signal of congressional intent that relief in the form of moratoriums will no longer be forthcoming.

The AMA will continue to work with Congress to create a fair Medicare physician payment system.


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Medical Matters CME Webinar: Stresses & Distresses in the Time of COVID-19
The COVID-19 pandemic has caused innumerable mental health struggles that will likely be present for years to come.  Register now for Stresses & Distresses in the Time of COVID-19  on Wednesday April 20, 2022, at 7:30 a.m. to learn more about the stress the COVID pandemic has caused.  Craig Katz, MD, vice-chair of MSSNY’s Emergency Preparedness and Disaster/Terrorism Response Committee, will serve as faculty for this program. Register now.

Educational objectives are:

  • Illustrate the many sources of stress that society has endured in recent years
  • Identify the many different ways the resulting distress can be experienced
  • Discuss what clinical approaches are available to help

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

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

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


MSSNY Webinar: Improving Well-Being and Reducing Burnout Among Healthcare Workers
The COVID-19 pandemic has exacerbated burnout among healthcare workers. Join MSSNY for this webinar to learn more about how systems and health care workers can impact wellness culture to decrease rates of burnout. Serving as faculty for this webinar will be Michael Privitera, MD and Arthur Hengerer, MD. Register now!

Educational objectives are:

  • Define and give examples of extraneous cognitive load
  • Explain why reducing extraneous cognitive load burden may be more impactful in improving patient safety than education alone
  • Give two examples of application of cognitive ergonomics that can reduce the risk of clinician burnout and latent medical error

Additional information or assistance with registration may be obtained by contacting Cayla Lauder at clauder@mssny.org.

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

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


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Peer to Peer (P2P) Program
After all that we have been through as a nation and a society, physicians deserve a week of recognition more than ever. Physicians, nurses, and other healthcare providers have worked tirelessly through a two-year global pandemic. So, if there was ever a time to say thank you and honor physicians, it is now.

National Physicians Week is recognized annually from March 25 to 31. As physicians took an oath to ethically help others to heal, MSSNY offers the suggestion that a mere thank you, or acknowledgment of what your physician means to you, can truly help “heal thy physician.” As of September 2021, there were just over one million professionally active physicians in the United States, all of whom worked tirelessly to fight COVID-19.  Some believe that gratitude is the simplest, most powerful way to acknowledge another person’s value and humanity. Gratitude can instill hope and a sense of pride in what someone does and or means to you.

MSSNY and the peer supporters recognize the hard work and dedication the physicians put into their job, and we are here to offer a friendly ear.

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

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

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


Classified Ads Available for:

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

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

For the MSSNY 2022 Ad RateSheet, please click here.


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


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


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


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

 

 

MSSNY eNews: March 25, 2022

Message from MSSNY President Dr. Joseph Sellers:
Telehealth is Here to Stay

Colleagues:
This week’s AMA telehealth survey makes it clear what I think most of us already know: telehealth works for both patients and physicians—and telehealth is here to stay.

Nearly 85% of physician respondents indicated they are currently using telehealth to care for patients, and nearly 70% report their organization is motivated to continue using telehealth in their practice. More than 80% of physician respondents indicated that their patients have had better access to care since using telehealth. Many physicians foresee providing telehealth services for chronic disease management and ongoing medical management, care coordination, mental/behavioral health, and specialty care.

But key to continuing to have this modality available for our patients is getting insurance companies to pay fairly for care provided via telehealth. As Governor Hochul and the state legislature move into the final days of negotiations for the FY 2022-23 budget, MSSNY will continue to encourage lawmakers at the Capitol to pass policy that requires insurers to pay physicians for telehealth on par with what they’re paid for an in-person visit when providing the same care.

We are reaching out on several other fronts as well. Last week, we released a joint statement to the press from New York physician and hospital organizations calling on the Legislature to include telehealth payment parity in the final enacted budget. In an interview I did with WRGB-TV/CBS Albany, I said that telemedicine has been the one positive to come out of the pandemic; it gives us the ability to meet patients where they are and to help people who are home bound or live in rural areas. I have interviews scheduled with several other media outlets next week as well.

In addition, we are continuing to amplify the issue on our social media platforms and through our grassroots network. I encourage you to engage with our tweets on this issue and to reach out to your Assembly member and state Senator and urge them to speak to their leadership to support inclusion of payment parity for Telehealth services. Support Payment Parity for Telehealth Services.

Joseph Sellers, MD, FAAP
MSSNY President


Legislature, Governor Negotiating State Budget
As the New York State Senate and State Assembly work around the clock in negotiations with Governor Hochul to achieve adoption of a State Budget by the State deadline of April 1, physicians should be aware of the number of proposals under discussion that could impact physicians and the patients they treat.

Telehealth Payment Parity. Both the Executive Budget proposal and the Senate’s Budget proposal included language supported by MSSNY to require health insurers to pay telehealth services at levels equal to in-person services. The Assembly did not include this provision in their one-House Budget, but negotiations are ongoing. Physicians can send a letter in support here: Support Payment Parity for Telehealth Services (p2a.co)

Public Health Investments. Importantly, both one-House Budget proposals agreed with the Executive Budget proposal to significantly increase funding for the Doctors Across New York student loan repayment program, and to implement a 1% across the Board Medicaid payment increase.

Both Houses also agreed with various initiatives to increase and maintain access to comprehensive health insurance, including increasing the upper income threshold eligibility for the State’s Essential Plan health insurance program, and eliminating premium requirements for eligibility for the CHIP program for families less than 223% FPL.

Excess Medical Malpractice Insurance Program. One-House Budget proposals did not include a proposal that would require the insurance carriers writing Excess Liability coverage be paid in two annual installments. However, discussions with the Executive have been ongoing regarding using possible unused allocations from previous Budgets to provide a full allocation for the 2022-23 policy year and ensuring that there be no physician cost-share responsibility.

Scope of Practice Proposals. Both one-House Budget proposals did not include language opposed by MSSNY that would create further silos in healthcare by permitting pharmacists to perform numerous lab tests without physician coordination and eliminating current statutory requirements for nurse practitioners (NPs) to maintain collaborative relationship with physicians.

The Assembly Budget proposal would permanently extend the existing law that requires NPs with more than 3,600 hours experience to comply with simplified collaboration standards that do not require a written practice agreement but ensure there are defined collaborative relationships with a physician practicing in the same specialty as the NP. The Senate indicated that “each scope of practice deserves a robust conversation outside the context of the Executive Budget”

Physicians can send a letter in support of protecting physician-led team care here: Protect Physician-Led Team-Based Care (p2a.co)

Licensing/Oversight Proposals. Both Houses did not include a proposal to transfer oversight of the several health professions from the Department of Education to the Department of Health.

The Assembly did not include a proposal to permit New York to join the Interstate Medical Licensure Compact. The Senate included the proposal in its one-house Budget.

Surprise Bill Law Changes. Both one-House Budget proposals did not include language contained within the Governor’s Budget to make changes to New York’s surprise bill law to ensure it meets the requirements of the federal No Surprises Act (NSA) recently passed by Congress.  Most of these changes have been implemented through Circular letters issued last December by the NY Department of Financial Services. While MSSNY did not object to formalizing these necessary changes to statute that had been advanced in the Executive Budget, it did oppose one aspect of that proposal – not required by the NSA – that would require the Independent Dispute Resolution entity to consider the insurer’s self-determined median in-network payment amounts.

Please remain alert for further requests for grassroots advocacy on these issues.


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MSSNY Continues to Urge Governor Hochul to Stop Changes to the NYS Empire Plan
MSSNY continues to be in regular communication with the Governor’s office to express its deep concerns with the position taken by the NY Department of Civil Service (DCS) that claims that NYSHIP/Empire Plan is no longer subject to NY insurance law regulations when the Empire Plan reimburses out-of-network physicians for medically necessary services, including the State IDR process for resolving disputes.  MSSNY has also been in discussion with hospital associations that would likely also be adversely affected by this decision by DCS, as well as law firms representing physicians impacted by this.

As noted in last week’s e-news, MSSNY has together with the NYS Society of Anesthesiologists and NYS Society of Plastic Surgeons written to the Governor’s to staff to argue that these actions by the NYSHIP/Empire Plan are contrary to the provisions of the Civil Service Law, which requires that the Empire Plan be subject to NY insurance laws and DFS regulation. If not addressed, not only may physician practices suffer long-term irreparable harm, but it could also harm patients, who will see the availability of high-quality medical services significantly reduced, particularly given that a major selling point of public employment in New York has been the Empire Plan’s out-of-network benefit.

Please remain alert for further updates on this issue.


MSSNY Seeks NYS Funding for the Veterans Mental Health Training Initiative
MSSNY staff and leadership continue to advocate for funding the Veterans Mental Health Training Initiative (VMHTI) within the NYS budget. Since 2008, this program had been funded through a legislative add-on to provide skills, development, and education for primary care physicians and other mental health providers to treat veterans within their practice. This initiative is a partnership between the Medical Society of the State of New York, The New York State Psychiatric Association, and the National Association of Social Workers-New York State.

These associations work to deliver free training to service providers across New York. They also work with counties implementing the NYS Joseph P. Dwyer Veterans Peer Support programs, which provide holistic care for returning veterans. Through this initiative, MSSNY has been able to provide seminars, webinars, and other online programming to MSSNY’s county medical societies and hospitals. MSSNY is asking physicians send a letter on the VMHTI through its Grassroots Action Center (GAC) to ensure that this funding is included in the state budget.



Governor Hochul Recognizes 12th Anniversary of the Affordable Care Act & Celebrates Gains in Insurance Coverage
This week, Governor Hochul recognized the 12th anniversary of the Affordable Care Act and the historic levels of health insurance coverage through New York State of Health, the state’s official health plan marketplace, which has provided over 6.5 million New Yorkers access to affordable health insurance. Governor Hochul Statement | Governor Kathy Hochul (ny.gov)

Flexibilities resulting from the COVID-19 Public Health Emergency, as well as enhanced federal tax credits made available under the American Rescue Plan Act of 2021, have made coverage through the marketplace more affordable for many New Yorkers. For example, enhanced tax credits saved eligible New Yorkers an average of $100 per month on Qualified Health Plan (QHP) premium costs in 2021.

However, as noted in the Governor’s statement, if Congress does not extend these subsidies beyond 2022, QHP consumers could see their monthly premiums rise by 58%. Governor Hochul is calling on Congress to extend these tax credits to preserve critical health insurance coverage for New Yorkers. MSSNY also recently urged its Congressional delegation members to support continuation of these additional subsidies.

For more information about Marketplace health plans and enrolling in coverage, visit: nystateofhealth.ny.gov

Consumers continue to have a choice of health plan options and can use the NYS Provider & Health Plan Look-Up Tool to search for preferred provider networks, including doctors and hospitals.  Free enrollment assistance is provided in local communities throughout the state.

  • Consumers can enroll in a health plan by:
  • Calling the Customer Service Center at 1-855-355-5777
  • Monday to Friday, from 8:00 a.m. – 8:00 p.m.
  • Saturdays, from 9:00 a.m. – 1:00 p.m.
  • Logging onto the website at ny.gov
  • Speaking with an enrollment assistor. Find an assistor here.

PAI Submits Prior Auth Simplification Recommendations to HHS
The Physicians Advocacy Institute (PAI) this week submitted comments to the US Department of Health & Human Services (HHS) in response to a January Request for Information (RFI) from HHS regarding electronic prior authorization (PA) standards. MSSNY is one of the 10 state medical associations represented on the Board of the PAI.

The letter highlighted the excessive hassles physician experience with PAs due to “payors’ complex and sometimes conflicting rules for coverage and payment” and that the “lack of uniform regulatory standards has allowed health plans to adopt PA policies that reflect inconsistent policies and processes, making it exceedingly difficult for physicians to navigate as they seek to deliver clinically indicated care to their patients.”

Specifically, the PAI recommendations for addressing PA hassles included:

  • Streamlining the PA process and ensure that payers provide transparent and timely PA decisions for medical services and medications, including:
  • Clearly identifying all missing and/or necessary documentation at the onset of denying a prior authorization.
  • Allowing any additional documentation required for prior authorization to be sent electronically, not just via paper/fax.
  • Providing notice of PA decisions no later than 24 hours after receiving a request for expedited, urgent decisions and no later than 3 calendar days for standard decisions.
  • Adopting streamlined electronic PA processes based on national, clinical standards that promote greater transparency to allow physicians to understand the clinical bases for PA determinations.
  • Require health IT developers to develop and deploy software and processes that facilitate PA automation using standard electronic transactions as well as construct user friendly modules/tutorials for physicians transitioning from manual to electronic PA.
  • Collect data on the electronic PA system, including the list of services requiring prior authorization, the percent approved, percent denied or denied and later approved, and the length of time it takes to get final approval.

MSSNY continues to pursue legislation in New York State to reduce PA hassles, including legislation (S.8299, Breslin) to create a process where physicians who are regularly approved for their PAs can be exempted by health plans from the process, and legislation (A.7129/S.6435) to eliminate the need to obtain repeat prior authorizations after initial approval. Physicians can send a letter in support here: Prior Authorizations (p2a.co)


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NYS DOH to Conduct Webinar on Enrolling as a Provider for COVID-19 Vaccine on March 31, 2022
If your practice services pediatric patients and you are not yet enrolled in the NYSDOH COVID-19 Vaccination Program, please join the New York State Department of Health for a one-hour question and answer webinar at 12-1 p.m. on Thursday, March 31, 2022.   This webinar is for New York State practices that are located outside of New York City. 

COVID vaccine is currently available for children ages 5 and up, and boosters are authorized from those 12 years and older. Vaccines for children ages 6 months to under 5 years old are in clinical trials and are anticipated to be authorized soon. Vaccines are the best way to end the COVID-19 pandemic, and DOH wants to assist you in enrolling in the program!

Please note Vaccines for Children (VFC) providers who want to receive and administer COVID-19 vaccine must also complete the COVID-19 Vaccination Program enrollment process. VFC providers are not automatically enrolled for the COVID-19 Vaccination Program.

Please use the following link to join the webinar: Events

This webinar is for practices in NYS outside NYC.


Next Week: CMS-1500 Q&A Webinar for Health Care Providers
Just a reminder the Workers’ Compensation Board’s (Board’s) CMS-1500 Q&A webinar series for health care providers starts next week.

If you haven’t shared your questions yet, please do so by taking this brief survey.

Each one-hour session will begin with a brief overview of CMS-1500, including payer objections to bills and how and when to file a dispute for non-payment of a bill, followed by several of the most frequently asked questions. We will leave time at the end for any additional questions you may have.

Registration is not required.
Thursday, March 31, 2022
12:00 P.M. – 1:00 P.M.
Join Webinar
Thursday, April 14, 2022
12:00 P.M. – 1:00 P.M.
Join Webinar


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Medical Matters CME Webinar: Stresses & Distresses in the Time of COVID-19
The COVID-19 pandemic has caused innumerable mental health sequelae that will likely be present for years to come.  Register now for Stresses & Distresses in the Time of COVID-19 on Wednesday April 20, 2022, at 7:30 a.m. to learn more about the stresses and distresses the COVID pandemic has caused.  Craig Katz, MD, vice-chair of MSSNY’s Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Register now.

Educational objectives are:

  • Illustrate the many sources of stress that society is enduring in recent years
  • Identify the many ways different ways the resulting distress can be experienced
  • Discuss what clinical approaches are available for helping

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

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

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


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Classified Ads Available for:

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

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

For the MSSNY 2022 Ad RateSheet, please click here.


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


HOD Banner



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


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


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