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Arapahoe- Douglas-Elbert Medical Society Advocate e-News
MARCH / APRIL 2016
11th Edition, Issue 3
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THE ADVOCATE e-NEWS


MARCH /APRIL 2016

Advocating for Physicians:
Colorado Leadership on the Hill during AMA National Advocacy Conference
CMS delegation with Bennet

ADEMS Past-President and CMS President-Elect Dr. Katie Lozano joined CMS President Dr. Michael Volz and physician leaders from Denver, Mesa, Northern Colorado, and Aurora-Adams Medical Societies on Capitol Hill in Washington, DC, late February, to advocate for physicians and patients. The delegation focused on educating the Colorado congressional delegation on four main issues:

Opioid abuse and misuse has reached a national public policy level and both the administration and the federal legislative branch are now involved in developing solutions. With concern that physicians could easily be put in the crosshairs of a solution, the Colorado NAC delegation discussed what Colorado physicians are already doing to address the issue. They shared that recently the CMS board of directors voted to make the abuse and misuse crisis a priority in 2012 actively participates in the Colorado Consortium to Prevent Prescription Drug Abuse. And CMS is partnering with multiple organizations to provide educational modules for physicians.

The proposed mergers of Aetna-Humana and Anthem-CIGNA are controversial; both chambers of Congress held hearings last year. State insurance commissioners and the U.S. Department of Justice are largely the deciders on whether the mergers are approved, denied or modified and the insurance companies have invested tremendous resources into pushing the mergers through. CMS is taking these mergers and their potential impact on physicians and patients very seriously and discussed our concerns.

The Hill visits were part of the American Medical Association’s National Advocacy Conference, which brought together over 30 state medical associations to hear the latest on national health policy and the politics of the 2016 election cycle. This was the first trip in well over a decade that physicians did not have to lobby for a fix to the sustainable growth rate (SGR).

(Photo/Content Credit: CMS ASAP March 1)


ADEMS joins CMS' opposition of SB 152,
"Notifications of Health Care Billing Charges for Covered Persons" - Killed in Committee.

Senate Bill 152, "Notifications of Health Care Billing Charges for Covered Persons," was voted down in committee Wednesday, March 16. The Arapahoe Douglas Elbert Medical Societiy along with other specialty and component societies supported the Colorado Medical Society in opposing the bill.  Physicians from ADEMS and societies in key senate districts were called upon to reach out to their senators to express their concern.

CMS President Michael Volz, MD, testified against the bill. He explained that CMS and the Colorado Association of Health Plans entered into a professionally supervised mediation from September to January in an effort to find mutually beneficial solution to issues arising from out-of-network services and charges and other matters relating to network adequacy, but that the health plans decided to end the mediation without resolution.

"We understand that Sen. Aguilar [the bill sponsor] wants resolution to this issue as badly as we do, but her SB 152 is not the answer. It is punitive, unfair, unworkable and will give health insurance companies even more market power than they have today - and they have plenty."

Analysis showed SB 152 would pose problems for Colorado physicians because it had the potential to:

  • Create ambiguity as to the carrier's existing responsibility to pay the out-of-network (OON) physician's bill.
  • Make it difficult for physicians to get paid.
  • Expand the value of a lawsuit by creating a private cause of action for plaintiffs against physicians for deceptive trade practices exposing physicians to three times the amount of actual damages (treble damages)

CMS thanked the Republican leadership and senators who voted to oppose the bill and also physicians who testified against the bill and contacted their senators.  CMS will continue to work with legislators and healthplans to reach an agreement that addresses these complex issues.
(Content Credit: CMS ASAP 3/18)


Annual Meeting Event

Meetings / Seminars / Events


Still time for your staff to attend this HR seminar:

Managing Employee Performance: The Good, The Bad & The Ugly  

Do you reinforce positive behavior when your employees do something well?  Do you address performance issues as they occur?  What if a problem continues to persist, do you know what to do next? Setting clear and specific performance expectations for each employee and providing periodic informal and formal feedback about the employee's performance is crucial to employee development and business results.
Program Outline:
1. Set your employees up for success
2. Factual and observable documentation
3. Preparing and conducting performance feedback
4. Things to consider throughout the disciplinary process

Presented & Sponsored by COPIC:
LaNee Reynolds, PHR
VP, Human Resources, COPIC Insurance


Practice Managers and /or Physicians that directly manage their employees
(space limited - no more than 2 attendees per practice)

Tuesday, April 12th 
7am - Registration / Coffee Reception
7:30am - 9:30am Program

                    
The Curtis Ballroom
5345 Landmark Place
Greenwood Village, CO 80111

Click for Directions

RSVP by April 5th to ADEMSstaff@gmail.com 

Program Sponsored by COPIC:  2 COPIC Points are available for your attendance at this program.
One physician per practice will receive 2 COPIC points for a practice representative attending.  A practice cannot designate more than 1 physician to  receive the 2 COPIC points.


Medical Spanish and Cultural Competency Class Offering
Friday, April 22 -Monday, April 25, 2016
8:00 AM to 5:00 PM
Denver Medical Society, 1850 Williams Street, Denver
Colorado has one of the highest proportions of Hispanic and Latino populations in the country. To enhance physician communication capabilities, our neighbors at the Denver Medical Society in conjunction with the Community Health Association of Mountain/Plains States (CHAMPS) is offering a 4 day intensive, total-immersion learning experience in conversational and medical Spanish for physicians, nurses, PAs, NPs and other medical staff. Class levels are targeted to each student’s needs and abilities. This is the 19th offering of this lively, rewarding, and highly popular class conducted by Rios Associates.
Four day class offers a ton of CMEs! Four day class offers a ton of CMEs! Plan now to attend.
  • 45 prescribed hours by the American Academy of Family Physicians (AAFP)
  • 43 hours of Category 1 CME from the American College of Emergency Physicians (ACEP)
  • 45 contact hours of continuing education by the American Academy of Nurse Practitioners (AANP)
  • 43 hours of Category 1 CME from the American Medical Association (AMA)
The cost of the class, including text book: $699  Morning and afternoon snacks are provided.  To register, call Tamara Rios directly at (520) 907-3318. Please call Tamara at that number or email her at convesp@aol.com if you need additional information.

ADEMS and DMS invite physicians to come together to discuss a difficult policy question regarding end of life options:  Aid in Dying
 
Join your colleagues for an objective review of the national and international context, along with a look at specific Colorado proposals.  
 
       Moral and ethical issues
                                    Concern for vulnerable populations
                                                                                    Coercion and consent

Presented by
Emily Johnson, MS
Policy Analyst, Colorado Health Institute
 
Thursday, June 9, 2016, 6 PM
 
Denver Medical Society
1850 Williams St, Denver
Wine, Beer and Hors d’ouvres
 
RSVP by May 31st to ADEMSstaff@gmail.com

 

 


Upcoming Calendar
 
Managing Performance:
The Good, Bad & Ugly
April 12th 
7:30AM-9:30PM
Curtis Ballroom, Landmark
RSVP ADEMSstaff@gmail.com


ADEMS Board Meeting:
April 19th 
6:30PM
ADEMS Office

Medical Spanish & Cultural Competency 
April 22 - April 25th
8AM - 5PM
DMS offices
RSVP ADEMSstaff@gmail.com

ADEMS Annual Member Meeting / Meet & Greet
Casino Night
May 12th
6:30PM
RSVP ADEMSstaff@gmail.com 

Aid in Dying - Objective review
June 9th
6PM
Denver Medical Society office

Sponsors 
 


Get covered with COPIC

COPIC Insurance Company is Colorado's leading medical liability insurance provider. Three out of four physicians choose COPIC for this critically important coverage. CMS members receive a 10 percent premium discount from COPIC.

For more information, call(720) 858-6000 or visitwww.callcopic.com.


 



 

Copyright © 2016 Arapahoe - Douglas - Elbert Medical Society, All rights reserved.

Our mailing address is:
ADEMSstaff@gmail.com
8080 Southpark Lane
Littleton, CO 80120

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