California Oncology Weekly Newsletter 7.25.17

This Weekly’s Hot Topics

  • Don’t miss MOASC’s “Spotlight On…” presentation this Saturday, July 29 (MOASC News)
  • ANCO is funding one 2018 YIA candidate (ANCO News)
  • Executive director’s response to Congressman Schiff commentary (MOASC News)

 

DON’T MISS this Saturday’s MOASC’s “Spotlight On…” series presentation by the University of California Irvine, Saturday, July 29 at the Waterfront Beach Resort, Huntington Beach. MOASC awarded educational grants to 3 UCI Fellows who attended the ASCO Annual meeting in Chicago on June 2-6, 2017. For more information click here and go to MOASC News.

Most Americans avoid end-of-life decisions, although some people may be more likely to make them if a doctor or social worker starts the discussion. In California, the state attorney general’s office offers an end-of-life planning checklist on its website. In the past few years, other websites have encouraged those conversations, with their own suggestions on how to get started. For more information click here and go to California News.

AB 265 (Wood). Prescription drugs: prohibition on price discount.  The bill will prohibit pharmaceutical manufacturers from offering a coupon for patients when there is a less expensive alternative (e.g., generic) available.  Certain exceptions have been included in the bill such as independent charity patient assistance programs. For more information click here and go to California News.

Whether you are a provider enrolling in Medicare for the first time or need to make changes to your enrollment information, Internet-based Provider Enrollment, Chain and Ownership System (PECOS) is the most efficient process of submitting applications and keeping Medicare enrollment information up to date. For more information click here and go to Noridian News.

Earlier this month, the Department of Health Care Services (DHCS) notified approximately 30,000 Medi-Cal providers that they were being “deactivated” because they had not submitted a claim or rendered services reported on a Medi-Cal claim in the last 12 months. The notices indicated that the deactivation date would be July 22, 2017. For more information click here and go to DHCS/Medi-Cal News.

 

To view the complete California Oncology Weekly Newsletter, click on the date below.

July 25, 2017

 

This Weekly’s Hot Topics

  • CMS issues proposed rule update to Medicare payment and policies for CY 2018 (Noridian News)
  • Patients’ Access to Treatment Act (R. 2999) introduced in the House of Representatives. (National News)
  • The Medicare trust fund will be insolvent by 2029 (CMS News)

 

In what may be the first-of-its-kind lawsuit related to California’s End of Life Option Act, the family of a San Francisco terminally ill cancer patient is suing the UC San Francisco Medical Center alleging that her physician and the system misrepresented that they would help the dying woman use California’s right-to-die law when her time came. Instead, according to the July 7 civil lawsuit filed in San Francisco Superior Court, Judy Dale’s wish for a peaceful death was denied to her by the defendants’ “conscious choice to suppress and conceal’’ their decision that they would not participate in the law, despite Dale’s repeated indications to doctors and social workers that she intended to use its provisions. gave her over and over.’’ For more information click here and go to California News.

On July 13, CMS issued a proposed rule that would update Medicare payment and policies for doctors and other clinicians who treat Medicare patients in CY 2018. The proposed rule is one of several Medicare payment rules for CY 2018 that reflect a broader strategy to relieve regulatory burdens for providers; support the patient-doctor relationship in healthcare; and promote transparency, flexibility, and innovation in the delivery of care. The Physician Fee Schedule is updated annually to include changes to payment policies, payment rates, and quality provisions for services furnished to Medicare beneficiaries. For more information click here and go to Noridian News.

Representatives David McKinley (R-WV) and G. K. Butterfield (D-NC) recently introduced the Patients’ Access to Treatment Act (H.R. 2999) in the House of Representatives. The legislation aims to remove the burden of excessive cost sharing for Americans who need high-cost, specialty-tier medications. Currently, many insurance companies divide prescription medications into cost-sharing tiers. For more information click here and go to National News.

CMS released its proposed FY 2018 Payment Rules, Proposing Significant Cuts to 340B Hospitals and New Outpatient Facilities. The Centers for Medicare & Medicaid Services (CMS) released the proposed CY 2018 Outpatient Prospective Payment System (OPPS) and Physician Fee Schedule (PFS) payment rules, which contain significant provisions that would reduce payments to hospitals participating in the 340B Drug Pricing Program and to new off-campus provider-based facilities billing under OPPS. For more information click here and go to CMS News.

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July 18, 2017 

This Weekly’s Hot Topics

  • Fellows in California are invited to submit abstracts for their original research. California News
  • The City of Chicago recently released a draft of the disclosure log. National News
  • Participate in the Oncology Patient Engagement Trend Report survey! Affiliate News

California has not been known to be the most “business friendly” state in the union in recent history. We recently wrote about California Senate Bill 790 passing in the California state senate that was intended to restrict pharmaceutical companies from giving gifts and incentives to medical professionals. The bill prohibits manufacturers from offering or giving a gift to a health care provider. The bill also prohibits a manufacturer or an entity on behalf of a manufacturer from providing a fee, payment, subsidy, or other economic benefit to a health care provider in connection with the provider’s participation in research. For more information click here and go to California News.

The Department of Fair Employment and Housing (DFEH) have updates to mandatory California labor law posting requirements that affect your business. In order for your business to stay in compliance with these recent changes, the updated postings must be downloaded, printed, and then posted next to your current labor law poster. For more information click here and go to California News.

MOASC President, Warren H. Fong, M.D. attended the Carrier Advisory Committee meeting on June 28, 2017 in Los Angeles. For more information click here and go to Noridian News.

In the June 27, 2017 edition of the California Oncology Weekly, MOASC asked for your feedback on Blue Shield’s pilot cancer care program (Blue Shield Letter). MOASC shared their concern with ASCO & COA, the CMA and the California Department of Managed Health Care (DMHC) expressing concern, noting the negative impact on the oncology community, asking for more details about the program and Blue Shield’s future intents. For more information click here and go to DMHC News.

The City of Chicago recently released a draft of the disclosure log pharmaceutical representatives will be expected to use to keep track of the interactions they have with Chicago physicians. The form requires pharmaceutical representatives to log the following information with respect to any interactions they have with physicians within city limits: HCP first name; HCP middle initial/name; HCP last name; HCP name suffix (i.e., Jr.); HCP primary business address; HCP license type (i.e., MD, DO, etc.); HCP state license number; HCP NPI (if applicable); date of interaction; location of interaction; duration of interaction; pharmaceuticals promoted; whether samples were provided, and if so, the quantity of samples given and the value of such samples; whether pharmaceutical-related materials were given, if so, the value of the materials given; and whether any other items of value or compensation were given, if so, what type and the combined value of other items.  For more information click here and go to National News.

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July 11, 2017