Print Page   |   Contact Us   |   Sign In   |   Register
Community Search
Alert Call to Action
Share |

ALERT call to action

2013

Vol 20 No 1

UNLESS CONGRESS ACTS, PHYSICIANS FACE A MEDICARE PAY CUT OF 26.5 PERCENT EFFECTIVE JANUARY 1, 2013

Every year for more than a decade, physicians have faced a significant reduction in Medicare and Tricare payments - the result of a problematic formula used to calculate the reimbursements called the Sustainable Growth Rate (SGR).  Members of Congress are back in Washington, D.C., and they need to make some important decisions concerning the future delivery of Medicare care before the year is over.  Read more...

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 2
February 5, 2013

THIS MESSAGE IS IMPORTANT IF YOU ARE A PARTICIPATING PHYSICIAN WITH ANTHEM BLUE CROSS AND BLUE SHIELD

On or about January 25, 2013, you may have received a letter from Anthem Blue Cross and Blue Shield seeking to amend your participation agreement with the company.

In that letter, Anthem indicated it intends to participate in the soon-to-be finalized Connecticut Health Insurance Exchange Network. The CT Health Insurance Exchange is being created by PPACA and is scheduled for implementation on January 1, 2014. (FCMA’s Annual Meeting on April 25 will focus on PPACA, the CT Health Insurance Exchange, and the impact on the delivery of medical care).

If you are a participating physician with Anthem and you do not wish to participate in Anthem’s Exchange Network, you have 30 days from the date of the letter to inform the company you do not want to participate in Anthem’s CT Health Insurance Exchange products.   Read more...

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 3
February 15, 2013

This is an Important Message if you are a Participating Physician with ConnectiCare

Physicians across Fairfield County are starting to receive a letter, in many cases by certified mail, from ConnectiCare that seeks to amend your participation agreement with the company.

The letter indicates ConnectiCare established a new affiliate called ConnectiCare Benefits, Inc. and CBI may issue health insurance benefits to the newly-created Connecticut Health Insurance Exchange. Established by the Patient Protection and Affordable Care Act (PPACA), the Exchange is a public entity that will offer health insurance plans to employers and individuals starting January 1, 2014.

If you are a participating physician with ConnectiCare and you do not wish to participate in CBI health insurance benefits plans, you have 30 days from the date of the letter to inform ConnectiCare you do not want to participate in CBI’s health insurance benefits.  Read more...

* * * * * * * * * * * * * * * * * * * * 

Vol 20 No 4
March 1, 2013

Physicians are needed to testify on Proposed H.B. No. 6158 An Act Concerning Vaccine Distribution on Friday, March 8. We cannot guarantee what time the testimony will be heard; it might be necessary for you to spend the entire day.  Read more...

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 5
March 19, 2013

This is a summary of recent legislative action aimed at alleviating the pressures associated with Connecticut vaccine mandate.

There are currently two bills in the Public Health Committee that had a public hearing on March 8: House Bill 5744 and House Bill 6158.

HB 5744 was put forth by the CT American Academy of Pediatricians (AAP), in summary, to have the insurers reimburse medical practices for the “carrying costs” for having vaccines in the office. The carrying costs would be in addition to the vaccine administration fee that medical practices are allowed to charge. The bill also requests universal coverage for all immunizations, among a few additional items.

HB 6158 was introduced at the request of FCMA for all physicians who administer vaccines to children. The bill, if passed, would allow physicians a choice where they obtain their vaccine; physicians would no longer be required to exclusively procure vaccine from the state of Connecticut and doctors would have the option to purchase vaccine in the private market.   Read more...

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 6
March 27, 2013

Medicare Pay Cut Will Begin on April 1 Under Federal Budget Sequester


The two percent across-the-board reduction in Medicare payments to physicians mandated by the federal budget sequester will begin April 1, as announced by the Centers for Medicare and Medicaid Services.

Physicians will see the payment reduction applied to their fee-for-service claims with a date of service of April 1 or later. The two percent cut will apply to the payment amount after it has been adjusted for beneficiary coinsurance, deductibles, and any applicable Medicare secondary payments. The allowed charge amounts remain unchanged.  Read more...

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 7
March 28, 2013

Your Voice Needed to Oppose Weakening of the Certificate of Merit

It was announced yesterday the Judiciary Committee would hold a public hearing on proposed House Bill 6687 (http://www.cga.ct.gov/2013/TOB/H/2013HB-06687-R00-HB.htm) which would seriously weaken the protections afforded by the Certificate of Merit process in a medical liability action. If passed, it would eventually lead to significantly higher medical liability premium rates in the state of Connecticut.  Read more...

The public hearing will be held on:

Monday, April 1, 2013
Room 1E
Connecticut Legislative Office Building
300 Capitol Avenue, Hartford
10:00 a.m.


* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 8
April 16, 2013

Medical Liability Protection Under Attack

This past Friday, the Judiciary Committee passed out of committee two bills which, if passed, will seriously undermine the medical liability protections we fought so hard for in 2005.  The first proposal is House Bill 6687 An Act Concerning Certificates of Merit and the other is Senate Bill 1154 An Act Concerning the Accidental Failure of Suit.  Read more...

Talking points from the Association          Talking points on HB 6687          Talking points on SB 1154

 

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 9
April 30, 2013

Earlier this month, the Judiciary Committee passed out of committee two bills which, if passed, will seriously undermine the medical liability protections that were afforded in 2005.  The first proposal is House Bill 6687 - An Act Concerning Certificates of Merit and the other is Senate Bill 1154 - An Act Concerning the Accidental Failure of Suit.  Read more...

Click here for a sample letter or email for sending to your legislators.

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 10
May 22, 2013

As the regular legislative session of the Connecticut General Assembly nears its deadline on Wednesday, June 5, the personal injury lawyers are working feverishly to get their two medical liability reform bills passed: Senate Bill 1154 – An Act Concerning Accidental Failure of Suit and House Bill 6687 – An Act Concerning Certificate of Merit.

Physicians oppose SB1154 because it would essentially extend the statute of limitations and grant near immunity from legal malpractice to attorneys who make a mistake in filing a medical liability claim on behalf of a client. Physicians oppose HB 6687 because it would allow almost any health care practitioner, and not just a physician of a similar specialty and training as the defendant, to sign a Certificate of Merit in a medical liability action.  Read more...

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 11
July 2, 2013

Mandatory Registration Required for the Connecticut Prescription Monitoring and Reporting System


Effective June 21, 2013, Public Act 13-172 requires all physicians and other prescribers who possess a Connecticut Controlled Substance Registration issued by the Connecticut Department of Consumer Protection to register in the Connecticut Prescription Monitoring and Reporting System (CPMRS). There is no cost to register or access information in the CPMRS.  View letter from the Connecticut Department of Consumer Protection.   Read more...

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 12
July 3, 2013
 

Physicians Must Enroll in Medicaid Program to Order/Refer Items and Services to Medicaid Beneficiaries

Effective September 1, 2013, physicians must be enrolled in CMAP to continue prescribing medications/supplies for or referring CMAP patients for Services.

The Patient Protection and Affordable Care Act (PPACA) requires that a physician who orders supplies, prescribes medications, or refers a patient of the Connecticut Medical Assistance Program (CMAP) for services that are billed to Medicaid and the HUSKY Health and Charter Oak Programs must be enrolled in the Connecticut Medical Assistance Program (CMAP).  
Read more...

* * * * * * * * * * * * * * * * * * * * * * * * *

 
Vol 20 No 13
July 12, 2013

Frequently Asked Questions Concerning the New Law as it Relates to Continuing Medical Education (CME) and Medical License Renewal. 
Read more...

 

* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 14
October 8, 2013

UHC Network Realignment Initiative

The Fairfield County Medical Association became aware that United Healthcare (UHC) made a decision to significantly reduce the size of its physicians network in Connecticut.  The decision to reduce the size of UHC's physician provider panel only impacts its Medicare Advantage plan and not any of the commercial products currenlty offered by UHC.  Read more...


* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 15
October 29, 2013

Update: UHC Network Realignment Initiative

On October 8, the Fairfield County Medical Association was one of the first medical organizations in the country to alert its members that UnitedHealthcare made a choice to significantly reduce the size of its physician network in Connecticut.  The decision to reduce the size of UHC's physician provider panel impacts its Medicare Advantage plan and not any of the commercial products currently offered by UHC.  Read more...

Dr. Oshman's lette to the editor
Proud to be Dropped by UnitedHealthcare
Connecticut Delegation Presses UHC Group
Congressional Delegation Wants Answers from UnitedHealthcare After Cuts to Doctor Network
Keep Corporations out of Medicare


* * * * * * * * * * * * * * * * * * * * * * * * *

Vol 20 No 20
December 3, 2013

Judge Asked if UnitedHealthcare ever Terminated without Cause

In connection with the hearing today in Bridgeport Federal Court, Judge Stefan Underhill asked the attorney for Fairfield County Medical Association whether UnitedHealthcare, prior to October 2013, has ever unilaterally terminated a physician’s contract “without cause” from some, but not all, of the plans offered by UnitedHealthcare.  
Read more...

 

 

 


Sign In
Sign In securely
Calendar

5/10/2017
Is Telehealth in Your Future?

6/1/2017
New Developments in Qualified Retirement Plan Design for Medical Practices

9/16/2017
ShredFest 2017

10/19/2017
FCMA's 225th Annual Meeting

11/1/2017
Wage and Hour Law Review