CSMS Recent Headlines

CSMS Leaders Meet with Senators and Representatives in Washington, DC

Ever Advocates for Connecticut Physicians and their Patients, Connecticut State Medical Society leaders descended upon Washington, D.C., this week for two packed days of meetings with Connecticut’s elected federal Representatives and Senators.The CSMS leadership brought a long list of physicians’ complaints to be addressed by Congress.While, as noted in a news item in the February 15 edition of CSMS E-News, significant progress was made in last week’s federal budget agreement, Connecticut physicians still have many concerns, particularly with respect to physician Medicare payment cuts, regulatory relief from the more onerous components of the Medicare Access and CHIP Reauthorization Act (MACRA), …

Bipartisan Budget Act of 2018 Signed

To access a 6-page summary of health-related provisions of the Bipartisan Budget Act of 2018, click here.To view the 25-page Senate Section by Section summary, click here.

The Physicians Foundation's 6th Biennial Physician Survey

TAKE THE SURVEY – LET YOUR VOICE BE HEARDYour input would be of great value. The survey's purpose is to examine the morale, career plans, and practice metrics of today's physicians - and to give physicians a voice! Click the link to take the survey, and to register for one of five $500 or one $5000 Amazon Gift Cards.

Dr. Gordon Speaks with WTIC about CTHealthLink and NIH Suicide Prevention Grant

Jeffrey Gordon, MD, CSMS Immediate Past President and Chair of the CSMS HIE, CTHealthLink, speaks with WTIC’s Joe D’Ambrosio about how the CTHealthLink Infrastructure will be used to support an NIH suicide prevention grant.To hear the interview, click below.[video mp4=""][/video].

Update – Continuing Appropriations Act, 2018

The extension of the Continuing Appropriations Act, 2018, was posted February 6 on the House Rules Committee website.The continuing resolution (CR) would extend government funding through March 23, 2018.Click to view:Press ReleaseFull Text

AAPM Table Published

On February 5, the Centers for Medicare and Medicaid Services (CMS) published a table displaying the Alternative Payment Models (APMs) that CMS operates. In the table CMS identifies which of those APMs CMS has determined to be MIPS APMs or Advanced APMs. This list will be modified based on changes in the designs of APMs or the announcement of new APMs.See the table here:

Health Care Leaders Collaborate to Streamline Prior Authorization and Improve Timely Access to Treatment

On January 17, the American Hospital Association (AHA), America’s Health Insurance Plans (AHIP), American Medical Association (AMA), American Pharmacists Association (APhA), Blue Cross Blue Shield Association (BCBSA) and Medical Group Management Association (MGMA) announced a Consensus Statement outlining their shared commitment to industry-wide improvements to prior authorization processes and patient-centered care.To read the press release and consensus statement, click here.

AMA Physician Economic Impact Study Published

Physicians are a critical component of the health care system, providing care to patients across a variety of settings and within a multitude of specialties and subspecialties. Through the care provided to their patients, physicians can have a positive and lasting impact on the health of their patients and the community as a whole. However, the breadth of a physician’s impact reaches far beyond just the provision of patient care. Physicians also play a vital role in the state and local economies by creating jobs, purchasing goods and services, and supporting state and community public programs through generated tax revenues. …

CSMS Comments on Network Adequacy

CSMS has been a strong proponent of network adequacy laws and regulations in Connecticut, and has provided the following comments to the Connecticut Insurance Department regarding the proposed Insurance Department Regulations Concerning Network Adequacy.CSMS Comments on Network Adequacy Regulations

Update – CMS and Radiological Imaging Claims Issues

NGS Claims System to be Corrected Starting in April, 2018.According to National Government Services, the Medicare carrier for Connecticut, most of the claims and physicians impacted were in private, non-hospital based settings. CMS has updated several NCDs, but these updates will not be effective within the FISS or the MCS until April, 2018. This alert applies to NCD 220.4 for Diagnostic Mammograms and also NCD 220.13 for Percutaneous Image-Guided Biopsy of the Breast, but other NCDs may be potentially impacted by coding updates. Currently, CMS has issued instructions for A/B MACs to temporarily deactivate the shared system edits associated with …

Update: HUSKY B Changes

CSMS has received the following update from Richard B. Spencer, Director of Provider Engagement Services for the Community Health Network of Connecticut (CHNCT). CHNCT serves as the state’s medical Administrative Services Organization for the HUSKY Health Program. Families of children covered by Connecticut’s Connecticut’s CHIP Program, known locally as HUSKY B, will be receiving notices of the possible end of the program. The information provided to our members is now posted on the HUSKY Health front page at (please see bulletin box under photos) and HUSKY B information link also referenced in yellow bulletin box throughout Please share …

Quality Matters: The Data Dilemma Continues

Are you prepared to use data in actionable ways and succeed in the new data-driven healthcare atmosphere?Physicians and applicable practice staff can learn more about transforming healthcare delivery through the effective use of data analytics with CSMS, CTHealthLink, and KaMMCO Health Solutions.Offered at two convenient dates and locations, this free CME* program will help you move forward in this new data-driven world. RegisterTuesday, January 16, 2018 - 5:30 - 8 pm RegisterArtisan Restaurant (at Delamar Southport Hotel), 275 Old Post Road, Southport, CTWednesday, January 17, 2018 11:30 am - 1:30 pm RegisterOn the Waterfront Restaurant, 250 Pequot Avenue, New London, …

Modifier 25 - Update

At the AMA Interim Meeting, CSMS and the New England delegation were strong proponents of a resolution to address the issue of reduced payment when Modifier 25 is used with an E&M code:In addition, CSMS sent letters this week to the offices of the Connecticut Attorney General, Comptroller, Healthcare Advocate, and Insurance Commissioner to express concerns about reduced payments and their potential effect on patient access to care. View the letter here.Stronger Together: CSMS has been working on the Modifier 25 issue with the CT ENT Society, the CT Society of Dermatology and Dermatologic Surgery, the CT Urology Society, and …

CSMS Announces 2018 Charitable Trust Donations

(North Haven, CT) – The Connecticut State Medical Society Charitable Trust is pleased to announce its 2018 donations to the following organizations: BHcare, Ansonia, Branford Children in Placement, New Haven CRIS Radio, Windsor HAVEN, Southington Interval House, Hartford Project Access-New Haven Prudence Crandall Center, New Britain Reach Out and Read, New Haven Safe Futures, New LondonPhotos- 2018 Charitable Trust Donation RecipientsCSMS Charitable Trust Chair Michael Carius, MD presented the donations at the CSMS office in New Haven. “The Charitable Trust is funded through physician donations, private donations, and proceeds from the annual Biondino Golf Classic,” noted Dr. Carius. “Their generous …

E-Prescribing Requirement for Controlled Substances Takes Effect 1/1/18

The Connecticut Department of Consumer Protection (CTDCP) has information about the new e-prescribing requirement for controlled substances, which takes effect January 1, 2018.In addition to improving efficiency, the Electronic Prescribing of Controlled Substances (EPCS) will help stop prescription fraud with fewer opportunities to duplicate or modify paper prescriptions.Click here for CT DCP information about EPCS, including exemption information and Frequently Asked Questions.

New Statewide Personal Health Record for Patients from CTHealthLink

On October 15, CTHealthLink launched the first Connecticut statewide personal health record for patients called myCTHealtheRecords.myCTHealtheRecords offers features that other personal health records do not have available, including access to all of a patient's medical records in one location. Records are available for practices participating in CTHealthLink. myCTHealtheRecords also provides patient education materials in a variety of languages, health document storage, secure email, and the ability to track and monitor key health outcomes such as weight and blood pressure. Follow the link to myCTHealtheRecords to set up your own account.myCTHealtheRecords is certified by the Office of the National Coordinator (ONC) …