California Oncology Weekly Newsletter 9.26.2017

This Weekly’s Hot Topics

  • CMA wants to hear from you if your practice has received an incorrect payment from Anthem or any other payer related to the new law (AB72). (California News)
  • Policymakers in Washington are debating a proposal from the Centers for Medicare & Medicaid Services (CMS) to stop abuses of the 340B program by some hospitals. (National News)
  • The Centers for Medicare &Medicaid Services (CMS) is removing Social Security numbers from Medicare cards. (CMS News)

 

The California Medical Association (CMA) has resources available for members as the deadline for the 90-day reporting option for the Medicare Quality Payment Program (QPP) approaches (October 2). For more information click here and go to California News.

CMA wants to hear from you if your practice has received an incorrect payment from Anthem or any other payer related to the new law (AB72) limiting out-of-network billing for covered, non-emergent services performed at an in-network facility. For more information click here and go to California News.

Policymakers in Washington are debating a proposal from the Centers for Medicare & Medicaid Services (CMS) to stop abuses of the 340B program by some hospitals.  For more information click here and go to National News.

CMS, through the Medicare Administrative Contractors (MACs), recently mailed letters to all Medicare Fee-For-Service providers about CMS’ work to assign new numbers (known as Medicare Beneficiary Identifiers or MBIs) and issue new Medicare cards to all people with Medicare beginning in April 2018. For more information click here and go to CMS News.

New White Paper Details Bureaucracy, Deadly Delays, and Apathy by Pharmacy Benefit Managers (PBM’s). COA has released the 3rd edition of PBM patient horror stories. The link also has all the white papers and letters from COA regarding the PBM’s onerous activities. For more information click here and go to Affiliate Association News.

To view the complete California oncology Weekly Newsletter click on the link below.

September 26, 2017

This Weekly’s Hot Topics

  • 5 UC cancer centers collaborate to improve cancer care (California News)
  • Share your PBM story with the New York Times (National News)
  • ASCO’s Leadership Development Program applications due 09/24 (Affiliate News)

 

Californians Allied for Patient Protection (CAPP) The Coalition to Protect MICRA, (you know, the coalition that fights for your reduced malpractice premium rates) invite you to join them for an evening reception in honor of Senator Scott Wiener on Monday, September 25th from 5:30 p.m. – 6:30 p.m. For more information click here and go to California News.

COPA (Community Oncology Pharmacists Association) has been heavily involved in the PBM issue for more than a year.  In recent months, anger over rising drug costs set off a civil war within the pharmaceutical industry, pitting drug makers against other players in the health care system, including the little-known pharmacy benefits managers that negotiate with drug makers on behalf of insurers, large employers and government health programs. For more information click here and go to National News.

Year In Review, moderated by Neil Love, M.D., is a multi-tumor regional symposia series focused on the application of emerging research information to the care of patients with common cancers, is scheduled for Saturday, November 18, 2017 at the Fairmont Miramar Hotel in Santa Monica, CA. For more information click here and go to Affiliate News.

Applications for ASCO’s Leadership Development Program will be accepted through September 24. Through the Program, participants will gain extensive exposure to the roles and mission of ASCO, its Leadership, and the Society’s powerful place in developing the future of cancer care. Applicants must have completed their final subspecialty training between 2008 and 2013. For more information click here and go to Affiliate News.

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

September 19, 2017

September is Prostate Cancer & Blood Cancer Awareness month.

This Weekly’s Hot Topics

  • Anthem Blue Cross not paying “interim payment” as required by law (California News)
  • Free webinars on Duplicate Claims and Critical Care this week! (Noridian News)
  • Prolonged services without direct patient contact payable by Medicare PFS (Affiliate News)

 

MOASC and ANCO have been informed by the California Medical Association (CMA) of  Anthem Blue Cross is not paying the “interim payment” as required under the recently effective law (AB 72) limiting out-of-network billing for covered, non-emergent services performed at an in-network facility. For more information click here and go to California News.

The Legislative session ends at midnight this Friday, September 15th. Legislators have been amending bills, debating and voting. Several key health care bills saw action last week. AB 205 (Wood)/SB 171 (Hernandez).  Medi-Cal: Medi-Cal managed care plans. The joined bills would require the Department of Health Care Services to make several changes to the operation of the Medi-Cal managed care program, to conform to new federal requirements. The bills were amended last week and will be voted on this week. For more information click here and go to California News.

Noridian supports and encourages the use of self-service technology. The Noridian Medicare Portal allows providers an on-demand method to retrieve their Standard Paper Remittance (SPR) Advices. This will eliminate paper delays and administrative burdens traditionally associated with SPRs. For more information click here and go to Noridian News.

National Prostate Health Month, is an annual campaign to raise awareness of the disease. The George Washington (GW) Cancer Center’s Prostate Cancer Awareness Month Social Media Toolkit, newly updated for 2017, was designed to help stakeholders establish a Prostate Cancer Awareness Month social media strategy, manage social media accounts, implement Facebook and Twitter best practices, disseminate Prostate Cancer Awareness Month messaging and evaluate their social media efforts. For more information click here and go to National News.

CMS invites representatives from organizations of all sizes to assess current and future functionality of the Quality Payment Program website (http://qpp.cms.gov) as well as make recommendations for improvements. For more information click here and go to National News.

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

September 12, 2017

This Weekly’s Hot Topics

  • MolDX: ResponseDX Tissue of Origin – R2, coverage article has been revised. (Noridian News)
  • ANCO President, Daniel P. Mirda, M.D., chosen as one of ASCO’s Advocacy Champions (ANCO News)
  • Last week to submit comments to CMS regarding the 340B Drug Pricing Program (CMS News)

 

One of the bills in the California legislature designed to address high prescription drug costs takes aim at the middlemen who negotiate pharmaceutical prices by bringing them under the state’s regulatory purview.  Pharmacy benefit managers represented by the trade group The Pharmaceutical Care Management Association, are the go-betweens who negotiate drug prices with manufacturers on behalf of health insurers. For more information click here and go to California News.

AB 205 (Wood):  Medi-Cal: Medi-Cal managed care plans.  This bill would require the Department of Health Care Services to make several changes to the operation of the Medi-Cal managed care program, to conform to new federal requirements.  Patient advocacy groups strongly support the access to care standards included in the bill. For more information click here and go to Noridian News.

Limited drug access, power outages and floodwater injuries are challenges the residents of Houston will have to face right away. Are you ready for the natural disasters facing your community through earthquake, fire and flood? Not only do we have emergency disasters in California, but every community across the United States have such emergencies!. For more information click here and go to MOASC News.

The Medicare appeals backlog is significant and has been increasing in recent years. In an effort to reduce the backlog, HHS has issued a final rule, which includes an assortment of initiatives. There are steps providers can take to reduce the risk and/or negative outcomes of an SMRC review, including using trigger language and ensuring time stamps. For more information click here and go to CMS News.

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

September 05, 2017.