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The SBCMS keeps you up to date on the latest news,
policy developments, and events

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Your vaccine recommendation is a critical factor in protecting patient health

Patients trust you to give them the best counsel on how to protect their health. You know that immunization is an important preventive measure – but it’s unlikely that getting vaccinated is on the radar for your adult patients. Your strong recommendation is critical in ensuring that they get the vaccines they need to help them stay healthy. Adults are not getting the vaccines they need. The latest data from the Centers for Disease Control and Prevention (CDC) shows that vaccination rates for adults are extremely low. For example, rates ...

Anthem Blue Cross rescinds termination of Medicare Advantage agreement with Brown and Toland

Anthem Blue Cross has reached an agreement to extend its Medicare Advantage contract with Brown & Toland Physicians. Although Anthem Blue Cross previously announced the contract would be terminated effective October 1, 2017, the parties have since signed a contract extension through December 2018. The termination would have affected approximately 1,900 Medicare Advantage enrollees in San Francisco. Click here to see the letter sent from Brown & Toland. Physicians with questions can contact Brown & Toland Physician Services at physicianservices@btmg.com.

SBCMS Recognizes Inland Health Professions Coalition

San Bernardino County Medical Society (SBCMS) recognizes Inland Health Professions Coalition (IHPC).  Now this is partnership!  SBCMS has worked with the Inland Health Professions Coalition for two consecutive years to provide high school students job shadowing opportunities through the White Coat Spring Break program.  This past spring break, 23 students shadowed in physician's offices for a full week.  Here, Carol Allbaugh, IHPC Director, and Michael Sacoto, IHPC Program Manager, receive recognition from Eric R. Hansen, D.O., SBCMS President, and Alison Elsner, SBCMS Executive Director.  Alison and Michael work closely together to ensure ...

Tickets now available for 21st Annual President's Reception and Awards Gala

The California Medical Association (CMA) and the CMA Foundation invite you to the 21st annual President’s Reception and Awards Gala on the evening of Saturday, October 21, 2017, at the Disneyland Hotel in Anaheim. The black tie event will immediately follow CMA’s annual House of Delegates session that day.  Individual tickets and tables of 10 are now available for purchase. Tickets are $200 per person and tables are $2,500. Table sponsorships also include VIP seating and program recognition. Space is limited and this special event is expected to sell out, ...

Q4 resolutions now accepting testimony

As part of its policy-making process, the California Medical Association (CMA) allows members to submit resolutions for debate and discussion throughout the year. These resolutions will be considered by the standing Councils and Subcommittees, and will be presented to the Board of Trustees for consideration to be adopted as policy for the association. There are now eight new resolutions online for consideration in the fourth quarter of 2017. They are posted at www.cmanet.org/hod and will be available for testimony until September 8, 2017. After testimony closes, the resolutions and all the ...

Anthem Blue Cross terminates Medicare Advantage agreement with Brown and Toland

Effective October 1, 2017, Anthem Blue Cross will terminate its contract with Brown & Toland Physicians for its Medicare Advantage product. The termination will affect approximately 1,900 Medicare Advantage enrollees in San Francisco. Affected patients will be reassigned to Asian American Medical Group, Jade Health Care Medical Group or Imperial Health Holdings Medical Group. The termination was reportedly due to a failure to reach a contractual agreement with Brown & Toland. Physicians with questions can contact Brown & Toland representative Stephanie Mamane at (415) 972-4282 or smamane@btmg.com.

Health plans begin transitioning patients from troubled Nivano

The California Medical Association (CMA) has learned that two health plans—Blue Shield and UnitedHealthcare (UHC)—have recently terminated their delegated agreements with Nivano Physicians Medical Group and are in the process of transferring patients from Nivano to alternative networks. Nivano, also known as Northern California Physicians Medical Group with enrollees in Placer, Nevada, Sacramento, Yuba and Colusa counties, is currently on a corrective action plan with the Department of Managed Health Care (DMHC) for failure to meet financial solvency criteria. CMA has also received a surge of complaints about delays in ...

CMA Doc: Richard Pan, M.D.

Senator Pan presenting Senate Bill 277 in Senate Health Committee "Vaccines are so effective that parents, and even many younger physicians, have never seen many vaccine preventable diseases. This lack of personal experience with these diseases has created opportunities for anti-vax charlatans to spread misinformation and create anxiety and doubt about vaccines for their own personal gain." --Sen. Richard Pan, M.D. As a physician, I have witnessed first-hand how vaccines protect our children and communities from dangerous diseases. I attended medical school at the University of Pittsburgh, where I learned microbiology ...

CMS now accepting QPP hardship applications for 2017

The Centers for Medicare and Medicaid Services (CMS) is now accepting hardship exceptions from the Medicare Quality Payment Program (QPP) for the 2017 reporting year. Beginning with this reporting year, physicians who do not participate in QPP will see a negative 4 percent payment adjustment in 2019. Physicians who do participate may qualify for bonus payments. Physicians and groups that qualify for the QPP’s Merit-Based Incentive Payment System (MIPS) can submit a hardship exception application for one of the following reasons: Insufficient internet connectivity ...

California congressmen introduce bills to address physician shortage

Two important bills have been introduced in Congress to address our state’s serious physician shortage and improve access to care in California. The first bill, the Training the Next Generation of Primary Care Doctors Act of 2017 (HR 3394), would reauthorize for an additional three years the Teaching Health Center Graduate Medical Education (GME) program that was established by the Affordable Care Act (ACA). The Teaching Health Center program is a community-based primary care physician training program that has been extremely successful in expanding the physician workforce in underserved areas. ...