Sunday, December 17, 2017

OCMA Blog

Another Trial-Lawyer Backed Health Care Initiative

MICRA isn’t the only ballot issue facing California doctors this year – a health care rate regulation initiative threatening provider reimbursements is also on the November ballot. The same trial lawyer-backed group pushing to change MICRA is sponsoring a separate rate regulation ballot measure that would give the Insurance Commissioner new powers to approve or reject insurance rates, benefit levels, co-pays and deductibles, which would impact payments to providers and limit patient access to care. 

The Orange County Medical Association (OCMA) joins the California Medical Association (CMA) in opposition to this initiative. We are encouraging our members to join the official campaign opposed as individual physicians. 

The measure
  • Gives the elected State Insurance Commissioner new powers to set insurance rates at levels which don’t meet the cost of providing care, resulting in lower reimbursements to providers and ultimately reduced access to care for patients.  
  • Gives one politician the power to approve or reject benefits, interfering with care decisions that are better made between doctors, healthcare providers and patients. 
Not surprisingly, the proponents drafted the measure without any input from physicians, patients, hospitals, or other health care providers – even though it will create a massive new layer of health care regulation in California.

Of course, the real motive of the proponents is found buried in its language – a provision which opens up a new mechanism that allows the proponents and their trial lawyer backers to file lawsuits in rate proceedings, bleeding off invaluable health care dollars to line their own pockets.

We know defeating the MICRA initiative is a top priority. But we urge you to join us in also fighting this measure as it will have a significant impact on provider reimbursements and patient access to care.

Please join OCMA and a broad coalition of doctors, hospitals and health care providers in opposing this measure. 

If you would like to join the campaign’s media training webinar on May 8, please contact Kyle Griffith via email at kgriffith@bcfpublicaffairs.com

Cooperative of American Physicians, Inc. and Orange County Medical Association Offer 3-part CME Seminar for Physicians

Part One: "Treating Pain in Today's World: Avoiding the New Pitfalls"


LOS ANGELES, CA (April 15, 2014) - The Cooperative of American Physicians, Inc. (CAP) and the Orange County Medical Association (OCMA) are joint sponsors of "Treating Pain in Today's World: Avoiding the New Pitfalls," the first topic in a three-part continuing medical education (CME) series on opioid education.  This topic will be presented on Monday, May 5, 2014 at 6 p.m. at the Orange County Medical Association Conference Center in Irvine, CA.

Chronic pain is a major concern and affects approximately 100 million people in the U.S., according to the Institute of Medicine of the National Academies, and one of the most common reasons for patients to seek medical care.  Physicians are in a key position to balance the benefits and risks of opioid therapy.  They often struggle with the need to assist patients who require management of chronic pain while confronting the risks associated with prescribing opioids.

"CAP's sponsorship of the opioid education series is part of our ongoing commitment to support programs that teach physicians how to reduce their liability risks and improve patient safety, so they can focus on what they do best - providing excellent care," said James L. Weidner, Chief Executive Officer of CAP.

The featured speaker is Standiford Helm II, MD, Medical Director at the The Helm Center for Pain Management and Immediate Past-President of OCMA.

After attending "Treating Pain in Today's World: Avoiding the New Pitfalls," physician participants should be able to:
 

  • Understand the law and new regulations that govern the use of opioids to control pain
  • Understand the multi-discipline methods for controlling pain
  • Describe appropriate assessment, monitoring and documentation strategies to support opioid prescribing
  • Learn how to evaluate the benefits of prescriptive opioids against the potential risks
  • Utilize PDMP/CURES as a tool to discover questionable prescription opioid activity

To register and for more information, please visit: https://treatingpain.eventbrite.com.  OCMA and CAP members may attend this seminar for free.  Registration is required.


Physician Advocate Tip of the Month: Be aware of the off-exchange products that utilize Covered CA plan networks

April Tip:

Be aware of the off-exchange products that utilize Covered CA plan networks.

1. Every plan offered in Covered CA must also be offered outside of Covered CA, using the same network.  If you see these product names on the ID card, it indicates the patient only has access to the Covered CA network. For more information, download "Surviving the Second Month of Covered CA" at www.cmanet.org/ces.

2. To physicians who are currently participating in the Anthem Blue Cross Individual / Covered CA network: Anthem Blue Cross recently notified over 11,000 practices of a contract addendum that will become effective July 1, 2014. For more information, click here.

Receiving practice management guidance from Mitzi Young is a FREE OCMA member benefit!
Contact Mitzi to schedule a one-on-one consultation to discuss your practice management needs: 
 
Mitzi Young
Physician Advocate, CMA Center for Economic Services
888.236.0267
myoung@cmanet.org


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