Battling burnout: How "shared care" models can increase physicians' professional satisfaction Being a physician is for many a calling. They are drawn to the practice of medicine, motivated by a deep-seated desire to help and heal. "Being a physician is not just something we 'do,' it is something we 'are,'" says Ruth E. Haskins, M.D., president of the California Medical Association. "What brings us joy, almost universally, is caring for patients." Yet 75 percent of California doctors are showing signs of burnout, according to a 2016 Physicians Foundation study. This survey, conducted biennially since 2008, has consistently demonstrated that the professional ... February 13, 2017 General Physician Burnout, Physician Assistants 0 0 Comment Read More »
First confirmed flu-related death in San Bernardino County The Department of Public Health has confirmed a child with underlying medical conditions has become the first flu-related death for San Bernardino County. This flu season has seen widespread influenza activity that is more severe than last year. The California Department of Public Health has confirmed a total of 14 reportable flu related deaths statewide as of January 14. "The family has our sincerest condolences. The death of a child is always tragic, but this fatality is a reminder that the flu can be serious and often deadly," said Dr. ... January 26, 2017 General Health Advisory, Public Health 0 0 Comment Read More »
President's Message January 2017 January, 2017 Dear Friends and Colleagues, Happy New Year! We are excited to start off 2017 with the announcement of our Preferred Business Partners program! This collaboration between the medical society and a specially selected group of the region’s most respected and prolific businesses is a strong addition to the myriad of benefits our society offers you as a valued member. As new business partners come on board with SBCMS, after each undergoes a thorough review process, we will be establishing ways for them to communicate their professional services to you and to ... January 18, 2017 General, President's Message President's Message 0 0 Comment Read More »
Earn 10 CME at La Jolla cardiology conference: Landmark Clinical Trials Revisited On February 24, 2017, California physicians have the opportunity to earn up to 10 continuing medical education (CME) units during “Landmark Clinical Trials Revisited: 3 and 5 Year Results,” held at La Valencia Hotel in La Jolla. Attendees will learn about the main advances in cardiology over the last five years and how these advances have impacted the major disease processes in cardiovascular medicine. Put on by Vimal I. Nanavati, M.D., a long-time California Medical Association (CMA) member, CMA Political Action Committee (CALPAC) board member and CMA Organized Medical Staff ... December 21, 2016 General Cardiology, CME, Conferences, Continuing Medical Education 0 0 Comment Read More »
Anthem Blue Cross continuing medical record reviews and patient health assessments through Inovalon In the Anthem Blue Cross December Professional Network Update, the insurer published a reminder about how it is working with Inovalon, a secure clinical documentation service, to meet the patient reporting requirements specified under provisions of the Affordable Care Act (ACA). Physicians continue to report receiving requests for medical records from Anthem related to “risk adjustment.” These record requests are a result of the commercial risk adjustment program created by ACA Section 1343. The primary goal of the risk adjustment program is to spread the financial risk borne by ... December 21, 2016 Managed Care Affordable Care Act, Anthem Blue Cross 0 0 Comment Read More »
United Healthcare delays 2016-2017 Premium Designation physician results United Healthcare (UHC) has indicated that distribution of its 2016-2017 Premium Designation assessments will be delayed to December 30, 2016, with the results released to the public on March 1, 2017. UHC had previously announced that the next iteration of its Premium Designation assessment results would be sent to physicians in early November 2016, with the results to be released publicly via the payor's online physician directory on January 4, 2017. Physicians who encounter problems with their physician assessment reports or who have concerns regarding their Premium Designations can ... December 21, 2016 Managed Care United Healthcare 0 0 Comment Read More »
Time to verify your patients' eligibility and benefits for 2017 The beginning of a new year brings with it changes to your patients’ eligibility and benefits. Physicians are urged to be diligent in verifying each patient’s eligibility and benefits to ensure they will be paid for services rendered. The beginning of a new year also means that both calendar year deductibles and visit frequency limitations reset. And, with open enrollment, patients may even be covered by a new payor. Don’t get stuck with unnecessary denials or an upset patient. Do your homework before the patient arrives by obtaining updated ... December 21, 2016 General, Managed Care, Medi-Cal, Medicare Running a Practice, Eligibility 0 0 Comment Read More »
United Healthcare to introduce Navigate, new narrow network product, in 2017 United Healthcare (UHC) recently notified physicians that it will be introducing a new commercial narrow network PPO product, Navigate, to the California marketplace effective January 1, 2017. Due to an operational error, the notice issued to California providers inadvertently referenced United Healthcare of Nebraska, which is also launching the Navigate product. UHC has since issued a corrected notice. UHC says the Navigate plan is its most recent effort at providing a reduced-cost health care option to employers. This network offers access to a significantly narrowed network of PPO physicians, ... December 14, 2016 Managed Care United Healthcare 0 0 Comment Read More »
Be prepared for Covered California changes in 2017 In 2016, Covered California, California's health benefit exchange, enrolled approximately 1.4 million individuals in qualified health plans. It is critical that physician practices understand their participation status, which products are being offered and what changes to expect in 2017. Some of the most significant changes for Covered California in 2017 are: All Covered California enrollees, including those with a PPO or EPO, will be assigned to a primary care physician. The assignment will either happen by January 1, 2017, or within 60 days of the enrollee’s ... December 14, 2016 Managed Care Covered California, Affordable Care Act, Exchange Plans, Health Insurance Exchange 0 0 Comment Read More »
Health care spending rose modestly in 2015 In 2015, per-capita health care spending grew by 5 percent and overall health spending grew by 5.8 percent, according to a new study by the Office of the Actuary at the Centers for Medicare and Medicaid Services. While overall expenditures increased, the rate of growth is still substantially lower than the 9 percent average rate seen in the three decades before 2008. On a per-enrollee basis, overall spending increased in 2015 by 4.5 percent for private health insurance, 1.7 percent for Medicare and 3.8 percent for Medicaid. According to the ... December 14, 2016 General Affordable Care Act 0 0 Comment Read More »
