You know the saying, the only two certainties in life are death and taxes.

This Weekly’s Hot Topic

You know the saying, the only two certainties in life are death and taxes. Well, today, April 16, National Healthcare Decision Day comes on the heels of tax day. Organized by the Conversation Project, an offshoot of the Institute for Healthcare Improvement, it’s a day designed to highlight the importance of advance planning and to “encourage patients to express their wishes regarding healthcare and for providers and facilities to respect those wishes, whatever they may be.” According to a 2017 study in Health Affairs, only 36.7% of Americans have an advance directive.

The California Medical Association (CMA) reports: Anthem Blue Cross recently announced changes to its Prudent Buyer Participating Physician Agreement and fee schedule effective July 1, 2019. To read more click here and go to California News.

A new document, titled Electronic Payments on the Medicare Secondary Payer Recovery Portal (MSPRP) and Commercial Repayment Center Portal (CRCP) Frequently Asked Questions and Answers, is now available. To read more click here and go to Noridian News.

The top 9 factors MOASC physicians have identified as creating stress, causing burnout, which may impact their ability to practice medicine are: Amount of Work; Amount of time spent with authorizations; Cost of drugs to my patients and to me; Difficulty in finding a new partner or replacement; Difficulty in taking time off; EHR; Mandated policies and/or procedures; Reduced Income; Reduced Reimbursement. To read more click here and go to MOASC News.

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

April 16, 2019

This Weekly’s Hot Topics

  • Noridian/JEMAC continues to deactivate provider. California News
  • ANCO Executive Directorannounces retirement. ANCO News
  • Senate Finance Committee held hearing today on PBM abuses. National News

The California Medical Association (CMA) reports that Noridian/JEMAC continues to deactivate providers for not responding to Medicare revalidation notices. To read more click here and go to California News.

The ANCO Executive Director has announced his intention to retire effective July 1, 2020. The ANCO Board of Directors accepted his transition plan and timeline with the goal of identifying and installing a successor by the time ANCO’s annual business cycle starts in September 2019. To read more click here and go to ANCO News.

The following are excerpts from a report provided by Ted Okon, Executive Director of Community Oncology Alliance. “The Community Oncology Alliance (COA) applauds the Senate Finance Committee for holding today’s hearing but strongly recommends additional work be done to shine a strong light on PBM abuses in delaying and denying cancer patients critical medical care. To read more click here and go to National News.

Final rule allows MA plans to expand telehealth coverage. The CMS released a final rule giving Medicare Advantage plans greater flexibility to cover in-home telehealth services to seniors as part of standard benefits beginning in the 2020 plan year. To read more click here and go to CMS News.

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

April 9, 2019