Mitchell D. Forman, D.O., FACR, FACOI, MACP
NSMA President 2014-2015

Every Nevadan is affected in some way by the members of the NSMA. They are not only your physicians, but your neighbors, friends and advocates in the health care delivery system.

Nevada physicians organized into a state medical society in 1875. As the state's oldest and largest physician advocacy group, today's NSMA mission remains consistent with those pioneer doctors: to serve the practice and professional needs of Nevada physicians so they can serve the needs of their patients. Our diverse membership includes practicing physicians and surgeons, medical researchers, educational faculty and institutional administrators.

Though this site has information restricted to our membership, there is also much information available for the public and the health care community. Development of this site and available resources will continue to expand, so bookmark the NSMA and come back often!

We are proud to represent organized medicine in Nevada, and proud to be your physicians of the Nevada State Medical Association. Is your physician a member?

Sunshine Act Deadline Moved to September 8

The Centers for Medicare & Medicaid Services (CMS) announced Friday that the Sunshine Act portal (also known as the “Open Payments” system) was back online for physician registration, review and dispute after being down nearly two weeks.

The system previously was taken offline Aug. 3 after erroneous information was identified in the system. To account for the time offline, CMS extended the deadline for data review to Sept. 8.

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Employed Physician Seminar

The Nevada State Medical Association Employed Physician Seminar will be held on Wednesday, September 17, 2014 between 5:00 p.m. – 8:00 p.m at the Sunrise Auditorium, 3186 South Maryland Parkway, Las Vegas, NV 89109.  The event will feature a selection of national healthcare experts and will focus on physician integration options, physician practice integration concerns, and employment contract considerations.

Event Agenda, Flyer, and Registration

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Addicted Too: A Night of Comedy – Mark Lundholm

Solutions Recovery, Inc. will be holding a workshop for professionals offering CEUs as well as a community comedy show at the Solutions Wellness Campus on September 25th.

Exhibitor booths during the event are available to any local companies interested in building a relationship with the Las Vegas recovery community.

Last years event with Mark was an absolute success, and they are thrilled to be hosting him again.

To purchase tickets, or to get more information on our comedy event, visit our event page HERE

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4 Common Misconceptions Patients Have About Their Health Insurance

  1. What does my plan cover? Patients need to look to their summary of benefits and coverage. If they purchased their coverage through a health insurance exchange, they can find this information by contacting their health plan. Simple instructions for how to do that are available from the U.S. Department of Health and Human Services.
  2. Why do I have to pay a copay or deductible? Patients might not understand that a deductible or copay (or co-insurance) will be required for much of the care they receive. Healthcare.gov provides a helpful glossary of common insurance terms that gives basic explanations and simple examples to help patients understand what they can expect under their plan.
  3. What is a tax credit? Some patients may qualify for cost assistance on their state’s exchange. If they do, they could get a lower monthly premium and lower cost-sharing. They can check whether they are eligible for a subsidy using a subsidy calculator offered by the Kaiser Family Foundation, and then can contact their state exchange.
  4. How do I renew my coverage? Open enrollment starts for many health plans in October. For plans sold through the exchanges, that period starts Nov. 15. Insurance companies will send information about updated benefits to policyholders. If a patient’s income and household size haven’t changed, they don’t need to do anything: they will be re-enrolled automatically. If one of these two factors has changed, they’ll need to report it so they get the right tax credit. You can direct your patients for more information at healthcare.gov.

Source: AMA

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Open Payment System Survey

The AMA has developed a short advocacy survey [surveymonkey.com] designed to gather information about physicians experiences with registering in the Open Payments system and reviewing their data.  Last week, in response to mounting physician frustration with the registration process, more than 100 medical societies signed onto a letter that asked for a 6 month delay in the public release of the Open Payments data.  This was soon followed by the discovery reporting errors that led Medicare to take the Open Payments System offline.

We want to know what your members think about the Open Payments System. Please encourage them to complete the short advocacy survey[surveymonkey.com] and to e-mail their stories/anecdotes to OpenPayments@ama-assn.org.

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Healthcare Summit on Margin Tax

The Nevada State Medical Association encourages northern physicians to attend a special healthcare summit that addresses the impact the margins tax, also known as the Education Initiative or Question 3, will have on physicians and the practice of medicine.

The Margin Tax Initiative, question 3 on Nevada’s November 4 statewide ballot is a tax increase proposal that would impose a significant new tax on Nevada’s major employers and small business owners.  The proposal would cause a 2% tax on gross revenues that would equate to a 14-15% average corporate income tax.  Proponents suggest that funds raised will bolster education funding, but the initiative’s language provides no protection for the monies.

A Healthcare Summit event is being held by The Coalition to Defeat the Margin Tax Initiative on August 27th in Reno.  The coalition represents thousands of large and small employers and individual consumers.  They hope to discuss the potential impact of Question 3 with regional healthcare professionals and would be grateful for your attendance.

Please RVSP with Nicole Willis-Grimes at nicole@theferrarogroup.com if you can attend on Wednesday, August 27, 2014 between 2:30 PM to 4:30 PM at Saint Mary’s Medical and Wellness Fitness Center.

Event Flyer

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ECMS Lecture Series

The Elko County Medical Society and the Nevada State Medical Association, in conjunction with Northeastern Nevada Regional Hospital, the Nevada Academy of Family Physicians and the University of Nevada School of Medicine, has arranged two CME opportunities for all licensed MDs, DOs, PAs and APRNs and their guests on September 9 and September 10.

The series will be held at Northeastern Nevada Regional Hospital with videoconferencing to remote sites in Battle Mountain, Caliente, Ely, Fallon, Hawthorne, Lovelock and Winnemucca.  Nationally recognized speaker, Dr. Herbert Fred, has chosen topics appropriate for our rural communities.  Through the generosity of the University of Nevada School of Medicine, the Nevada Academy of Family Physicians, the Nevada State Medical Association, Great Basin Surgical Center and participating hospitals, the CME lecture series is being offered at no cost.

Invitation to ECMS Lecture Series, September 9 and 10

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Moss Adams Health Care Conference

On November 3-4, Moss Adams will host its 2014 Health Care Conference at the Red Rock Resort in Las Vegas. The conference, now in its 25th year, welcomes health care executives looking to gather insights and stay ahead of the rapidly changing health care landscape.

Among others, it will feature guest speakers Newt Gingrich, former Speaker of the U.S. House of Representatives, Tom Daschle, former U.S. Senator from South Dakota and former U.S. Senate Majority Leader, and Roni Zeiger, Google’s former chief health strategist.

Sessions will touch the industry’s hottest topics, including the national debt and its effect on the quality of care, health care technology and more. Early bird registration is no longer available, but regular registration for this year’s conference is available online.

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EHR Survey

A recent survey (login required) by Physicians Practice found that nearly two thirds of physicians believe they have not seen a return on investment from their EHRs.

While about 53 percent of the more than 1,400 physicians who responded to the survey said they did have a fully implemented EHR system in their practices, about 20 percent said they didn’t yet have one. The main reasons for not having an EHR system were related to cost or the lack of products available to meet their needs, according to the survey. Another 17 percent said they used an EHR system selected by their parent hospital or corporation.

Roughly one-third of respondents said their EHR system has made practice work flow less efficient.  Nearly one-half claimed the technology has made practice more efficient.

Source: AMA

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Bill Would Fund Residency Slots in Underserved Areas

The Creating Access to Residency Education Act of 2014, also known as the CARE Act, is a bill sponsored by U.S. Rep. Kathy Castor, D-Florida, and Co-sponsored by Congressman Joe Heck of Nevada’s third district.  Nevada is one of the states which could benefit  from this bill due to our low resident to population ratio.

If passed, the bill would create a $25 million grant program through the Centers for Medicare & Medicaid Services that would allow certain hospitals to apply for matching funds to support new medical residency training positions. Only public or nonprofit teaching hospitals or accredited GME training programs in a state with fewer than 25 medical residents per 100,000 people would be eligible for funding.

The grant recipient must cover one-third of the cost for new primary care residency positions and one-half of the costs for any other field. However, the bill encourages such organizations to enter into partnerships with states, local governments, community health centers, local health departments and other appropriate organizations to cover the remainder of the expense.

Source: AMA

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