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July 2016
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  • Top ISMS Headlines July 22, 2016

    Land of Lincoln Health Going Out of Business: Insurer Options Shrink Again

    Good News: CMS Maneuvering Toward 90-Day Reporting Period for Meaningful Use

    Don't Run Afoul of Billing Requirements for Certain "Dual-Eligible" Patients

    Feds Move to Block Two Megamergers That Would Limit Consumer Choice

    Have an Opinion on Illinois' Medicaid Managed Care Transition? We Want to Hear It!

    3-D Mammography Screening Mandate Gets Strengthened

    Attention Pediatricians, Family Physicians: What to Do When Parents Say No to Immunizations on Religious Grounds?

    Act NOW to Protect Veterans' Medical Care - Comment Period Closes on July 25!

    Hepatitis C is Treatable, Even Curable in Many Cases

    Lupus Symposium Coming to Springfield August 8

    Illinois Reports Human Cases of West Nile Virus

    Improve Patient Outcomes and Your Bottom Line

    ISMS Website Under Maintenance Monday, July 25

    ADVOCACY

    Land of Lincoln Health Going Out of Business: Insurer Options Shrink Again

    Are any of your patients insured by Land of Lincoln Health?

    The Illinois Department of Insurance (DOI) is taking action to close down the Illinois-based health insurance co-op, which has been hemorrhaging financially since 2015.

    >> Read more


    Good News: CMS Maneuvering Toward 90-Day Reporting Period for Meaningful Use

    Earlier this month, the Centers for Medicare and Medicaid Services (CMS) announced plans to shift to allow a 90-day reporting period for 2016 Meaningful Use reporting -- instead of the full-year period as originally required. At this juncture CMS' decision to reduce the reporting window is not final; however, things are looking good!

    >> Read more


    Don't Run Afoul of Billing Requirements for Certain "Dual-Eligible" Patients

    The Centers for Medicare and Medicaid Services has recently expressed concern that some medical practices are attempting to balance bill Medicare for "dual-eligible" patients in the Qualified Medicare Beneficiaries (QMB) program.

    >> Read more


    roadblock NEWS

    Feds Move to Block Two Megamergers That Would Limit Consumer Choice

    Yesterday, the U.S. Department of Justice (DOJ) filed lawsuits seeking to block two separate proposed health insurer takeovers. Cigna is seeking to acquire Anthem and Humana is pursuing a merger with Aetna. If the deals proceed, two of the top five national carriers would be absorbed, shrinking the market to only three national players.

    Earlier this year ISMS asked our members for feedback on the Aetna/Humana deal because it would significantly impact several Illinois insurance markets. ISMS members indicated serious concern over the proposed deal. A summary of your feedback was used in an ISMS communication to Illinois' Attorney General. Watch ISMS publications for further updates on the mergers.

    Questions? Call your ISMS Advocacy Team at 800-782-4767 ext. 1470 or send an email.


    Have an Opinion on Illinois' Medicaid Managed Care Transition? We Want to Hear It!

    On July 14, ISMS emailed a survey link to active practice Illinois physicians seeking feedback on Illinois' Medicaid managed care transition. Thank you to the more than 400 physicians and practice management professionals who have already responded -- your feedback is invaluable.

    You'll be getting a friendly email reminder July 25 if you haven't filled out a survey. Anyone who opted out of our survey or isn't identified as "active practice" (such as retired and student members) will not receive the survey link.

    Summary results will be covered in Physician Advocate in late August and will also be used in our advocacy efforts with the state.

    Questions? Drop us an email.

    LEGISLATIVE

    mammo NEWS

    3-D Mammography Screening Mandate Gets Strengthened

    On Wednesday, Gov. Bruce Rauner signed Senate Bill 466 into law. This measure is a follow-up to a law enacted in 2015 that adds "breast tomosynthesis," or 3-D breast screening, to the state's health insurer mandate requiring breast cancer screening coverage.

    Bottom line: Illinois health insurers can no longer refuse to pay claims for this advanced form of breast screening.

    Due to technical issues with how the law was drafted, last year's mandate was only applicable to certain Illinois payers. The newly signed legislation irons out the problem to ensure the 3-D mammography coverage mandate applies to all health insurers.

    MEDICAL LEGAL

    Attention Pediatricians, Family Physicians:
    immunization NEWS What to Do When Parents Say No to Immunizations on Religious Grounds?

    The busy season for school physicals is in full swing, bringing a flurry of school paperwork related to children's health examinations. Here's what's new for the upcoming 2016-17 school year concerning religious exemptions.

    Parents or guardians must complete the Certificate of Religious Exemption form if they wish to exempt their children from required school immunizations on religious grounds.

    >> Read more

    VETERANS HEALTH ADMINISTRATION

    Act NOW to Protect Veterans' Medical Care - Comment Period Closes on July 25!

    The U.S. Department of Veterans Affairs (VA) needs to hear the voice of physicians by this Monday (7/25).

    The department recently published a proposed rule that would give full practice authority to four categories of Advanced Practice Registered Nurses (APRNs). This change would allow them to practice independently without physician supervision within the VA health system.

    Take action!

    PUBLIC HEALTH

    Hepatitis C is Treatable, Even Curable in Many Cases

    Learn more about Hepatitis C screening recommendations and new options for treatment and cure with ISMS' FREE on-demand course, Hepatitis C Update and Access to Care. CME is available.

    >> Read more


    Lupus Symposium Coming to Springfield August 8

    Do you treat patients who have been diagnosed with lupus?

    Further your knowledge about this chronic disease by attending the Illinois Public Health Association's Lupus in the Heartland symposium on August 8, from 9 a.m. to 4 p.m. in Springfield.

    >> Read more


    west nile NEWS

    Illinois Reports Human Cases of West Nile Virus

    The Illinois Department of Public Health (IDPH) has confirmed two human cases of West Nile virus for Illinois this season. To date, West Nile activity has been detected in 20 Illinois counties.

    >> Read more

    MEMBER BENEFITS

    carevitality NEWS

    Improve Patient Outcomes and Your Bottom Line

    Discounts for members

    CareVitality offers care management and technology consulting to help physicians improve patient outcomes, create efficiencies and increase revenue.

    >> Read more


    ISMS Website Under Maintenance Monday, July 25

    On Monday (7/25) the ISMS website will undergo maintenance and you might experience a minor interruption with access. We apologize for this inconvenience. If you require an online resource inaccessible during this time, please contact us at onlinehelp@isms.org.



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