Thank you for visiting the website of the New York State Neurological Society (NYSNS)! You can use the top menu to discover who we are and how to join as well as find resources for neurologists and the most recent updates on our January 5, 2019 Annual Winter Meeting. Feel free to contact us if you have any questions or want more information!
NYSNS Annual Winter Conference 1/5/2019 in Manhattan
Join us at the NY State Neurological Society’s Annual Winter Meeting on
Saturday, January 5, 2019, at New York City’s Stewart Hotel, 371 Seventh Avenue at 31 Street, right across from Penn Station.
Don’t miss crucial updates on Parkinson’s, MS, Headache Therapy, Stroke, More
Don’t Forget Your Favorite Resident Competition: The Neurostakes!
Questions? Email NY State Neurological Society
For Preferred Stewart Hotel Room Rates for the Meeting, REGISTER BY DECEMBER 5, 2018
Register at the Stewart Hotel BY DECEMBER 5, 2018 to get the preferred rate:
January 5, 2019 Annual Winter Meeting Agenda
Here’s the VERY Latest Program Details!
*Utilizing Advanced Science to Improve the Quality of Life in Patients with Parkinson’s Disease* with Fiona Gupta, MD, The Mt. Sinai Hospital, Assistant Professor of Neurology
*Immune Dysfunction in Multiple Sclerosis: CMS Modern Considerations in Treatment and Management*
Headache Therapy Update with Matthew S. Robbins, MD, Associate Professor of Clinical Neurology at Albert Einstein College of Medicine, Chief of Neurology at the Weiler Division of Montefiore Medical Center, and Director of Inpatient Services for the Montefiore Headache Center
New Treatments in Epilepsy with Robert Glover, MD, Clinical Assistant Professor, Department of Neurology, University of Buffalo, Jacobs School of Medicine and Biomedical Sciences
Headache Procedure Workshop / VNS Demos with Doctor Robbins and Joshua M. Cohen, MD, MPH, Assistant Professor of Neurology, Icahn School of Medicine at Mount Sinai; and Doctor Glover and Mill Etienne, MD, MPH, FAAN, Director of the Epilepsy and EEG Laboratory at Good Samaritan Regional Medical Center, and Assistant Professor of Neurology at the Uniformed Services University of Health Sciences.w
Medical Marijuana with Laszlo L. Mechtler, MD, Medical Director, Dent Neuorlogic Institute, Professor of Neuorology and Neuro-Oncology, State University of New York at Buffalo
Stroke Update with Shazia Alam, DO, Director, Neurohospitalist & Stroke Services, NYU Winthrop Hospital
Telemedicine Update with Jack W. Tsao, MD, Professor, Department of Neurology, Neuroscience Institute, The University of Tennessee Health Science Center
*Category I CME Program*
MLMIC Conversion Complete — See Session with Warren Buffett on New MLMIC
MLMIC Insurance Company (formerly known as Medical Liability Mutual Insurance Company) recently aired a live interview with Warren Buffett and MLMIC Board Chair James Reed, MD. It’s a monumental discussion marking the finalization of the transaction that adds MLMIC to the Berkshire Hathaway family of companies. Mr. Buffett expressed great enthusiasm about the future of healthcare and MLMIC’s role protecting New York physicians. Check out the live stream at https://www.mlmic.com/blog/physicians/warren-buffett-on-protecting-physicians
MLMIC is the only endorsed medical liability company of the New York State Neurological Society. To learn more about the sale and what it means for policyholders, go to https://www.mlmic.com/blog/physicians/mlmic-joins-berkshire-hathaway
CMS: New Quality Payment Program Resources Available and New Site Look
The Centers for Medicare & Medicaid Services (CMS) has recently revamped the look of the Quality Payment Program website and also posted new resources to help clinicians successfully participate in the first year of the Quality Payment Program.
CMS encourages clinicians to visit the website to review the following new resources:
- MIPS Quick Start Guide: Outlines the steps MIPS clinicians need to take between now and March 2018 to prepare for and participate in MIPS, including checking participation status, choosing to participate as an individual or as part of a group, deciding how to submit data, and selecting measures and activities.
- Medicare Shared Savings Program and Quality Payment Program Fact Sheet: Explains how the Shared Savings Program and the Quality Payment Program align reporting requirements for participating Accountable Care Organizations (ACOs) and MIPS clinicians, and how certain tracks in Shared Savings Program ACOs meet Advanced Alternative Payment Model (APM) criteria under the Quality Payment Program.
- MIPS APM Fact Sheet: Provides an overview of a specific type of APM, called a MIPS APM, and the special APM scoring standard used for those in MIPS APMs.
Federal Legislative Updates
Congress passed the FY2017 spending bill, which includes $34 billion for the NIH, an increase of 6.2% from FY2016. The BRAIN Initiative received $260 million, which was a request of the AAN’s Neurology on the Hill effort in February. The bill also provided substantial increases in funding for Alzheimer’s disease, telehealth, and opioid abuse.
On May 4, 2017, the House of Representatives narrowly passed the American Health Care Act (AHCA), a bill that repeals and replaces several provisions of the Affordable Care Act. Due to concerns about reduced access to health insurance coverage, the AAN and most other medical groups oppose the bill. The legislation will now advance to the Senate.
The Furthering Access to Stroke Telemedicine (FAST) Act (HR. 1148/ S. 431), now has 80 bipartisan cosponsors in the House and seven bipartisan cosponsors in the Senate. The bill has also been included in several key legislative packages. On May 15, 2017, AAN member neurologist and American Heart Association advocate Lee H. Schwamm, MD, testified in support of this legislation before the Senate Finance Committee.
State Legislative Updates
AAN Monthly Updates
Review the AAN’s 2016 accomplishments, financial results, and an outline of the 2017 strategic plan in the2016 Annual Report: We’ve Got Your Back.
The AAN and American Psychiatric Association released the dementia management quality measurement set update on May 1. The measures and publication are available online. Select dementia management measures are available in 2017 for use in CMS’ Merit-based Incentive Payment System (MIPS).
The Axon Registry® has been designated a Quality Clinical Data Registry (QCDR) for reporting year 2017 by CMS. This means the registry can report neurology specific quality measures under the MIPS program. Visit our website for information on how to join the Axon Registry and what it could do for your practice.
“Practice Guideline: Sudden Unexpected Death in Epilepsy Incidence Rates and Risk Factors” was published in Neurology during the Annual Meeting on April 24, 2017. It was codeveloped with the American Epilepsy Society and endorsed by the International Child Neurology Association.
“Practice Guideline: Reducing Brain Injury After Cardiopulmonary Resuscitation,” was published online ahead of print in Neurology on May 10, 2017. It was endorsed by the Neurocritical Care Society.
MSSNY Monthly Updates
With limited time left of current legislation session in Albany, we need to remain active in the legislative process. The end of session usually brings a lot of negotiations and deals on various bills and regularly includes surprises. While it’s hard for us to predict the unpredictable, there are ways to get involved and tip the odds in our favor. As we monitor bill introductions and meet with every legislator, our physicians must keep up on the most up-to-date information and important material to boost our efforts. Our grassroots action network click here is filled with informational materials and ways to contact your legislators. Please call, write and meet with your legislators before the end of session which is scheduled for June 21st.
All physicians are urged to continue to contact their legislators (click here) to oppose bills moving in the Legislature that could drastically increase the cost of medical liability insurance at a time when no increases can be tolerated. MSSNY has been working closely with hospital associations and specialty societies to demonstrate the health care community’s shared concerns regarding the serious adverse consequences to our healthcare system were any of such one-sided bills to be adopted. The timing of these bills could not be worse. We now have multiple malpractice insurance companies operating in New York State that appear to be in serious financial jeopardy which can ill-afford to absorb the substantial costs of a brand new cause of action. Moreover there is a great uncertainty in the NY healthcare delivery system as a result of legislation before Congress that could profoundly restructure Medicaid spending. Please urge you elected officials to oppose the following bills:
- Lengthening the Medical Liability Statute of Limitations (A.3339/S.4080) – would substantially lengthen the statute of limitations for medical malpractice actions and lead to enormous increases in the cost of liability insurance for physicians and hospitals. If enacted this bill could increase your liability premiums by 15%. This bill is on the Assembly floor and can be voted on at any time.
- Expansion of Wrongful Death Actions (A.1386/ S.411) – would greatly expand the categories of damages which a plaintiff may recover in a wrongful death action. Actuarial studies have predicted that this bill could increase liability premiums by over 50%. This bill is on the Assembly Codes Committee next week.
- Direct Actions Against a Third Party Defendant (A.1500 / S. 412) – would permit a plaintiff to bypass the defendant he or she sued to collect a judgment from a third party defendant who or which had been sued by the defendant for contribution or indemnification as a result of the underlying action.
- Prohibiting Ex-Parte Interviews of Plaintiff’s Treating Physician (S.243/A.1404) – would prohibit a physician’s defense counsel in a medical liability action from conducting an interview with the plaintiff’s treating physician. This bill would present significant issues for physicians in a medical liability action by limiting the opportunity to fully examine the plaintiff’s health condition to evaluate the merit of the plaintiff’s claim.
With just a few weeks left in the Legislative Session, physicians are urged to contact their legislators to ask them to support legislation strongly supported by MSSNY to address prior authorization hassles imposed by health insurance companies, increase coverage for patients, and to limit the ability of health insurers to narrow their networks. These bills include:
- S.3943 (Hannon)/A.2704 (Lavine) – would provide physicians and other health care practitioners with necessary due process protections where health insurers seek to terminate a physician from its network by failing to renew the physician’s contract. The bill has passed the Assembly and was recently reported to the Senate floor.
- S.3663 (Hannon)/A.4472 (Gottfried) – would permit independently practicing physicians to collectively negotiate patient care terms with market dominant health insurers under close state supervision. In addition to the ability to push back against exorbitant administrative hassles imposed by insurers, it would also help to protect physicians to have a stronger option to remain in independent practice. The bills have advanced to the Senate Finance Committee, and the Assembly Ways and Means Committee.
- S.5675 (Hannon)/A.7671 (Rosenthal) – would require health insurers to make out of network coverage options available through the New York Health Insurance Exchange. Currently, there are no out of network coverage options in the Exchange in downstate New York, despite Exchange officials strongly encouraging the offering of these options by insurers. The bills are in the Senate.