Physician Feedback on Medicaid and Kentucky HEALTH Requested

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Posted January 3, 2019 Kentucky has contracted with the University of Pennsylvania and NORC at the University of Chicago to conduct the evaluation of the Kentucky HEALTH program. As part of the evaluation, NORC is conducting brief 40 minute telephone interviews with providers who serve Medicaid beneficiaries in order to gain an understanding of providers’ experiences with the Medicaid program, and their opinions on the Kentucky HEALTH program. NORC can scheduled around your availability and providers will receive an incentive

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Kentucky Department for Public Health Alert

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Posted December 20, 2018 Dear Healthcare Provider: [Note: This is a statewide health alert that updates an earlier alert sent only to one region of Kentucky after learning that more regions of Kentucky may have experienced patients associated with this event.] The Kentucky Department for Public Health (KDPH) is alerting you about a cluster of adverse vaccination reactions and requests information on any adult patients with adverse vaccination reactions occurring between September 1 and December 31, 2018. Reactions (abscesses, fibroid

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Confusion Persists Regarding Tobacco Cessation and Counseling Coverage

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Posted December 17, 2018 In 2017, a new law was passed that ensured patients who want to quit smoking will have access to treatments and tobacco aids their physicians prescribe. After more than a year, confusion about what is covered persists. This is primarily because Kentucky regulation offers broader coverage that applies to Medicaid, Medicaid Managed Care Originations (MCOs) and fully-funded health benefit plans while it does not apply to Medicare, Medicare Advantage, Tri-Care and self-funded health plans. Medicare is

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President’s Message: Looking Forward to the 2019 Legislative Session

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Posted December 14, 2018 We received a lot of feedback from my last message regarding the Kentucky Supreme Court decision in the medical review panels case. As I expressed in the article, and many of you echoed, it is ironic that the opinion stated that the law “delayed” justice, when in fact it was designed to speed up the process. You can read my entire message here. While this is certainly a setback, it’s important for us a sphysician leaders

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Nov. 20 President’s Message: Reflecting on the Kentucky Supreme Court Decision on Medical Review Panels

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The Kentucky Supreme Court has once again struck down a professional liability reform measure – medical review panels – passed by the legislature, despite hard work by those who crafted the law with a specific desire to fit within the parameters of the state Constitution.  Many thought this modest step, supported by a wide range of interests from physicians and hospitals to the business community, was a reasonable way to begin to improve the liability situation in our state. Whatever

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Kentucky Medical Association Statement Regarding Kentucky Supreme Court Decision on Medical Review Panels

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Posted November 15, 2018 FOR MORE INFORMATION: Emily Schott Director of Communications (502) 341-1926 The Kentucky Medical Association (KMA) is extremely disappointed in the Kentucky Supreme Court’s ruling overturning the recently passed medical review panel law. Kentucky now remains one of the few states in the country with no meaningful tort reform, including medical liability reform, making our system more susceptible to higher costs and frivolous lawsuits. Many individuals and groups worked closely with legislative leaders and legal experts to

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Telehealth Update

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Posted November 7, 2018 The telehealth law passed last year becomes effective July 1, 2019 and requires Medicaid, managed care organizations (MCOs) and commercial health plans to cover medical services provided via telehealth to the same extent they cover medical services provided in-person. In some cases Medicaid and MCOs can negotiate a lower reimbursement rate for telehealth services if the healthcare provider agrees to a lower reimbursement rate contractually. Patients may live anywhere and receive telehealth treatment but physicians and

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Update – Medicare Payment Reduction by 50 Percent Will Not Be Implemented

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Posted November 6, 2018 In July, Medicare, proposed the use of the “Multiple Procedure Payment Reduction,” as a payment adjustment to rationalize “duplicative resource costs.”  An E/M service denoted by the use of the modifier 25 and billed on the same day as another procedure would be reduced by 50%. Thanks to organized medicine, led by the AMA, the payment reduction policy similar to what Anthem proposed last year was not implemented. The announcement was made last week by CMS

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Kristin Schutzman Inspired by Grandmother to Become a Physician

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Kristin Schutzman has known since childhood she wanted to be involved in medicine. Her maternal grandmother and retired nurse, Jean Corron, inspired her to pursue her dream. “I’ve always really looked up to her and got that drive to do something in the medical field from her,” Schutzman said. “She’s always been a very giving, loving person. I know that carried over to her work as a nurse. I’ve always tried to emulate that aspect of her. She’s such a

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October 2018 President’s Message: KMA Physicians Are Making a Difference

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Posted October 19, 2018 Last month I shared with you a vision I have of KMA physicians uniting on issues of importance to our profession and truly impacting change. I’m excited to report it’s happening! I would like to take the opportunity to recognize some of the individuals who are making a difference in the lives of patients and the practice of medicine. There is no shortage of kudos to distribute related to our incredibly successful Focus on Flu campaign.

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