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MedChi Operations Report
MedChi House Of Delegates Meeting
September 27, 2014
Gene M. Ransom, III
CEO
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“Next Big Things”
Goal
Public Health & Tort Reform Remain a leader
Waiver and Payment Reform Continue to be a leader
Medicaid Payment Increase Keep the increase
Membership: Achieve 8,000 members Reach 10,000 physicians
Finances
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Finance Report
A detailed report on MedChi’s finances will be
given by Stephen Rockower, MD
Finance Issues • Membership continues to
lag; other activities support mission
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MedChi Network Services (MNS)
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MNS Solution Focus on supporting independent
practices with end-to-end services • Practices are a system – everything
needs to work together
Provide resources to practices as businesses not clinics • Physicians are seeing patients, staff are
supporting day to day activities – businesses still need strategic plans, capital budgets, training programs, websites…
• Develop Accountable Care Organizations (ACOs) and other models that encourage physician collaboration and leadership
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Advance Payment ACOs
Shared savings programs take time and money to implement, Advanced Payment helps to cover some upfront and on-going costs
Non-recourse loan available to physician-led, rural ACOs (loan must be repaid with savings or will be forgiven if there is no savings)
Competitive offering with application scoring is based on specific group criteria
ACOs must adhere to spend plan for Advance Payment funds
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MNS Accountable Care Organizations
Owner and operator of 3 Medicare Shared Savings Program Advance Payment ACOs • All participants are primary care providers • Competitive program with certain restrictions regarding
revenue, participants, and geography • Non-recourse loan to support start-up; must be repaid with
savings
Affinity partner of 5 MSSP ACOs (not advance payment), and looking to work with additional groups None of the three ACOs hit shared saving threshold.
Lower Shore and Western Maryland shared savings
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MNS ACO Geography
Western Maryland ACO - July 2012 start - 6,000 beneficiaries - 20 providers Eastern Shore ACO - July 2012 start - 12,000 beneficiaries - 45 providers
Lower Shore ACO - January 2013 start - 10,000 beneficiaries - 35 providers
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Outreach
Health Insurance Exchange Assisters - Partnering with Lower Shore Health Departments and HCAM
CRISP HIE Services
• Contracted with CRISP to provide outreach and technical assistance for ambulatory practices to use PDMP, ENS, and other free CRISP services
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Association Management
Currently managing seven associations Offering MedChi facilities and CME to groups Increasing partnerships has been a positive for MedChi relations with specialties
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Non Dues Revenue
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Affinity Vendors
Direct Energy Apps4Org athenahealth Atlantic Health
Partners Boxwood Collect Rx DocBook MD FMS Financial
Solutions 4Med Approved IC System Kinetics
Marketing Favorite
Healthcare Staffing
ITP Purchasing Power
gtb Telecom
Mary Kraft Staffing & HR Solutions
Maryland Rx Card Nova MedMarket PartnerShip
Shipping Professional
Management, Inc. Rx Security Shorescan TransFirst Tray PML USBNE Payment
Processing UMB Bank Services Direct Energy Aidarex Partnership
Shipping ProShred
Advantage Sponsors
Platinum Level athenahealth CRISP MedChi Insurance Agency Medical Mutual Gold Level WellDoc CSC Pfizer PhRMA Silver Level CMS We Work for Health Asset Management Concepts Bronze Level Eli Lilly MedCre Nixon Uniform Service & Medical Wear UBS PNC Healthcare Business Banking HealthGrid
Law & Advocacy: Federal and State Issues
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General Election Candidates
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Five MedChi Members Running for the Maryland General Assembly!
Tim Robinson, MD
Clarence Lam, MD
Terri Hill, MD Jay Jalisi, MD Delegate Dan Morhaim, MD
Post Session Follow Up
Physician Dispensing Work Group
• Held two meetings over the summer
Sterile Compounding Work Group
• Met with specialties and Delegate Morhaim on July 29th ‘
• Near-term strategy is to propose a delay in the effective date of the 2013 law
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Medical Marijuana
Looking at opportunities to develop CME to help educate physicians about the new law
Working with the Medical Marijuana Commission
Comments submitted / testimony given on draft regulations
• Problems with certification provisions for physicians
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Successful Lunch and Learns
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Step Therapy 7/29
The Waiver 8/29
More events planned for 2014 and beyond
Workers Compensation Workshop
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Maryland Physicians' Introduction to the Workers' Compensation System
Cosponsored by MedChi and the Workers Compensation Section of the Trial Lawyers Association
Mark your calendar: October 22, 2014 5:00 pm DoubleTree Hotel Columbia 5485 Twin Knolls Road Columbia, MD 21045
Waiver CME Presentations Throughout Maryland
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August 13 Cumberland Allegany County Medical Society
Sept. 16 Lanham Prince George’s County Medical Society
Sept. 17 LaPlata Charles County Medical Society
Oct 14 Rockville Montgomery County Medical Society
Oct. 15 Severna Park Anne Arundel / Howard Co. Medical Societies
2014 Success Passed Child Care Centers Healthy Eating and Physical Activity
Act Strengthened health and nutrition standards at all licensed childcare centers in Maryland, affecting over 250,000 children.
2015 Agenda Healthy Drinks for Restaurant Kids’ Meals Repeal the State Sales Tax on Bottled Water
Resources Posters and Handouts - Printable and downloadable,
entertaining and informative - available at www.SugarFreeKidsMD.org
BetterBeverageFinder – Find 100s of healthy and tasty alternatives to sugary drinks: www.betterbeveragefinder.org
Social Media Stay up-to-date with Sugar Free Kids on Facebook and twitter.
Facebook: www.facebook.com/SugarFreeKidsMD Twitter: SugarFreeKidsMD
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Communications
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Enhancing Communications and Services Newly merged Communications and
Membership Committee held two meetings
Continue to look at videoconferencing options to allow for remote participation in Committee meetings
Taking a fresh approach to better engage employed physicians
Get involved today by signing up for the Membership/Communications or Employed Physicians Committees
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Recent Press Releases September 11: MedChi App Now Available on Android Devices
September 8: MedChi to Host the Louis J. Kolodner Memorial Lecture
August 15: August is National Immunization Awareness Month
July 31: New All Payer Model for Maryland Population-Based and Patient-Centered Payment Systems
July 24: July is Eye Injury Prevention Month
July 21: Health Care Groups to Announce Primary Election Winners Who Endorse Healthy Maryland Initiative Tobacco Tax
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Send us news about your practice, appointments or awards, or volunteer activities to help us expand media coverage of Maryland physicians.
New Communications Products
Developed new marketing materials and strategies Updating and refreshing
the MedChi website Initiated Black Eye
Susan newsletter
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Invite MedChi to Your Practice or Hospital Meetings Meeting and briefing opportunities allows us to educate
physicians on critical issues, while showcasing MedChi’s
accomplishments and benefits of membership We have several CME presentations that we offer on the
following topics: • Legislative Outlook for 2015 (Ready in October) • Payment Reform • The Waiver
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Membership
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Membership Counts
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Membership Type # of Members
First Year 25
Second Year 28
Full 3,208
Associate 250
Emeritus 1,175
Forty-Year 471
Affiliate 12
Office Manager 192
Residents 744
Students 968
Total Members: 7,073 As of September 24, 2014
Additional Membership Facts 28
New Members - Total 2013 -851
Active – 216 Students – 594 Residents – 14 Office Managers - 27 Reinstated Members – 133
New Members - 2014 YTD Active – 205
Students – 10
Residents – 585
Office Managers – 18
Reinstated Members –52
Membership “Reach” (as of 9/8/14)
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Other Services Offered by MedChi
Members Non-Members Not Eligible Total
ACO 26 24 50
MSO 300 438 159 897
Insurance 776 1,097 140 2,013
Total 1,102 1,559 299 2,960
Non-Members Using MedChi Services 1,559
MedChi Members 7,073
Total MedChi Reach 8,632
100% Practice Participation Program Kicks Off Today!
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Employed Physicians Outreach
Key Considerations: • Do I need an attorney? • How will compensation be determined? • Will I earn more or less in private
practice? • Who will buy/lease my office
space/equipment? • Who pays for my insurance? • What are my hospital obligations? • How fill disputes be handled?
Posters
Po
st C
ard
s
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Spotlight on Members
Devinder Singh, MD appointed by Governor O’Malley to chair the Board
of Physicians.
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Dr. Nakazawa Recognized by the Ambassador to Japan
To celebrate the conferring of the
The Order of the Rising Sun, Gold Rays with Rosette
upon Dr. Hiroshi Nakazawa
the Ambassador of Japan request
the pleasure of your company
at a cocktail reception.
Thursday, June 26th 2014 at 5:30 pm
The Old Residence
2516 Massachusetts Ave, N.W.
Washington, D.C.
Business Attire
Please RSVP by Friday, June 13th to [email protected] or
202.238.6848
Thanks to Sandy Siegel, MD for Your Leadership on Prostate Cancer Research
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MedChi Team for the Zero Prostate Walk / Run – 9/14/2014
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Dr. Haft Among Six Finalists for Primary Care Challenge:
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Primary Care Challenge: A competition to pitch new primary care innovations with online voting to select the winners
Other Services to Support Physicians
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Other Physician Services and Support
Center for a Healthy Maryland Physician Rehabilitation Professional Development - CME MedChi Agency
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Thanks to the MedChi Staff
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Amanda Seibel
Anthony Alduino
Arnold Levine
Brittany Knight
Cathy Johannesen
Chae Kwak
Craig Behm
Colleen George Debbie Sciabarrasi
Deidre Camper
Diana Palewicz
Erin Krell
Ethel Wright
Frank Berry
Jaclyn Rodriguez Ginger Tinsley Jason Hohl
Jeffrey Bahen
Josette Fullard
Joyce Bilanow
Karen Buckmaster
Lawrence Almengor
Leslie Parker
Lloyd McCleave
Meg Fielding
Michael Anderson
Pat Curtis
Rachel Hennick
Roberta Herbst Robi Rawl
Russ Kujan
Sandy Boughan
Shanika Miles
Sharon Kirk
Shayna Murphy
Stephanie Wisniewski
Steve Johnson
Steve Politowski
Tina McIlwrath
Tiera Hawkes
Mary Morin
Tanya Bryant
Jacklyn Amankwa
Julie Goetz Laura Berg
Linda Rodriquez
Rachel Reisman Mike Llufrio
Melanie Dang
Upcoming Events
Oct. 4th Furlong Lecture on Obesity Oct. 19th Presidential Gala (new date; changed from Oct. 11)
Oct. 22nd Workers Compensation Workshop Nov. 1st Annual Scientific Meeting (new date; changed from Nov. 15)
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Six Things You Can Do TODAY to Help Yourself and MedChi!
Have the MedChi Agency do an Insurance Review – no cost, no obligation
Have MedChi Network Services do a practice assessment – no cost, no obligation
Help our Membership Committee grow our membership – Is your practice at 100%?
Take a stack of MD Rx cards if you have uninsured or underinsured patients
Visit with our sponsor and thank them for supporting MedChi
Join MMPAC and get involved in our advocacy effort by using our Legislative Action Center
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Closing Comments
Follow us and comment on Facebook or Twitter (@MedChiupdates or @GeneRansom)
Visit www.medchi.org
Thank you for the opportunity to serve the physicians of Maryland.
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