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Call for CSMS Officer Nominations

The Connecticut State Medical Society presents the roster for the 2017 slate of General Officers of CSMS. This slate was nominated by the CSMS Nominating Committee on July 28, 2016, in accordance with the process set forth in the CSMS Bylaws.At the 2015 CSMS Annual Meeting, the CSMS Bylaws were amended to allow any CSMS member in good standing to also submit his/her name for nomination as a General Officer. If you wish to submit your name for nomination as a General Officer of CSMS, you must submit such nomination, in writing, and delivered either by US Mail, facsimile, or …

2016 Biondino Golf Classic: Highlights (and Low Scores)

Golfers and volunteers from around the state came together today to make this year's Biondino Golf Classic a great success. 100% of the Biondino Classic proceeds go to support the CSMS Charitable Trust, which helps to fight hunger and homelessness in Connecticut.A heartfelt CSMS thank-you to our generous sponsors, including Gold Sponsor ConnectiCare -- their support made the Biondino Classic possible!If you missed this year's Biondino Classic, check out the video below -- then take a few moments to make your direct (and 100% tax-deductible) donation to the CSMS Charitable Trust.Congratulations to this year's Classic winners:Low Net Tournament ChampionsCSMS Insurance …

CSMS, Coalition Partners Applaud DOJ Lawsuit Against Mega-Mergers

COALITION APPLAUDS U.S. DEPARTMENT OF JUSTICE FOR FILING LAWSUITS TO BLOCK THE ANTHEM-CIGNA AND AETNA-HUMANA HEALTH-INSURER MERGERSJuly 21, 2016 (North Haven, CT) -- With the U.S. Department of Justice (DOJ) announcing it will file lawsuits to block the Anthem-Cigna and Aetna-Humana health-insurer mergers, the people now have the federal government in their corner when it comes to stopping these mega-mergers.The DOJ is the arm of the federal government that is responsible for preventing anti-competitive behavior. Nine states and the District of Columbia have also joined the U.S. action against the Anthem-Cigna deal, including Connecticut, New York and California.The Connecticut State …

CSMS Statement on HealthyCT

July 6, 2016 (New Haven, CT) – The Connecticut State Medical Society (CSMS) has issued the following statement regarding the Order of Supervision issued on July 5, 2016 by the Connecticut Insurance Department (CID) for HealthyCT, a Consumer Operated and Oriented Plan (CO-OP).The Order of Supervision was triggered by a June 30, 2016 federal requirement that HealthyCT pay $13.4 million as part of the Affordable Care Act’s Risk Adjustment Program. The Order prohibits the company from writing new business or renewing existing business in Connecticut.Since the implementation of the ACA, many CO-OPs across the country have struggled with the federal …

CID: Out-of-Network Emergency Services Reimbursement Notice

The Connecticut Insurance Department (CID) has released the following notice:Public Act 15-146 requires that if emergency services are rendered to an insured by an out-of-network health care provider, such health care provider may bill the health carrier directly. The health carrier shall reimburse such health care provider the greatest of the following amounts: (i) The amount the insured's health care plan would pay for such services if rendered by an innetwork health care provider; (ii) the usual, customary and reasonable rate for such services, or (iii) the amount Medicare would reimburse for such services."Usual, customary and reasonable rate" means the …

43 Medical, Consumer and Advocacy Organizations Express Grave Concerns to DOJ on Insurance Mega-Mergers

Growing National Outcry Over Insurance Mega-MergersJune 29, 2016 FOR IMMEDIATE RELEASE Forty-three state and national organizations have signed a letter sent to the U.S. Department of Justice (DOJ) expressing grave concerns about anti-competitive behavior seen in state reviews of the proposed mega-mergers of Anthem-Cigna and Aetna-Humana.The flawed review process in most states has led the 43 signatories to urge the DOJ to carefully review the mergers’ impact on each state and on the country as a whole. The DOJ has the expertise and enforcement power to protect people from the harm these mergers will cause.The signatories represent a broad range …

CSMS Applauds Senators' Opposition to Health Insurance Mergers

Statement of Support by the Connecticut State Medical Societyfor US Senators’ Opposition to Health Insurance Plan MergersThe Connecticut State Medical Society (CSMS) applauds the efforts of Senator Richard Blumenthal and his Senate colleagues in opposing the Anthem-Cigna and Aetna-Humana health insurance plan mega-mergers.“These mega-mergers are job killers. They threaten jobs, hike prices, lessen choices, and lower health care quality,” Blumenthal said. “Combining five competitors into three epitomizes the type of anti-consumer deal that the law forbids."CSMS shares the concerns expressed in the Senators’ letter to the US Department of Justice with the potential negative impact of these mergers on affordability …

CSMS Shocked by CID's Mega-Merger Review Process, Files FOIA

June 2, 2016 (North Haven, CT) – The Connecticut State Medical Society (CSMS) expressed shock and deep concern with the complete lack of transparency and public involvement in the Connecticut Insurance Department’s review of the proposed Aetna-Humana merger.The CID review process raises serious questions about the veracity of the review, and the reliability and quality of the determination. The CID determination to complete its review “without objection” was made on January 22 of this year, but the public was not notified until May 26 – nearly five months of silence. The Form A (change of control application) filing was not …

LCMA 250th Anniversary Celebration

The Litchfield County Medical Association is now in its 250th year, making it among the oldest (if not the oldest) continuously operating medical association in the country. The LCMA celebrated this milestone at Weatherstone, an historic property in Sharon, CT built by Simeon Smith, MD in 1765. Historical records indicate that Dr. Smith hosted meetings of the County Medical Association and the Medical Society of Sharon at his home.Held in the Stables at Weatherstone, the celebration began with a reception overlooking the grounds and the rolling landscape of the Litchfield Hills. Several generations of Litchfield physicians were joined by their …

CT Pharmaceutical Forum: Access, Affordability & Better Health

Today at the Capitol, CSMS and Connecticut Comptroller Kevin Lembo co-hosted a forum on prescription drug pricing and its effects on access and affordability.CSMS President Henry Jacobs, MD, JD welcomed the audience, and spoke about the hardships he has seen among patients who struggle to afford needed medications. Dr. Jacobs then introduced Comptroller Lembo, calling him a "CSMS healthcare hero" in recognition of his efforts to lead the charge for more affordable and quality healthcare for Connecticut residents.Comptroller Lembo moderated the first panel, Industry Perspective on Cost Growth. Panelists included: C. Michael White, PharmD - Dean, UConn School of Pharmacy …

CSMS Reiterates Strong Support for Breast Tomosynthesis Coverage

During the 2016 legislative session, CSMS strongly supported HB 5233, which would require health insurance coverage for screening mammograms provided by breast tomosynthesis (also called 3D mammography).CSMS Immediate Past President Robert Russo, MD submitted testimony on behalf of the Medical Society to the Insurance Committee during the 2016 session. CSMS member Liane Philpotts, MD also submitted testimony as an individual. The bill passed the House 139-3, and had unanimous support in the Senate (36-0).Since the bill’s passage, there has been some confusion about whether the bill would constitute a new state health mandate in excess of essential health benefits (EHB), …

Decoding MYQRUR: New Webinar Dates

CMS creates Mid-Year Quality and Resource Use Reports (MYQRUR) to provide physicians with cost and quality measure data for their Medicare patients.Join us for a free CSMS webinar and learn how to use MYQRUR data to help evaluate the quality of care you provide.Webinar topics will include: MYQRUR in Context Obtaining Your MYQRUR Decoding MYQRUR What to Do With Your Data MYQRUR and the Value Modifier (VM)There will also be an opportunity for live Q&A – bring your questions and get real-time answers.Wednesday, May 25 at 12:15 pmThursday, June 2 at 4 pm

2016 Biondino Golf Classic

Summer will be here before you know it, and that means getting ready for the 2016 Robert J. Biondino, Jr., MD Golf Classic on July 25 at the Wallingford Country Club.As always, 100% of the proceeds from the Biondino Classic go to support the CSMS Charitable Trust.It’s shaping up to be another great Golf Classic, jam-packed with a kickoff luncheon, raffle prizes, cocktail reception, silent auction, and dinner.So work on those approach shots, round up your foursome, and complete your registration form today.Not a golfer? No problem! You can still support the Charitable Trust by sponsoring a hole, donating a …

2016 Award Nominations Now Open

Nominations are now open for the Maloney Distinguished Service Award and the Healthcare Leader and Innovator (HLI) Award. All CSMS members are welcome to nominate their colleagues for recognition of outstanding work. The Paul K. Maloney, Jr., MD Distinguished Service Award was established to honor the life and work of Dr. Maloney, an eminent physician known for his exemplary service, active engagement, and dedication to the community. The Maloney Award is the highest honor CSMS can confer upon a member. Each year, CSMS donates $1,000 to the charity of the Maloney Award winner’s choice. The Connecticut Medicine Healthcare Leader and …

Insurance Mergers: Bigger Isn't Better for Patients, Physicians

Last night, the Connecticut Campaign for Consumer Choice presented Insurance Mergers: What You Need to Know, a public forum on the proposed Anthem-Cigna mergers. CSMS is a founding member of the Connecticut Campaign for Consumer Choice, along with the Universal Health Care Foundation of Connecticut and the Connecticut Citizens' Action Group.Hosted by State Rep. Greg Haddad, State Rep. Linda Orange, State Rep. Susan Johnson, and State Sen.Mae Flexner, the forum was held at the Mansfield Public Library. CSMS EVP/CEO Matthew Katz was a panelist at the forum. See below for a brief video with highlights from Katz and other speakers.Look …

Programs! Get Your Programs Here!

In honor of Opening Day, here's a rundown of upcoming CSMS programs.Interdisciplinary Approaches to Opioid Prescribing April 27 @4:30 – 8:30 pm Middlesex HospitalOnline registration Download form  Featuring keynote speaker Seddon Savage, MD, MS 4 AMA PRA Category 1 Credits™ $40.00 (includes dinner) Presented by CSMS, CT Pain Society, CT Chapter ASAM, and Middlesex Hospital The ABCs of Contract Review for Medical Services May 11 @4:30 – 6 pm CSMS Offices, North HavenOnline registration Download form  Learn the basics of office service contracts, including key clauses for review and negotiation FREE for CSMS members and their office staff, but registration is …

Add Your Voice: National Physician Surveys

As a practicing physician, you have a unique perspective on the many challenges facing healthcare today. Share your experiences and concerns with a national audience by taking a few minutes to complete these surveys:The Physicians Foundation has launched its 4th national Survey of America’s Physicians, one of the largest physician surveys ever undertaken in the United States.The survey will take approximately 10-12 minutes to complete. Participants will receive a full copy of the final survey report, and be entered to win one of five $500 Amazon gift cards and one $5,000 Amazon gift card.Physicians Foundation Survey LinkNational Insurance Mergers: Putting …

Merger Concerns: CT Campaign for Consumer Choice

Amid growing concern over the effects of a proposed Anthem/Cigna merger, CSMS has joined the Universal Health Care Foundation of Connecticut and the Connecticut Citizen Action Group to form the Connecticut Campaign for Consumer Choice.The coalition delivered a letter to CT Insurance Commissioner Katherine Wade, requesting the following actions to ensure that consumer voices are heard during the merger review process: Require that the public hearing be held at a venue and time that allows for maximum public participation. Grant interested parties’ intervenor status to allow for an adequate review of the proposed merger. Commission a study that will analyze …

Physicians' Day at the Capitol 2016

This year's day of physician advocacy was a busy - and successful - one for CSMS physicians and their CT ACS colleagues:The day kicked off with breakfast and networking. State Sen. Kevin Witkos and State Rep. J.P. Sredzinski stopped by to say hello, and stayed to talk with physicians about a range of healthcare issues.After breakfast, physicians had time to visit with their state legislators. Many chose to visit the elected officials from the district where they practice, as well as from their home districts. In between meetings, CSMS invited State Healthcare Advocate Victoria Veltri to provide an update on …

PQRS Reporting Deadlines: Down to the Wire

Don't get hit with negative payment adjustments in 2017 - report your 2015 PQRS data before the deadlines: EHR Direct or Data Submission Vendor (QRDA I or III) - 3/11/16 Qualified Clinical Data Registries (QRDA III) - 3/11/16 Group Practice Reporting Option (GPRO) Web Interface - 3/11/16 Qualified Registries (Registry XML) - 3/31/16 QCDRs (QCDR XML) - 3/31/16The deadline is 8 pm Eastern on each of the end dates shown above. An Enterprise Identity Management (EIDM) account is required for these data submission methods. There is still time for providers to begin and submit via registry. PQRSwizard, a CSMS Affinity …