Page 28 - Volume 69 Number 2
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Executive Council Meeting Highlights
Washtenaw County Medical Society
APRIL 6, 2017
Dr James Mitchiner, MD, District 14 Director reported the following MSMS activities:
Membership Update: As of March 3, 2017, total Paid Active and Discounted dues-paying MSMS membership stood at 5,145, an increase of 891 over last year at this time. Paid Full Dues Actives increased by 93. The trend line for active members appears much more stable than in years past; all other paid dues categories either increased or remained flat over the same date in 2016. As of March 3, dues revenue was $2,055,022 compared to $1,865,488 on this date in 2016, an increase of $189,534.
Governance: Continued MSMS reorganization efforts, which began 2 years ago, will allow MSMS to be more focused, flexible and cost efficient, and be able to respond to economic challenges more quickly and effectively. Draft versions of 3 governance models will be shown to the House of Delegates (HOD) at its meeting in May, with HOD action on the final models expected later this year.
Affordable Care Act Reform: The Board recommend- ed that MSMS adopt verbatim the following portion of the “core principles” for ACA reform recently expressed by the AMA:
  “In considering opportunities to make coverage more affordable and accessible to all Americans, it is essential that gains in the number of Americans with health insurance coverage be maintained.”
  “Consistent with this core principle, we believe that before any action is taken through reconciliation or other means that would potentially alter coverage, policymakers should lay out for the American people, in reasonable detail, what will replace current policies. Patients and other stakeholders should be able to clearly compare current policy to new proposals so they can make informed decisions about whether it represents a step forward in the ongoing process of health reform.”
Action on MSMS House of Delegates Resolutions:
  Resolution 3-16 seeks physician representation from the Organized Medical Staff Section and the International Medical Graduate Section on the MSMS Board of Directors. Since MSMS is currently studying various models of governance, which involve the size and composition of the Board of Directors, and adoption of this resolution at this time could prematurely impact Board membership, the Board disapproved this resolution.
  Resolution 48-16 asks the Board to study the current allocation of student delegates at the MSMS
House of Delegates and the policies in other equivalent state and national societies, and make recommendations on a potential reallocation at the 2017 MSMS HOD meeting. The Board believes its Task Force on Membership and Sustainability should study this request since it is currently working on new models of governance which includes representation in the HOD.
  Resolution 81-16, crafted in response to the Flint water crisis, asks MSMS to seek legislation requiring government communication at all levels to be readily accessible within 7 days in order to facilitate greater transparency. The Board agreed with the MSMS Committee on State Regulations and Regulations that the resolution as written, while well-intended, would be unlikely to improve accountability or transparency and thus disapproved it.
  Resolution 90-16 asks that MSMS advocate that medical school graduates not matching with a residency program become eligible to serve as physician assistants, and that MSMS play an administrative role in this alternative pathway. Recognizing that the better solution is to lift the cap on Medicare-funded residency programs; concerns that implementation of this resolution could negatively impact current advocacy for enhanced GME funding; and the questionable ability of medical schools to train physician assistants, the Board disapproved this resolution.
  Resolution 04-16, as amended, asks that MSMS supports the discontinuation of all tobacco product sales within pharmacies and seek policies to end this practice which include efforts by the Michigan Board of Pharmacy. Approved.
  Resolution 40-16, as amended, calls on MSMS to work with the Michigan Pharmacy Association to address situations where patient care is interrupted due to patients being discharged on a weekend or holiday, when authorization for vital medications is not forthcoming from the health plan or pharmaceutical benefit manager (PBM). It also requests the AMA to work on this issue at the national level. Approved.
  Resolution 45-16, as amended, calls for the AMA to amend its policy on PBMs to cover compounded medications. Specifically, it asks that the AMA “supports congressional action to ensure that reimbursement policies established by PBMs are based on medical need; these policies include,
Washtenaw County Medical Society BULLETIN APRIL / MAY / JUNE 2017

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