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Medical Society of New Jersey e-Newsletter
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Insurance Review for MSNJ Members
As a free service to our members, we provide a comprehensive insurance review helping to get the best terms available. More information. |
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MSNJ Webinar: Hospital & Group Relationships: Before, During and After
September 20, 2016 at 7:00pm
More information and registration. |
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MSNJ Webinar: The New Medicare Overpayment Regulations
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PCSS-O Webinar: Chronic Pain: A Multidisciplinary Approach
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National Suicide Prevention Week Event
September 8, 2016 from 2:00pm to 4:30pm
NJ Forensic Science Technology Center, Hamilton, NJ
More information coming soon.
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5th Annual Psychiatric Society of Delaware CME Symposium Saturday, September 24, 2016 at 8:00am Medical Society of Delaware Conference Center More information and registration.
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Transformation Day: Hear the latest update directly from CME on MACRA and MIPS
September 28, 2016 from 9:00am to 3:00pm
Hilton Newark Penn Station
More information and registration.
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PCSS-MAT Module: Methadone: Its Role in Opioid Addiction Treatment vs. Pain Management
Access module.
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PCSS-MAT Online Module: Prescribing Naloxone to Patients for Overdose Reversal
Access the module.
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Renew your dues ONLINE by October 15, 2016 and receive a 5% discount on your STATE dues!
When prompted enter discount code msnj5, then click "update price." Discount is applied to state dues only.
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News
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MSNJ Speaks to First Year Students at RWJ Medical School
MSNJ Past President, Dr. Paul Carniol, and MSNJ COO, Mishael Azam, spoke to a packed room of first year students at Rutgers Robert Wood Johnson Medical School this week. We invited students to join MSNJ and become involved in advocacy. We thank them for their participation and we thank MSNJ student leaders at RWJ, including Board Member, Beverly Wong; Community Service Chair, Nive Maniam; Recruitment Chair, Douglass Farrell; and School Chairs Kyle Nelson and Josh Gilman.
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Aetna Pulls Out of Individual Exchange Plans in Eleven States
Aetna announced this week that it will no longer offer individual insurance exchange products in eleven of the fifteen states in which it currently offers such plans. This leaves some counties with only one or no exchange plan offering. Aetna cites significant financial losses and the Federal Government's decision to challenge its merger plans. Aetna's CEO stated in a letter to the DOJ dated July 5: "Specifically, if the DOJ sues to enjoin the transaction, we will immediately take action to reduce our 2017 exchange footprint." Read the WSJ article and the NYT article. Read Robert Wood Johnson Foundation's report on "Strategies to Stabilize the Affordable Care Act marketplaces: Lessons from Medicare."
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Court Will Rule on Anthem-Cigna Merger in January
Federal District Court Judge Amy Berman Jackson plans to rule on Anthem's proposed merger with Cigna in January 2017.Anthem hoped for an earlier decision. The DOJ is open to settlement offers. Read more.
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MSNJ Recommends Fair Health Data Base for Out of Network Fees
This week MSNJ filed comments with the Small Employer Health Plan Board and the Individual Health Plan Board urging them to adopt Fair Health as the benchmark to determine out of network fees. Many of these plans have been using the discredited Ingenix data base which was dissolved and has not been updated since 2010. MSNJ's recommendation is in response to the boards' rule proposals that would allow insurance carriers to individually determine the basis on which to set out of network benefits so long as it was spelled out in the plans.
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Comprehensive Primary Care Plus Application Period
CMS has opened the application period for practices to participate in the new primary care model, Comprehensive Primary Care Plus (CPC+). CPC+ is a five-year primary care medical home model beginning January 2017 that will operate in 14 regions across the U.S. The goal of the model is to give primary care practices more flexibility in caring for their patients and to pay them for achieving results and improving care. CPC+ is an opportunity for practices of diverse sizes, structures, and ownership types that are interested in qualifying for the incentive payment for Advanced Alternative Payment Models through the proposed CMS Quality Payment Program. CMS estimates that up to 5,000 primary care practices serving an estimated 3.5 million Medicare beneficiaries could participate in the model. Additionally, other payers, including commercial insurers and state Medicaid agencies, are partnering with CMS to provide enhanced support to the primary care practices selected to participate in CPC+. The practice application period runs from August 1 - September 15, 2016. For more information and to apply, visit the CPC+ website.
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N.J. Doctor Among 8 Busted In Deadly Statewide Opiate Ring
Read more.
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New Jersey Prescription Savings Card
In New Jersey 15% of residents currently do not have any form of prescription drug coverage. With use of the New Jersey Drug Card, you can save on all of your out-of-pocket costs for prescription medications. Residents can also use the New Jersey Drug Card to save up to 75% if you have a high deductible plan, take a medication not covered by insurance or have no prescription coverage. Just log onto www.NewJerseyDrugCard.com to print your free card.
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National Suicide Prevention Week: September 5 - 11, 2016
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Canceled: Revolving Reference Committee
No resolutions were received by the August 10 deadline. There will be no Revolving Reference Committee Meeting on August 22.
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Practice Management
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CMS Releases Guidance to Help Laboratories Determine Whether They Must Report Data
The Medicare Part B Clinical Laboratory Fee Schedule now requires that "applicable laboratories" must collect and report data to CMS for the Private Payor Rate-Based Payment System. Reporting begins January 1, 2017. Physician office laboratories may have to comply. Read more to determine if your laboratory must collect and report .
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Medical Society of New Jersey
2 Princess Road, Lawrenceville, NJ 08648
(o) 609-896-1766 e-mail:
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About the Medical Society of New Jersey:
Founded in 1766, the Medical Society of New Jersey (MSNJ) is the oldest professional society in the United States. MSNJ promotes the betterment of the public health and the science and the art of medicine, to enlighten public opinion in regard to the problems of medicine, and to safeguard the rights of the practitioners of medicine. The organization and its members are dedicated to a healthy New Jersey, working to ensure the sanctity of the physician-patient relationship. In representing all medical disciplines, MSNJ advocates for the rights of patients and physicians alike, for the delivery of the highest quality medical care. For more information visit our website or send us an e-mail.
"Your Partner in Practice... Your Voice in Trenton"
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2016 © Medical Society of New Jersey. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the written permission of the Medical Society of New Jersey.
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