CMS supporting California residents impacted by wildfires.

This is the last edition of the California Oncology Weekly for 2017.

We wish you and yours a wonderful holiday season.

Our next publication will resume Tuesday, January 9, 2018.

 

This Weekly’s Hot Topics

  • CMS supporting California residents impacted by wildfires (California News)
  • It’s a new year! Obtain updated patient insurance and eligibility (National News)
  • ANCO’s Medicare Reimbursement for Oncology 2018 on Jan. 3rd. (ANCO News)

 

Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma announced that the agency has taken immediate steps and is monitoring conditions in support of California residents displaced and recovering from the wildfires ravaging southern portions of the state. On Dec. 11, 2017, Acting Health and Human Services Secretary Eric D. Hargan declared a public health emergency (PHE) in the state of California retroactive to Dec. 4, 2017. For more information click here and go to California News.

Receive a $10 gift card! MOASC is conducting a quick Communications Survey, and we need you help to better serve you and to know how we are doing. We are simply looking for your opinions. The survey should take less than 5 minutes to complete for you to receive your $10 gift card.  For more information click here and go to MOASC News.

It is more important than ever for Congress to hear from all of us that IPAB still needs to be repealed. As the end of the year approaches, much of Congress’ work remains in flux.  Please contact your Senators and House members who voted in favor of repeal, to have them urge Leadership to incorporate IPAB repeal in any legislative vehicle that must move.  For more information click here and go to National News.

Flagship Research is seeking for Oncologists and Hematologists for a paid research study! They will be conducting a phone/web interview with Doctors treating adult patient, Flagship Research is interested in learning more about your thoughts and opinions of TRK-related tumors (non-small cell lung, primary brain, sarcoma, advanced thyroid, salivary gland, pancreatic, and colorectal).  For more information click here and go to Affiliate News.

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

December 19, 2017.

This Weekly’s Hot Topics

  • Final deadline to enroll in a 2018 Marketplace plan is December 15. (National News)
  • 12/31/17 deadline to participate, or not, in Medicare for 2018. (CMS News)
  • Advocacy Alert! Contact your Senators & Representatives! (National News)
  • Blue Shield is automatically reprocessing the affected claims (California News)

 

Earlier this year, the California Medical Association (CMA) began receiving calls from physician offices concerned that Blue Shield of California was not correctly paying claims under the state’s new out-of-network billing and payment law (AB 72). AB 72 requires fully insured commercial plans and insurers to make “interim payments” to non-contracted physicians for covered, non-emergent services performed at in-network health facilities, and places limitations on the ability of physicians in such circumstances to collect their full billed charges. For more information click here and go to California News.

The California Department of Managed Health Care (DMHC) took enforcement action including a $5 million fine—against Anthem Blue Cross for a systemic failure to resolve consumer grievances in a timely manner. For more information click here and go to DMHC News.

MARK YOUR CALENDAR, for MOASC’s Spotlight On® Hematology, Saturday, January 27, 2018 in Huntington Beach. MOASC’s Spotlight On series presentation brings highlights of the 2017 ASH annual meeting. MOASC awarded educational grants to 3 UCI Fellows who attended the ASH Annual in Atlanta, GA on December 9 – 12, 2017. They & UCI faculty will present their discoveries through interactive discussions on ASH highlights. For more information click here and go to MOASC News.

Stop the Medicare Sequester Cut!  Call your member of Congress today. With the passage of the tax bill, Congress has done the unthinkable – triggering a cut to Medicare payments (referred to in Washington as a “sequester” cut). Call Congress and let them know the Medicare sequester must be stopped.  This will have a dangerous impact on cancer care in the United States, reducing access and increasing costs for patients. For more information click here and go to National News.

The Centers for Medicare and Medicaid Services (CMS) recently published the final Medicare Physician Fee Schedule for 2018. Overall, there are many positive changes in the final rule, including the reduction of penalties under the flawed Value Modifier (VM) program, the expansion of coverage for telehealth services, the delay in implementation of the Appropriate Use Criteria (AUC) for imaging, and the reduction of documentation requirements for Medicare Shared Savings Program accountable care organizations. For more information click here and go to CMS News.

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

December 12, 2017.

This Weekly’s Hot Topics

  • Cancer Screen Week, December 4-8, 2017. (Industry News)
  • 2018 Part B monthly premium and deductible will remain the same (CMS News)
  • New platform lets patients sell their health data. (National News)

Op Ed published in the Sacramento Bee about the lack of sufficient oversight and tough punishment by the Medical Board for physicians who commit sexual assault of patients. This has been an ongoing policy discussion in Sacramento.  For more information click here and go to California News

A new issue has been added to our list of grievances! Please provide MOASC with your information through December 8th. MOASC will compile and forward to the California Insurance Commissioner or the Department of Managed Health Care for resolution. The number of contested denials handled by the department has nearly tripled! YOUR RESPONSE IS NEEDED!. For more information click here and go to MOASC News.

Lawmakers are negotiating their year-end budget and HHS’ new Medicare cuts to the 340B program is involved. Congress must pass the budget by Dec. 8 to prevent a government shutdown. 340B hospitals face $1.6 billion in annual Medicare cuts through the CMS’ finalized hospital outpatient hospital prospective payment rule if Congress doesn’t block or delay its implementation before Jan. 1, according to the American Hospital Association and Association of American Medical Colleges. For more information click here and go to National News.

The CMS is moving ahead with its plan to cancel bundled-payment models that were predicted to save Medicare millions. The agency insisted it still supports moving Medicare from a fee-for-service to value-based system. For more information click here and go to CMS News.

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

December 5, 2017