November 30, 2018
Vol. 25, No. 22
Is Physician License Renewal Causing You Night Sweats, Fever, Rash or Anxiety?
Don't Call a Doctor. Call on MSDC!
DC physician license renewal is underway, and the DC Board of Medicine reports that over 3,000 physicians have already completed their renewal. Given the changes in the 2018 renewal cycle, most notably the fact that renewal must be conducted online, MSDC is offering several resources to help members navigate the new renewal process. MSDC has prepared a quick primer, 5 Things You Need to Know for 2018 Physician License Renewal, to help with renewal. MSDC also hosted a webinar with DC Board of Medicine, which walks doctors through the renewal process and offers tips to make the process easier. The archive version is available 24/7.

MSDC will be on call for those doctors who would like one-on-one assistance. Doctors see patients in person, by phone and via telemedicine, and your Medical Society is available to help in the same way! MSDC is on call to offer assistance by phone, an office visit or via computer.

Phone consults ... Call the Medical Society at 202-466-1800 for answers to your licensure questions.
Office visits .... Come to MSDC offices and we will guide you through the process in person , using an MSDC device or your own. MSDC can also assist with digital document preparation if you need to scan CME proof and other supporting materials. Contact MSDC (202-466-1800, duryea@msdc.org) in advance to schedule a time.
Telemedicalsociety ... MSDC can arrange a remote screensharing session and walk through the sign up process. Contact MSDC (202-466-1800, duryea@msdc.org) to arrange.
DC Legislative Update
Despite mere weeks left in the 22nd District Council legislative session, the number of far-reaching issues being quickly discussed continues to climb. As of today, there is scheduled to be only two additional Council legislative meetings, taking place on December 4 and December 18 . However, the city’s legislative branch continues to add controversial and consequential items to its agenda.

For DC physicians, of note is that the Committee on Health on Wednesday marked up B22-0459, the Opioid Abuse Treatment Act. Among other provisions, the bill as introduced requires health plans to "list contact information for providers that treat opiate use disorder; requires the Department of Health Care Finance to explore expanding opioid use disorder medication offerings with appropriate reimbursements for treatment, and require that all approved forms of medication assisted therapies prescribed for substance abuse disorder are not subject to prior authorization or step therapy." MSDC will have further analysis of this legislation and its impact in the coming weeks.

With the deadline to pass “necessary” legislation approaching, keep an eye on MSDC’s eNews, website, and social media channels for breaking news and information.

MSDC Statement on Violence and Physician Speech
There has been extensive discussion over violence as a public health issue and physician backlash has been widely-reported . Your medical society is concerned about violence against physicians, health care professionals, and their patients, in unison with physicians across the nation. Read MSDC's statement on violence and physician speech.
National Policy
Competition Levels Drop for Insurance Markets Across 25 States
Half of all states had commercial health insurance markets that were less competitive in 2017 than during the previous year, based on data from a newly updated study of competition in the U.S. health insurance industry issued by the American Medical Association.
CMS Takes Action to Lower Prescription Drug Costs by Modernizing Medicare
On November 26, the Centers for Medicare & Medicaid (CMS) published a proposed rule for Medicare Parts C and D that would strengthen negotiations with prescription drug manufacturers to lower costs and increase transparency for patients. The proposed policies for 2020 would ensure that Medicare Advantage and Part D plans have more tools to negotiate lower drug prices, and CMS is also considering a policy that would require pharmacy rebates to be passed on to seniors to lower their drug costs at the pharmacy counter.

Comment on these proposals and other policies under consideration by January 25 . For More Information, see:
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

Daniel I. Perlin, MD

Marc Rankin, MD

Robert Hay Jr., CAE
Executive Vice President
MSDC Member In the News
The Physicians Committee for Responsible Medicine, headed by MSDC member and Distinguished Service Award recipient Dr. Neal Barnard, has been in the news for a campaign to promote healthful eating. The Boston Globe covered a billboard campaign aimed at removing hot dogs from the menu at Boston Children's Hospital, due to choking danger and the long-term risk of colon cancer. A local campaign encouraging Washingtonians to #BreakUpWithBacon was reported in the Washington Post . The World Health Organization puts tobacco and processed meats at the “same level of evidence, meaning both are clear-cut causes of cancer,” according to Dr. Barnard. T he American Cancer Society says that eating 50 grams of processed meat every day (about four strips of bacon or a hot dog) increases the risk of getting colorectal cancer by about 18%.
MSDC In the News
MSDC's resolution to adopt international standards for forced organ harvesting continues to garner media attention. The resolution, which was presented at the recent AMA Interim Meeting, was highlighted in the DAFOH (Doctors Against Forced Organ Harvesting) newsletter and by international media.
MSDC Community
Bright Young Doctors Meet
MSDC held its inaugural bright young physicians social yesterday at Circa in Foggy Bottom. Based on physician interest, MSDC will plan additional activities. If you are a bright young doctor and want to learn about additional events or group programs, contact MSDC .
Practice Management
Attention Practice Managers!
Would you like to connect with others?MSDC is forming a Practice Management Group for managers to socialize with their colleagues, share practice tips and resources. If interested, please contact Pia Duryea (duryea@msdc.org)
8 Ways Speech-recognition Software Can Work for Your Practice  
Speech-recognition software is a tool that any size health care organization can use as part of its systematic efforts to improve quality of care and the experience of an office visit for patient and clinician alike.  Read more from the AMA
Webinar: Changes to the Medicare Promoting Interoperability Program
Novitas is hosting a webinar on Wednesday, December 5 from 12 to 1 pm ET. During this webinar on the 2019 Inpatient Prospective Payment System (IPPS) final rule, CMS explains major changes to the Medicare Promoting Interoperability Program for 2019 and 2020. Topics:
  • 2019 and 2020 Electronic Health Record (EHR) reporting period
  • 2015 edition requirements for certified EHR technology
  • Performance-based scoring methodology
  • Objective/measure changes for 2019

Register here .
Medicare Time Savers: Easily Check Eligibility with These Tools
From Novitas, the Medicare Administrative Contractor for Jurisdictions H and L
With Medicare Open Enrollment going on now, providers are encouraged to take advantage of two valuable. time-saving tools available in Novitasphere, your free internet portal.  
1) The MBI Lookup Tool can be used to locate a patient’s new Medicare Beneficiary Identifier (MBI) numbers when the patient is unable to provide their updated card. See how in this video .
2) The Eligibility Guide can help obtain important eligibility details and can be printed or saved with the patient’s records. Some key information available through Novitasphere:
·    Effective and termination dates for Part A and Part B
·    Current year Part B remaining and total deductible
·   Physical and Occupational Therapy amounts used for the year
·    Medicare Advantage Plan information (MAP)
·    Medicare as Secondary Payer information (MSP)
·    Qualified Medicare Beneficiary (QMB) information
For a full list of what information is available, click here to view the Eligibility Guide .

For questions, please contact the Novitasphere Help Desk at 1-855-880-8424.
Thank you to our corporate supporters
MSDC 1817 Society
Public Health
November is Diabetes Month: Why Some Patients Don't Take Prediabetes Seriously  
When you tell some patients they have prediabetes, they may not feel that it rises to the top of their priority list. But by reframing the discussion around your patient’s goals, you can help them learn how to stop prediabetes from developing into type 2 diabetes.  Read more at  AMA Wire.
CDC Confirms 116 Cases of Acute Flaccid Myelitis
NBC News reports on its website the CDC said it is investigating 286 cases of acute flaccid myelitis (AFM), with “116 confirmed cases of AFM in 31 states.” The agency “has noted an every-other-year pattern in cases of AFM, with 120 confirmed cases in 2014, 22 cases in 2015, 149 cases in 2016 and 33 cases in 2017.” 
New Adult Hepatitis B Vaccine Added to Atlantic Health Partners Vaccine Program
From MSDC vaccine buying group partner, Atlantic Health Partners
Atlantic Health Partners has announced the addition of Dynavax’s Heplisav-B vaccine to their comprehensive portfolio of immunizations.  Heplisav-B is the only 2 dose series adult Hepatitis B vaccine approved for patients 18 and older, and provides higher levels of immunity than other adult Hepatitis B vaccines.

Additional benefits of Atlantic’s program include: Most favorable pricing for Merck, Sanofi, and Pfizer (Trumenba) vaccines ; Excellent service and support for all your immunization needs; Outstanding flu program that includes Sanofi and Seqirus products; Easy “one-stop shop” ordering for most vaccines

Contact Cindy Berenson for details.
Corporate Partners
End the Epidemic: Opioid-related Resources and News
Meth is Making a Comeback Amid Opioid Crisis
Kaiser Health News reports that hospitalizations for amphetamine use are “skyrocketing,” yet the trend has gone largely unnoticed because of “the nation’s intense focus on opioids.” A study in the Journal of the American Medication Association found hospitalizations for amphetamine abuse – typically of meth – were up 245% in the period from 2008 to 2015, a rise that “dwarfs the rise in hospitalizations from other drugs, such as opioids, which were up by about 46%.” Western states saw the biggest increases, and physicians “see evidence of the drug’s comeback in emergency departments, where patients arrive agitated, paranoid and aggressive.” Kaiser Health News adds that police suspect meth is cheaper and more available than opioids. 
DC Prescription Drug Monitoring Program
D C Health encourages its licensed physicians to enroll and participate in the PDMP . To make the process easier, physicians may also register at the same time that they renew their license, or go to https://dchealth.dc.gov/service/prescription-drug-monitoring-program .
AMA "End the Epidemic" Website
See the AMA's End the Epidemic website , with resources and recommendations from the AMA Opioid Task Force
Everything You Need to Lose Weight and Get Healthy
January 11-12, 2019
Embassy Suites Chevy Chase Pavilion (4300 Military Rd., NW, Washington, DC)
Test Drive a Vegan Diet with Dr. Neal Barnard’s Kickstart Intensive. Registration Includes:
 More than 15 Lectures by Nutrition Experts, four delicious meals, key health metrics measured on-site, meal planning and cooking demonstrations, and more. Read more in this flier . Reserve your seat now at 202-527-7337 or visit BarnardMedical Kickstart
Cost: $329 per person. Discounts available for registering more than one person.
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
600-1,200 square foot sublet available in Class A office building on 19th Street in N.W., D.C. The space which is about to be built out will have a separate entrance, 2 large offices and 2 exam rooms (all with large windows), and a small reception area. Balance of the office space is occupied by an Internal Medicine practice. Option to share staff and EMR etc with our group. Space available approximately September 2018. Contact Dr. Alice Fuisz if interested. alicefuiszacp@gmail.com .

2440 M Street NW
2440 M Street NW
Washington, DC 20037
2440 M Street is a Class A 110,000 SF medical office building with a three-level parking garage in northwest Washington, DC. The building has abundant patient and physician parking. 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 was recently 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
 The DC Medical Reserve Corp (MRC) is actively recruiting for medical and public health professionals. The MRC is a network of local medical volunteers who are willing to donate their time during emergencies and other times of community need like parades or inaugurations. All volunteers receive comprehensive instruction in areas of emergency response. Learn more here .
Online Vaccine Resources for Providers and Patients
From MSDC partner, Atlantic Health Partners
From the annual influenza season and the beginning of the school year, to the threat of vaccine-preventable disease that travelers may face while abroad, there are many reasons for healthcare providers to be knowledgeable about immunization and be prepared to inform their patients.
There are credible, scientifically-backed resources that providers and patients alike can use to be informed and protected. We rounded up some of the best online resources to help providers and patients with all kinds of vaccine-related issues and questions.

Medical Society of the District of Columbia
1250 23rd Street NW, Ste 270
Washington, DC 20037