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NYS SOciety of ORTHOPAEDIC Surgeons


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  • Fri, November 22, 2019 5:12 PM | Babette Grey (Administrator)

    The New York Workers’ Compensation Board Drug Formulary (NY WC Formulary) becomes effective on December 5, 2019 for all new prescriptions.

    All new prescriptions for injured workers in New York State must be listed within the NY WC Formulary unless an alternative medication has been approved through the NYS Workers’ Compensation Board’s new prior authorization process.

    The new electronic prior authorization process will soon be available through the Board’s Medical Portal; please watch for the notification.

    Please visit the Board’s Drug Formulary Overview webpage for:

    • An overview of the NY WC Formulary and the prior authorization process
    • The latest version of the NY WC Formulary (effective 11/5/19)
    • A video overview for Medical Providers
    • A Quick Guide to the NY WC Formulary
    • An NY WC Formulary Dashboard Guide for Medical Providers

    Information and resources related to requesting prior authorization through the Board’s Medical Portal, can be found on the Board’s Medical Portal Overview webpage.

    For more information or assistance: http://www.wcb.ny.gov/content/main/hcpp/DrugFormulary/overview.jsp

  • Thu, October 17, 2019 9:30 AM | Babette Grey (Administrator)

    The NYS WC Board is hosting webinars to provide training on the Drug Formulary and prescription prior authorization process. Visit the Board's website to register: http://www.wcb.ny.gov/webinars/

    October 22, 8:30 a.m. - 9:30 a.m.
    October 24, 4:30 p.m. - 5:30 p.m.
    October 29, 8:30 a.m. - 9:30 a.m.
    More Information
    For more information, visit wcb.ny.gov/content/ebiz/drugformulary/

    General Formulary questions: WCBFormularyQuestions@wcb.ny.gov

    Technical support questions: WCBCustomerSupport@wcb.ny.gov

  • Wed, July 31, 2019 1:59 PM | Babette Grey (Administrator)

    Changes to National Government Services Local Coverage Determination Process

    In accordance with Section 4009 of H.R. 34-21st Century Cures Act (Public Law No: 114-255), CMS is updating the “Medicare Program Integrity Manual” with detailed changes to the LCD process.

    • All coding information, will be removed from the LCDs and placed in a related billing and coding article, including national coverage provisions, and associated information (documentation requirements, utilization guidelines).
    • The article name will begin with “Billing and Coding,” followed by the title of the associated LCD.
    • Bill types, revenue codes, CPT/HCPCS codes, ICD-10 codes, as well as any coding guidance or mention of codes in the LCD will now be found in the associated billing and coding article.
    • Several LCDs will be revised for 8/1/2019 publication. The remaining LCDs will be revised in the coming months, with all completed by 1/1/2020.
    • Billing and coding articles will be listed on the Medical Policy Center page alongside the related LCD.

    Related Content

  • Mon, July 29, 2019 1:30 PM | Babette Grey (Administrator)

    Order FREE Posters and Postcards for Your Practice
    Download FREE PSA materials now or order the quantity you need.
    Communications tools and office resources include:

    • public service announcements: multimedia and multiple sizes for your needs
    • media outreach templates;
    • customizable community presentations; and
    • communications toolkits for special national Academy initiatives.
  • Tue, July 23, 2019 1:44 PM | Babette Grey (Administrator)

    MLMIC’s The Albany Report offers policyholders a concise, insiders’ view of pending legislative, regulatory, and political developments that have an impact on the New York State medical malpractice insurance marketplace.

    Open or download the latest issue of The Albany Report: https://www.mlmic.com/why-mlmic/services-resources/albany-report

  • Mon, June 24, 2019 2:15 PM | Babette Grey (Administrator)

    The State Legislature has concluded its 2019 Legislative Session.  This was certainly one of the most memorable in recent years given the range of issues addressed following the democratic power-shifting election.

    Be advised that we may be calling you to action during the summer to help secure vetoes from the Governor addressing the proliferation of e-scooters, e-bikes and unbalanced medical liability reforms.

    NYSSOS wishes to thank our members who took the time to make phone calls, write letters  and personally meet with legislators on this year's advocacy program.  Every interaction matters and we will continue to address the orthopaedic community's concerns in the coming year.  We are very proud of this year’s interactive advocacy day with the most attendees we’ve had in the past few years as well as those who participated in the federal visits. 

    We encourage you to reach out to your legislators and continue to build a relationship off session.  You can always thank them for their efforts.

    You may also contribute to the ORTHOPAC which supports candidates who understand the current and long-term challenges that orthopaedists face when practicing in New York.

    At-A-Glance Orthopaedic Specific Issues
    •    Defeat of inappropriate scope expansions by podiatrists, chiropractors and physical therapists
    •    Defeat of efforts to impose a single payer system in NY
    •    Defeat of several mandates related to opioid prescribing that would have imposed even more requirements on physicians prior to prescribing opioids
    •    Defeat of numerous trial lawyer backed bills that would have: exponentially expanded awardable damages in wrongful death lawsuit; prohibited a defendant physician’s defense counsel from interviewing a medical malpractice plaintiff’s treating physician; and permitted the admissibility of certain “hearsay” statements of employees in civil actions.  It should be noted that the Legislature did pass a couple of smaller measures opposed many  groups that will affect certain cases involving multiple defendants and where an adverse judgment has been reached
    •    Advancement of efforts to license athletic trainers
    •    Passage of legislation to reduce insurer prior authorization (PA) requirements when a PA for a related procedure has already been received

    Highlights on the behalf of the House of Medicine
    •    Enactment of legislation which ensures that medical contraindications are the only acceptable exception to vaccine requirements;
    •    Legislation that curtails health insurers making mid-year changes to their prescription formularies; or increasing patient cost sharing;
    •    Defeat of legislation which would have legalized adult use marijuana, as well as proposals that would have significantly expanded the medical marijuana program.  Instead legislation was enacted that provides further “decriminalization” of small amounts of marijuana
    •    Defeat of the authorization of retail health clinics

  • Mon, June 24, 2019 11:52 AM | Babette Grey (Administrator)

    Orthopaedic residents are invited to submit an abstract for a chance to present it at 2019 NYSSOS Symposium and Annual Meeting. 

    The meeting will take place on September 21-22, 2019 at the Gideon Putnam Resort and Spa in Saratoga Springs, New York. 

    Orthopaedic residents can submit abstracts  in the following categories:

    •    Research
    •    Clinical
    •    Quality, Advocacy and Public Policy

    The deadline to submit your abstract is Friday, August 9, 2019.

    > See complete details

  • Wed, June 12, 2019 1:07 PM | Babette Grey (Administrator)

    Opioid prescribing by New York State physicians has decreased 37.5% percent between 2013-2018 and opioid prescriptions also decreased by 11.2% from 2017 to 2018 according to data recently released by the IQVIA, Danbury, CT,  a data collection firm within the healthcare industry. The data is available here.

    Additionally, the American Medical Association (AMA) has released its 2019 Opioid Progress Report—the third year that the AMA has reported on actions that physicians have taken to help end the nation’s opioid epidemic. The report shows significant decreases in opioid prescribing as well as increases in PDMP use and naloxone prescriptions. In addition to the national data, the AMA also released state-level data for opioid prescribing and PDMP use. New York State physicians and other users of the prescription monitoring program logged 23,931,571 inquiries in 2018, a 42% increase since 2014.

    AAOS efforts
    In November 2015, the AAOS released an information statement titled "Opioid Use, Misuse, and Abuse in Orthopaedic Practice." The document says, in part, "The AAOS believes that a comprehensive opioid program is necessary to decrease opioid use, misuse, and abuse in the United States. New, effective education programs for physicians, caregivers, and patients; improvements in physician monitoring of opioid prescription use; increased research funding for effective alternative pain management and coping strategies; and support for more effective opioid abuse treatment programs are needed."

    During the 2017 Annual Meeting, the AAOS introduced a multimedia public service campaign to highlight the potential dangers of opioids. The campaign includes display and radio ads, urging doctors and patients to exercise caution in prescribing and taking opioids (Fig. 2). For more information, visit http://orthoInfo.org/PrescriptionSafety

    Additionally, the AAOS has developed a Pain Relief Toolkit that can be accessed here: https://aaos.org/painrelieftoolkit/

  • Fri, May 24, 2019 4:13 PM | Babette Grey (Administrator)

    On Tuesday, May 28, 2019 the New York State legislature will hear public testimony on a proposal to create single payer system in the state.

    The New York Health Act, A.5248/S.3577, would replace traditional health insurance coverage and public health coverage programs with single-payer health coverage, including long-term care, for all New Yorkers. The program would be publicly funded, including existing federal support for Medicaid and Medicare. New Yorkers would not be required to pay premiums, deductibles, co-pays, or out-of network charges.

    This hearing is the first of a series of hearings that will provide an opportunity for comments and suggestions from stakeholders around the state on the New York Health Act.

    NYSSOS President, James Slough, MD will testify on behalf of the Society.  The Society plans to cite concerns regarding the impact on access to care should this proposal advance.

    NYSSOS believes that expanding health care coverage and access should be implemented through a public-private partnership, and we strongly oppose proposals that create a federal health care authority or move health care
    further in the direction of a single-payer health care system in New York State.

    NYSSOS acknowledges the Sponsor’s efforts to add provisions that remove the requirement for prior authorizations for health care services.  Additionally, we acknowledge the provisions to allow for health care providers to collectively negotiate with New York Health including payment rates and methodologies.

    NYSSOS believes patients should receive access to health care coverage – including specialty care - without financial barriers or undue burdens placed on the patient or physician. The responsibility of financing appropriate
    health care services must be a shared public-private cooperative effort that advances a patient-centered model for choosing affordable health care options

    NYSSOS believes that as policymakers consider health care reforms they should:

    • Make certain that patients are empowered to control and decide how their own health care dollars are spent
    • Ensure unencumbered access to specialty care
    • Make health care coverage more affordable
    •  Improve the value of care
    • Extend both coverage and access for the uninsured and under-insured
    • Avoid establishing new unsustainable programs
    •  Support initiatives to examine the impact of proposals before implementation

    To submit your own testimony, please visit this link for more details. 

  • Tue, May 07, 2019 10:09 AM | Babette Grey (Administrator)

    A new report from the Congressional Budget Office (CBO) detailed components and considerations that would be involved in implementing a single-payer healthcare system in the United States. Potential problems with a single-payer system include provider capacity issues and lack of health benefit and insurer choice, while benefits may include stronger purchasing power and reduced administrative costs.

    Read the CBO Report

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About the Society

NYSSOS serves the interests of New York orthopaedists and their patients by helping to create an optimal practice environment in which to provide quality and efficacious orthopaedic care. 

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Address: PO Box 38004, Albany, NY 12203

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