Page 22 - Volume 69, Number 4
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  MSMS must focus on issues of strategic importance to the future of all physicians in Michigan.
  MSMS programs must deliver value to all physicians.   Decision-making and work processes must be aligned
to deliver value to all physicians.
Membership: As of June 26, 2017, total Paid Full Dues Actives decreased by 139 and Large Group Discounted dues-paying membership decreased by 173 over this time last year. This decrease is driven by non-renewal of paid memberships by Northern Physicians Organization, Wayne State UPG and the Spectrum Health Pulmonology group.
WCMS membership currently includes the following discounted dues members:
  Huron Valley Physicians Association (including 117 Tier 1 primary care physicians and specialists who are the most aligned with HVPA, where HVPA pays their dues at 65% of the current state and county rate; Tier 2 and 3 members [hospital-based and behavioral health] who can maintain elective MSMS member- ship by paying at 80% of the current state and county rate; this includes Allergy & Immunology Associates of Ann Arbor, PC (4 members), Emergency Physicians Medical Group (leadership only, 4 members), Huron Valley Radiology (37 members), Michigan Otolaryn- gology Surgery Associates (4 members), and Michi- gan Pain Specialists (3 members).
  Anesthesiology Associates of Ann Arbor (94 members; A4 pays their dues at 80% of the current state and county rate).
Health Care Reform Legislation: Richard A. Deem, Senior Vice President of Advocacy at the AMA, discussed current legislation to reform and/or repeal the Affordable Care Act. The AMA bases its advocacy on any reform bill on the following core principles:
  Ensure that individuals currently covered do not become uninsured and take steps toward coverage and access for all Americans.
  Maintain key insurance market reforms, such as pre-existing conditions, guaranteed issue and parental coverage for young adults.
  Stabilize and strengthen the individual insurance market.
  Ensure that low/moderate income patients are able to secure affordable and adequate coverage.
  Ensure that Medicaid, CHIP and other safety net programs are adequately funded.
  Reduce regulatory burdens that detract from patient care and increase costs.
  Provide greater cost transparency throughout the health care system.
  Incorporate common sense medical liability reforms.
  Continue the advancement of delivery reforms and new physician-led payment models to achieve better outcomes, higher quality and lower spending trends.
Mr. Deem also provided updates on several other policy areas:
  CMS released a proposed rule that would make changes in the second year of the Quality Payment Program (QPP) under MACRA. One of the key proposed changes is to increase the low-volume threshold.
  The AMA is working with the Department of Health and Human Services (HHS) on addressing the administrative hassle of prior authorizations within Medicare and Medicaid.
  Within the new proposed fee schedule, CMS attempts to better align quality programs, easy some of the reporting burdens and penalties and will begin reimbursing for the Diabetes Prevention Program.
  The AMA has a coordinated effort with the states to create awareness and education on the prescription drug crisis.
BCBSM Update:
  Maintenance of Certification (MOC). The BCBSM Credentialing Committee agreed to host a small meeting of MSMS physicians to discuss this issue further.
  BCBSM Quality Initiative on C-Section Rates. BCBSM will fund a quality initiative through the existing Michigan Value Consortium CQI to address reducing C-section rates.
  Provider Directory. Due to a CMS mandate, BCBSM is requiring physicians to attest to their contact information quarterly.
Health Insurance Marketplace. Open enrollment for Michigan’s federally-run Health Insurance Marketplace will begin November 1, 2017, with coverage taking effect on January 1, 2018. Humana is the only plan that participated in 2017 that will not be participating in 2018.
MAPS: MSMS has been actively working with its partner organizations to ensure that proposals to mitigate prescription drug diversion align with best practices while minimizing interference in physician clinical decision making and workflow. Additionally, MSMS helped secure state funding for the integration of MAPS into existing EMRs. To apply for integration and for
Washtenaw County Medical Society BULLETIN OCTOBER / NOVEMBER / DECEMBER 2017

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