Yesterday the North Carolina Medical Society (NCMS) announced it is working with the North Carolina Community Health Center Association (NCCHCA), and Centene Corporation (NYSE: CNC) to create a joint venture, Carolina Complete Health, to establish, organize and operate a patient-focused, physician-led health plan to provide Medicaid managed care services in North Carolina.
A key feature of the joint venture will be the active participation of physicians in the ownership and governance of the health plan. Centene will manage the financial and daily operations, while the Carolina Complete Health Network, which will be owned jointly by NCMS, physicians, physician assistants, nurse practitioners and Federally Qualified Health Centers, will provide medical management services, hold a majority on the Board of Directors and oversee the medical policies for the health plan. This partnership seeks to engage all North Carolina physicians including those in primary care specialties like pediatrics, family medicine and obstetrics and gynecology as well as hospital-based physicians and the wide diversity of specialties and sub-specialties necessary to serve the Medicaid population of the state. We view all of these groups as significant contributors to the success of this endeavor.
“With the changes taking place in our health care system at the state level with Medicaid reform and new programs at the national level, the NCMS remains committed to ensuring that physicians are the ones making the clinical decisions in the best interest of their patients,” said NCMS CEO Robert W. Seligson. “Our leadership views this partnership as a unique opportunity to help lead the reform process and to put patients’ needs first.”
Work will begin shortly to prepare to submit a proposal when the state issues its Request for Proposal (RFP) in late 2017 in hopes that Carolina Complete Health will be selected as one of three statewide health plans authorized by the Medicaid reform legislation to offer care to Medicaid beneficiaries in North Carolina.
Carolina Complete Health is a new style of health plan that is patient-focused and predicated on the belief that physicians know what is best for their patients. This health plan upholds the values of the NCMS which we have advocated for over the past four years as the state reforms its Medicaid program – values at the very core of our mission: To provide leadership in medicine by uniting, serving, and representing physicians and their health care teams to enhance the health of North Carolinians.
The General Assembly convenes in Raleigh today to officially begin its long session. This promises to be a contentious session with many legislators at odds with newly elected Governor Roy Cooper’s agenda. Even before the start of the session last week, Gov. Cooper moved to expand Medicaid in the state and began the expansion process by sending a public notice to be posted on the Department of Medical Assistance (DMA) website as required by state statute. Read the notice here.
When Gov. Cooper made his announcement, the North Carolina Medical Society (NCMS) issued the following statement:
“The physicians and PAs represented by the North Carolina Medical Society (NCMS) have been steadfast in their care of Medicaid patients and in their support of expanded coverage to those in need. The NCMS is committed to helping develop financially sustainable and high quality health care models to safeguard that coverage in the future. We will continue to partner with lawmakers as they work together to care for all North Carolinians.”
To get a preview of what’s on the NCMS’ agenda during this long session, watch last Friday’s Bowtie Briefing.
The US Drug Enforcement Administration (DEA) has issued a notice that only one renewal notification will be sent to each registrant beginning January 1, 2017. All physicians who are registered with the DEA will receive a renewal notice approximately 65 days prior to the expiration of their current registration. The notification will be sent to the registrant’s “mail to” address that is on file with the DEA. No additional renewal reminders will be issued by the DEA.
Additional changes include:
- Online capability to renew a DEA registration after the expiration date will not be an option.
- Failure to file a renewal application by midnight EST of the expiration date will result in the “retirement” of the registrant’s DEA number. The original DEA registration will not be reinstated.
- Paper renewal applications will not be accepted the day after the expiration date. If the DEA has not received the paper renewal application by the day of the expiration date, mailed-in renewal applications will be returned and the registrant will have to apply for a new DEA registration.
Concerns have been expressed to the DEA along with a request that the new registration process be reversed. There is no indication, however, if they will take any action so be sure to plan accordingly for 2017. Please also share this information with colleagues through any channels you have access to
Congress is considering a budget resolution that includes reconciliation instructions intended to enable the repeal of significant portions of the Affordable Care Act (ACA). The budget resolution is a statement of priorities, but it does not have the force of law. The goal is for both the US Senate and House of Representatives to complete action on the budget resolution by Jan. 20 when President-elect Trump is inaugurated.
The reconciliation legislation to repeal portions of the Affordable Care Act would be developed over the next couple of months by the Finance and the Health, Education, Labor & Pensions committees in the Senate, and by the Energy & Commerce and Ways & Means committees in the House. Senate procedural rules have led the Republican leadership to pursue a “repeal and replace” strategy that would require passage of two separate bills. Under discussion is a plan to pass a reconciliation bill that would repeal major portions of the ACA but defer the implementation date for two, three or more years to allow for a transition to a new health reform framework and passage of a separate “replacement package.”
The AMA position, articulated by the House of Delegates at its November Interim Meeting, reiterates its commitment to assuring Americans have coverage and access to high-quality, affordable health care. The position is outlined in this letter to Congressional leadership and in this list of nine objectives that will guide the AMA’s evaluation of any future reform proposals.
The North Carolina Division of Motor Vehicles (DMV) Medical Review Unit is seeking highly motivated, licensed, board-certified, civic-minded physicians to serve on its Medical Review Hearings Board.
The Medical Review Unit is responsible for protecting the motoring public by monitoring drivers diagnosed with medical conditions that may affect their ability to safely operate a motor vehicle. The Unit holds hearings that give drivers an opportunity to appear in person to contest license cancellations and restrictions.
Participation on the NCDMV Medical Review Board provides an opportunity to work with professionals who are passionate about striking the appropriate balance between the privilege to drive and the safety of all who use our roadways. The program may be of particular interest to physicians who have an interest in the care of North Carolina’s senior citizens.
Hearings are currently held in Raleigh one week per month. NCDMV provides consulting and case review reimbursement for participating physicians and reimburses travel expenses according to state guidelines.
To learn more about participating, contact Pamela Gilyard at 919-861-3370 or email@example.com.
The North Carolina Medical Society (NCMS) Foundation is pleased to announce officers for 2016-2017 and its newest member Rachel Keever, MD, CPE, FACC, appointed for a three-year term.
Officers of the Foundation are: President, Janice E. Huff, MD, a family physician from Charlotte; President-Elect, Lisa Shock, MHS, PA-C, who is Managing Director of Clinical Operations, Eastern Region at Evolent Health from Raleigh; Treasurer, Steve Shaber, JD is a Partner at Poyner Spruill from Raleigh and Robert W. Seligson remains Chief Executive Officer.
Dr. Keever is an adult cardiologist with Asheville Cardiology and is Medical Director of the Physician Assistant Studies Program at Gardner-Webb University. Dr. Keever, who is from Asheville, studied at the University of North Carolina School of Medicine where she received her MD degree and was a clinical fellow in the Division of Cardiology and was a resident in the combined Internal Medicine and Pediatrics Program. Dr. Keever is also an alumna of two of the Kanof Institute for Physician Leadership’s programs: NCMS Leadership College and Health Care Leadership and Management (HCLM). Dr. Keever also was awarded Certified Physician Executive (CPE) status in 2016, and is a member of the NCMS PAC Board of Directors.
Docia Hickey, MD, Immediate Past President of the NCMS, who served in an ex-officio capacity on the Foundation’s Board of Trustees as NCMS President, was also appointed to her first, three-year term. In addition, the Foundation welcomes John L. Reynolds, MD, an Anesthesiologist from Shelby, who begins his first year of service in an ex-officio capacity as President-Elect of the NCMS. Other members of the Foundation’s Board of Trustees include:
Angela Alistar, MD, Oncologist, Wake Forest University School of Medicine, Winston-Salem
Paul Cunningham, MD, Dean Emeritus, Brody School of Medicine at East Carolina University, Greenville
Jim Hill, PA-C, M.Ed., Emergency Medicine, Regional Director of APPs, U.S. Acute Care Solutions, Charlotte
Katie Lowry, MD, MPH, Pediatrician, Owner of Robeson Pediatrics, Lumberton
John R. Mangum, MD, Family Physician, Sanford Medical Group, Sanford
Gerri Mattson, MD, MSPH, Pediatric Medical Consultant, NC DHHS, Raleigh
Devdutta Sangvai, MD, MBA, Executive Director for Duke Connected Care, Associate Chief Medical Officer for Duke University Health System, and Medical Director for DukeWELL, Durham
David Sousa, JD, Chief Operating Officer, General Counsel, Medical Mutual Insurance Company, Raleigh
Looking ahead to our 2nd Annual M3 Conference in September, we want to be sure the programming will offer relevant information and inspire you. Please take a minute to complete this quick survey to let us know what would be most helpful and relevant to you. Please complete the survey right now.
Pediatric Compassionate Care Conference 2017 will be held Friday, Jan. 13 at New Hanover Regional Medical Center. The theme is “When Words Mean Everything: Challenging Patient Interactions and the Art of Meaningful Conversation. Learn more and register here.
National Provider Call: Transitioning from Quality Programs to MIPS, Tuesday, Jan. 24, from 2-3 p.m. The Centers for Medicare and Medicaid Services (CMS) will provide an overview on the transition to the Quality Payment Program, how current programs will be streamlined into the Merit-based Incentive Payment System, and key milestones for PQRS, EHR, VM, and MIPS programs. A question and answer portion will be held at the end of the webinar. Learn more and register here.
NCHICA, the North Carolina Healthcare Information and Communications Alliance, is planning a one-day workshop on Feb. 15, 2017 to discuss the status of the Affordable Care Act, MACRA, NC Medicaid and Health Information Exchange. The workshop will be held at the Research Triangle Foundation in RTP. Look for more details next month!
MAHEC, working with the North Carolina Academy of Family Physicians, The Governor’s Institute on Substance Abuse and Project Lazarus: A Project of CCNC, is offering A Guide to Rational Opioid Prescribing for Chronic Pain, an online education course. The course is designed for all prescribing health care practitioners who are interested in an overview of the rational prescribing approaches for persons with chronic pain disorders. It will fulfill the North Carolina Medical Board’s requirement of at least one hour of continuing education designed specifically to address prescribing practices for chronic pain management. The course cost is $15 for the first 6 months. Offers 3 hours of AAFP, AMA/AAFP Equivalency, and CDE; www.mahec.net/opioid
NCTracks has Computer-Based Training (CBT) courses on a variety of topics available to providers 24 hours a day, 7 days a week, every day of the year. Anyone who is a registered user with NCID access to the NCTracks secure Provider Portal can access and take a self-paced course. A list of courses available can be found here and under Quick Links on the NCTracks Provider Training page of the public Provider Portal.
Trump Administration Brings Opportunities, Risks For NC Medicaid Program, WRAL, 11-30-16
Trump’s Pick For HHS Secretary Signals He’s Dead Serious About Repealing Obamacare, The Huffington Post, 11-29-16
$6.3 Billion Measure Aims to Cure Ailing Health Care Policies, The New York Times, 11-28-16
North Carolina Health Regulators Seek Applicants For Behavioral Health Projects, Winston-Salem Journal, 11-25-16
NC Republican Dislikes Regulations. But In Opioid Fight ‘It Makes Sense To Me,’ The Charlotte Observer, 11-23-16
Why Your Doctor Might Start Grocery Shopping With You, The Los Angeles Times, 11-22-16
HHS Improves Access to Treatment for Opioid Addiction with Expanded Buprenorphine Training, Becker’s Hospital Review, 11-21-16
The Ultimate Q & A About Health Care Under A Trump Presidency, The Washington Post, 11-17-16
A Consumer’s Guide to Medicare’s New Rules on Doctor Pay, Kaiser Health News, 11-17-16
The One Thing Missing from the Debate Over Obamacare, According to a Top Doctor, The Washington Post, 11-16-16
Surgeon General Calls for Action to Fight Drug, Alcohol Abuse, Reuters, 11-16-16