| aetna_rescinds_prior_authorization_requirement_on_cataract_surgeries | Aetna Rescinds Prior Authorization Requirement on Cataract Surgeries | memo | Shared_Content/News/Membership_Memo/2022/July_22/aetna_rescinds_prior_authorization_requirement_on_cataract_surgeries | <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 4:30:56 PM | 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 | memo | Shared_Content/News/Membership_Memo/2022/July_22/medicare_proposes_2023_payment_and_quality_reporting_changes | <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> | 7/28/2022 4:16:07 PM | 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 | memo | Shared_Content/News/Membership_Memo/2022/July_22/register_for_aug_16_webinar_on_wsmas_2023_legislative_advocacy_agenda | <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> | 7/28/2022 4:16:08 PM | 7/19/2022 4:40:50 PM | 7/22/2022 12:00:00 AM |
| 988_crisis_line_set_to_launch_july_16 | 988 Crisis Line Set to Launch July 16 | memo | Shared_Content/News/Membership_Memo/2022/July_8/988_crisis_line_set_to_launch_july_16 | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/988-crisis-line-645x425px.png" class="pull-right" alt="988 Crisis Line graphic" /></div>
<h5>July 8, 2022</h5>
<h2>988 Crisis Line Set to Launch July 16</h2>
<p>The U.S. is getting close to the July 16 transition to <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDIsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMjA3MDYuNjAzNjg1MDEiLCJ1cmwiOiJodHRwczovL3d3dy5zYW1oc2EuZ292L2ZpbmQtaGVscC85ODgifQ.8YVEL9Ty7P1awjr_7dCu5b3K0EgM-OrNI8-IEqQOqcg/s/609323361/br/135576932406-l">988</a>, the easy-to-remember number to reach the existing National Suicide Prevention Lifeline. This transition is an important step to strengthening and transforming the crisis care continuum in the U.S., including improving Washington's behavioral health crisis response services.</p>
<p>The National Suicide Prevention Lifeline crisis centers will continue to operate their services in accordance with established standards and connect with 911 services and regional crisis services as usual. There will be no changes to dispatch for designated crisis responders and mobile crisis response teams or the functions of any other regional crisis service.</p>
<p>To help partners communicate about 988, the federal Substance Abuse and Mental Health Services Administration has added downloadable print files for wallet cards, magnets, and posters to its <a href="https://www.samhsa.gov/find-help/988/partner-toolkit">988 partner toolkit</a>. The toolkit already includes <a href="https://www.samhsa.gov/find-help/988/partner-toolkit/logo-branding">logo and brand guidelines</a>, key messages, frequently asked questions, fact sheets (English and Spanish), radio PSA scripts (English and Spanish), and more. SAMHSA is also working to make the print materials available for ordering from the SAMHSA store and will be adding social media shareables by mid-July about the basics of 988.</p>
<p>SAMHSA anticipates 988 will continue to grow and evolve over the years. In 2021, the Lifeline received 3.6 million calls, chats, and texts. That number is expected to at least double within the first full year after the 988 transition.</p>
</div> | 7/7/2022 1:17:08 PM | 7/7/2022 11:20:17 AM | 7/7/2022 12:00:00 AM |
| covid_19_vaccines_how_to_embed_them_into_routine_preventive_care | COVID-19 Vaccines: How to Embed Them Into Routine Preventive Care | memo | Shared_Content/News/Membership_Memo/2022/July_8/covid_19_vaccines_how_to_embed_them_into_routine_preventive_care | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/covid-vaccines-doh-webinars-645x425px.png" class="pull-right" alt="COVID-19 Vaccines Webinar Series graphic" /></div>
<h5>July 8, 2022</h5>
<h2>COVID-19 Vaccines: How to Embed Them Into Routine Preventive Care</h2>
<p>The WSMA has joined the Washington State Department of Health to host a new two-part CME webinar series to help physician practices and clinics access the tools and information they need to incorporate the COVID-19 vaccines into their practice workflows. This first session held on July 29 will cover the logistics of delivering COVID-19 vaccines in a practice or clinic setting.</p>
<p>Join us for this free session where you'll learn how to:</p>
<ul>
<li>Bill for COVID-19 vaccine counseling and administration.</li>
<li>Access small, more manageable quantities of COVID-19 vaccines from vaccine depots across the state.</li>
<li>Join the more than 65,000 Washington physicians, PAs, and health care professionals who have already committed to educating and empowering their patients to vaccinate.</li>
</ul>
<p>Leverage the DOH's physician toolkit and public-facing resources to help protect the health and well-being of your community. This activity has been approved for <em>AMA PRA Category 1 Credit</em>â„¢. <a href="https://us06web.zoom.us/webinar/register/WN_HC9jY0RkSSq5y_ZkR4Coqg">Register for the free session online</a>. And save the date for part two of the series, COVID-19 Vaccines: Strategies to Discuss the COVID-19 Vaccine with Your Most Reluctant Patients, on Friday, Aug. 26, from noon-1 p.m. (only one registration is required to attend both webinars).</p>
</div> | 7/7/2022 3:16:39 PM | 7/7/2022 3:16:22 PM | 7/7/2022 12:00:00 AM |
| health_technology_clinical_committee_appointment_opportunity | Health Technology Clinical Committee Appointment Opportunity | memo | Shared_Content/News/Membership_Memo/2022/July_8/health_technology_clinical_committee_appointment_opportunity | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2022/july/stethoscope-on-table-645x425px.jpg" class="pull-right" alt="stethoscope lying on a table" /></div>
<h5>July 8, 2022</h5>
<h2>Health Technology Clinical Committee Appointment Opportunity</h2>
<p>The Washington State Health Care Authority is looking to fill an opening on the <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDIsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMjA2MjEuNTk2OTUxOTEiLCJ1cmwiOiJodHRwczovL3d3dy5oY2Eud2EuZ292L2Fib3V0LWhjYS9oZWFsdGgtdGVjaG5vbG9neS1hc3Nlc3NtZW50L2hlYWx0aC10ZWNobm9sb2d5LWNsaW5pY2FsLWNvbW1pdHRlZSJ9.bvdiip__zkEuzClsuOauTDh62dtZ8P5XIi7bmqbmV2A/s/743989962/br/133360745024-l">Health Technology Clinical Committee</a>. The HTCC was established by law in 2006 to make coverage determinations for selected health technologies based on available scientific evidence. The determinations are followed by state purchased health care programs including Medicaid, Uniform Medical Plan, and the Department of Labor and Industries.</p>
<p>The HTCC consists of a diversity of knowledgeable individuals willing to actively participate and make decisions based on the evidence and best interests of the public. Consideration will be given to:</p>
<ul>
<li>Active practitioners licensed in Washington state.</li>
<li>Experience with evidence-based medicine.</li>
<li>A committee composed of individuals with a passion for service who represent the diverse population of our state.</li>
</ul>
<p>See the <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDMsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMjA2MjEuNTk2OTUxOTEiLCJ1cmwiOiJodHRwczovL3d3dy5oY2Eud2EuZ292L2Fzc2V0cy9wcm9ncmFtL2FwcG9pbnRtZW50LW9wcG9ydHVuaXR5LTIwMjIwNjE1LnBkZiJ9.ZQzG7LCvl72XHPQ9TPHZGKez2kdcocnEPE6Vd3ToEs4/s/743989962/br/133360745024-l">recruitment announcement</a> on the HCA website for details. Applications for membership will be accepted until further notice. First review of applications is scheduled for Aug. 10. Email <a href="mailto:shtap@hca.wa.gov">shtap@hca.wa.gov</a> should you have questions.</p>
</div> | 7/7/2022 1:17:08 PM | 7/7/2022 11:20:26 AM | 7/7/2022 12:00:00 AM |
| hhs_initiative_to_strengthen_primary_health_care_seeking_public_comment | HHS Initiative to Strengthen Primary Health Care Seeking Public Comment | memo | Shared_Content/News/Membership_Memo/2022/July_8/hhs_initiative_to_strengthen_primary_health_care_seeking_public_comment | <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 1:17:08 PM | 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 | memo | Shared_Content/News/Membership_Memo/2022/July_8/hhs_issues_guidance_to_protect_patient_privacy_in_wake_of_supreme_court_decision_on_roe | <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 3:05:01 PM | 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 | memo | 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> | 7/19/2022 11:22:20 AM | 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 | memo | Shared_Content/News/Membership_Memo/2022/July_8/physician_feedback_needed_on_renewed_naturopath_scope_effort | <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 1:17:08 PM | 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 | memo | Shared_Content/News/Membership_Memo/2022/July_8/physician_perspective_sought_in_gao_health_information_exchange_study | <div class="col-md-12">
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<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 3:20:10 PM | 7/7/2022 3:19:47 PM | 7/7/2022 12:00:00 AM |
| space_is_going_quickly_in_wsmas_dyad_leadership_and_physician_leadership_courses | Space is Going Quickly in WSMA's Dyad Leadership and Physician Leadership Courses | memo | Shared_Content/News/Membership_Memo/2022/July_8/space_is_going_quickly_in_wsmas_dyad_leadership_and_physician_leadership_courses | <div class="col-md-12">
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<h5>July 8, 2022</h5>
<h2>Space is Going Quickly in WSMA's Dyad Leadership and Physician Leadership Courses</h2>
<p>Applications are being accepted for two of our core leadership trainings: The <a href="https://wsma.org/WSMA/Education/Physician_Leadership/Dyad_Leadership_Course/WSMA/Physician_Leadership/Dyad_Leadership_Course/Dyad_Leadership_Course.aspx?hkey=f6387317-48e4-44f1-b623-4b00fcba57ab">WSMA Dyad Leadership Course</a>, a month-long course with three live workshop days for physicians and their administrative partners, and the popular <a href="https://wsma.org/WSMA/Education/Physician_Leadership/Physician_Leadership_Course/WSMA/Physician_Leadership/Physician_Leadership_Course/Physician_Leadership_Course.aspx?hkey=efdc4ad1-ff20-4089-ab51-caafbe73572b">WSMA Physician Leadership Course</a>, our 40+ hour hybrid online/in-person education designed for busy physicians and physician assistants who want to learn more about leadership.</p>
<ul>
<li>The 2022 Dyad Leadership Course will be held Oct. 14-Nov. 18. The live sessions will be held Friday and Saturday, Oct. 14 and 15. Course participants will then have one month, finishing with a third live session on Friday, Nov. 18. The maximum capacity for the course is 20 participants, or 10 dyads. Individuals or group/system teams are encouraged to apply. This activity has been approved for <em>AMA PRA Category 1 Credit</em>â„¢.</li>
</ul>
<ul>
<li>The Physician Leadership Course will be held in person at The Maxwell Hotel in Seattle Sept. 16-Dec. 2, 2022. The first two days will be held Friday and Saturday, Sept. 16-17. Course participants will then have 11 weeks of online instruction and interaction, finishing with the final in-person session on Friday, Dec. 2. This activity has been approved for <em>AMA PRA Category 1 Credit</em>â„¢.</li>
</ul>
<p>Learn more about these courses and all of our leadership offerings by visiting the <a href="[@]WSMA/Education/Physician_Leadership/WSMA/Physician_Leadership/Physician_Leadership.aspx?hkey=4a910f13-3bb1-4b95-853f-6f93e33637d2">WSMA Center for Leadership Development</a>.</p>
</div> | 7/7/2022 1:22:18 PM | 7/7/2022 11:20:00 AM | 7/7/2022 12:00:00 AM |
| covid_19_vaccines_approved_for_kids_6_months_to_5_years | COVID-19 Vaccines Approved for Kids 6 Months to 5 Years | memo | Shared_Content/News/Membership_Memo/2022/June_24/covid_19_vaccines_approved_for_kids_6_months_to_5_years | <div class="col-md-12">
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<h5>June 24, 2022</h5>
<h2>COVID-19 Vaccines Approved for Kids 6 Months to 5 Years</h2>
<p>Following approval by the U.S. Food and Drug Administration and the Centers for Disease Control and Prevention, the Western States Scientific Safety Review Workgroup on Sunday <a href="https://drive.google.com/file/d/1Nklm7aMqcyNrOrxZ-19-fGy-8i2wkxp1/view">concluded</a> that the Pfizer and Moderna COVID-19 vaccines are safe and effective for children as young as 6 months old, making the more than 380,000 children ages 6 months to 5 years in Washington eligible for vaccination. The authorization includes:</p>
<ul>
<li>A 3-dose Pfizer vaccine primary series for children ages 6 months - 4 years</li>
<li>A 2-dose Moderna vaccine primary series for children ages 6 months - 5 years</li>
</ul>
<p>During the rise of the omicron variant in late December 2021, infants and children ages 0-4 in the U.S. were hospitalized at approximately five times the rate of the previous peak resulting from the delta variant. Vaccination has continually shown to be the strongest measure to prevent serious disease and death caused by COVID-19.</p>
<p>While the Washington State Department of Health has indicated delays in initial supply from the federal government, they expect inventory to build over the coming days and weeks. Once you have the Pfizer and Moderna pediatric COVID-19 vaccines in stock, you may begin administering them to children ages 6 months and up.</p>
<p>The following resources are now available for physicians and clinicians vaccinating this age group:</p>
<ul>
<li><a href="javascript://[Uploaded files/News and Publications/Newsletters/2022/baby-peds-june-16-update.pdf]">Washington State Department of Health COVID-19 Vaccination Plan for 6 months through 4 years</a> </li>
<li>Moderna <a href="https://www.fda.gov/media/159307/download">fact sheet</a></li>
<li>Pfizer <a href="https://www.fda.gov/media/159312/download">fact sheet</a> and <a href="https://www.fda.gov/media/159303/download">Dear Provider letter</a></li>
</ul>
<p>
If your practice is providing the new pediatric vaccine and experiences operational or administrative barriers, please email <a href="mailto:policy@wsma.org">policy@wsma.org</a> so that we may inform the Department of Health and other relevant state agencies.
</p>
<p>If your clinic is not yet enrolled in the federal COVID-19 Vaccination Program (enrollment is required to administer COVID-19 vaccines), learn more and enroll on the <a href="https://doh.wa.gov/emergencies/covid-19/healthcare-providers/vaccine-information-health-care-providers/federal-program-enrollment">DOH website</a>, and join the <a href="https://doh.wa.gov/emergencies/covid-19/vaccine-information/power-providers-initiative">Power of Providers Initiative</a> to help educate and empower your patients to get vaccinated. If your practice does not offer the vaccine and patients are asking where they can locate the vaccine for their child, direct them to the state's <a href="https://vaccinelocator.doh.wa.gov/">vaccine locator</a>.</p>
<h3>WSMA-DOH COVID-19 Vaccines Webinar Series</h3>
<p>If you haven't already, it's time to embed the COVID-19 vaccine into routine preventive care in your practice. The WSMA has joined the Washington State Department of Health to host a new webinar series to help physician practices and clinics access the tools and information they need to incorporate the COVID-19 vaccines into their practice workflows and employ effective strategies to engage patients in conversations about the vaccine. The first session, focused on embedding vaccines into preventative care, is scheduled for Friday, July 29 from noon-1 p.m. <a href="[@]WSMA/Education/Upcoming_Webinars/WSMA/education/Upcoming_Webinars/Upcoming_Webinars.aspx?hkey=b760d6bd-1833-412d-b681-babf251792a8">Register online</a>.</p>
</div> | 6/24/2022 10:12:35 AM | 6/23/2022 3:08:49 PM | 6/23/2022 12:00:00 AM |
| new_telehealth_guidance_from_hhs | New Telehealth Guidance from HHS | memo | Shared_Content/News/Membership_Memo/2022/June_24/new_telehealth_guidance_from_hhs | <div class="col-md-12">
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<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> | 6/23/2022 2:58:33 PM | 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 | memo | Shared_Content/News/Membership_Memo/2022/June_24/wsma_endorses_ama_medicare_physician_payment_reform_principles | <div class="col-md-12">
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<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> | 6/24/2022 9:10:43 AM | 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 | memo | Shared_Content/News/Membership_Memo/2022/June_24/wsma_members_make_their_voices_heard_in_annual_advocacy_survey | <div class="col-md-12">
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<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> | 6/23/2022 2:58:33 PM | 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 | Membership_Memo | Shared_Content/News/Membership_Memo/2022/June_10/2022_wsma_annual_meeting_how_to_propose_policy_serve_as_delegate | <div class="col-md-12">
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<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> | 6/9/2022 2:13:55 PM | 5/25/2022 11:04:04 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 | memo | Shared_Content/News/Membership_Memo/2022/June_10/l-i_adopts_wsma-supported_emergency_rules_protecting_outdoor_workers | <div class="col-md-12">
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<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 10:05:09 AM | 6/17/2022 10:04:47 AM | 6/10/2022 12:00:00 AM |
| physicians_encouraged_to_join_in_the_effort_to_promote_colorectal_cancer_screening | Physicians Encouraged to Join in the Effort to Promote Colorectal Cancer Screening | memo | Shared_Content/News/Membership_Memo/2022/June_10/physicians_encouraged_to_join_in_the_effort_to_promote_colorectal_cancer_screening | <div class="col-md-12">
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<h5>June 10, 2022</h5>
<h2>Physicians Encouraged to Join in the Effort to Promote Colorectal Cancer Screening</h2>
<p>The WSMA and the American Society for Gastrointestinal Endoscopy are appealing to every physician, especially gastroenterologists and primary care physicians, to support ASGE's effort to educate patients about the risks associated with colorectal cancer and the life-saving screening options that are available to them.</p>
<p>Physicians and practice staff may visit the American Society for Gastrointestinal Endoscopy “<a href="http://www.asge.org/home/crc-screening---for-medical-professionals/">Colorectal Cancer Screening Appropriate Use†webpage</a> to download patient education resources, including a printable office/practice poster, patient letter templates (for positive and negative test results), and an article for local newspapers.</p>
<p>More than 30% of U.S. adults aren’t getting screened for colon cancer and it’s a disease that has a 90% survival rate when detected early. Further, most cancers can be prevented through polyp removal at colonoscopy.</p>
<p>Colorectal cancer screening is recommended to begin at 45 years of age and screening options include colonoscopy, fecal immunochemical test (FIT), and MT-sDNA (Cologuard).</p>
<p>Colonoscopy can be used to screen high- and average-risk patients, meaning patients with no history of precancerous colorectal polyps or cancer, or who have no symptoms. For those who have had previous colorectal cancer or precancerous polyps, then surveillance colonoscopy is the only appropriate tool to monitor the patient and prevent cancer. The same is true for patients with colorectal symptoms, who should only be evaluated by colonoscopy.</p>
<p>For asymptomatic average-risk patients undergoing screening, stool tests are also appropriate options for screening. Average-risk means that age is the only risk factor, and particularly when there is no strong family history of colorectal cancer. For such patients, FIT and MT-sDNA tests can also be used for screening and are an alternative to colonoscopy. These tests aren’t appropriate options for high-risk screening patients, surveillance patients who have a history of adenomatous polyps, sessile serrated polyps or colorectal cancer, or symptomatic patients.</p>
<p>ASGE recommends that patients of any age who are exhibiting symptoms (e.g., rectal bleeding, anemia, a change in bowel habits, persistent abdominal pain, or unintentional weight loss) or who are high-risk (e.g., they’ve had a precancerous colorectal polyp or colorectal cancer) or whose family has a strong history of colorectal cancer should talk to their gastroenterologist or primary care physician about the need for colonoscopy.</p>
<p>Visit <a href="http://www.asge.org/home/crc-screening---for-medical-professionals/">ASGE.org/Screening-Physicians</a> to download ASGE’s Colorectal Cancer Screening Appropriate Use resources for physicians. </p>
<p>Physicians can refer their patients to <a href="http://www.asge.org/home/crc-screening">ASGE.org/Screening</a> for an easy-to-understand infographic on the appropriate screening test.</p>
</div> | 6/9/2022 2:21:42 PM | 5/25/2022 11:03:59 AM | 6/10/2022 12:00:00 AM |
| provider_relief_fund_phase_4_payments_available | Provider Relief Fund Phase 4 Payments Available | Membership_Memo | Shared_Content/News/Membership_Memo/2022/June_10/provider_relief_fund_phase_4_payments_available | <div class="col-md-12">
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<h5>June 10, 2022</h5>
<h2>Provider Relief Fund Phase 4 Payments Available</h2>
<p>Many physicians and eligible providers have a Provider Relief Fund Phase 4 payment available but have not taken the required actions to receive the funds.</p>
<p>The Health Resources and Services Administration's program integrity safeguards require physicians and eligible providers receiving payments over $100,000 to register for an Optum Pay account to retrieve their payment. An explanation of the requirement was included in the Phase 4 application guidance.</p>
<p>HRSA has followed up with eligible payment recipients multiple times about their pending Phase 4 payment, encouraging them to take this necessary action. HRSA’s contractor, UnitedHealth Group, sends PRF payment notifications from the address <a href="mailto:UHG_HRSA@ProviderEmail.uhc.com">UHG_HRSA@ProviderEmail.uhc.com</a>.</p>
<p>It may take up to two weeks to complete the Optum Pay enrollment process. HRSA will reattempt payment approximately every other week beginning in June. Therefore, depending on when they have successfully enrolled, it may take an additional two weeks for funds to be available in recipients' accounts.</p>
<p>Visit the HRSA website for more information on <a href="https://www.hrsa.gov/provider-relief/future-payments">Provider Relief Fund Phase 4 and American Rescue Plan Rural Payments</a>.</p>
<p><strong>Instructions for setting up an Optum Pay account</strong></p>
<p>To begin the online enrollment process, go to the <a href="https://myservices.optumhealthpaymentservices.com/beginEnrollment.do">Optum Pay online enrollment webpage</a>. Physicians and other payment recipients must use the TIN associated with their Phase 4 PRF application to enroll. This process will not involve credentialing or contracting with UnitedHealth Group. The information you submit will only be used to administer PRF and ARP payments. Required information:</p>
<ul>
<li>Organization demographic information (name, phone number, and email address).</li>
<li>Contact information for one or two individuals from the organization to support administration and oversight of the account, including editing bank account deposit information for any future payments.</li>
<li>The organization's banking information (routing number, account number, and account type).</li>
<li>Clear, legible, and unaltered voided check or a bank letter signed and dated from a bank officer.</li>
<li>Clear and legible IRS Form W-9 signed and dated within 1 year.</li>
</ul>
<p>HRSA encourages eligible payment recipients to claim these funds as soon as possible.&nbsp;</p>
</div> | 6/9/2022 2:30:45 PM | 5/25/2022 11:04:02 AM | 6/10/2022 12:00:00 AM |