| countdown_to_the_2018_wsma_annual_meeting_heres_what_you_need_to_know | Countdown to the 2018 WSMA Annual Meeting: Here's what you need to know | memo | Shared_Content/News/Membership_Memo/20180912/countdown_to_the_2018_wsma_annual_meeting_heres_what_you_need_to_know | <div class="col-md-12">
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</div>
<h5>
September 12, 2018
</h5>
<h2>Countdown to the 2018 WSMA Annual Meeting: Here's what you need to know</h2>
<p>The 2018 WSMA Annual Meeting, WSMA's premier policymaking and networking event, is nearly here. If you have yet to register for the meeting, scheduled for Oct. 13-14 in Spokane, <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">do so today</a>. The meeting is free for WSMA members and members of the Washington State Medical Group Management Association. Here's what members should know as the meeting approaches.</p>
<ol>
<li>Tomorrow (Thursday, Sept. 13) is the final deadline for WSMA delegates to submit resolutions (proposals asking the WSMA to take a position or act on an issue) to the WSMA Seattle office. <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=0b33a619-8be9-4a6f-b5b8-7be298a616ee">Learn more about the “whats†and “whys†of resolutions</a>.</li>
<li>The 2018 Delegate Handbook—the compilation of resolutions and other business to be considered by the House of Delegates at the meeting—is now available for <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f#handbook">download from the WSMA Annual Meeting webpage</a>. Delegates may order the handbook on flash drive by emailing <a href="mailto:hod@wsma.org">hod@wsma.org</a>. The handbook will be updated with additional items following Thursday's resolution deadline and the revised handbook will be available on <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f#handbook">the meeting webpage</a>.</li>
<li>More than 30 resolutions, covering a wide swath of public health and professional affairs issues, are now available in our password-protected <a href="https://wsma.org/WSMA/Events/Annual_Meeting/Online_Reference_Committees_and_Forum/WSMA/Events/Annual_Meeting/Online_Reference_Committees_and_Forum/Online_Reference_Committees_and_Forum.aspx?hkey=4ea4ed56-61ce-4121-89b9-636415daa863">"virtual†reference committees</a>. WSMA members are encouraged to take a moment to review these proposals and provide input, which is crucial to shaping good policy.</li>
</ol>
<p>Find the full agenda, speaker and activity detail and register for the WSMA Annual Meeting <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">online</a>.</p>
<p>The WSMA would like to thank our corporate partners for helping to make the meeting possible: exclusive premier partner <a href="http://www.phyins.com/">Physicians Insurance A Mutual Company</a>, and silver partners <a href="http://www.premera.com/">Premera Blue Cross</a>, <a href="https://www.fchn.com/">First Choice Health</a>,&nbsp;<a href="http://www.hallrender.com/">Hall Render</a>&nbsp;and <a href="https://www.wpmgcareers.org/index.html">Kaiser Permanente</a>. The WSMA also wishes to thank the following meeting sponsor for its generous contributions: platinum sponsor <a href="https://www.providence.org/">Providence Health &amp; Services</a>.</p>
</div> | 9/12/2018 3:54:09 PM | 9/12/2018 11:18:50 AM | 9/12/2018 12:00:00 AM |
| helping_you_succeed_in_value_based_payment | Helping you succeed in value-based payment | memo | Shared_Content/News/Membership_Memo/20180912/helping_you_succeed_in_value_based_payment | <div class="col-md-12">
<h5>
September 12, 2018
</h5>
<h2>Helping you succeed in value-based payment</h2>
<p>The WSMA can help our members and their practice staff succeed with value-based payment models through our three tiers of guidance and services.</p>
<strong>Tier 1: Reference materials</strong>
<p>For foundational knowledge on value-based payment, review AMA's online module <a href="https://www.stepsforward.org/modules/value-based-care">Preparing Your Practice for Value-Based Care</a>.</p>
<strong>Tier 2: Educational programs</strong>
<p><a href="https://wsma.org/WSMA/Resources/Practice_Management/OnDemand/Webinars_OnDemand.aspx#vbptakeaction">Value-Based Payment, MACRA/MIPS, Healthier Washington - Take Action Now!</a> Both Medicare's MACRA Quality Payment Program and the state's Healthier Washington initiatives are built around value-based payment models. This free 45-minute OnDemand webinar, presented by the WSMA and Attune Healthcare Partners, provides an overview of the value-based payment models currently in play and focuses on specific actions to consider.</p>
<strong>Tier 3: Practice-specific engagements</strong>
<p>The WSMA and Attune Healthcare Partners have partnered to offer practice-specific consulting engagements to our members on value-based transformation strategies.</p>
<p>Attune's “5-Step Process†provides a path for practices to optimize earnings and simplify daily operations with a mix of traditional and value-based payment methods. Attune Healthcare Partners are experts in practice success under value-based payment and can help practices create a complete and individualized practice solution for mixed payment models.</p>
<p>For more information on the new service, review our free OnDemand webinar <a href="https://wsma.org/WSMA/Resources/Practice_Management/OnDemand/Webinars_OnDemand.aspx#path">Mapping Your Path to Value-Based Care</a>. The webinar covers: The Problem with Payment Change; The Solution: A Customized Map to Value based care; How the Process Works, Advantages &amp; Results.</p>
<p>For more information on WSMA's value-based payment guidance, contact Michelle Lott at <a href="mailto:mml@wsma.org">mml@wsma.org</a>.</p>
</div> | 9/12/2018 3:53:32 PM | 9/12/2018 11:26:17 AM | 9/12/2018 12:00:00 AM |
| medical_commission_finalizes_opioid_prescribing_rules | Medical Commission finalizes opioid prescribing rules | memo | Shared_Content/News/Membership_Memo/20180912/medical_commission_finalizes_opioid_prescribing_rules | <div class="col-md-12">
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</div>
<h5>
September 12, 2018
</h5>
<h2>Medical Commission finalizes opioid prescribing rules</h2>
<p>Culminating a year-long rulemaking effort, the Washington State Medical Commission has finalized and voted to approve new opioid prescribing rules for physicians and physician assistants treating all phases of pain (acute, subacute and chronic). The Medical Commission will release final rule language this fall, with the new prescribing requirements scheduled to go into effect on Jan. 1, 2019.</p>
<p>Based on the draft language available at the final public hearing, the WSMA remains greatly concerned about the volume of administrative burden the new requirements would add to a physician's typically limited patient encounter and the lack to time afforded for related physician and public education. For more on our concerns, <a href="javascript://[Uploaded files/Resources/Clinical Quality/Opioids/WSMA_WSHA_commentsforsubmission_CR102opioidRxrules.pdf]">review formal comments</a> submitted on behalf of the WSMA and Washington State Hospital Association.</p>
<p>Many thanks to the many physicians and providers who provided feedback during the rulemaking period and who responded to our calls to action on the issue. WSMA staff will review the final rule language in detail once available and will prepare to assist you and your patients in being successful under these new rules. If you have questions about the rules, contact Jeb Shepard <a href="mailto:jeb@wsma.org">jeb@wsma.org</a>.</p>
</div> | 9/12/2018 3:57:59 PM | 9/12/2018 10:42:43 AM | 9/12/2018 12:00:00 AM |
| registration_now_available_for_fall_mindfulness_for_healthcare_professionals_online_training | Registration now available for fall Mindfulness for Healthcare Professionals online training | memo | Shared_Content/News/Membership_Memo/20180912/registration_now_available_for_fall_mindfulness_for_healthcare_professionals_online_training | <div class="col-md-12">
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</div>
<h5>
September 12, 2018
</h5>
<h2>Registration now available for fall Mindfulness for Healthcare Professionals online training</h2>
<p>Physicians, physician assistants and other licensed providers in Washington are warmly invited to register for the upcoming teleconference series Mindfulness for Healthcare Professionals of Washington State. This four-week course, scheduled for Tuesday evenings beginning Sept. 25, is presented by Mindfulness Northwest in partnership with the WSMA and Washington Physicians Health Program. This activity has been approved for <em>AMA PRA Category 1 Credit<sup>TM</sup></em>.</p>
<p>Mindfulness training for physicians and other providers has been shown to help with:</p>
<ul>
<li>Responding more skillfully in high stress situations, reducing risk factors for burnout.</li>
<li>Creating positive peer support for mindful engagement in work and home situations that have previously triggered stress responses and unhelpful behaviors.</li>
<li>Identifying helpful vs. unhelpful thought patterns, problem solving, emotional regulation and meaning-focused coping strategies.</li>
<li>Re-connecting with intentions and meaning in the health care profession.</li>
</ul>
<p>For more information and to register, visit <a href="https://www.mindfulnessnorthwest.com/event-2926801">the Mindfulness Northwest website</a>.</p>
</div> | 9/12/2018 3:59:54 PM | 9/12/2018 11:21:54 AM | 9/12/2018 12:00:00 AM |
| september_is_suicide_prevention_month | September is Suicide Prevention Month | memo | Shared_Content/News/Membership_Memo/20180912/september_is_suicide_prevention_month | <div class="col-md-12">
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</div>
<h5>
September 12, 2018
</h5>
<h2>September is Suicide Prevention Month</h2>
<p>Suicide rates in Washington state <a href="https://www.doh.wa.gov/Newsroom/2018NewsReleases/18124SuicidePreventionNR">continue rising</a>: From 2006 to 2017 suicide increased by an average of 2.5 percent annually, with 1,300 Washingtonians dying by suicide in 2017 alone. And&nbsp;<a href="https://www.stepsforward.org/modules/preventing-physician-suicide">national data</a>&nbsp;reveal a tragic irony: physicians, who devote their lives to easing others' suffering, die by their own hands at higher rates than the general population.</p>
<p>During this Suicide Prevention Month, some updates for physicians and patients alike on efforts to help address this public health issue:</p>
<p><strong>The Physician and Advanced Practitioner Wellness Survey</strong> – The WSMA has partnered with the Washington State Hospital Association to launch a survey designed to help us understand how you are impacted by variables such as the EHR, leadership, and control over your schedule and workload. The information gathered will help drive our initiatives intended to improve your professional satisfaction and well-being. All members should have received an email from physician_wellness@stanford.edu with the survey. If you haven't yet done so, please take 15 minutes of your time to complete the survey. Email Jessica Martinson at&nbsp;<a href="mailto:jessica@wsma.org">jessica@wsma.org</a>&nbsp;with questions.</p>
<p><strong>#Bethe1To campaign</strong> – The state Department of Health is drawing attention to the national <a href="http://www.bethe1to.com/">#Bethe1To campaign</a>, which centers on <a href="http://www.bethe1to.com/bethe1to-steps-evidence/">five simple, easy-to-remember steps</a>&nbsp;people can take to help prevent suicide (ask, keep them safe, be there, help them connect, follow up), as well as guidance and resources for those at risk or who know someone at risk. Visit the <a href="http://www.bethe1to.com/join/">campaign website</a>&nbsp;for resources for your practice or organization and to learn more.</p>
<p><strong>Physician education:</strong></p>
<ul>
<li><a href="https://depts.washington.edu/saferwa/training/medical-providers/">All Patients Safe: Suicide Prevention for Medical Professionals</a> – This interactive self-paced online training course&nbsp;offered by Washington's Safer Homes Coalition is made by and for medical professionals and provides the necessary tools for preventing and educating patients about suicide.</li>
<li><a href="https://www.stepsforward.org/modules/preventing-physician-suicide">Preventing Physician Distress and Suicide</a> – This online module from the AMA&nbsp;can help you identify at-risk physicians and help them access appropriate care.</li>
</ul>
<p>More information on <a href="https://www.doh.wa.gov/YouandYourFamily/InjuryandViolencePrevention/SuicidePrevention">suicide prevention</a>&nbsp;in Washington and the state's <a href="https://www.doh.wa.gov/Portals/1/Documents/Pubs/631-058-SuicidePrevPlan.pdf">Suicide Prevention Plan</a>&nbsp;is online. If you want to connect with someone anonymously, call the <a href="https://suicidepreventionlifeline.org/chat/">National Suicide Prevention Lifeline</a>&nbsp;at 800.273.8255, <a href="https://suicidepreventionlifeline.org/chat/">chat</a>, or text “HEAL†to 741741 to text with a trained crisis counselor.</p>
</div> | 9/12/2018 4:02:49 PM | 9/12/2018 11:23:40 AM | 9/12/2018 12:00:00 AM |
| update_on_medicaid_reimbursement_increase_for_pediatric_services | Update on Medicaid reimbursement increase for pediatric services | memo | Shared_Content/News/Membership_Memo/20180912/update_on_medicaid_reimbursement_increase_for_pediatric_services | <div class="col-md-12">
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</div>
<h5>
September 12, 2018
</h5>
<h2>Update on Medicaid reimbursement increase for pediatric services</h2>
<p>One way the WSMA supports practice viability is to support fair Medicaid reimbursement, and this past legislative session we helped pass a funding provision, contained in <a href="http://apps2.leg.wa.gov/billsummary?BillNumber=6032&amp;Year=2017&amp;BillNumber=6032&amp;Year=2017">Senate Bill 6032</a>, that took a small, but significant, step forward: an increase in reimbursement rates for Medicaid pediatric primary care and vaccine services. Health Care Authority staff has been working to determine allocation amounts across the identified codes and has announced it will make the individual codes with the enhanced reimbursement rates available on Sept. 24.</p>
<p>Both physician and non-physician providers will be eligible for these increases, which are effective for dates of service beginning Oct. 1, 2018 and ending no sooner than June 30, 2019. For physicians and providers offering primary care for fee-for-service pediatric clients, the rate will increase 9.5 percent for evaluation and management services. For vaccine administration, the rates have increased to 77 percent of Medicare rates for vaccines administered through <a href="https://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/PublicHealthSystemResourcesandServices/Immunization/VaccinesforChildren">Vaccines for Children</a>&nbsp;(VFC) and 100 percent of Medicare rates for vaccines administered outside of VFC. Physicians and providers serving clients covered by a contracted managed care organization should contact the individual MCO for the increase percentage. </p>
<p>The HCA has added <a href="https://www.hca.wa.gov/about-hca/apple-health-medicaid/rate-increase-pediatric-primary-care">a webpage with information on these rate increases</a>.</p>
</div> | 9/12/2018 4:07:00 PM | 9/12/2018 11:16:11 AM | 9/12/2018 12:00:00 AM |
| updated_guidance_on_medicares_quality_payment_program | Updated guidance on Medicare's Quality Payment Program | memo | Shared_Content/News/Membership_Memo/20180912/updated_guidance_on_medicares_quality_payment_program | <div class="col-md-12">
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</div>
<h5>
September 12, 2018
</h5>
<h2>Updated guidance on Medicare's Quality Payment Program</h2>
<p>To better your understanding of Medicare's Quality Payment Program and its two payment pathways, the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), the WSMA, working in collaboration with Qualis Health, recommends these useful resources.</p>
<p>
<strong>QPP Participation Status tool</strong>
</p>
<p>CMS has updated its lookup tool to include 2018 Qualifying APM Participant and MIPS APM status. This update uses calculations from the first snapshot of data from APM entities, with data from Medicare Part B claims with dates of service between Jan. 1 and March 31, 2018.&nbsp;To view your status at the individual level, go to the&nbsp;<a href="https://qpp.cms.gov/participation-lookup">QPP Participation Status</a>&nbsp;webpage and enter your 10-digit National Provider Identifier (NPI) number.</p>
<p>To check your group's 2018 eligibility at the APM entity level:&nbsp;Log into the&nbsp;<a href="https://qpp.cms.gov/login">CMS Quality Payment Program website</a>&nbsp;with your&nbsp;<a href="https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2018-EIDM-User-Guide.pdf" target="_blank">EIDM (Enterprise Identity Management) credentials</a>. Then browse to the Taxpayer Identification Number affiliated with your group. You can then access the “details†screen to view the eligibility status of every clinician based on their NPI.</p>
<p><strong>2017 MIPS performance feedback and payment adjustment update</strong></p>
<p>If you submitted 2017 MIPS data through the&nbsp;Quality Payment Program website, you can now view your performance feedback and MIPS final score. Access your 2017 MIPS performance feedback and final score by logging to the&nbsp;<a href="https://qpp.cms.gov/login">Quality Payment Program website</a>&nbsp;using your EIDM credentials. If you don't have an EIDM account, refer to&nbsp;<a href="https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/Enterprise-Identity-Data-Management-EIDM-User-Guide.pdf" target="_blank">this guide</a>.</p>
<p>Other resources:</p>
<ul>
<li><a href="https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2017-Performance-Feedback-fact-sheet.pdf" target="_blank">2017 Performance Feedback Fact Sheet</a>&nbsp;and&nbsp;<a href="https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2017-Performance-feedback-user-guide.pdf">User Guide</a>.&nbsp;</li>
<li><a href="https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2017-Resources.html">2017 Performance Feedback Instructional Videos</a>.</li>
<li><a href="https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2019-MIPS-Payment-Adjustment-fact-sheet.pdf" target="_blank">2019 MIPS Payment Adjustment Fact Sheet</a>&nbsp;and&nbsp;<a href="https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2017-MIPS-payment-adjustments-infographic.pdf" target="_blank">Infographic</a>.</li>
</ul>
</div> | 9/12/2018 4:10:55 PM | 9/12/2018 11:28:14 AM | 9/12/2018 12:00:00 AM |
| wsma_advocacy_on_reported_problems_with_health_net_federal_service_and_tricare | WSMA advocacy on reported problems with Health Net Federal Service and TRICARE | memo | Shared_Content/News/Membership_Memo/20180912/wsma_advocacy_on_reported_problems_with_health_net_federal_service_and_tricare | <div class="col-md-12">
<h5>
September 12, 2018
</h5>
<h2>WSMA advocacy on reported problems with Health Net Federal Service and TRICARE</h2>
<p>In January, Health Net Federal Services took over the contract for the TRICAREWest Region that was previously handled by UnitedHealthCare. There were some significant challenges with the transition at the beginning of the year and it appears as if these challenges are still impacting practices. The WSMA has been working with HNFS on addressing the challenges impacting physicians and providers. As of July 1, HNFS ended waivers to facilitate this transition.</p>
<p>At this time, we are hearing that problems are still occurring with the TRICARE program and that some of these issues are also impacting Medicare Advantage plans offered by Centene, the parent company of HNFS. The WSMA is communicating these practice-specific concerns to HNFS leadership for their direct intervention in resolving these problems. If you are encountering such issues, contact Michelle Lott at <a href="mailto:mml@wsma.org">mml@wsma.org</a>.</p>
</div> | 9/12/2018 4:12:33 PM | 9/12/2018 11:27:24 AM | 9/12/2018 12:00:00 AM |
| WSMA_joins_AMA_to_raise_concerns_on_proposed_changes_to_E_M_codes | WSMA joins AMA to raise concerns on proposed changes to E/M codes | memo | Shared_Content/News/Latest_News/2018/September/WSMA_joins_AMA_to_raise_concerns_on_proposed_changes_to_E_M_codes | <div class="col-md-12">
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</div>
<h5>
September 12, 2018
</h5>
<h2>WSMA joins AMA to raise concerns on proposed changes to E/M codes</h2>
<p>The WSMA joined with the AMA and about 170 other medical organizations, signing onto <a href="https://www.ama-assn.org/170-groups-send-letter-proposed-changes-physician-payment-rule">a letter to the Centers for Medicare &amp; Medicaid Services</a> that raised concerns about CMS' proposal to substantially revise the current framework of the evaluation and management codes.</p>
<p>The proposed changes, contained in <a href="https://wsma.org/Shared_Content/News/Membership_Memo/20180725/new_cms_rule_proposes_significant_changes_to_medicare_billing_and_documentation">CMS' notice of proposed rulemaking for the 2019 Medicare physician payment rule</a>, would collapse payment rates for eight office visit services for new and established patients&nbsp;down to two each. A key concern is that these changes would result in the underpayment of services to physicians who treat the sickest patients.</p>
<p>The letter expressed appreciation for CMS’ goal of seeking to reduce excessive E/M documentation requirements and urged immediate adoption of these principles:</p>
<ol>
<li>Changing the required documentation of the patient’s history to focus only on the interval history since the previous visit.</li>
<li>Eliminating the requirement for physicians to re-document information that has already been documented in the patient’s record by practice staff or by the patient.</li>
<li>Removing the need to justify providing a home visit instead of an office visit.</li>
</ol>
<p>To help address these concerns, the letter recommended that AMA create of a work group of physicians and other health professionals to analyze E/M coding and payment issues, with recommended actions to be presented to CMS in time for implementation in the 2020 Medicare physician fee schedule.</p>
<p>Sept. 10 was the deadline for comments on the proposed rule, with the final rule expected to be released by CMS in early fall.&nbsp;For additional background, watch the following CMS videos:</p>
<ul>
<li><a href="https://www.youtube.com/watch?v=JvoRQfMtPo4&amp;feature=youtu.be">Introduction</a> (3 minutes).</li>
<li><a href="https://www.youtube.com/watch?v=B0BZmGYpYFU&amp;feature=youtu.be">Office visits</a> (2 minutes).</li>
<li><a href="https://www.youtube.com/watch?v=W2QBTQNxfSY&amp;feature=youtu.be">Panel discussion</a> (22 minutes).</li>
</ul>
</div> | 9/12/2018 4:15:52 PM | 9/5/2018 4:58:34 PM | 9/12/2018 12:00:00 AM |
| wsma_president_featured_at_medical_commission_conference_this_october | WSMA president featured at Medical Commission conference this October | memo | Shared_Content/News/Membership_Memo/20180912/wsma_president_featured_at_medical_commission_conference_this_october | <div class="col-md-12">
<h5>
September 12, 2018
</h5>
<h2>WSMA president featured at Medical Commission conference this October</h2>
<p>The Washington State Medical Commission is hosting a free educational conference, "Engaging Patients, The Road Ahead," at the DoubleTree SeaTac, Oct. 5 and 6. The conference serves to educate commission members, practitioners, staff and the public on emergent issues from subject matter experts. Among the experts featured at this year's conference will be WSMA President Donna Smith, MD, who will present "Improving Overall Patient Care by Increasing Patient Engagement" on Friday of the conference. The conference is free and open to the public. This activity has been approved for <em>AMA PRA Category 1 Credit<sup>TM</sup></em>. For a full agenda and to register, visit <a href="https://wmc.wa.gov/education/annual-conference">the Medical Commission website</a>.</p>
</div> | 9/12/2018 4:18:17 PM | 9/12/2018 11:24:53 AM | 9/12/2018 12:00:00 AM |
| wsma_testifies_against_proposed_scope_expansion_for_naturopaths | WSMA testifies against proposed scope expansion for naturopaths | memo | Shared_Content/News/Membership_Memo/20180912/wsma_testifies_against_proposed_scope_expansion_for_naturopaths | <div class="col-md-12">
<h5>
September 12, 2018
</h5>
<h2>WSMA testifies against proposed scope expansion for naturopaths</h2>
<p>The WSMA joined several medical specialty societies in testifying against a proposal from the state naturopathic licensing board to allow naturopathic physicians to perform non-surgical cosmetic procedures, including the administration of botulinum toxin, dermal fillers or other inert substances. The WSMA believes naturopaths do not have the appropriate training for these types of procedures and this expansion of scope of practice would put patients at undue risk of harm. The WSMA also submitted formal comments to the Department of Health on the matter. To read the comments and for more information, see the <a href="https://wsma.org/Shared_Content/News/Weekly_Rounds/2018/weekly_rounds_2018_09_03_five_things_you_need_to_know_this_week">Sept. 3 issue of Weekly Rounds</a>, the newsletter from WSMA CEO Jennifer Hanscom.</p>
</div> | 9/12/2018 4:19:25 PM | 9/12/2018 11:17:44 AM | 9/12/2018 12:00:00 AM |
| are_you_a_health_care_employer_take_this_survey_and_help_washington_gauge_workforce_challenges | Are you a health care employer? Take this survey and help Washington gauge workforce challenges | memo | Shared_Content/News/Membership_Memo/20180822/are_you_a_health_care_employer_take_this_survey_and_help_washington_gauge_workforce_challenges | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Are you a health care employer? Take this survey and help Washington gauge workforce challenges</h2>
<p>The <a href="http://www.wtb.wa.gov/HealthSentinel/">Washington Sentinel Network</a> works with health care providers across the state to identify common occupational skills they need but can't always get, then provides that information to legislators, educators and others to inform policymaking. If you are a health care employer, please take a moment to provide feedback to the network on your workforce needs via this <a href="https://uwfamilymedicine.co1.qualtrics.com/jfe/form/SV_dhEJ4jEwJ1YwEWF">online survey</a> (feedback is particularly needed from primary care/specialty clinics and hospitals).
</p>
<p>Your feedback is confidential. The network is a collaboration of the state's Workforce Training and Education Coordinating Board and the UW Center for Health Workforce Studies. Visit the <a href="http://www.wtb.wa.gov/HealthSentinel/findings.asp">Sentinel Network's website</a> to review its findings to date, searchable by facility type and geographic region.</p>
</div> | 8/27/2018 8:36:34 AM | 8/22/2018 9:31:31 AM | 8/22/2018 12:00:00 AM |
| comments_due_sept_10_on_cms_proposal_for_physician_fee_schedule_and_quality_payment_program | Comments due Sept. 10 on CMS proposal for physician fee schedule and Quality Payment Program | memo | Shared_Content/News/Membership_Memo/20180822/comments_due_sept_10_on_cms_proposal_for_physician_fee_schedule_and_quality_payment_program | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Comments due Sept. 10 on CMS proposal for physician fee schedule and Quality Payment Program </h2>
<p>Physicians, providers and staff have until Sept. 10 to submit comments to the Centers for Medicare &amp; Medicaid Services on its proposed rule updating Medicare's physician fee schedule and Quality Payment Program for 2019. The new rule proposes comprehensive and significant changes to Medicare billing and documentation, including a single new rate for evaluation and management (E/M) services, provisions to incentivize EHR interoperability and telehealth services, and much more.</p>
<p>The WSMA earlier reported on <a href="https://wsma.org/Shared_Content/News/Membership_Memo/20180725/new_cms_rule_proposes_significant_changes_to_medicare_billing_and_documentation">highlights of the proposed changes and the mixed reception to the proposal</a> from some in the medical community. The AMA is working with state and specialty medical societies to discuss and identify key concerns and recommendations to submit to CMS (see <a href="https://assets.ama-assn.org/sub/advocacy-update/2018-08-09.html#national">this AMA update for more information</a>). CMS has provided <a href="https://www.cms.gov/newsroom/fact-sheets/proposed-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year-3">a fact sheet covering the changes to the physician fee schedule</a> and one covering the <a href="https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2019-QPP-proposed-rule-fact-sheet.pdf" target="_blank">changes proposed for the Quality Payment Program</a>, as well as a <a href="https://www.youtube.com/watch?v=JvoRQfMtPo4&amp;feature=youtu.be">series</a> of <a href="https://www.youtube.com/watch?v=B0BZmGYpYFU&amp;feature=youtu.be">videos</a> providing a closer look at the changes to E/M coding, including a <a href="https://www.youtube.com/watch?v=W2QBTQNxfSY&amp;feature=youtu.be">live telecast</a> of a panel discussion with CMS leaders. The proposed rule and instructions on how to provide feedback are available from the <a href="https://www.federalregister.gov/documents/2018/07/27/2018-14985/medicare-program-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other-revisions">Federal Register website</a>.</p>
<p>(Update Aug. 27, 2018: The AMA has delivered <a href="javascript://[Uploaded files/News and Publications/Newsletters/2018/AMA_E_M_sign-on_letter_to_CMS.pdf]">its recommendations to CMS regarding proposed changes to the physician fee schedule</a>, with the WSMA cosigning, along with other state and specialty societies.)&nbsp;<br />
<br />
</p>
</div> | 8/30/2018 3:36:59 PM | 8/22/2018 9:34:19 AM | 8/22/2018 12:00:00 AM |
| health_care_authority_introduces_online_prior_authorization_for_apple_health_and_pebb | Health Care Authority introduces online prior authorization for Apple Health and PEBB | memo | Shared_Content/News/Membership_Memo/20180822/health_care_authority_introduces_online_prior_authorization_for_apple_health_and_pebb | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Health Care Authority introduces online prior authorization for Apple Health and PEBB</h2>
<p>Physicians and providers caring for patients enrolled in Apple Health or the Public Employees Benefits Board may now submit prior authorizations for medical requests online.</p>
<p>The Health Care Authority has completed a system update to ProviderOne to allow electronic submissions of prior authorization requests and all backup documentation. Physicians and providers submitting requests may also use the ProviderOne portal to check the status of their request. For step-by-step instructions, visit the HCA's <a href="https://www.hca.wa.gov/billers-providers/prior-authorization-claims-and-billing/prior-authorization-pa">prior authorization webpage</a>. Prior authorization requests may still be submitted by fax or mail.</p>
<p>Reminder: For medical services covered by individual and small/large group health plans, new requirements are in effect streamlining insurer requirements and easing your burden. Make sure you're making the most of these new requirements by visiting the <a href="http://priorauth.wsma.org/">WSMA Prior Authorization Navigator</a>.</p>
</div> | 8/22/2018 2:34:15 PM | 8/22/2018 9:36:25 AM | 8/22/2018 12:00:00 AM |
| join_wampac_for_fundraiser_in_support_of_dr_kim_schrier | Join WAMPAC for fundraiser in support of Dr. Kim Schrier | memo | Shared_Content/News/Membership_Memo/20180822/join_wampac_for_fundraiser_in_support_of_dr_kim_schrier | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Join WAMPAC for fundraiser in support of Dr. Kim Schrier</h2>
<p><a href="https://www.drkimschrier.com/">Dr. Kim Schrier</a> (D-Issaquah), a Virginia Mason pediatrician and longtime WSMA member, was victorious in the primary election for the 8<sup>th</sup> Congressional District seat and will advance to the general election on Nov. 6. Following her victory, the board of directors of <a href="https://wsma.org/WSMA/Advocacy/WAMPAC/WSMA/Advocacy/WAMPAC/WAMPAC.aspx?hkey=269c3c03-cf72-4568-be5b-7893557300a7">WAMPAC</a>, WSMA's campaign arm, voted unanimously to support her campaign and will be hosting a luncheon fundraiser for her in Auburn on Friday, Aug. 31.</p>
<p>The fundraiser will take place at Oddfellas Pub (102 W Main St., Auburn 98001) starting at noon; suggested donation levels are $250/friend; $500/sponsor; $1,000/co-host. Space is very limited for this small-group event, so if you are interested in attending please RSVP to Sean Graham as soon as possible at <a href="mailto:sean@wsma.org">sean@wsma.org</a>. If you are not able to attend but would like to provide a contribution to Dr. Schrier's campaign in support of the event, <a href="https://act.myngp.com/Forms/-620291617758246144">you can do so here</a>.</p>
</div> | 8/23/2018 1:45:35 PM | 8/22/2018 8:56:48 AM | 8/22/2018 12:00:00 AM |
| learn_how_to_run_a_successful_campaign_at_the_2018_ampac_campaign_school | Learn how to run a successful campaign at the 2018 AMPAC Campaign School | memo | Shared_Content/News/Membership_Memo/20180822/learn_how_to_run_a_successful_campaign_at_the_2018_ampac_campaign_school | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Learn how to run a successful campaign at the 2018 AMPAC Campaign School</h2>
<p>Ever wonder how doctors get elected to Congress or your state legislature? Considering a run for office yourself? Then the AMPAC Candidate School, held Dec. 8-9 in Washington, D.C., is for you.</p>
<p>The AMPAC Candidate School is designed to give you the skills and strategic approach you will need out on the campaign trail. A select team of political experts will teach you everything you need to know to run a successful campaign or be a sought-after volunteer.</p>
<p><a href="http://www.ampaconline.org/political-education/apply/">Registration is now open</a>. The deadline to register is Sept. 21—the program fills up quickly, so don't delay. The registration fee is $350 for AMA members, spouses and state medical society staff ($1,000 for non-AMA members). The fee is waived for students/residents; however, there are limited slots and the AMPAC Board will review and select from the pool of qualified applicants.</p>
<p>For more information or to apply visit <a href="http://www.ampaconline.org/political-education/apply/">AMPAC online</a> or contact <a href="mailto:politicaleducation@ama-assn.org">politicaleducation@ama-assn.org</a>.</p>
</div> | 8/23/2018 1:45:49 PM | 8/22/2018 8:48:03 AM | 8/22/2018 12:00:00 AM |
| resolutions_now_available_for_your_input_on_wsma_virtual_reference_committees | Resolutions now available for your input on WSMA virtual reference committees | memo | Shared_Content/News/Membership_Memo/20180822/resolutions_now_available_for_your_input_on_wsma_virtual_reference_committees | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Resolutions now available for your input on WSMA virtual reference committees</h2>
<p>Reference committees give WSMA members an opportunity to discuss and debate resolutions and other business that will be considered for action at the WSMA Annual Meeting each fall, and thus serve a key role in WSMA's policymaking process (learn more about the <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">role of the annual meeting in determining WSMA policy</a>).&nbsp; Resolutions are now available for your review and feedback in our password-protected <a href="https://wsma.org/WSMA/Events/Annual_Meeting/Online_Reference_Committees_and_Forum/WSMA/Events/Annual_Meeting/Online_Reference_Committees_and_Forum/Online_Reference_Committees_and_Forum.aspx?hkey=4ea4ed56-61ce-4121-89b9-636415daa863">"virtual†reference committees</a>, and more will be added in the weeks to come in anticipation of the 2018 WSMA Annual Meeting this October.</p>
<p>
Note: you'll be prompted to sign in to the website to review resolutions and comment.</p>
<p>Now available in Reference Committee B, which covers issues related to professional services and internal affairs:</p>
<ul>
<li><strong>Resolution B-1</strong> would have the WSMA reaffirm policy that resolutions be submitted to the House of Delegates separate from committee reports, with the resolution sponsor(s) clearly identified. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=38db3f25-ce59-427b-a451-cef8419f081f&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution B-2</strong> would have the WSMA implement additional criteria for consideration in electing board of trustees members and would require all qualified candidates be placed on a ballot for House of Delegates voting. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=dd8c0c25-b1dc-4bec-8000-b92546b71df6&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution B-3</strong> would have the WSMA advocate for several measures to help identify, treat and eliminate sources of childhood lead poisoning in the state. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=99123686-8b7c-4bcd-b319-3c8f81dbb8e3">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution B-4</strong> would have the WSMA promote the use of the metric system across the entire health care system. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=e6aa2654-820b-4211-9d5f-915b17698dd1">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution B-5</strong> contains recommendations from the WSMA/WAPA work group on physician assistant practice. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=bdfdc754-f827-40cc-81f0-597c53fa10d6">Read the resolution and post your comments</a>.</li>
<li><strong>WSMA policies subject to sunset: </strong>The WSMA executive committee and the board of trustees have reviewed policies subject to sunset in 2017 and have made recommendations to reaffirm, amend or allow to sunset for each individual policy. The policies will be available for review and comment between now and the 2019 WSMA Annual Meeting. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=e77e8b5a-dbe2-4873-9d4d-0b4d45519502&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the policies and post your comments</a>.</li>
</ul>
<p>Now available in Virtual Reference Committee C, covering legislative affairs, health care economics/reform:</p>
<ul>
<li><strong>Resolution C-1</strong> would have the WSMA work to promote clarity in the use of the term “doctor,†including a campaign to educate the public regarding the different levels of training of different practitioners. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=4a2fbec9-ab1f-4703-b926-bf2a082cff30&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-2</strong> would have the WSMA adopt policy supporting mainstream opioid-free therapies to treat and manage pain, including support for health plan coverage of such therapies. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=845d6394-219b-4a0a-ace0-7f8ad5a80b05&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-3</strong> would have the WSMA identify physician whistleblower protections as a legislative priority and find sponsors to introduce such a bill into the 2019 legislature. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=dbfb0548-3abe-48d1-baeb-91168cbf327d&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-4</strong> would have the WSMA support a public option in the state and continue the work of WSMA's Universal Health Coverage and Access Work Group for an additional year. <a href="https://wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=c2a23ee7-54a9-4beb-8bc9-487599376eda&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-5</strong> would have the WSMA draft and find sponsors for a "corporate practice of medicine" bill to be introduced during the 2019 state legislative session. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=e47faae7-14bf-4560-b605-1afb0b6b8511">Read the resolution and post your comments</a>.</li>
<li><strong>Resolution C-6</strong> would have the WSMA support the legalization and use of biochemical hydrolysis as a green alternative to traditional cremation. <a href="http://www.wsma.org/iCore/Communities/TopicDefault.aspx?iUniformKey=8eb12673-269a-4ef0-a764-875a9a1bc3ce">Read the resolution and post your comments</a>.</li>
</ul>
<p>Take a moment to review these proposals and provide your feedback, which is crucial to shaping good policy. If adopted, these resolutions help guide WSMA's advocacy efforts and policy positions on behalf of its members, their patients and the greater medical community in Washington.</p>
<p>Member testimony will be accepted in the virtual reference committees until midnight on Wednesday, Oct 10. If you'd like to provide testimony in person, reference committees meetings are scheduled for Saturday, Oct. 13 at the <a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">2018 WSMA Annual Meeting</a> in Spokane. If you haven't yet registered for the meeting,&nbsp;<a href="https://wsma.org/WSMA/Events/Annual_Meeting/WSMA/Events/Annual_Meeting/Annual_Meeting.aspx?hkey=fea49254-3815-4dc9-8710-53ff2e3a100f">do so today</a>. The meeting is free for WSMA members and for members of the Washington State Medical Group Management Association.</p>
</div> | 8/23/2018 1:46:05 PM | 8/22/2018 9:26:31 AM | 8/22/2018 12:00:00 AM |
| update_on_medicaid_interpreter_services_vendor_and_request_for_feedback | Update on Medicaid interpreter services vendor and request for feedback | memo | Shared_Content/News/Membership_Memo/20180822/update_on_medicaid_interpreter_services_vendor_and_request_for_feedback | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>Update on Medicaid interpreter services vendor and request for feedback</h2>
<p>Many practices have experienced <a href="https://wsma.org/Shared_Content/News/Membership_Memo/20180711/some_serious_bumps_in_the_transition_to_new_medicaid_interpreter_services_vendor.aspx">significant issues</a> with the Health Care Authority's new interpreter services vendor, Universal Language Services. The WSMA, working in close collaboration with the Washington State Medical Group Management Association, has been communicating with HCA leadership to address reported problems. While most of the initial transition problems appear to have been addressed, we are asking practices to contact us with any ongoing issues specifically related to fulfilling the interpreter requests, and to share with us your thoughts on potential improvements or changes that might assist you. Please contact Michelle Lott at <a href="mailto:mml@wsma.org">mml@wsma.org</a> with your feedback.</p>
</div> | 8/23/2018 1:46:18 PM | 8/22/2018 9:01:03 AM | 8/22/2018 12:00:00 AM |
| wsma_and_wsha_wellness_survey_your_input_matters | WSMA and WSHA wellness survey: your input matters! | memo | Shared_Content/News/Membership_Memo/20180822/wsma_and_wsha_wellness_survey_your_input_matters | <div class="col-md-12">
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<h5>
August 22, 2018
</h5>
<h2>WSMA and WSHA wellness survey: your input matters!</h2>
<p>The WSMA and the Washington State Hospital Association are jointly launching an effort to address the fourth goal of the Quadruple Aim: improving the experience of providing care. To guide our effort, we've partnered with Stanford Medicine to create a unique survey to help us measure the degree of overwhelm and professional well-being experienced by physicians, PAs and ARNPs in Washington state. By now you should have received an email from <a href="mailto:physician_wellness@stanford.edu">physician_wellness@stanford.edu</a> with the survey. Please take 15 minutes of your time to complete the survey. Your input will help influence the direction of our efforts. If you haven't received the survey or have questions, email Jessica Martinson at <a href="mailto:jessica@wsma.org">jessica@wsma.org</a>.</p>
</div> | 8/23/2018 1:46:32 PM | 8/22/2018 8:58:39 AM | 8/22/2018 12:00:00 AM |
| court_sides_with_wsma_in_case_scrutinizing_standards_for_expert_testimony | Court sides with WSMA in case scrutinizing standards for expert testimony | memo | Shared_Content/News/Membership_Memo/20180808/court_sides_with_wsma_in_case_scrutinizing_standards_for_expert_testimony | <div class="col-md-12">
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<h5>
August 8, 2018
</h5>
<h2>Court sides with WSMA in case scrutinizing standards for expert testimony</h2>
<p>
In a 7-2 decision favoring WSMA's position, the Washington State Supreme Court handed down a ruling in Reyes v. Yakima Health District that found a declaration from the plaintiff's expert witness insufficient to establish medical negligence. This is important because the case could have lowered the standards for pretrial statements from expert witnesses regarding the standard of care in medical malpractice cases.
</p>
<p>
In this case, brought against a treating physician and the Yakima Health District, an expert witness for the plaintiff submitted a declaration stating that the physician violated the standard of care, yet failed to specify what the standard of care in the case should have been.
</p>
<p>
The trial court had granted summary judgment for the defendants on the medical malpractice claim and on the other claims. The court of appeals had upheld that decision. When the state Supreme Court decided to take up the case, we submitted a brief urging the court to do the same.
</p>
<p>
We were pleased to see the court side with our arguments, ultimately deciding that an expert witness' declaration must state the standard of care before concluding that the defendant had violated said standard. The WSMA, joined by the American Medical Association, the Washington Chapter of the American College of Emergency Physicians, and supported by Physicians Insurance, submitted a brief in the case urging, among other things, for the court to preserve the current standards, and we are pleased to see the court do so.
</p>
<p>
For questions on this case, contact Tierney Edwards, JD, at <a href="mailto:tee@wsma.org">tee@wsma.org</a> or Denny Maher, MD, JD, at <a href="mailto:denny@wsma.org">denny@wsma.org</a>.
</p>
</div> | 8/8/2018 5:23:59 PM | 8/8/2018 3:03:11 PM | 8/8/2018 5:23:58 PM |