September 27, your comments are due for the CY 2020 Proposed Rules CMS News.

This Weekly’s Hot Topics

  • As with the Community Oncology Alliance COPA group, part of the California Pharmacists Association’s public relations effort to outline the negative impacts that PBMs have on the viability of community pharmacies is through personal impact stories. California News
  • September 27, your comments are due for the CY 2020 Proposed Rules CMS News
  • Tomorrow! ASCO seeks: comment for Systemic Therapy for Melanomaand application for their Leadership Development Program AND Health Policy Leadership Development Program. Affiliate Association News.

As with the Community Oncology Alliance COPA group, part of the California Pharmacists Association’s public relations effort to outline the negative impacts that PBMs have on the viability of community pharmacies is through personal impact stories. One strategy is gathering personal stories from pharmacists, or patients about their first hand account of PBM abuse. Another strategy is to provide a video testimonial that will be used in advocacy and media outreach efforts. To read more click here and go to California News.

General Chapter <800> will be official December 1, 2019, and is not subject to any pending appeals. USP plays no role in enforcement of <800>. State and other regulators may make their own determinations regarding the enforceability of <800>. To read more click here and go to National News.

Under a recently finalized rule, providers enrolling in Medicare, Medicaid, or CHIP will be required to disclose current or previous “affiliations” with other providers or suppliers with certain public integrity infractions. Specifically, CMS will require disclosure during enrollment of any current or previous affiliation with another provider and/or supplier that has uncollected debt or has been excluded, suspended, or had billing privileges revoked from a federal healthcare program. To read more click here and go to CMS News.

You are cordially invited to the Research To Practice (RTP) “Year in Review,” moderated by Dr. Neil Love, Saturday, October 12, 2019 at Loews Santa Monica Beach Hotel 1700 Ocean Avenue Santa Monica, California. Physicians, nurses and other healthcare providers are welcome. To read more click here and go to Affiliate Association News.

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

September 24, 2019 

This Weekly’s Hot Topics

  • Provide YOUR feedback to Congressregarding impact of California laws on practice viability. California News
  • Best of WCLC 2019-San Franciscoon September 23. ANCO News
  • Contact your lawmakers regarding HR913 and HR3107 National News

The California Medical Association (CMA), and its partner specialty societies, is in the midst of a legislative struggle as Congress is moving swiftly to pass legislation that would ban balance billing for Federally-regulated self-insured ERISA plans. This would impact more than 40% of California’s insurance market. To read more click here and go to California News.

Contact your lawmakers regarding two bills ASCO is supportingHR913, the Clinical Treatment Act, that would require Medicaid to cover the routine care costs associated with clinical trials; and, HR3107, the Improving Senior’s Timely Access to Care Act, that would streamline prior authorization practices within the Medicare Advantage program. To read more click here and go to National News.

As Medicare Open Enrollment approaches, CMS is protecting Medicare beneficiaries by reminding them to be vigilant and take precautions to avoid falling victim to healthcare fraud. Scammers are after medical insurance and financial account information and passwords for their monetary gain and may use the increased public outreach activities during Open Enrollment as an opportunity to strike. To read more click here and go to CMS News.

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

September 17, 2019

This Weekly’s Hot Topics

  • Legislature refuses to pass coverage of IVF for diseases such as cancer. California News
  • Most cancer survivors not getting the support they need. National News
  • If you don’t want to lose patient assistance programs, send YOUR DATA BEFORE September 15th. Affiliate Association News

The so-called Death Certificate Project initiated by the Medical Board of California that began in 2015 has now resulted in formal accusals of wrongdoing filed against 64 physicians related to their drug prescribing, primarily involving opioids, newly updated records show. To read more click here and go to California News.

CMS is now accepting hardship exceptions from the Medicare Quality Payment Program (QPP) for the 2019 reporting year.  To read more click here and go to CMS News.

If you don’t want to lose patient assistance programs, send YOUR DATA BEFORE September 15th. Go to the link at the end of this article to fill out the survey to help COA collect this data from practices.  This is SERIOUS and URGENT. The Senate Finance Committee has actually passed a bill that would require drug manufacturers to include the value of “coupon” programs in their ASP calculations, which as of now, would include patient assistance programs (even possibly drug assistance).  Patient Assistance & Drugs Survey . To read more click here and go to Affiliate Association News.

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

September 10, 2019 

This Weekly’s Hot Topics

  • TODAY at 10:30am, ACCC webinar CMS Proposed CY2020 Affiliate Association News
  • California Cancer Caucus partners with the California Legislative Black Caucus. California News
  • Read about the Medicine Assistance Tool, or MAT, to help with prices for medicines. National News

 

Last Wednesday, MOASC President, Warren Fong, M.D. and NOSN President, Mariana Lamb represented the California Cancer Caucus at the invitation of Assemblymember 79th District, Shirley Weber, Ph.D, Chair of the California Legislative Black Caucus (CLBC). A very special luncheon briefing was held addressing one of our state’s greatest health challenge – Cancer. The CLBC, in partnership with the California Life Sciences Association (CLSA), the California Cancer Caucus, the National Oncology State Network (NOSN), and the American Cancer Society Cancer Action Network (ACSCAN) hosted Cancer and the Most Underserved Community: Research and Solutions, in the Eureka Room at the State Capitol.  To read more click here and go to California News.

Blue Shield Of California Partners With California Medical Association To Help Doctors Offer Value Based Care: Blue Shield of California unveiled new details about the technology and services company it is launching to help physician practices remain independent while giving them tools needed to succeed in value-based care arrangements. To read more click here and go to California News.

The Office for Civil Rights (OCR) is the government’s HIPAA enforcement agency. The topic of their summer 2019 newsletter is “Managing Malicious Insider Threats.” The 2019 edition of Verizon’s Data Breach Investigations Report found trusted insiders were responsible for 59% of all security incidents and breaches (both malicious and inadvertent) analyzed in the report. The report also indicated that the primary motivation for incidents and breaches perpetrated by insiders was financial gain. To read more click here and go to National News.

CMS has announced that clinicians who participated in the Merit-Based Incentive Payment System (MIPS) in 2018 can access their 2018 performance feedback by logging in to the Quality Payment Program (QPP) website. The information should confirm whether you or your practice will receive a positive, negative, or neutral Medicare fee schedule adjustment in 2020 based on the 2018 results. To read more click here and go to CMS News.

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

September 3, 2019