| aetna_rescinds_prior_authorization_requirement_on_cataract_surgeries | Aetna Rescinds Prior Authorization Requirement on Cataract Surgeries | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/surgeon-645x425px.jpg" class="pull-right" alt="closeup photo of surgeon with headgear" /></div>
<h5>July 22, 2022</h5>
<h2>Aetna Rescinds Prior Authorization Requirement on Cataract Surgeries</h2>
<p>Aetna recently <a href="https://www.aetna.com/content/dam/aetna/pdfs/olu/July-2022-olu-monthly-notice-final.pdf" target="_blank" rel="noreferrer">announced</a> that as of July 1, it will no longer require prior authorization for cataract surgery, with the exception of Florida and Georgia Medicare Advantage patients. This change follows advocacy by the American Academy of Ophthalmology, the American Society of Cataract and Refractive Surgery, and other members of the federation of medicine that highlighted the care delays, practice administrative burdens, and patient and public safety concerns associated with this policy. For an update on other prior authorization reform efforts, including federal legislation that would streamline prior authorization in Medicare Advantage plans, see this <a href="[@]Shared_Content/News/Weekly_Rounds/2022/weekly_rounds_april_29_2022_prior_authorization_plagues_us_all">recent Weekly Rounds issue</a>&nbsp;from WSMA CEO Jennifer Hanscom.</p>
<p>The WSMA has worked hard to address prior authorization challenges in Washington state. You may recall that <a href="https://apps.leg.wa.gov/WAC/default.aspx?cite=284-43-2050">new rules</a> went into effect in 2018 that were intended to ease the administrative burden you face as you strive to meet the requirements of state-regulated insurers or their third-party administrators when seeking prior authorization of medical services. To help practices adjust workflows to accommodate the new requirements, the WSMA introduced the <a href="https://priorauth.wsma.org/">Prior Authorization Navigator</a>&nbsp;- a mobile-friendly "one-stop-shop" website for guidance on the new rules. There you'll find a <a href="https://priorauth.wsma.org/">one-minute bullet-point summary</a> of the new rules as well as in-depth guidance on the rules' provisions. You'll also find guidance on 2015 rules covering <a href="https://priorauth.wsma.org/prescription-drugs/">prior authorization of prescription drugs</a>.</p>
<p>If you encounter an insurer or third-party administrator out of compliance with Office of the Insurance Commissioner's prior authorization requirements, you can easily file a complaint by utilizing the WSMA's Prior Authorization Navigator's <a href="https://priorauth.wsma.org/file-a-complaint/?_zs=B3aFd1&amp;_zl=IInK8">complaint form</a>. We urge you to take advantage of this tool.</p>
</div> | 7/28/2022 4:30:00 PM | 7/22/2022 12:00:00 AM |
| medicare_proposes_2023_payment_and_quality_reporting_changes | Medicare Proposes 2023 Payment and Quality Reporting Changes | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/june/medicare-barcode-645px.jpg" class="pull-right" alt="Medicare barcode" /></div>
<h5>July 22, 2022</h5>
<h2>Medicare Proposes 2023 Payment and Quality Reporting Changes</h2>
<p>The Centers for Medicare and Medicaid Services recently <a href="https://go.mgma.com/dc/6IIm65rHtrowjNzJAQcAY2TBRUJgOKRhdZbxwGDBcw4aMem6nvgfFcxcgPBwVFPFREZTbKrTMzTGEUfcURfDDn5EOnKgk6e5tx_ucpKlF8QSjXKx_OMBI3DJEA0wV_pIYRhy91F-We3pCNarDP4d6a2h-0lmMML5he2PRHC2gjGJtq3lqFAAlYEABEboSD4QXMP66dkscCjNQg38AhMQXD2PrVCPlAKoMODPTDR9Cy6rVYh27ENJAQbOxwtVfKtJ4qPnW6TCwOBo9J76QjKeO7XiPs4XgV1HfXLtFeL9p_0dLR62Thf1wAVQlvdGPUdS/MTQ0LUFNSi02MzkAAAGFebYYFqWbemWcipDhyALzm6lx9stGRy0xwsUnJ5fE-JOJgtaIwdf29Fouqia1aQbOmiOG564=">released</a> its proposed 2023 Medicare physician fee schedule rule, which includes proposed changes to the Merit-based Incentive Payment System and alternative payment model participation options and requirements for 2023.</p>
<p>Key proposals include:</p>
<ul>
<li>Setting 2023 Medicare payment rates for physician services. For 2023, CMS proposes a conversion factor of $33.0775 and $20.7191 for anesthesia (a decrease of -4.42% and -3.91%, respectively, over final 2022 rates).</li>
<li>Permitting certain telehealth services to remain on the Medicare Telehealth Service list for 151 days after the expiration of the COVID-19 public health emergency, such as telephone E/M codes (99441 - 99443).</li>
<li>Extending flexibilities to permit split/shared E/M visits to be billed based on one of three components (history, exam, or medical decision making) or time until 2024.</li>
<li>Expanding access to behavioral health by permitting marriage and family therapists, licensed professional counselors, addiction counselors, and others to furnish behavioral health services under general supervision instead of direct.</li>
<li>Maintaining the MIPS performance threshold at 75 points for the 2023 MIPS performance year/2025 payment year.</li>
<li>Adding five new MIPS Value Pathways related to nephrology, oncology, neurological conditions, and promoting wellness for voluntary reporting beginning in 2023.</li>
<li>Creating an advanced incentive payment pathway for certain low-revenue, new entrant accountable care organizations to bolster participation in the Medicare Shared Savings Program.</li>
</ul>
<p>The WSMA remains <a href="[@]Shared_Content/News/Membership_Memo/2022/June_24/full_medicare_sequester_will_be_applied_on_july_1.aspx?_zs=A3aFd1&amp;_zl=tWxQ8">committed to the sustainability</a> of the <a href="[@]Shared_Content/News/Membership_Memo/2022/June_24/wsma_endorses_ama_medicare_physician_payment_reform_principles.aspx?_zs=A3aFd1&amp;_zl=xWxQ8">Medicare program for physicians and patients</a>. While we are still analyzing the proposal, we are deeply concerned about the across-the-board payment reductions and will continue to work with the American Medical Association and Congress to prevent them.</p>
<p>Review the <a href="https://www.federalregister.gov/public-inspection/2022-14562/medicare-and-medicaid-programs-calendar-year-2023-payment-policies-under-the-physician-fee-schedule">proposed rule</a>, the <a href="https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2023-medicare-physician-fee-schedule-proposed-rule">2023 Medicare physician fee schedule fact sheet,</a> and the <a href="https://qpp-cm-prod-content.s3.amazonaws.com/uploads/1972/2023%20Quality%20Payment%20Program%20Proposed%20Rule%20Resources.zip">2023 Quality Payment Program fact sheet</a> (zip file). The final rule is expected by Nov. 1, 2022.</p>
<p><em>Update courtesy of the Medical Group Management Association.</em></p>
</div> | 7/19/2022 4:40:48 PM | 7/22/2022 12:00:00 AM |
| register_for_aug_16_webinar_on_wsmas_2023_legislative_advocacy_agenda | Register for Aug. 16 Webinar on WSMA's 2023 Legislative Advocacy Agenda | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/spring-wa-capitol-645x425px.jpg" class="pull-right" alt="Washington capitol in springtime" /></div>
<h5>July 22, 2022</h5>
<h2>Register for Aug. 16 Webinar on WSMA's 2023 Legislative Advocacy Agenda</h2>
<p>Join us for a WSMA Advocacy Council meeting on Tuesday, Aug. 16 at noon via Zoom. Sean Graham and Alex Wehinger from WSMA's government affairs team will discuss how the results of WSMA's annual advocacy survey are informing our draft 2023 legislative agenda and share notes from the campaign trail ahead of the midterm elections in November. Most importantly, we look forward to getting your feedback on the issues facing your practice so we can effectively advocate for you.</p>
<p><a href="https://us06web.zoom.us/meeting/register/tZAsf-qqrD4uGdf1lsde7ItlaqVlUGqxCIRr">Registration is required for this meeting.</a> You will receive an email confirmation containing the Zoom connection details upon completing your registration. The meeting will be recorded for those who are unable to attend. If you have any questions about our upcoming Advocacy Council meeting, please contact Alex Wehinger at <a href="mailto:alex@wsma.org">alex@wsma.org</a>.</p>
</div> | 7/19/2022 4:40:50 PM | 7/22/2022 12:00:00 AM |
| reminder_to_submit_your_resolution_by_aug_12_for_publication_in_delegate_handbook | Reminder to Submit Your Resolution by Aug. 12 for Publication in Delegate Handbook | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/resolutions-print-2-645x425px.png" class="pull-right" alt="printouts of WSMA resolutions" /></div>
<h5>July 22, 2022</h5>
<h2>Reminder to Submit Your Resolution by Aug. 12 for Publication in Delegate Handbook</h2>
<p>Friday, Aug. 12 is the deadline to submit your resolution for publication in the delegate handbook, the compilation of resolutions and other business to be considered by WSMA delegates during the Annual Meeting of the House of Delegates this fall.</p>
<p>The following resources are available to assist you in drafting and submitting your resolution:</p>
<ul>
<li>A <a href="javascript://[Uploaded files/News and Publications/Newsletters/2022/wsma-2022-resolution-guidelines.pdf]">one-pager</a> which guides you through the process, as well as offering tips and tricks for success.</li>
<li>A <a href="javascript://[Uploaded files/News and Publications/Newsletters/2022/draft-resolution-template.docx]">template</a> to guide formatting and ensure clarity.</li>
<li>The WSMA website features a webpage with instructions on <a href="[@]WSMA/Events/Annual_Meeting/How_to_Write_a_Resolution/WSMA/Events/Annual_Meeting/How_to_Write_a_Resolution/How_to_Write_a_Resolution.aspx?hkey=a22cd977-aaed-4445-9ee2-6fc4716a7136">how to write, format, and submit a resolution</a>.</li>
<li>Watch a brief, <a href="https://vimeo.com/730122009">5-minute video overview</a> of the House of Delegates and how to draft, introduce, and successfully bring a resolution to fruition.</li>
<li>Watch this <a href="https://vimeo.com/730121983">7-minute video</a> for real-world examples of the impact of resolutions in our state.</li>
</ul>
<p>Resolutions must be sponsored by at least two members of the House of Delegates, which includes delegates, alternate delegates, or members of the board of trustees, and must be submitted in writing by a member of the House. If you are interested in authoring a resolution but are not a delegate or board member, the WSMA will work with you to develop your resolution idea and find a sponsor. Contact us at <a href="mailto:hod@wsma.org">hod@wsma.org</a> or 206.441.9762 for assistance.</p>
<p>Registration is now available for the 2022 Annual Meeting of the WSMA House of Delegates, to be held in person Oct. 1-2 at The Historic Davenport in Spokane. Learn more about the <a href="[@]WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">2022 Annual Meeting of the WSMA House of Delegates</a>.</p>
</div> | 7/19/2022 4:40:56 PM | 7/22/2022 12:00:00 AM |
| hhs_initiative_to_strengthen_primary_health_care_seeking_public_comment | HHS Initiative to Strengthen Primary Health Care Seeking Public Comment | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/doc-patient-exam-room-645x425px.jpg" class="pull-right" alt="doctor and patient in an exam room" /></div>
<h5>July 8, 2022</h5>
<h2>HHS Initiative to Strengthen Primary Health Care Seeking Public Comment</h2>
<p>The U.S. Department of Health and Human Services' Initiative to Strengthen Primary Health Care, launched in September 2021, aims to develop a federal foundation for the provision of primary health care for all; one that supports improved health outcomes and advanced health equity. The first step is to produce an initial HHS action plan in 2022 using input from stakeholders and the public.</p>
<h3>Process to develop the HHS Plan to Strengthen Primary Health Care</h3>
<p>The Office of the Assistant Secretary for Health (OASH) is coordinating development of an HHS Action Plan to Strengthen Primary Health Care. The recently released National Academies of Sciences, Engineering, and Medicine Report, <a href="https://www.nap.edu/download/25983">Implementing High Quality Primary Care: Rebuilding the Foundation of Health Care</a><em>, </em>will inform the development of the HHS Action Plan.</p>
<p>OASH is using a variety of strategies to engage diverse stakeholders and subject matter experts, including patient, family, and community advocates, to learn about innovative approaches, needs, and challenges to inform the action plan.</p>
<h3>OASH issues request for information</h3>
<p>A public comment period is now open through Aug. 1 at 11:59 p.m. ET. Through this <a href="https://www.federalregister.gov/d/2022-13632">Request for Information (RFI)</a>, OASH seeks input from the public about innovations, models, solutions to barriers, and possible HHS actions that may strengthen primary health care to promote health equity, reduce health disparities, improve health care access, and improve health outcomes. OASH will use the responses to this RFI to inform the development of an initial HHS Action Plan to Strengthen Primary Health Care and subsequent steps for the initiative.</p>
<p>Respondents are asked to provide information on any of the following topics.</p>
<ol>
<li>Successful models or innovations that improve primary health care and help achieve the HHS goal state for primary health care.</li>
<li>Barriers to implementing successful models or innovations.</li>
<li>Successful strategies to engage communities.</li>
<li>Proposed HHS actions.</li>
</ol>
<h3>How to submit a public comment </h3>
<p>Anyone can comment. Each responding entity (person or organization) is requested to submit only one response via email to <a href="mailto:OASHPrimaryHealthCare@hhs.gov">OASHPrimaryHealthCare@hhs.gov</a> as a Word document attachment or in the body of an email. Include "Primary Health Care RFI" in the subject line of the email. OASH welcomes responses to inform policies and actions to strengthen primary health care. Respond to one or as many prompts as you choose. Be concise with your submissions, which must not exceed four pages in 12-point or larger font, with a page number provided on each page. Responses should include the name of the person(s) or organization(s) filing the comment.</p>
</div> | 7/7/2022 11:20:24 AM | 7/7/2022 12:00:00 AM |
| hhs_issues_guidance_to_protect_patient_privacy_in_wake_of_supreme_court_decision_on_roe | HHS Issues Guidance to Protect Patient Privacy in Wake of Supreme Court Decision on Roe | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/smartphone-hands-645x425px.jpg" class="pull-right" alt="Woman holding smartphone" /></div>
<h5>July 8, 2022</h5>
<!-- **************************NEW ARTICLE****************************** -->
<h2>HHS Issues Guidance to Protect Patient Privacy in Wake of Supreme Court Decision on Roe</h2>
<p>The U.S. Department of Health and Human Services' Office for Civil Rights has issued new guidance to help protect patients seeking reproductive health care, as well as their physicians.</p>
<p>In general, the guidance does two things:</p>
<ol>
<li>Addresses how federal law and regulations protect individuals' private medical information relating to abortion and other sexual and reproductive health care, making it clear that physicians are not required to disclose private medical information to third parties; and</li>
<li>Addresses the extent to which private medical information is protected on personal cell phones and tablets and provides tips for protecting individuals' privacy when using period trackers and other health information apps.</li>
</ol>
<p>The guidance addresses the circumstances under which the Health Insurance Portability and Accountability Act Privacy Rule permits disclosure of protected health information without an individual's authorization. It explains that disclosures for purposes not related to health care, such as disclosures to law enforcement officials, are permitted only in narrow circumstances tailored to protect the individual's privacy and support their access to health care, including abortion care. Specifically, the guidance:</p>
<ul>
<li>Reminds HIPAA-covered entities and business associates that they can use and disclose PHI, without an individual's signed authorization, only as expressly permitted or required by the Privacy Rule.</li>
<li>Explains the Privacy Rule's restrictions on disclosures of PHI when required by law, for law enforcement purposes, and to avert a serious threat to health or safety.</li>
</ul>
<p>The Office for Civil Rights is also issuing information for individuals about protecting the privacy and security of their health information when using their personal cell phone or tablet. This guidance explains that, in most cases, the HIPAA Privacy, Security, and Breach Notification Rules do not protect the privacy or security of individuals' health information when they access or store the information on personal cell phones or tablets. This guidance also provides tips about steps an individual can take to decrease how their cell phone or tablet collects and shares their health and other personal information without the individual's knowledge. This guidance:</p>
<ul>
<li>Explains how to turn off the location services on Apple and Android devices.</li>
<li>Identifies best practices for selecting apps, browsers, and search engines that are recognized as supporting increased privacy and security.</li>
</ul>
<h3>For reference</h3>
<ul>
<li><a href="https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/phi-reproductive-health/index.html">Guidance on the HIPAA Privacy Rule and Disclosures of Information Relating to Reproductive Health Care</a></li>
<li><a href="https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/cell-phone-hipaa/index.html">Guidance on Protecting the Privacy and Security of Your Health Information When Using Your Personal Cell Phone or Tablet</a>.</li>
</ul>
<p>If you believe that a HIPAA-covered entity or its business associate violated your (or someone else's) health information privacy rights or committed another violation of the Privacy, Security, or Breach Notification Rules, you may <a href="https://www.hhs.gov/hipaa/filing-a-complaint/index.html">file a complaint</a>.</p>
</div> | 7/7/2022 11:20:05 AM | 7/7/2022 12:00:00 AM |
| house_of_delegates_resolution_template_guidance_now_available | House of Delegates Resolution Template, Guidance Now Available | Advocacy | Shared_Content/News/Membership_Memo/2022/July_8/house_of_delegates_resolution_template_guidance_now_available | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/june/AM_2019.10.263-645x425px.jpg" class="pull-right" alt="WSMA Annual Meeting" /></div>
<h5>July 8, 2022</h5>
<h2>House of Delegates Resolution Template, Guidance Now Available</h2>
<p>Resolutions, one of the key legislative and regulatory policy drivers for the association, are considered for adoption by the House of Delegates at the annual meeting each fall. If you have an idea that merits consideration by the HOD, now is the time to start drafting your resolution!</p>
<p>New to resolution drafting? We've compiled a <a href="javascript://[Uploaded files/News and Publications/Newsletters/2022/wsma-2022-resolution-guidelines.pdf]">resource to guide you through the process</a> , as well as offering tips and tricks for success. We've also put together a <a href="javascript://[Uploaded files/News and Publications/Newsletters/2022/draft-resolution-template.docx]">template</a>&nbsp;to guide formatting and ensure clarity.</p>
<p>To have your resolution included in the delegate handbook (a compilation of resolutions and other business to be considered by delegates at the Annual Meeting) you must submit it to <a href="mailto:hod@wsma.org">hod@wsma.org</a> by Aug. 12. Learn more about the <a href="[@]WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">2022 Annual Meeting of the WSMA House of Delegates</a>. Should you have additional questions on the House of Delegates or resolution drafting, email the WSMA Policy Department at <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
</div> | 7/7/2022 11:53:53 AM | 7/7/2022 12:00:00 AM |
| physician_feedback_needed_on_renewed_naturopath_scope_effort | Physician Feedback Needed on Renewed Naturopath Scope Effort | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/mortar-pestle-645x425px.jpg" class="pull-right" alt="mortar and pestle" /></div>
<h5>July 8, 2022</h5>
<h2>Physician Feedback Needed on Renewed Naturopath Scope Effort </h2>
<p>For the past several years, the Washington State Board of Naturopathy has made an effort to <a href="https://content.govdelivery.com/attachments/WADOH/2020/12/31/file_attachments/1637208/WSR%2020-24-042.pdf" target="_blank" rel="noreferrer">expand naturopaths' scope of practice to include nonsurgical cosmetic procedures through the rulemaking process</a>. If adopted, this change would allow naturopaths to administer botulinum toxin, dermal fillers, and other inert substances for cosmetic purposes. The education and training required to perform these procedures would be decided by the Board of Naturopathy, which comprises naturopaths and public members without experience in these procedures. While their progress on this rulemaking was stalled by other projects, the board has indicated it plans to refocus on the nonsurgical cosmetic procedure rulemaking.</p>
<p>The WSMA has previously <a href="javascript://[Uploaded files/News and Publications/Newsletters/2022/board-of-naturopathy-non-surgical-cosmetic-procedure-comment.pdf]">shared our concerns</a>&nbsp;with this proposal. They include, but are not limited to, patient safety, lack of requisite education and training, and the fact that these procedures are inconsistent with the practice of naturopathy. We also hold that scope of practice expansions fall under the jurisdiction of the Legislature and are inappropriate for the rulemaking process.</p>
<p>The Board of Naturopathy is still accepting public comment on this rulemaking. More than anyone else, the board needs to hear from physicians like yourself who have experience with these procedures. We encourage you to share your opposition to this proposal by emailing your comments to <a href="mailto:susan.gragg@doh.wa.gov">susan.gragg@doh.wa.gov</a> in advance of their Aug. 12 meeting. Should you have questions about the rulemaking process or how to best engage with the board, email WSMA Associate Director of Policy Billie Dickinson at <a href="mailto:billie@wsma.org">billie@wsma.org</a>.</p>
</div> | 7/7/2022 11:20:08 AM | 7/7/2022 12:00:00 AM |
| physician_perspective_sought_in_gao_health_information_exchange_study | Physician Perspective Sought in GAO Health Information Exchange Study | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/administrative-burden-645x425px.jpg" class="pull-right" alt="administrative burden illustration" /></div>
<h5>July 8, 2022</h5>
<h2>Physician Perspective Sought in GAO Health Information Exchange Study</h2>
<p>The <a href="https://urldefense.com/v3/__https:/www.gao.gov/__;!!AI0rnoUB!7exs4vbh0EVc5A1_jhuybztzYavxb49HaYp9jF2MogsD7Ot14FCVMVXty4lSGYctb-1GkGIimKC2IUmaPeI$">U.S. Government Accountability Office </a>is currently conducting a study for Congress to review electronic health information exchange. HIE can occur between your electronic health record and other EHRs located at hospitals, health systems, or other medical practices. It may also occur across local, state, or national health information networks.<br />
<br />
GAO is interested in obtaining physicians' perspectives on electronic health information exchange, including how physicians are electronically exchanging (sending and receiving) patient health information and what challenges, if any, they are encountered when doing so. The federal agency has indicated that it is particularly interested in hearing from physicians who provide outpatient care through an independent practice in several key states, including Washington state. <br />
<br />
If you have information you would like to share with GAO about this topic, <a href="https://urldefense.com/v3/__https:/gaosurvey.gao.gov/jfe/form/SV_3CWAN9pI3h9AwU6__;!!AI0rnoUB!7exs4vbh0EVc5A1_jhuybztzYavxb49HaYp9jF2MogsD7Ot14FCVMVXty4lSGYctb-1GkGIimKC2hWkq2iU$">use this online survey tool</a> to provide the requested information by July 12. If you are selected from among those expressing interest, a GAO analyst will get back to you in the next 2-4 weeks to schedule a 30-minute discussion on this topic. Information collected in these discussions will only be reported publicly in the aggregate. Individual physicians will not be publicly identified in any manner in GAO's final report.<br />
<br />
For more information or questions about the information being gathered by GAO, please contact Andrea Richardson at <a href="mailto:RichardsonAE@gao.gov">RichardsonAE@gao.gov</a> or 202.512.5077.</p>
</div> | 7/7/2022 3:19:47 PM | 7/7/2022 12:00:00 AM |
| scotus_overturns_roe_wsma_and_washington_state_law_primed_to_protect_patients | SCOTUS Overturns Roe: WSMA and Washington State Law Primed to Protect Patients | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/june/us-supreme-court-sun-645x425px.png" class="pull-right" alt="US Supreme Court building" /></div>
<h5>June 24, 2022</h5>
<h2>SCOTUS Overturns Roe: WSMA and Washington State Law Primed to Protect Patients</h2>
<p>
Today the U.S. Supreme Court released an opinion undercutting the longstanding legal precedent established by Roe v. Wade and the federal protections to legally obtain an abortion. While today's decision in <a href="https://www.supremecourt.gov/opinions/21pdf/19-1392_6j37.pdf" target="_blank" rel="noreferrer">Dobbs v. Jackson Women's Health Organization</a> requires further analysis - and some impacts may take time to play out - it is important for WSMA members to be aware of where things stand in our state.
</p>
<p>
Washington state has strong laws in place that ensure abortion services will remain legal here regardless of the ruling, but other states may set their own abortion policies that could restrict or ban the procedure, as well as impacting access to other reproductive health care services. Abortion is health care, and based on WSMA policy we will advocate at both the state and federal levels to ensure that patients seeking abortions, clinicians performing them, and any individuals providing assistance will not incur undue liability under the laws of Washington state or other states.
</p>
<p>
The professional health care regulators of the state of Washington recognize that the Supreme Court's decision may raise practice concerns for physicians, physician assistants, and health care practitioners. In advance of today's ruling, last week the Washington State Medical Commission, Board of Osteopathic Medicine and Surgery, Nursing Care Quality Assurance Commission, and Pharmacy Quality Assurance Commission released a set of <a href="https://wmc.wa.gov/news/wa-regulation-health-professionals-and-abortions-faq">frequently asked questions</a> to clarify how Washington regulators will continue to address practice matters related to abortion and reproductive care.
</p>
<p>
The FAQ includes:
</p>
<ul>
<li>What is the history of abortion laws in Washington state?</li>
<li>Will abortions remain legal in Washington state?</li>
<li>How do state regulators determine discipline and licensure if Roe v. Wade is overturned?</li>
<li>Who may perform an abortion in Washington state?</li>
<li>May a pharmacist dispense hormonal, non-hormonal, or emergency contraceptives in Washington State?</li>
</ul>
</div> | 6/24/2022 9:24:26 AM | 6/24/2022 12:00:00 AM |
| davies_v_multicare_supreme_court_gets_it_right | Davies v. MultiCare: Supreme Court Gets It Right | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/june/stethoscope-on-table-645x425px.jpg" class="pull-right" alt="stethoscope on a table" /></div>
<h5>June 24, 2022</h5>
<h2>Davies v. MultiCare: Supreme Court Gets It Right</h2>
<p><em>We've invited WSMA's Immediate Past President Nathan Schlicher, MD, JD, to report out on the latest news regarding Davies v. MultiCare.</em></p>
<p>In June, the Supreme Court of the State of Washington made the right decision to keep the legal theories of medical malpractice and informed consent separate. The appeals court in Davies v. MultiCare had originally ruled that failure to offer a patient a study that you did not feel was indicated was a failure of informed consent. This ruling had the potential to dramatically change the nature of patient care by requiring disclosure of an infinite list of tests that you did not do. It also would invite patients to potentially demand inappropriate and dangerous tests with the threat of failure to provide informed consent if not offered.</p>
<p>Due to the potential danger to patients and physicians alike, your WSMA engaged in an amicus brief in support of the defendants to the Supreme Court to overturn this ruling. The court wisely overruled the appeals court and once more established the difference between medical malpractice and informed consent. Informed consent cannot be used as a theory for failure to test or treat for a condition that you did not diagnose and ruled out, either clinically or through other testing. Cases of failure to diagnose will remain an issue in medical malpractice as they had been previously. In the end, keep doing great medical care and the appropriate indicated tests without worry that failure to offer every test will be a failure of informed consent.</p>
<p><em>--Nathan Schlicher, MD, JD</em></p>
</div> | 6/21/2022 1:18:50 PM | 6/23/2022 12:00:00 AM |
| full_medicare_sequester_will_be_applied_on_july_1 | Full Medicare Sequester Will Be Applied on July 1 | Advocacy | Shared_Content/News/Membership_Memo/2022/June_24/full_medicare_sequester_will_be_applied_on_july_1 | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/june/medicare-barcode-645px.jpg" class="pull-right" alt="Medicar barcode" /></div>
<h5>June 24, 2022</h5>
<h2>Full Medicare Sequester Will Be Applied on July 1</h2>
<p>On July 1, the full 2% Medicare sequester is set to <a href="https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2021-12-16-mlnc?mkt_tok=MTQ0LUFNSi02MzkAAAGFL2zEkvuccEqvy2k2OvsN89iZ0tsbQcymMK8To_VHOY1-uWCm_LDX6Sdu5pYDL-sGFGxjLxZZIXedMVIwYgVPxwzg2w0rMKhNKhi74zV60g#_Toc90391082">phase-in</a>. Effective since 2013, the Medicare sequester was suspended early in the pandemic by The Protecting Medicare and American Farmers from Sequester Cuts Act along the following timeline:</p>
<ul>
<li>No payment adjustment through March 31, 2022</li>
<li>1% payment adjustment April 1 - June 30, 2022</li>
<li>2% payment adjustment beginning July 1, 2022</li>
</ul>
<p>Looking ahead to 2023, physicians are facing a combined 7-10% Medicare reimbursement cut. Earlier this year, the WSMA met with and <a href="javascript://[Uploaded files/News and Publications/Newsletters/2022/wsma-comment-federal-flexibilities-sen-murray.pdf]">sent letters</a>&nbsp;to every member of Washington state's congressional delegation noting "We are deeply alarmed about the growing financial instability of the Medicare and Medicaid physician payment systems due to a confluence of fiscal uncertainties physician practices face related to the ongoing pandemic, statutory payment cuts, lack of inflationary updates, and significant administrative barriers." The WSMA goes on to urge our members of Congress to make significant investments in the stability of the Medicare payment system.</p>
<p>The WSMA is also one of over 100 organizations to endorse the AMA's Medicare Payment Reform Principles. The <a href="https://www.ama-assn.org/system/files/characteristics-rational-medicare-payment-principles-signatories.pdf" target="_blank" rel="noreferrer">Characteristics of a Rational Medicare Physician Payment System</a>, which, among other things, urges Congress to aim for simplicity, relevance, alignment, and predictability for physician practices and the Centers for Medicare &amp; Medicaid Services.</p>
<p>Stay tuned for opportunities to engage with your congressional delegation in advance of 2023 to let them know that after several years of financial uncertainty caused by the pandemic, the expected Jan. 1, 2023 payment cuts would have devastating impact on practice viability and access to patient care.</p>
</div> | 6/21/2022 1:18:42 PM | 6/23/2022 12:00:00 AM |
| new_telehealth_guidance_from_hhs | New Telehealth Guidance from HHS | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/june/telemedicine-patient-laptop-645x425px.jpg" class="pull-right" alt="Telemedicine patient at laptop" /></div>
<h5>June 24, 2022</h5>
<h2>New Telehealth Guidance from HHS</h2>
<p>The U.S. Department of Health and Human Services released <a href="https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/hipaa-audio-telehealth/index.html?mkt_tok=MTQ0LUFNSi02MzkAAAGFC18vlezOD_i-3cCLHh3fi6OviRbBhalojD2tu6dg_ayOESDQZ6RKnCRbL-9FF-ZiHLObzR3uP6YKhi2eCV4qQjPwtVziiDg4_UK4y7GGlg#footnote1_ahe58oj?utm_source=nl-gov-ed-washington-connection-2022-06-16&amp;utm_medium=email&amp;utm_campaign=government-affairs">new guidance</a> this week surrounding telehealth and HIPAA compliance following the eventual conclusion of the COVID-19 public health emergency. Throughout the pandemic, HHS instituted various flexibilities tied to the PHE that waive many of the generally applicable rules governing Medicare telehealth services. While largely not new information, HHS' guidance does provide helpful clarifications surrounding when the Office for Civil Rights will stop utilizing enforcement discretion, as well as important clarifications on audio-only telehealth visits which were not reimbursable under Medicare prior to the pandemic.</p>
<p>Of note, HIPAA enforcement discretion was not one of the waivers extended by Congress for five months following the conclusion of the PHE. In an effort to ensure medical groups are aware of their obligations immediately following the expiration of the PHE, MGMA Government Affairs will soon release a member-exclusive resource outlining the reintroduction of HIPAA requirements for audio-visual and audio-only telehealth services.</p>
</div> | 6/21/2022 1:18:47 PM | 6/23/2022 12:00:00 AM |
| wsma_endorses_ama_medicare_physician_payment_reform_principles | WSMA Endorses AMA Medicare Physician Payment Reform Principles | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/june/stethoscope-dollar-sign-645x425px.jpg" class="pull-right" alt="stethoscope cable in the shape of dollar sign" /></div>
<h5>June 24, 2022</h5>
<h2>WSMA Endorses AMA Medicare Physician Payment Reform Principles </h2>
<p>The Medicare physician payment system needs an overhaul to remedy financial instabilities impacting physician practices due to the pandemic, statutory payment cuts, lack of inflationary updates, and significant administrative burdens.</p>
<p>Under the Medicare Access and CHIP Reauthorization Act of 2015, physicians are in the middle of a six-year payment freeze. Adjusted for inflation in practice costs, Medicare physician payment declined 20% from 2001 to 2021, and without an inflation-based update, the gap between frozen physician payment rates and rising inflation in medical practice costs will widen. The Medicare payment system is on an unsustainable path threatening patient access to physicians.</p>
<p>To define the goals of reform, the WSMA has joined the American Medical Association and 119 other state medical and national specialty societies to endorse the <a href="https://www.ama-assn.org/system/files/characteristics-rational-medicare-payment-principles-signatories.pdf">Characteristics of a Rational Medicare Physician Payment System</a>. Developed in collaboration with Federation organizations, the principles call on Congress to:</p>
<ul>
<li>Provide financial stability through a baseline positive annual update reflecting inflation in practice costs, and eliminate, replace, or revise budget neutrality requirements to allow for appropriate changes in spending growth.</li>
<li>Reward the value of care provided to patients and encourage innovation, so practices and systems can be redesigned and continuously refined to provide high-value care and include historically non-covered services that improve care for all or a specific subset of patients, as well as for higher risk and higher cost populations.</li>
<li>Advance health equity and reduce disparities. Payment model innovations should be risk-adjusted and recognize physicians' contributions to reducing health disparities, addressing social drivers of care and tackling health inequities. Physicians need support as they care for historically marginalized, higher risk, hard to reach or sicker populations.</li>
</ul>
<p>The AMA will continue to work with the federation of medicine to develop detailed solutions to the systematic problems with the Medicare physician payment system and preserve patient access to care. The AMA is currently building awareness of the problems with the current system with members of Congress to build interest and support for needed reforms.</p>
</div> | 6/21/2022 1:18:53 PM | 6/23/2022 12:00:00 AM |
| wsma_members_make_their_voices_heard_in_annual_advocacy_survey | WSMA Members Make Their Voices Heard in Annual Advocacy Survey | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/may/spring-wa-capitol-645x425px.jpg" class="pull-right" alt="springtime at capitol" /></div>
<h5>June 24, 2022</h5>
<h2>WSMA Members Make Their Voices Heard in Annual Advocacy Survey </h2>
<p>The WSMA recently asked for member feedback on advocacy priorities, and you responded. Well over 100 WSMA members from across the state and across specialties provided input on the issues most important to you and your practices. WSMA's advocacy team will use this information as we talk to political candidates and begin to compile our legislative agenda for the 2023 state legislative session.</p>
<p>Respondents were first asked to rank priority items among 10 issues in the following three categories. The highest-ranking responses are listed below.</p>
<ul>
<li><strong>Practice of medicine</strong>
<ol>
<li>Addressing source of physician burnout, such as prior authorization.</li>
<li>Defending against inappropriate scope of practice proposals.</li>
<li>Ensuring access to abortion and a full array of reproductive health care.</li>
</ol>
</li>
<li><strong>Public health and health equity </strong>
<ol>
<li>Continuing the state's response to the pandemic.</li>
<li>Preventing firearm violence.</li>
<li>(tied) Addressing homeless and housing as social determinants of health; and increasing health insurance options for undocumented residents of the state.</li>
</ol>
</li>
<li><strong>Business of medicine</strong>
<ol>
<li>Advocating for Medicaid reimbursement rate increases.</li>
<li>Limiting medical malpractice insurance rate increases.</li>
<li>Facilitating utilization of value-based payment and alternative payment methodologies.</li>
</ol>
</li>
</ul>
<p>We also asked for respondents' priorities across the three categories and the top results were: physician burnout/prior authorization; abortion access; scope of practice; and Medicaid rate increases.</p>
<p>Thank you to everyone who participated in the survey. If you have questions about the survey or would like to provide additional feedback about advocacy priorities, contact Sean Graham, WSMA's director of government affairs, at <a href="mailto:sean@wsma.org">sean@wsma.org</a>.</p>
</div> | 6/21/2022 1:18:44 PM | 6/23/2022 12:00:00 AM |
| 2022_wsma_annual_meeting_how_to_propose_policy_serve_as_delegate | 2022 WSMA Annual Meeting: How to Propose Policy, Serve as Delegate | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="" src="/images/Newsletters/MembershipMemo/2022/june/AM_2019.10.263-645x425px.jpg" class="pull-right" /></div>
<h5>June 10, 2022</h5>
<h2>2022 WSMA Annual Meeting: How to Propose Policy, Serve as Delegate</h2>
<p>The 2022 Annual Meeting of the WSMA House of Delegates will be held once again at the Historic Davenport in Spokane, in person, Oct. 1-2. WSMA members interested in proposing policy or serving as a delegate should note the following guidance and key dates.</p>
<p><strong>Deadlines for submitting resolutions</strong></p>
<p>Resolutions, one of the key policy drivers for the association, are considered for adoption by the House of Delegates at its annual meeting each fall. <a href="https://wsma.org/WSMA/Events/Annual_Meeting/How_to_Write_a_Resolution/WSMA/Events/Annual_Meeting/How_to_Write_a_Resolution/How_to_Write_a_Resolution.aspx?hkey=a22cd977-aaed-4445-9ee2-6fc4716a7136">Learn more about resolutions</a> and be sure to mark your calendar for the following resolution deadlines:</p>
<p><strong>Aug. 12</strong> – Deadline to submit your resolution for publication in the delegate handbook, the compilation of resolutions and other business to be considered by delegates during the meeting.</p>
<p><strong>Sept. 1</strong> – Final deadline to submit your resolution. Resolutions received after this date must have consent of two-thirds of the House at the opening session to be considered. The delegate handbook will be available from the WSMA website for download on this date.</p>
<p><strong>Deadline for hotel reservations</strong></p>
<p>The 2022 WSMA Annual Meeting will be held at The Historic Davenport in Spokane. Aug. 30 is the deadline to make room reservations and receive the WSMA member discounted rate.</p>
<p><strong>How to serve as a delegate</strong></p>
<p>The House of Delegates is composed of WSMA members who represent, and are designated by, their respective county society or specialty society, as well as representatives of WSMA’s special sections and board of trustees. If you would like to serve as a delegate at the 2022 WSMA Annual Meeting, please contact your local county society or state specialty society. Learn more about the <a href="javascript://[Uploaded files/Events/Annual Meeting/wsma-2022-delegate-duties.pdf]">responsibilities and the expectations of service as a delegate</a>.<br />
<br />
<a href="[@]WSMA/Events/Annual_Meeting/Annual_Meeting.aspx">Learn more about the WSMA Annual Meeting on the meeting webpage</a>. Registration will be available shortly. For now, save these dates.</p>
</div> | 5/25/2022 11:04:04 AM | 6/10/2022 12:00:00 AM |
| alaska_updates_telemedicine_licensure_policies_for_established_patients | Alaska Updates Telemedicine Licensure Policies for Established Patients | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="" src="/images/Newsletters/MembershipMemo/2022/june/Telemedicine-Patient-Tablet-645x425px.jpg" class="pull-right" /></div>
<h5>June 10, 2022</h5>
<h2>Alaska Updates Telemedicine Licensure Policies for Established Patients</h2>
<p>When Alaska Gov. Mike Dunleavy signs <a href="http://www.akleg.gov/basis/Bill/Text/32?Hsid=HB0265D">House Bill 265</a> into law, the state will make permanent certain COVID-19 telemedicine policy flexibilities that we know improve access to patient care and that are a priority to our members.</p>
<p>With these changes, Alaska will join <a href="[@]Shared_Content/News/Membership_Memo/2022/May_13/oregon_updates_telehealth_policy_to_allow_care_by_washington_physicians_and_pas.aspx">Oregon</a> as the second state in our region to permit follow-up care to established patients without being licensed in those states since the WSMA embarked on this effort as part of its strategic plan. The Alaska law requires the physician to have previously conducted an in-person visit with the patient. The WSMA applauds the Alaska State Medical Association for its support of a measure that will improve access and quality by preserving continuity of care. Prior to this policy change, the WSMA heard anecdotes from physician members that patients from Alaska were flying to SeaTac Airport to receive follow-up care via telemedicine, and then returning home. Our hope is that with this policy change, physicians practicing in Washington will be able to provide more consistent follow-up care to established patients in Alaska, while minimizing travel burden.</p>
<p>Montana currently has an <a href="https://rules.mt.gov/gateway/ruleno.asp?RN=24%2E156%2E611">“occasional case exemption†rule</a> that allows out-of-state physicians to treat in a limited timeframe and basis without obtaining a license (an <a href="https://boards.bsd.dli.mt.gov/_docs/med/exempt-form.pdf">application</a> is required). While this may be an option for providing follow-up care to patients in Montana, the WSMA will continue to work with that state, in addition to Idaho and Wyoming, to encourage more permanent updates to telemedicine licensure policies that improve access to care.</p>
</div> | 5/25/2022 11:03:54 AM | 6/10/2022 12:00:00 AM |
| l-i_adopts_wsma-supported_emergency_rules_protecting_outdoor_workers | L&I Adopts WSMA-Supported Emergency Rules Protecting Outdoor Workers | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="" src="/images/Newsletters/MembershipMemo/2022/june/Outdoor-worker-645x425px.jpg" class="pull-right" /></div>
<h5>June 10, 2022</h5>
<h2>L&amp;I Adopts WSMA-Supported Emergency Rules Protecting Outdoor Workers</h2>
<p>The Department of Labor and Industries has adopted <a href="https://lni.wa.gov/rulemaking-activity/AO21-25/2125CR103E.pdf">emergency rules</a> that update requirements for occupational heat exposure hazards from high ambient temperatures. The rules are effective June 15 through Sept. 29, 2022 and require employers to provide shade sufficient to accommodate the number of employees on a rest or meal break. It also requires employees to take paid preventative cool-down rest periods of at least 10 minutes every two hours and clarifies that drinking water be suitably cool in temperature.</p>
<p>The WSMA submitted an <a href="javascript://[Uploaded files/News and Publications/Newsletters/2022/WSMA-comment-emergency-rules-ambient-heat-outdoor-workers.pdf]">official comment</a> in favor of the emergency rules. Following last summer’s deadly heatwave, the WSMA House of Delegates voted in favor of policy advocating for access to heat protections for outdoor workers. The complete policy requires:</p>
<p style="margin-left: 40px;"><em>That our WSMA advocate for outdoor workers to have access to preventative cool-down rest periods in shaded areas for prevention of heat exhaustion and health educational materials in their primary language. </em></p>
<p style="margin-left: 40px;"><em>That our WSMA support legislation and regulations creating standardized protections against heat stress specific to the hazards of the workplace including appropriate access to emergency services when there are signs or symptoms of heat exposure injury.</em></p>
<p>L&amp;I will resume permanent rulemaking on this issue in the fall. If you have questions on this policy or rulemaking, please contact <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
</div> | 6/17/2022 10:04:47 AM | 6/10/2022 12:00:00 AM |
| wsma_affirms_gun_violence_is_a_public_health_crisis_and_calls_for_action | WSMA Affirms Gun Violence Is a Public Health Crisis and Calls for Action | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="" src="/images/Newsletters/MembershipMemo/2022/june/We-Can-End-Gun-Violence-645x425px.jpg" class="pull-right" /></div>
<h5>June 10, 2022</h5>
<h2>WSMA Affirms Gun Violence Is a Public Health Crisis and Calls for Action</h2>
<p>Last week, as the nation absorbed the news of yet another mass shooting event, this time in <a href="https://www.cnn.com/2022/06/02/us/tulsa-hospital-shooting-thursday/index.html">a Tulsa medical clinic</a>, Washington state's physician community faced a double shock, when it was revealed that one of the victims, Preston Phillips, MD, had local ties. Dr. Phillips, an orthopedic surgeon, had worked in the Seattle area in the late 90s and early 2000s and was a past president of the Washington State Orthopaedic Association and a WSMA member. The WSMA released the following press release in response to the horrific event and taking of a former colleague's life:</p>
<p style="margin-left: 40px;"><em>“After a tragic week of lives lost to gun violence, the Washington State Medical Association again affirms that gun violence is a public health crisis affecting our children, communities, families, friends, and patients. We urge lawmakers to act.</em></p>
<p style="margin-left: 40px;"><em>With the news of the shooting at St. Francis Medical Center in Tulsa, where former Seattle physician and WSMA member, Preston Phillips, MD, was among four individuals fatally targeted in yet another mass shooting, the WSMA calls on elected officials to move beyond rhetoric and take tangible action to solve this crisis. At the same time, the officers, board, and members of the WSMA mourn the loss of our colleague and offer our sincerest condolences to Dr. Phillip's family, friends, and colleagues as well as the loved ones of all victims of gun violence.</em></p>
<p style="margin-left: 40px;"><em>The WSMA calls for state and national commonsense policies that would reduce injuries and deaths stemming from firearms. Our schools, hospitals, grocery stores and churches should be safe, rather than places where we fear for our lives. More must be done, immediately, to address this crisis, including passage of legislation on waiting periods, background checks and other policies, such as restrictions on assault weapons.</em></p>
<p style="margin-left: 40px;"><em>The WSMA has longstanding policy in favor of legislation that "…would restrict the sale and private ownership of large clip, high-rate-of-fire automatic and semi-automatic firearms, or any weapon that is modified or redesigned to operate as a large clip, high-rate-of-fire automatic or semi-automatic weapon."</em></p>
<p style="margin-left: 40px;"><em>After several years of the WSMA supporting legislation aligned with this policy, this year Washington's legislature passed SB 5078, which prohibits the manufacture and sale of large-capacity magazines as well as HB 1705, which prohibits untraceable "ghost guns."</em></p>
<p style="margin-left: 40px;"><em>These are good advances in addressing the crisis, but more must be done, and quickly.</em></p>
<p style="margin-left: 40px;"><em>The Washington State Medical Association and our member physicians are at the forefront of public health and patient care. Every day we treat the victims of gun violence. We are the ones whose hands probe the wounds, who seek to heal the bodies and who help mend the minds of those impacted by senseless gun tragedy.</em></p>
<p style="margin-left: 40px;"><em>The WSMA will continue to actively advocate for and support policies aimed at encouraging firearm safety and preventing firearm-related injuries and death. We believe firearm injuries and death are preventable. Enough is enough.â€</em></p>
</div> | 6/17/2022 10:05:34 AM | 6/10/2022 12:00:00 AM |
| charissa_fotinos_md_appointed_state_medicaid_director | Charissa Fotinos, MD, Appointed State Medicaid Director | Advocacy | | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/may/wa-apple-health-logo-645x425px.jpg" class="pull-right" alt="Washington Apple Health logo" /></div>
<h5>May 27, 2022</h5>
<h2>Charissa Fotinos, MD, Appointed State Medicaid Director&nbsp;</h2>
<p>After a nationwide search, Washington State Health Care Authority Director Sue Birch has appointed Charissa Fotinos, MD, to serve permanently as state Medicaid director. Dr. Fotinos will also continue to serve as HCA behavioral health medical director, the position she held previously.</p>
<p>Dr. Fotinos is a family physician specializing in addiction medicine. She previously served as chief medical officer for Public Health-Seattle &amp; King County and served as a physician faculty member at the Providence Family Medicine Residency Program.</p>
<p>Along with her Medicaid Services Administration leadership team, Dr. Fotinos will help lead the HCA through upcoming Medicaid-related initiatives, including:</p>
<ul>
<li><a href="https://www.hca.wa.gov/apple-health-coverage-will-continue-during-public-health-emergency">Redetermining Medicaid eligibility after the public health emergency ends</a>.</li>
</ul>
<ul>
<li>Two health care procurement efforts: <a href="https://www.hca.wa.gov/hca-plans-two-health-care-coverage-procurement-efforts">our Medicaid managed care contracts and standing up a new health care product for those who are uninsured</a>.</li>
</ul>
<ul>
<li>Renewing and enhancing the HCA's <a href="https://www.hca.wa.gov/about-hca/medicaid-transformation-project-mtp/mtp-renewal">Medicaid Transformation Project</a>.</li>
</ul>
<p>The WSMA wishes Dr. Fotinos a warm congratulations on her appointment.</p>
</div> | 5/26/2022 3:46:00 PM | 5/27/2022 12:00:00 AM |