MMS NEWS AND ANNOUNCEMENTS
Take note: New requirement for all licensed physicians 
MassHealth  is implementing a new requirement that all licensed physicians in  Massachusetts must enroll in MassHealth — either as billing or  nonbilling providers — in order to maintain their licensure. The  requirement goes into effect today.
    
 
Please note: This does not mean that physicians must accept MassHealth patients. If you don’t, you  are required to fill out a brief form enrolling as a nonbilling  provider, so that your National Provider Identifier (NPI) can be  included as relevant on claims submitted by billing providers. This 
    derives from a requirement of the ACA that the state is now  implementing. 
    
                                                                                  More information is available in this MassHealth 
    letter to providers. The Health and Human Services website provides more 
    information and links to forms, and the 
    full, updated regulations.                                         
MDPH guidance on Zika in people from hurricane zones
                                                                                                                        
Due  to recent weather events devastating Puerto Rico and the US Virgin  Islands, families from these areas are moving temporarily or permanently  into Massachusetts. These regions were substantially affected by the  Zika epidemic. Health care providers may work with pregnant women who 
    need to be tested for Zika virus infection and infants who may have been  impacted by congenital Zika virus infection. The Massachusetts  Department of Public Health is asking providers to work with them to  ensure appropriate testing, support services, and enrollment in the US 
    Zika Pregnancy Registry.
                                         
- For  testing requests, questions, and reporting, contact the MDPH’s Division  of Epidemiology and Immunization 24/7 on (617) 983-6800;
 - Families  with congenitally affected infants can be referred to the MDPH  Community Support Line toll-free at (800) 882-1435 for information and  resources;
 - See the 
        updated CDC recommendations on clinical evaluation of infants born to women with Zika virus infection or possible exposure during pregnancy.
 
 
2017 Interim Meeting spotlight: Annual Oration
                                                                                                                                                                                                        The MMS is pleased to welcome 
    Alvaro Pascual-Leone, MD, PhD, as the 2017 Orator. Dr. Pascual-Leone is a professor  of neurology and Associate Dean for Clinical and Translational  Research, Harvard Medical School; Chief of the Division of Cognitive  Neurology and Director of the Berenson-Allen Center for Noninvasive 
    Brain Stimulation at Beth Israel Deaconess Medical Center; and director  of the Football Players Health Study at Harvard University.                                                                                                                               
    
                                          
The 2017 Annual  Oration will focus on traumatic brain injury and concussions, and how  the findings of the Football Players Health Study (FPHS) at Harvard  University shed important light on this broad public health issue.  
    
                                          
    Register for the Annual Oration and other Interim Meeting events. The MMS Annual Oration dates back to 1804, when Dr. Isaac Rand delivered his dissertation, On Phthisis Pulmonalis and the Use of the Warm Bath. For more than 200 years, MMS orators have addressed a wide spectrum of topics germane to the evolving practice of medicine.
    
                                                                                    Dates to note:                                         
    
                                          
Special Commission requests your input on switching medications                                                                                                                         
A 
    commission was established by the  Massachusetts legislature to study the practice by health insurers and  pharmacy benefit managers of switching individuals with complex or  chronic diseases from safe and effective prescription medications to  other medications for non-medical reasons. The commission is soliciting 
    input from the health care community. Please take this 
    brief questionnaire for physicians/prescribers; the results will inform the report to the  legislature. You can choose to remain anonymous. The survey deadline is  November 27, 2017. 
CMS performance data preview period extended
                                                                                                                        
On October 18, CMS opened the 30-Day Preview Period for the 2016 performance information targeted to be publicly reported on 
    Physician Compare starting in December 2017. The preview was scheduled to end on November 17. Due to a technical issue with the 
    Provider Quality Information Portal (PQIP), all data were not viewable for the first week of preview. This display issue has now been resolved. CMS is extending preview through Friday, December 1 at 8pm ET. 
                                         
Final rules on Quality Payment Program and Physician Fee Schedule 
The Centers for Medicare and Medicaid Services has released the final rules for both the 
    2018 Quality Payment Program and the 
    2018 Physician Fee Schedule. Combined, the regulations are approximately 3,000 pages. AMA staff will review both regulations and develop summaries. 
New shingles vaccine is set to change CDC recommendations  
                                      
                                      
                                       
                                       
                                        The CDC's Advisory Committee on Immunization Practices has voted that the new herpes zoster subunit (HZ/su) vaccine
 be recommended for the prevention of herpes zoster and related 
complications for immunocompetent adults aged 50+ years and 
immunocompetent adults who previously received zoster vaccine live. This
 vaccine is preferred over Zoster Vaccine Live (ZVL) for the prevention 
of herpes zoster and related complications. Once approved by the CDC, 
the shingles vaccination recommendations will be published in the MMWR 
and become official CDC policy. 
 
Reminders: Stuff you should click on
                                
MMS Awards Season is coming up
  
                                      
                                      
                                      
Members
 of the Society — You all likely have at least one colleague who 
deserves to be nominated for outstanding work or service to the 
community. Who's yours? The MMS recognizes excellence in multiple 
categories, including senior volunteer physician initiatives, medical 
service, public health, medical education, and more. The MMS Committee 
on Recognition Awards is currently seeking nominations for the 2018 
Annual Award Program; information and applications. These deadlines are fast approaching:
 
                                        
                                        
- Reducing Health Disparities Award (Nov 3: TODAY)
 - Lesbian, Gay, Bisexual, Transgender, & Queer (LBGTQ) Health Award (Nov 13)
 - Women's Health Award (Nov 13)
 - Men's Health Award (Nov 13)
 - Woman Physician Leadership Award (Nov 13)
 - Women's Health Research Award (Nov 13)
 - Medical Student History Essay Award (Nov 13, Jan 15)
 - Medical Information Technology Award (Nov 26)
 
MDPH publishes new child blood screening regulations 
  
                                      
                                      
                                       
On December 1, 2017, new regulations
 for child blood lead screening will go into effect. Questions? Call the 
Childhood Lead Poisoning Prevention Program at (800) 532-9571. 
Free personalized assistance with QPP prep
                                           
  
                                      
                                      
                                      
Maximize
 your reimbursement and avoid penalties: Join us for light refreshments 
and personalized assistance to help you develop your strategy 
for successful MACRA Quality Payment Program (QPP) implementation in 
your practice. The program includes Managing the Madness of MIPS,
 which outlines reporting requirements and timelines. It is designed for
 providers who are MIPS-eligible and required to report for 2017 (check your MIPS participation status). 
 
The
 session will be led by Yael Miller, MBA, director of Practice Solutions
 & Medical Economics at MMS, and Leila Volinsky, MHA, MSN, RN, 
senior program administrator at Healthcentric Advisors. It will be held 
on November 8, 2017, 5:30 p.m. – 8:00 p.m. at MMS Headquarters, Waltham.
 Your registration should include at least one clinician and one colleague/team member responsible for reporting. Space is limited; registration. 
TV opportunity for real-life physicians 
  
                                      
                                      
                                       
Physician Focus
 is the MMS TV health show for a lay audience, co-produced with HCAM-TV 
and broadcast on 200 public access TV stations in Massachusetts. The 
show addresses a different topic in each episode (recently: Concussion, 
Lyme Disease, Colds & Flu, and Winter Health Hazards). Each episode 
features a physician host (sometimes an old hand, sometimes a fresh 
face), and two physician guests who have expertise in the topic. If 
you’re interested in participating, email physicianfocus@mms.org and
 let us know your areas of interest. When our topics align, we’ll let 
you know what this would involve. We can’t promise you intergalactic 
stardom, but it’s a good experience; our featured physicians usually 
seem ready for more.
Educational programs and events
                                
Unless otherwise noted, all events are held at MMS Headquarters, 860 Winter St., Waltham, MA. View our full calendar of upcoming live CME activities. 
                                       
 
                                        
                                        
2017 Annual Oration – Traumatic Brain Injury, Concussion, and American Football
 Friday, December 1, 2017, 2:00 p.m. – 3:00 p.m.
 
                                         
                                         
Ethics Forum – CRISPR and the Ethics of Germline Manipulation
Friday, December 1, 2017, 3:30 p.m. – 5:30 p.m. 
The above activities have been approved for AMA PRA Category 1 Credit™
                                         
 
Featured online CME courses – Risk Management credit
 
                                       
 
The above activities have been approved for AMA PRA Category 1 Credit™ 
                                       
 
Find additional risk management online CME activities.
This week in health care
                                
Sign up for daily roundups of health news affecting Massachusetts. 
                                
 
                                
UMass Memorial hopes for women and minority candidates in search to replace retiring president
 
                                
Hospital officials are seeking female and minority candidates in the nationwide search for the next president of UMass Memorial Medical Center, as current president Patrick Muldoon plans to retire in January. 
 
                                
White House's opioid task force adopts some Mass. strategies
 
                                
Some of the recommendations,
 according to Baker, include a revamp of the federal prescription 
monitoring program to reduce opioid prescription and developing core 
curriculum for medical students in pain management and addiction 
prevention. Both strategies have been pursued in Massachusetts. 
 
                                
These hospitals received the worst safety scores in the state
 
                                
More
 than half of Massachusetts hospitals may have earned an A for safety, 
according to new data from health care rating agency LeapFrog — but more
 hospitals this year received barely passing grades compared with previous years. 
 
                                
Colon surgery to sideline Bruins player
 
                                
Bruins team internist Dr. David Finn said David Backes' colon surgery
 took priority: "It was determined that attempting to delay the surgery 
until after the season was an unacceptable risk to his health." 
 
                                
Children waiting too long for mental health services 
 
                                
Children in the Bay State struggling with mental health
 are often forced to wait several months before seeing a psychiatrist, 
facing risks of problems in school and potentially requiring more costly
 treatments down the line, according to a new report from the Blue Cross
 Blue Shield of Massachusetts Foundation. 
 
                                
EMTs & paramedics may not know personal information is online 
 
                                
A state database reveals personal information
 about some health care workers, who say they're worried about potential
 violence following them home. Bob St. Martin is a paramedic who made a 
troubling discovery earlier this month when he found a link to download 
his personal information online. 
 
                                
Many Health Connector users face higher insurance premiums
 
                                
The
 open-enrollment period begins during a particularly tumultuous time. 
The White House recently decided to ax critical monthly payments to 
insurance companies that help subsidize coverage for lower-income 
Americans, a decision condemned by many Democrats and Republicans. To 
make up for the loss of the federal payments, officials at the Connector
 set unusually high premiums for the most popular mid-level coverage plans. 
 
                                
Driver who struck, killed MetroWest nurse sought
 
                                
Lisa Germain, 54, was struck and killed
 Sunday at 6 p.m. as she crossed Route 9. Germain was a neonatal 
intensive care nurse who worked at MetroWest Medical Center in 
Framingham. 
 
                                
10 percent revived by Narcan in Mass. died within year, study says
 
                                
One
 in 10 Massachusetts residents who were revived from an overdose by a 
fast-acting antidote went on to die within a year, according to new 
research providing stark evidence that merely reversing overdoses will not end the opioid crisis. 
 
                                
CTE ravaging former Patriots players 
 
                                
In
 East Walpole, Dr. Bill Lenkaitis, once a bruising Patriots lineman who 
doubled as the National Football League's only practicing dentist, was 
slowed by depression and early dementia.