Duals Demonstration Passive Enrollment Has Begun [ SDCMS MEMBERS & STAFF: CLICK HERE TO WATCH OUR MAY 1 SEMINAR "CAL MEDICONNECT: WHAT YOU NEED TO KNOW" ] Passive enrollment for the Medicare / Medi-Cal duals demonstration began on May 1 in San Diego, Riverside, and San Bernardino counties. If patients do nothing, they will automatically be enrolled with a managed care plan for their Medicare and Medi-Cal benefits. Affected patients have been notified by the California Department of Health Care Services 90, 60, and 30 days prior to their passive enrollment date. Patients do, however, have the ... May 2, 2014 Cal MediConnect Dual Eligibles 0 0 Comment Read More »
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Top Doctors 2014 VOTING ENDED JUNE 20, 2014 Top Doctors 2014 — “Physicians of Exceptional Excellence” SAN DIEGO COUNTY PHYSICIANS: The San Diego County Medical Society (SDCMS) invites you to participate in the selection process for “Physicians of Exceptional Excellence,” Top Doctors 2014. SDCMS leadership wishes the selection process to be fair, open, and honest for physician peers selecting the top 5% of the active, board-certified (as of January 1, 2014) San Diego County physicians in any specialty where there are more than 10 such physicians. STEPS FOR SECURE, INTERNET-BASED VOTING: SDCMS Member Physicians: Click Here to Vote ... April 30, 2014 Top Doctors Top Doctors 0 0 Comment Read More »
Pertussis Cases Increase in San Diego County Date: April 29, 2014 This health alert informs the local medical community of recent increases in pertussis cases in San Diego County, provides links to treatment and prevention references, and reminds providers about important management issues. The County of San Diego Health and Human Services Agency (HHSA) has confirmed 298 pertussis cases in San Diego so far in 2014. This compares to only 53 cases reported at this time last year and reflects increasing cases noted throughout California. Local case reports began to increase last September, with 275 of the 430 ... April 29, 2014 Public Health Pertussis 0 0 Comment Read More »
Urgent Survey Request: Help CMA Outlaw 'All Products' Clauses April 23, 2014 Currently, the California Medical Association (CMA) is in the midst of a legislative struggle to require greater transparency in physician contracts. Representatives of Blue Cross, Blue Shield, and other plans are asserting that plans should be able to require a physician’s participation in all of their products via ambiguously worded clauses, which are often referred to as “all products clauses.” These clauses force physician participation in all networks or products that are currently offered or that may be offered by the health plan and have become a ... April 23, 2014 Health Plans All Products Clauses 0 0 Comment Read More »
Meningococcal Disease Cases Prompt New Immunization Recommendations in Los Angeles County Meningococcal Disease Cases Prompt New Immunization Recommendations in Los Angeles County Date: April 9, 2014 The Los Angeles County Department of Public Health (LAC DPH) issued new recommendations last week for vaccination against invasive meningococcal disease (IMD) in response to eight confirmed IMD cases reported in Los Angeles County since January 1, 2014. Four cases occurred in men who have sex with men (MSM), three of whom were HIV-positive. There were three deaths, all in MSM, including two men who were HIV-positive. Three MSM cases reported residence in or socializing around ... April 10, 2014 Public Health Meningococcal Disease 0 0 Comment Read More »
CMA Responds to Release of Medicare Part B Payment Data California Medical Association Responds to Release of Medicare Part B Payment Data — April 9, 2014 Sacramento — Richard Thorp, MD, president of the California Medical Association (CMA), issued the following statement in response to Medicare Part B payment data released today by the Centers for Medicare & Medicaid Services (CMS). “CMA joins our partners in organized medicine, including the American Medical Association (AMA), in our commitment to transparency, and, to that end, we support any release of data that will help to improve patient safety and quality of care. “Our concern with ... April 10, 2014 CMS, Medicare Medicare 0 0 Comment Read More »
Medical Mission Trips to Cameroon and Ecuador Interested in a vacation with a purpose? Consider a medical mission trip to Cameroon (July) or Ecuador (October) with Project Compassion in 2014. These short-term medical trips involve providing medical care to unreached people in third-world countries with little or no access to medical care. We provide four days of clinic to deliver general medical care and provision of medications, as well as education on general health and nutrition, dental care, and hygiene. Trips are currently planned for Cameroon, Africa, July 25 – August 2 and Ecuador October 4 ... April 10, 2014 Volunteering Medical Missions 0 0 Comment Read More »
Important Information on the Anthem Exchange Addendum As you may have seen in CMA's April 7 Alert, Anthem Blue Cross sent an addendum to over 11,000 practices who are participating in their individual / exchange network. The addendum makes changes to a prior addendum sent out in 2012. CMA has concerns with a few provisions, outlined in the Alert article. While CMA's article identifies issues with three provisions in the addendum, of significant concern is the language in section 12, which removes a participating physician’s ability to opt out of the individual / exchange product without affecting ... April 9, 2014 Health Plans Anthem 0 0 Comment Read More »
What Physicians Need to Know About the Anthem Exchange Addendum By the California Medical Association (CMA): April 8, 2014 Anthem Blue Cross recently notified over 11,000 practices who are currently participating in its individual / exchange network of a contract addendum that will become effective July 1, 2014. The amendment only applies to physicians who are currently participating in the Anthem Blue Cross individual / exchange network. According to the notice, which was mailed on March 31, the addendum contains new regulatory requirements. While many provisions are requirements of Covered California, the California Medical Association (CMA) has concerns with certain provisions ... April 9, 2014 Health Plans Anthem 0 0 Comment Read More »