Let Your Voice Be Heard
Attend the next BCMS Board Meeting
Wednesday, March 11, 2020
6:00 p.m.
Doylestown Hospital
595 W State St.
Doylestown, PA 18901
Email buckscms@pamedsoc.org to RSVP
Save the Date!
Healing the Healer - Physician Burnout Symposium
Saturday, March 28, 2020
150 McCloskey Road
Flourtown, PA 19031

Symposium Schedule
8:00 AM - Breakfast
8:30 AM - 1:00 PM - Symposium  

A Message from The President
I am honored to be the incoming President of the Bucks County Medical Society, for the 2020 term. This is actually my second term; my first one was in 1997, 12 years after I moved to Bucks County and became a member of the society. Since then there have been marked changes in the practice of medicine, but one thing has remained constant and that is the need for robust Pennsylvania and county societies to represent the physicians who are trying to do the best job feasible in a very trying environment.

I believe the most critical situation is the tort environment. Physicians worry about being sued every day they go to work. If patients don’t listen to their advice, they can be sued. If the patient is in a difficult situation where either choice can have bad consequences, they can be sued. And even if things work out well, but there is a feeling that things just didn’t move quick enough, they can also be sued. Act 27 and the Pennsylvania Supreme Court's subsequent adoption of Rule 1006 gave partial relief, but certainly not enough and yet the trial bar is actively trying to dismantle it and is starting by going after the “Change in Venue” component of the Act. If they succeed in this aspect, not only would this cause major effects on the practice of medicine, raising rates to be insured, increasing litigation and worsening the need to practice defensive medicine, but I believe they will then go after other aspects of the Act until the malpractice environment will be in serious meltdown. The physicians will be left with the choice of quitting practice, moving to another state or trying to hold on, further increasing the stress of the practice of medicine. If for no other reason, having a strong medical society to attempt to counter the trial bar is reason enough to support the society.

There are other aspects of practicing medicine that also need our societies to be involved. As an example, clunky EHR systems that are designed to satisfy the requirements of the insurance industry and government mandates, but work counter to actually taking care of patients have become a major issue. A group of us representing the county medical society met with our Congressman, Brian Fitzpatrick and spent time explaining how this is making providing care incredibly more difficult.

Then there is the insurance industry. Wall Street loves the current situation and refers to the health insurance industry as a money-making machine. Where does that money come from is what I would ask. It comes from physicians and others who actually provide the care not getting paid for services provided or getting paid at rates that are so low that it is impossible to stay in practice. Why is it that when a Medicaid HMO is bought by another insurer, it is bought for billions of dollars, but physicians are paid so little by them that few physicians can afford to belong? How is it that executives of insurance companies become wealthy, but physicians fear their their reimbursement rates cut to levels that are no longer sustainable to stay in independent practice and have to become employed physicians of large health care entities? The only thing that scares a practicing physician more than the current situation is the fear of what could happen if we move into a national system such as Medicare for All.

It is obvious that there will be further challenges in the healthcare delivery environment in the coming years and the best organizations to represent us, the practicing physicians, are our county and state wide societies. It is imperative that doctors belong and stay active in these organizations. I am honored to be the incoming President of the Bucks County Society and I hope that I am up to the job at hand.

Thank you,
Robert S. Mirsky, MD, FACP
PAMPAC Donations
The Pennsylvania Medical Political Action Committee (PAMPAC) is the political arm of the Pennsylvania Medical Society. PAMPAC is made up of members of the Pennsylvania Medical Society who are interested in making a positive contribution to the medical profession through the political process. PAMPAC supports pro-medicine candidates running for the Pennsylvania state legislature or statewide office.
Advocacy Update

  • Scope of Practice - CRNPs continue to push legislators to grant them the same autonomous clinical authority as physicians. Senate Bill 25, having passed the Senate for the second straight session, currently awaits consideration by the House Professional Licensure Committee. House Bill 100, a companion bill to Senate Bill 25 is on the same docket. CRNPs are aggressively lobbying legislators…physicians must do the same if we are to preserve a collaborative system that is the model in 28 other states across the country.

  • Prior Authorization - House Bill 1194 by Representative Steven Mentzer of Lancaster County, and Senate Bill 920 by Senator Kristin Phillips-Hill of York County seek to improve patient care and relieve physicians of the many frustrating hurdles that health insurers require physicians to navigate. It is quickly becoming clear to both lawmakers and patients that prior authorization needs reformed as more and more patients are facing denials for services recommended by their physician. Positive change will largely be driven by patient and physician engagement on this issue since overcoming the political influence of the state’s health insurance industry will be challenging.

  • Out of Network Billing - House Bill 1862 has been formally introduced and passed the House Insurance committee. Efforts are underway to seek amendments to the legislation that will level the playing field between providers and insurers while at the same time remove patients from the middle. PAMED supports the Kaufer and Rothman Amendments to HB 1862.

  • Act 112 of 2018 - Recently, Rep. Jozwiak authored HB 2103 which seeks to exempt specific cardiac testing from notification requirements, as well as redefining “diagnostic imaging service” and removing the definition of “significant abnormality.” PAMED continues to support legislation aimed to amend and improve Act 112 of 2018.

  • March 11, 2020 - BCMS Board Meeting
  • March 28, 2020 - Healing the Healer: Physician Burnout Symposium
  • April 26, 2020 - Annual Membership Brunch
  • May 6, 2020 - BCMS Board Meeting
  • September 9, 2020 - BCMS Board Meeting
  • December 9, 2020 - BCMS Board Meeting