May 3, 2019
Vol. 26, No. 9
What's at Stake at the Wilson Building?
Behavioral Health, Healthcare Funding, Malpractice Judgments And More
Despite budget season entering crunch time, health policy in the District is busier than ever. In both the Council and agencies, decisions are being made that more than ever require physician input. At stake are legislative decisions that could impact your practice, patients and profession.
On Thursday, the Committee on Health held its mark-up of the 2020 budget. This came a week after oversight hearings on the District Health Benefit Exchange and as the Council committees wrap up their budget oversight hearings. The Council now moves into passing their budget reports ahead of their end-of-May deadline to pass the 2020 budget. MSDC is closely watching the discussions and, as we have shared in previous issues of eNews, has shared in writing the health priorities for the District. Already some of those priorities, such as changing strict content-specific CME requirements for physician licensure and waiving prior authorization for medication assisted treatments in Medicaid plans, have been addressed by the Bowser administration. Read more .
National Healthcare News
High Stakes for the ACA: DOJ Attacks ACA as House Democrats Unveil "Moderate" Health Care Expansion
The Hill reports that House Democrats released a moderate proposal for expanding health care coverage. The new measure, called “Medicare for America,” is sponsored by Reps. Rosa DeLauro (D-CT) and Jan Schakowsky (D-IL). In contrast to “Medicare for All", "the plan from DeLauro and Schakowsky would not move the entire country into a single government-sponsored health plan.” Rather, it would provide individuals a choice between maintaining employer-based coverage or enrolling in an expanded Medicare plan.

This proposal comes as the Trump administration asks a federal appeals court to strike down the entire ACA. For the "five things you need to know" about his move, read Becker's Hospital Review .
The Truth Behind Drug Prescription Pricing
The high cost of prescription drugs is rapidly becoming a serious barrier to care for many Americans. See what the AMA has uncovered about the truth behind drug prescription pricing. Read more from the AMA .
Health Equity: For Low-income People, Employer Health Coverage Is Worse than ACA
Kaiser Family Foundation analyst Drew Altman notes that "while concerns about the affordability of ACA plans in the marketplaces are nothing new, recent data show that health insurance is decidedly less affordable for lower income people who get coverage at work than for their counterparts with similar incomes in the marketplaces. " Read more in Axios .
MSDC eNewsline
Pia R. Duryea
202-355-9414 (direct)
202-466-1800 (main)
For previous editions, visit eNews Archives

MSDC Media
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2018-2019 Board of Directors
Susanne Bathgate, MD
Chair of the Board, At-large

Raymond Tu, MD, MS
President, AMA Alternate Delegate

J. Desiree Pineda, MD
President-elect, AMA Alternate Delegate

Barry L. Lewis, MD, MBA
Immediate Past President

Joseph E. Gutierrez, MD
Treasurer, AMA Delegation Chair

Peter E. Lavine, MD
AMA Delegate

Laurie Duncan, MBBS, MS

E.W. Emanuel, MD

Alice Fuisz, MD
At-large, Secretary

Kirstiaan Nevin, MD

Marc Rankin, MD

Carla C. Sandy, MD

Robert Hay Jr., CAE
Executive Vice President
Practice Management
Practice Management Event
MSDC will hold its inaugural Practice Management Roundtable on Thursday evening, May 9 at 2021 K Street NW . Join MSDC for light snacks and an open discussion on the issues that impact medical practices. At this roundtable, your practice manager will be able to socialize with peers and get valuable insights on the most pressing practice management issues. Practice managers who would like to attend should RSVP to Pia Duryea.
Warning: Beware of Fraudulent Invoices
DC doctors are receiving fraudulent invoices for medical supplies that were neither ordered nor received. MSDC cautions physicians to be wary of such scams and report them to the FBI .
UnitedHealthcare Preferred Lab Network Goes Into Effect July 1
On July 1, 2019, UnitedHealthcare is launching its Preferred Lab Network, consisting of currently contracted independent, free-standing laboratory care providers that have met higher standards for access, cost, data, quality and service. The selected labs are: AmeriPath Inc.; BioReference Laboratories, Inc.; GeneDX; Invitae Corporation; LabCorp; Mayo Clinic Laboratories; Quest Diagnostics Inc. Furthermore, out-of-network laboratory approval will be required August 1, 2019. Read the bulletin for requirements.
Open Payments: Review and Dispute Data by May 15
Pre-publication review and dispute for program year 2018 Open Payments data is available through May 15 (For timing, s ee the Review and Dispute Timing and Data Publication Quick Reference Guide .). CMS will publish program year 2018 data and updates to the previous program years’ data in June. For information on how to review data, initiate disputes and access an inactive account, click here . Physician and teaching hospital review of the data is voluntary, but strongly encouraged.
Thank You To Our Corporate Supporters
MSDC 1817 Society
MSDC Community and Events
Join MSDC and DC ACP on May 4 for a Bright Young Docs Social
MSDC and the DC Chapter of American College of Physicians are partnering to hold a joint social for early career physicians. The social will be at 1:30 PM on Saturday afternoon, May 4 at Circa (Foggy Bottom).

Register on the MSDC Events page .
MSDC's Annual Meeting Date Set for October 25, 2019 - Save the Date!
MSDC will be holding its 2019 annual meeting on Friday, October 25, 2019, from 6:00 to 9:30 PM. The meeting will take place at the AAMC Learning Center, located at 655 K Street NW. The event will feature ample time to catch up with physician colleagues from across metropolitan Washington DC.

MSDC appreciates generous support of Diamond Sponsor, Physicians Committee for Responsible Medicine. For information on how to participate, contact Pia Duryea .
Seeking Leaders and Award Nominees!
The Medical Society has multiple leadership and recognition opportunities for physicians.
Serve on the Nominating Committee or on the MSDC Board of Directors. MSDC is seeking nominations for the 2019 ballot for President-elect, Members at-large, and AMA Delegate. For more information on the requirements, click here or contact Robert Hay Jr. ( hay@msdc.org ).

Recognize a Physician Leader with an MSDC Award - Reply by May 15!
Do you know someone deserving of recognition for his/her contributions to the Medical Society, the medical profession, or the public? Then nominate them for an MSDC Special Award! Nominations for the awards listed below are due on May 15, 2019. Read here for more information or contact Pia Duryea ( duryea@msdc.org ).
* Certificate of Meritorious Service.
* Dr. Charles H. Epps, III Community Service Award .
* Distinguished Service Award .
* John Benjamin Nichols Award .
Public Health
CDC: Measles Cases Reaches a 25-Year High in the US
From January 1 to April 26, 2019, 704 measles cases have been confirmed in 22 states. CDC Director Dr. Robert Redfield is calling upon clinicians to assure patients about the efficacy and safety of the measles vaccine. CDC also encourages local leaders to provide accurate, scientific-based information to counter misinformation about the safety of the measles mumps, and rubella (MMR) vaccine.
End the Epidemic: Opioid-related Resources & News
Free, On-demand CME on Pain Management and Opioids
The Massachusetts Medical Society, through NEJM Group’s Knowledge+, has recently launched a free CME course on Pain Management and Opioids . It is being made available free of charge to MSDC members. It is reported to be very comprehensive, useful, and meets most state CME requirements.
This CMS webinar discusses common Substance Use Disorders (SUDs) among dually eligible older adults; identifies promising practices for screening, treatment, and care coordination; and demonstrates practical strategies for meeting the needs of older adults with SUDs. Continuing Medical Education (CME) and Continuing Education (CE) credits may be available. Register here .
The following is from a DC Health notice:
There is pending legislation that will require Prescribers and Pharmacists licensed in the District of Columbia to register with the District of Columbia Prescription Drug Monitoring Program (DC PDMP). DC Health would like to encourage Prescribers to be proactive and register early to avoid delays.

If you are already registered with DC PDMP, no further action is required. If not, please read further .
AMA "End the Epidemic" Website
See the AMA's End the Epidemic website , with resources and recommendations from the AMA Opioid Task Force
Corporate Partners
Crossing the Line: Restricted or Protected Information in Social Media Posts
Provided by MSDC 1817 Society member ProAssurance
Employed and contracted physicians and other healthcare professionals may not know their employer’s or contract’s restrictions on communications about patients or care-related matters. Previously, a Texas hospital fired a nurse after she posted online comments about a patient with measles. She posted comments on an anti-vaccine Facebook page, noting she was a nurse and knew of a child with measles in the intensive care unit where she worked who appeared to be suffering. The hospital investigated and found she had disclosed protected health information without a patient’s or authorized person’s permission.

ProAssurance offers online training resources on HIPAA and privacy at ProAssurance.com . The Department of Health and Human Services also offers training materials through its website .  
Women in Medicine
Physician Moms: More Housework, Higher Career Dissatisfaction
More even division of household chores between physician mothers and their spouses or partners—or even outsourcing housecleaning and other tasks—may go a long way in supporting women in medicine, a new study suggests. Read more from the AMA
ProAssurance Loss Prevention Seminars
May 9, 2019 (DC)
July 25, 2019 (MD)
September 19, 2019 (DC)
Registration opens at 5:30 PM, Seminar runs 6:00 - 8:00 PM
DC: American College of Cardiology (2400 N Street, NW, Washington, DC)
MD: Bethesda Marriott (5151 Pooks Hill Road, Bethesda, MD)
This year, ProAssurance, MSDC's 1817 Society Member and partner for medical professional liability insurance, will offer a sports-themed loss prevention seminars titled, Out-of-Bounds: Previous Claims Under Further Review Participation in this seminar will better enable participants to:
·    Explain the relationship between physician-patient boundaries and professional liability risks
·     Identify a previous encounter where expectations were not met
·     Recognize the need to apply an internal or external boundary in a patient scenario

Whether you are competing for a championship sports title or practicing medicine, there are consequences for crossing the line. In this course, physicians and other healthcare professionals will hear the professional liability considerations associated with personally and professionally stepping out of bounds. The information and examples will help you stay in the game. Register online at proassurance.com/OutofBounds
May 11, 2019
MSNVA Conference Center (8609 Westwood Center Dr, Vienna, VA 22182)
The Medical Society of Northern Virginia is hosting a Physician Wellness Day on Saturday, May 11, 2019 to learn more about reducing clinician burnout, promoting physician engagement, and cultivating a support community. There will be a brief and interactive demonstration on utilizing yoga to strengthen the consciousness and awareness of the mind. The evening will end with drinks, appetizers, art display and concert performance. Learn more or register here .
June 6-8, 2019
Grand Hyatt Washington (1001 H Street NW, Washington, DC)
MedStar Georgetown University Hospital is pleased to announce Abdominal Wall Reconstruction (AWR) Conference taking place on June 6 to 8, 2019. This comprehensive conference will offer evidence-based discussion on all aspects of AWR through lectures and case presentations to address the growing rate of hernia repairs and updates in technology and procedures. We will also cover the high overall complication rate as well as the association of ventral hernia repair as the cause of the second highest postoperative readmission rate. The agenda is constructed to provide an in-depth understanding of the complexity of AWR. 

To register please visit AWRConference.com
Medical Musical Group Concert
August 11, 2019
4:00 PM, with preconcert entertainment at 3:00 PM.
Schlesinger Concert Hall (4915 East Campus Drive, Alexandria, VA)
The Medical Musical Group consists of physician performers who will play a tribute to America’s veterans and military personnel and families. This year's benefit for veterans outreach on PTSD, Depression, Suicide, and Drug Abuse. Veterans, Military and their family, students are admitted free. Price for General Public is $20 through July 31. $30 thereafter. Box Tickets: $50. Read more .
Medical Real Estate Listings
Brought to you by MSDC Corporate Partner GZ Medical Realty. Contact Pete Papantoniou for your real estate needs.  
Office Sublet Available
600 square foot sublet available on 19th Street NW between Farragut North and Dupont Circle Metro. Brand new build out with separate suite number, entrance, waiting area. One office and one exam room with large window. One smaller office without windows. Sublet space is connected to an established private internal medicine practice. Price negotiable . Contact Dr. Alice Fuisz if interested. alicefuiszacp@gmail.com .

University Medical Building
2141 K Street NW
Washington, DC 20037
University Medical Building is conveniently located in the heart of DC with easy access to Metro stations. Please contact Peter Papantoniou at 301-961-1941 or see the online listing for more information
Part Time/Full Time Office Space Available
3 Washington Circle
Washington, DC 20037
Part time/full time office space available immediately at 3 Washington Circle. This includes a large consultation room, fully equipped examination room, lab drawing facility onsite, EKG machine, space for receptionist, space for medical records, shared use of copier, telephone system, wireless internet and waiting room. Ideal for general internist, medical subspecialist or surgeon. If interested, please call Mark Sklar, MD. 202-887-4769 or email mmsklar@gmail.com .
Boutique Townhouse Medical Office for Rent Across From GWU Hospital/ Medical School
900 New Hampshire Ave., NW
Washington, DC 20037
Boutique townhouse medical office for rent across from G.W.U. Hospital & School of Medicine. Very close to Foggy Bottom Metro. Three rooms, one on entry level with powered table/chair & overhead surgical light. Consultation room, reception/waiting room, & possibility of 2 additional rooms. Two-car driveway. Call/text Sheldon K. Gottlieb, MD, 301-509-3319, or email skgottliebmd@comcast.net .
Woodburn Medical Park
3229 Woodburn Road
Merrifield, VA 22003

Woodburn Medical Park is located within walking distance of INOVA hospital directly off Capital Beltway. Common area has recently been upgraded. Contact Peter Papantoniou at 301-961-1941 or see the online listing for more information .
Full Time/ Part Time Office Space Available
Well-designed and attractively decorated office of three general internists has additional consulting room/exam room suite available. Looking for another general internist to share space and overhead in fully staffed and equipped internal medicine office. Shared call coverage is possible. Contact Alan Stone, MD, 202-466-8118 or aws.md@verizon.net
Medical Resources and Announcements
Learn to Run a Winning Campaign!
The 2019  AMPAC Campaign School will be taking place September 26-29 at the AMA Office in Washington, DC. The school is targeted to AMA members, their spouses, residents, medical students and medical society staff who want to become more involved in the campaign process.

Running an effective campaign can be the difference between winning and losing a race. The AMPAC Campaign School is designed to give you the skills and strategic approach needed on the campaign trail. For more information or to apply visit: www.ampaconline.org/apply or contact us at: politicaleducation@ama-assn.org
Barnard Medical Center Seeking Doctor
 The Barnard Medical Center is seeking a board certified/eligible medical doctor (in internal medicine, family medicine, or other relevant specialty) to see patients at our clinic in Washington, DC. If you are a physician with a strong interest in plant-based nutrition and preventive medicine, apply today!
DHCF Has a New RAC Contractor: Prempeh
DCHF has contracted Prempeh Consulting, CPAs (PCC) as its new Medicaid Recovery Audit Contractor. Please review DHCF's Transmittal titled, "Medicaid Recovery Audit Contractor Starting in FY 2019" for information about the RAC or view the Provider Outreach Familiarization presentation available on the DHCF RAC webpage .
Get Over $66,000 Towards Loan Repayment
DC’s Health Professional Loan Repayment Program (HPLRP) provides loan repayment (up to $66,809.92) to eligible providers practicing in underserved areas of the District for at least two years. Eligible participants include licensed and certified physicians, dentists, dental hygienists, advanced practice nurses, registered nurses, clinical psychologists, clinical social workers, and licensed professional counselors practicing at HPLRP-certified Service Obligation Sites (SOS). A certified SOS must be either a nonprofit or a public entity that provides primary care, mental health and/or dental services to District residents regardless of their ability to pay and is located in a federally-designated Health Professional Shortage or Medically Underserved Area within the District that corresponds to the services the entity provides.  Applicants must be already employed or have a signed employment contract with a certified SOS at the time of application. Read more about the HPLRP or get a list of approved site on DC Health's website .
Contribute to New AMA-RAND Research on Integrating Behavioral Health
The RAND Corporation and American Medical Association are conducting research to better understand and describe how physician practices in a variety of specialties and practice arrangements (independent, IPA, health system, etc)  that have integrated behavioral health care into the range of services they offer. If you’ve integrated behavioral health care in your practice, whether you’re in the early stages or have a well-established program, the AMA is asking for your participation in this research project. If you’re interested and available to participate, please contact Mark Friedberg, MD, MPP, RAND Senior Physician Policy Researcher, at mfriedbe@rand.org .
Medical Society of the District of Columbia
1250 23rd Street NW, Ste 270
Washington, DC 20037