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. Feel free to contact us if you have any questions or want more information!
Free CME Course Available On Line Through December
Through December, 2020, you can learn about “Multiple Sclerosis – How to Apply the McDonald Criteria,” for CME credit, at no charge. To learn more and take the course, visit the link at MS and the McDonald Criteria
2019 Winter Meeting Highlights
Gil I. Wolfe, MD, FAAN, president of the New York State Neurological Society (right), recognizes Elliott Gross, MD, the founder of the NY State Neurological Society, at the 2019 Winter Meeting. Dr. Gross received an honorary plaque.
The December 14, 2019 Winning Neurostakes Team from NYU Langone, with (center) NYSNS Vice President Mill Etienne, MD, MPH, FAAN.
12/14/19 NYSNS Annual Winter Meeting Recap
Gil I. Wolfe, MD, FAAN, President, and Mill Etienne, MD, MPH, FAAN, Vice President, on behalf of the NY State Neurological Society
The New York State Neurological Society (NYSNS) held its annual Winter Meeting on December 14, 2019, in New York City. Attendance at this year’s educational meeting grew significantly from prior years to 200 attendees, including over 30 exhibitors, and offered 7 hours of CME credit. Topics included management updates in multiple sclerosis, familial amyloid polyneuropathy, amyotrophic lateral sclerosis, Alzheimer disease, epilepsy surgery, and deep brain stimulation. Other lectures focused on neuro-ophthalmology and neurocritical care. Also presented were overviews of the operations of the Office of Professional Medical Conduct and a brief summary of the medicolegal climate in New York State.
Each year, the NYSNS Winter Meeting features the Neurostakes competition between New York-based neurology residency training programs, a trivia contest in the vein of the TV game show Jeopardy. Seven teams of mostly senior neurology residents competed this year, with New York University coming out on top. The NYU team consisted of Doctors Brandon Giglio, Rachel Pauley, Marcus Russo, and Dixon Yang. Mill Etienne, MD, MPH, FAAN, served again as MC of the Neurostakes competition.
Society board members include Doctors Joshua Cohen, Charles Ensenwa, Mill Etienne (Vice President), John Ferro, Sweta Goel, Andrew Goodman (Immediate Past President), Elliott Gross, Lindsay Lair, Allan Perel (Treasurer), Melissa Rayhill, Matthew Robbins (Secretary), Nilay Shah, Amit Shelat, and Gil Wolfe (President). Cheryl Malone, CAE, executive director of NYSNS, played a key role in the meeting’s success.
The NYSNS plans to continue offering smaller, regional meetings during the year. In addition, Doctor Rayhill is spearheading efforts on behalf of women neurologists in NY State. Look out for an ongoing survey of member needs and check the NYSNeurology.com website for more information.
State neurological societies across the country not only fill an educational role for health care providers but are often involved with advocacy efforts at the state level. For instance, the NYSNS has an Advocacy Committee chaired by Allan Perel, MD, FAAN that monitors issues important to neurologists making their rounds in Albany.
Thanks to our exhibitors and CME providers below for helping to make our December 14 Meeting possible.
Sanofi Genzyme (MS Division)
Biotel Heart Caridonet/Lifewatch
Greater Hudson Valley Health System
Mayo Clinic Laboratories
Sanofi Genzyme *Gaucher/Pompe
See you at the next meeting!
MLMIC Says . . .
For the first time, the July 2019 issue of MLMIC’s Case Review is available here as a podcast (see below). Now you can listen to an audio version of each case study and its accompanying legal and risk management analysis. The cases in this new issue include: Gastroenterologist and Hospital Absolved after Disastrous OutcomeAND Poor Communication Regarding Medical Management Results in Patient Death. Listen in at MLMIC Podcast
Check Out MLMIC Case Review
As previously discussed in the Spring 2017 1ssue of Dateline, MLMIC Insurance
Company is increasingly using summary judgment motions to successfully defend
medical professional liability lawsuits commenced against its policyholders, thus
precluding the need for a lengthy and expensive trial The following IS one such case.
MLMIC (NYSNS Endorsed) Earns A+ Rating According to AM Best
AM Best has assigned a Financial Strength Rating of A+ (Superior) and a Long-Term Issuer Credit Rating of “aa-” to MLMIC Insurance Company (MLMIC) (New York, NY). The outlook assigned to these Credit Ratings (ratings) is stable.
The ratings reflect MLMIC’s balance sheet strength, which AM Best categorizes as strongest, as well as its adequate operating performance, limited business profile and appropriate enterprise risk management. The ratings also benefit from the financial support provided by MLMIC’s direct parent company, National Indemnity Company, which is ultimately owned by Berkshire Hathaway Inc. [NYSE: BRK.A and BRK.B].
MLMIC’s risk-adjusted capitalization, as measured by Best’s Capital Adequacy Ratio (BCAR) is categorized as strongest and AM Best expects it to remain at a similar level in prospective years. The balance sheet strength assessment also considers the company’s track record of positive reserves development, as well as good financial flexibility provided by its publicly traded ultimate parent Berkshire Hathaway Inc.
MLMIC has historically generated an adequate level of operating results, supported by modest underwriting profits and moderate investment returns. Underwriting results have consistently benefited from reserve releases on prior accident years. Prospectively, AM Best does not expect any material change in the company’s profitability levels.
MLMIC’s insurance portfolio is concentrated in the medical malpractice line of business. The company underwrites risks only within New York state, which represents one of the nation’s most challenging market environments. However, management has been able to operate successfully through underwriting cycles while maintaining MLMIC’s leading market position within New York. In addition, risk management capabilities have proven appropriate for the risk profile of the company.
MLMIC is the only endorsed medical liability company of the New York State Neurological Society. To learn more go to https://www.mlmic.com/
You Tell CMS (Do It by August 12)
Have you tangled with prior authorization problems connected with Medicare Fee For Service (FFS), Medicare Advantage, Medicaid Advantage or Health Insurance Marketplace Plans? The Regional Office of the Centers for Medicare/Medicaid Services (CMS) would like to hear from you, and soon (deadline August 12, 2019). Please send your experiences and comments concerning pre-authorization procedures and related “hassles” to PatientsoverPaperwork@cms.hhs.gov. CMS will keep all comments, stories, experiences and recommendations you share anonymous. (Exceptions: Your “role” (e.g., clinician), your “location” (e.g., state), or the “facility type” (e.g., hospital).) The information will help to shape policy and educate operational staff, and may become part of internal presentations. More information on the “Patients Over Paperwork” initiative is available at: Patients Over Paperwork
Federal Legislative Updates
State Legislative Updates
August 1, 2019
The Medical Society of the State of New York reports that the New York State Department of Financial Services (DFS) says New York will be delaying adoption of its Workers’ Compensation fee schedule changes for the No-Fault Auto system until October 1, 2020. The delay stems from auto carriers not having the ability to factor in the medical fee increases when making their rate increase request to adjust auto insurance premiums.
June 19, 2019
The State Legislature is currently considering multiple bills that would drastically increase medical liability insurance premiums and decrease patients’ access to essential health care services. Malpractice payouts in New York State continue to be far out of proportion to the rest of country, and WalletHub has again listed New York as the worst state in the country in which to be a doctor. Send emails right now! Go to Write an Email NOW
June 14, 2019
The New York State Neurological Society is proud to have been part of the coalition that fought for immunizations and a stop to the measles epidemic in New York. If you have a moment, thank Assemblymember Jeffrey Dinowitz (office number (518) 455-5965) from the Bronx and Senator Brad Hoylman (office number (518)455-2451) from Manhattan. They continued a fight in the face of vocal and intimidating opposition.
Cuomo signs ban on nonmedical vaccine exemptions https://www.crainsnewyork.com/health-care/cuomo-signs-ban-nonmedical-vaccine-exemptions … via
May 4, 2019
The Board of Directors of NYSNS has signed on with a number of other medical societies around the State of New York supporting 1) Assembly Bill 2371/Senate Bill 2994 which would clarify that the only permissible exception from New York’s vaccination requirements is for patient medical conditions that would place patients who are immunized at risk for adverse outcome; and 2) Assembly Bill 3038/Senate Bill 2847 which would significantly reduce the exorbitant pre-authorization barriers experienced by patients and their physicians that get in the way of timely treatment and medication and would help to protect consumers’ access to their prescription drugs.
Workers’ Compensation News
The Medical Society of the State of New York reports that the New York State Department of Financial Services has decided to delay implementation of the recently updated Workers’ Compensation Medical Fee Schedule until October 1, 2020 for the Auto No-Fault Program.
Therefore, you will need to keep the Workers’ Compensation Fee Schedule that was effective on June 1, 2012 for billing claims for the treatment of persons injured as the result of auto accidents.
Public comment can be sent to Camielle.Barclay@dfs.ny.gov before April 22, 2019.