ASAP e-newsletter: Sept. 18, 2019
Colorado Medical Society names new CEO: Bryan Campbell, FAAMSE
Bryan Campbell, FAAMSE, has been named Chief Executive Officer of the Colorado Medical Society, effective Jan. 1, 2020. Bryan moves to CMS from his most recent position as the CEO of the Duval County Medical Society (DCMS) in Jacksonville, Fla. DCMS is the oldest and largest county medical society in Florida, founded in 1853 and with nearly 2,000 members. Outgoing CMS CEO, Alfred Gilchrist, will retire at the end of 2019 following 15 years in this position and 20 years at the Texas Medical Association.  Read more here.
You're invited to CMS' Annual Legislative Reception and Awards Ceremony
Join CMS on Thursday, Sept. 26, 6-7:30 p.m. at Walker Fine Art in Denver for our Annual Legislative Reception and Awards Ceremony. Meet the legislators that championed our issues during the 2019 session and show your appreciation for their hard work. 

House and Senate leadership will be in attendance, along with the sponsors of some of our most important bills such as Rep. Yadira Caraveo, MD, and Sen. Angela Williams. Enjoy live music, art, appetizers, and cocktails during this fun event. RSVP at https://paperless.ly/33gESvc or by emailing emily_bishop@cms.org. We look forward to seeing you there!
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Thanks to all who joined CMS for the 2019 Annual Meeting and Gala
Physicians, medical students and component society leaders from around the state gathered at the Denver Museum of Nature & Science to celebrate the unique role of physicians in society. We enjoyed the museum, conducted business at the CMS Board of Directors meeting, learned through great educational sessions, and had a blast at the red-carpet gala where we thanked outgoing president Debra Parsons, MD, FACP, for her service and welcomed incoming president David S. Markenson, MD, MBA. See photos below and watch for the full annual meeting photo-feature in an upcoming Colorado Medicine magazine. Attendees: If you would like a digital copy of your red carpet photo, please email kate_alfano@cms.org.
Incoming President Markenson, left, with outgoing President Parsons.
Parsons, left, presides over her final board meeting as president. With treasurer Patrick Pevoto, MD, MBA.
Medical students take a group photo at the inaugural gala.
Pevoto and wife Deletha walk the red carpet.
Cory Carroll, MD, snaps a photo of medical students in front of the red carpet backdrop.
Members enjoy exclusive access to the Gems and Minerals exhibit at the museum. From left: Bruce Kowkabany; Clara Epstein, MD; Kimberly Thorn; and Bob Yakely.
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CMS attends stakeholder meetings on draft out-of-network regulations
The Division of Insurance is holding two stakeholder meetings to discuss the recently released draft regulations on out-of-network services that have been developed in accordance with the passage of House Bill 19-1174. The first meeting was held Wednesday, Sept. 17 to discuss the establishment of a carrier payment arbitration program for non-participating providers and carrier disclosures for potential emergency and non-emergency out-of-network services. The second meeting will be held Thursday, Sept. 19 to discuss the proposed payment methodology for non-contracted service agencies that provide ambulance services and additional requirements for carrier out-of-network reimbursements.

Working for you, Colorado Medical Society staff and leaders are gathering information, sharing initial thoughts and concerns, and receiving answers to questions at these initial stakeholder meetings. CMS plans to submit comments on Friday, Sept. 20. Stay tuned.
National Opioid Policy Roadmap highlights state efforts helping end the epidemic
The American Medical Association and Manatt Health released an analysis identifying effective state policies used to combat the opioid epidemic. The analysis looked at the response to the epidemic in four states -- including Colorado -- and determined which polices increased access to evidence-based treatment for people with a substance use disorder.

The national roadmap highlights six key areas where regulators, policymakers and other stakeholders can take action: remove prior authorization to medication-assisted treatment for opioid use disorder; increase oversight and enforcement of mental health and substance use disorder parity laws; ensure adequate networks of health care professionals; enhance access to comprehensive pain care; improve access to naloxone; and evaluate policies and outcomes to identify what is working and what isn't. Read the full report here.
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FDA presents new webpage on respiratory illnesses associated with use of vaping products
CDPHE reports current Colorado outbreak at 6 cases
The U.S. Food and Drug Administration (FDA) and the U.S. Centers for Disease Control and Prevention (CDC) are working closely with state and local health officials to investigate incidents of severe respiratory illnesses associated with the use of vaping products. While the investigation is ongoing, FDA has created a Consumer Update to provide information for consumers to help protect themselves, as well as a new Lung Illnesses Associated with Use of Vaping Products webpage to provide an overview of these incidents and FDA’s actions to date, as well as recommendations for consumers, health care providers, and state health departments. Though data has not yet been conclusive, the FDA recommends consumers avoid products that contain Vitamin E acetate and tetrahydrocannabinoil (THC)-containing vaping products.

The Colorado Department of Public Health and Environment and the American Medical Association go one step further, encouraging people to avoid all e-cigarette products. CDPHE asks clinicians and local health departments who become aware of cases of this outbreak to report them to the Disease Reporting Line: 303-692-2700 or 303-370-9395 (after hours). If the patient has the product in hand, providers should safely collect and hold it, and contact CDPHEs Disease Reporting Line so that the product can be collected by CDPHE for potential testing.
Payer issues: We want to hear from you!
CMS, with Colorado MGMA, is gathering intelligence for advocacy efforts
It has been getting harder to keep track of all the payer policy changes. There seems to have been a flurry of them this year (e.g., Anthem, UnitedHealthcare, etc.) that will likely impact your practice. The Colorado Medical Society advocates on behalf of physician practices with payers, regulators and legislators to reduce your hassle factors, ensure fair reimbursements, and ensure proper processing of claims. We need to hear from you about the payer issues you are facing! 

Did you know you have access to a searchable catalog of provider protection statutes that you can use in disputes with health plans? Know Your Legal Rights* contains decades of public policy victories that may assist you in your dealings with payers. Make sure all of the physicians in your practice are members of the Colorado Medical Society so you have access to this great resource today!

As we approach the upcoming legislative session, we need to hear from you concerning issues impacting your practice. In partnership with the Colorado Medical Group Management Association, the Colorado Medical Society seeks intelligence from practices on the "front lines." We need to hear from you! Please contact us at payerissues@cms.org with your payer issues.

*Accessing Know Your Legal Rights requires a CMS member login. Member physicians’ staff can obtain their own login by contacting Tim Yanetta at tim_yanetta@cms.org
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Registration now open: 2019 Consortium Annual Meeting, Provider Education Symposium, NCAD West
The Colorado Consortium for Prescription Drug Abuse Prevention will host their second annual Educational Symposium on Tuesday, Oct. 22, 2019, 5:30 - 9:30 p.m., and their seventh annual meeting on Wednesday, Oct. 23, 2019, 8:30 a.m. - 4:15 p.m. Both events are free and open for registration, and will be held on the CU Anschutz campus.

  • Click here to register for the provider education event | View details here
  • Click here to register for the consortium annual meeting | View the schedule here

A third event, the National Conference on Addiction Disorders (NCAD) is returning to Denver for its NCAD West conference. Schedule | Registration link
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AMA: Competition in commercial health insurance decreases since 2014
The American Medical Association has found that the share of "highly concentrated markets" in the commercial health insurance industry has increased from 71 to 75 percent between 2014 and 2018. These estimates are from the AMA’s annual assessment of market concentration in the health insurance industry: Competition in Health Insurance: A Comprehensive Study of U.S. Markets. Based on enrollment data used in the newly released AMA study, an estimated 73 million Americans with commercial health insurance live in highly concentrated markets and face limited choice.  Read more here.
AMA statement: Court ruling in CVS-Aetna merger leaves patients unprotected
In more merger news, AMA President Patrice Harris, MD, MA, criticized the approval a merger of health insurance giant Aetna Inc. with CVS Health Corporation, the nation's largest retail pharmacy chain, specialty pharmacy, pharmacy benefit manager and Medicare Part D Stand-Alone Prescription Drug Plan insurer. A federal judge approved a Justice Department settlement that allowed CVS' nearly $70 billion acquisition of Aetna after months of hearings, reviews and deliberations. "Despite an unprecedented review that dragged many details of this merger into the light, [the] decision ultimately fails patients, will likely raise prices, lower quality, reduce choice, and stifle innovation. The American people and our health system will not be served well by allowing [this] merger."  Read the full statement here.
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Apply for the Colorado Consumer Insurance Council by Sept. 30
The Colorado Division of Insurance is currently soliciting applications for membership on the Consumer Insurance Council. The Consumer Insurance Council (CIC) provides a consumer's perspective on regulations and initiatives developed by the Division of Insurance. It acts in an advisory capacity to the commissioner and Division of Insurance, and is a forum to discuss and share information, concerns, questions and criticisms on insurance issues facing Colorado consumers. Click here to access the online application for membership and more details about the CIC. The deadline to submit an application is Sept. 30, 2019.
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