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IAFP e-News for March 14
IAFP News
**Vaccine
Purchasing Programs gets first IAFP members to sign up
IAFP
recently announced a new partnership with Atlantic Health Partners, to
provide members with the opportunity to receive vaccine purchase savings.
(see next article below)
The
first IAFP members have signed up, including Dr. Jim Cunnar, IAFP board
member from
Naperville
. Dr. Cunnar’s office has
signed up, ordered and received their first deliveries. Go to http://www.iafp.com/pdfs/JCunnar.mp3
to hear about Dr.
Cunnar’s office experience.
To
learn more about the vaccine purchasing program, contact Jeff Winokur,
800-741-2044 or at jwinokur@atlantichealthpartners.com .
**IAFP
PARTNERS WITH ATLANTIC HEALTH PARTNERS FOR VACCINE
SAVINGS AND ADVOCACY
The very mention of immunizations can
start debate among anyone who works in family medicine.
The AAFP and IAFP have been working in recent years to identify how
to assist our members deal with the ever-increasing costs of providing
vaccines, along with addressing proper storage, ordering, and payment
problems.
IAFP is pleased to announce a strong,
new partner to help with vaccine purchase savings.
This new partner – Atlantic Health Partners – can help our
member practices save precious dollars and advocate on your behalf with
payers and manufacturers.
Atlantic
, a physician purchasing program, works directly with Sanofi Pasteur and
Merck and has obtained very favorable pricing and purchasing terms for a
wide variety of pediatric, adolescent, adult, and travel vaccines.
Members of the Atlantic program make purchases directly from Sanofi
and Merck (as many of you do now) but typically receive better pricing and
purchasing terms. In addition,
participation is voluntary and there is no cost to enroll in the Atlantic
program.
**MATCH DAY 2008 AND NEW IAFP
WORKFORCE VIDEO
Illinois
fourth year medical students are eagerly awaiting March 20, Match Day!
That is when they will find out where they will go for continued training
in the medical specialty of their choice.
For family medicine, hopes are for
continuing the trend started in 2004 for more medical students to go into
Illinois
family medicine residency programs. Match Day 2007 results saw 91%
of
Illinois
family medicine residency slots filled on Match Day. For more
information, see http://www.iafp.com/students/2007%20match.htm
What makes Match Day critical is that
there is a continuing need to add more family physicians to the workforce.
Family physicians are the only medical specialty located throughout
Illinois
, almost as evenly distributed as the population. We need more
family physicians trained so that the primary care work force is
strengthened and the local economies where they practice remain strong. An
economic impact study showed that each
Illinois
family physician has an economic impact of $1 million. The total impact of
family physicians in
Illinois
is estimated to be more than $2.9 billion. For more information and
a geographic chart on the impact of
Illinois
family physicians go to http://www.iafp.com/pdfs/illinois.pdf
Continuing federal support of family
medicine training is an annual struggle and it should not be. Family
medicine training is the key to affordability, quality and access to
primary care services. For more information on what AAFP and IAFP
are advocating for, see http://www.aafp.org/online/en/home/policy/federal/background-on-federal-issues/titlevii.html
Steven Knight, M.D., IAFP president;
Javette Orgain, M.D., IAFP president elect and Scott Levin, M.D., director
of the West Suburban Family Medicine Residency program give the
Illinois
perspective on family physician in the latest advocacy video http://www.iafp.com/pdfs/iafpworkforce.wmv
**IAFP
REPRESENTATIVE NEEDED FOR “CAMPAIGN TO SAVE OUR BABIES”
Dr.
Steve Knight, IAFP president, is seeking IAFP members who may be
interested in serving as IAFP representatives to the “Campaign to Save
Our Babies.” This Campaign
is being organized by the Illinois Maternal and Child Health Coalition, http://www.ilmaternal.org to reduce infant
mortality racial disparities by 50 percent in the next 10 years and
entirely by 2033.
The
Campaign is meeting on Weds., March 26, 8 a.m. to 4 p.m., at University of
Illinois at Chicago, Student Center West, Chicago Room A, 828 S. Wolcott,
Chicago.
To
register to attend or find out more information, please contact Angela
Ellison Illinois Maternal and Child Health Coalition, 312-491-8161.
**IAFP
SEEKS REPRESENTATIVES FOR NCSC IN
KANSAS CITY
IAFP
is looking for an International Medical Grad (IMG) member interested in
going to the National Conference on Special Constituencies (NCSC) in
Kansas City
, May 1-3. An IMG is anyone
who graduated from a medical school outside of the
US
,
Canada
or
Puerto Rico
. If you are interested in
this opportunity, e-mail Jennifer at joleary@iafp.com.
All other slots have had candidates show interest already.
If you would be interested in being an Alternate in case someone
can’t go, or for next year, contact the IAFP office at iafp@iafp.com.
**SEND YOUR IDEAS OR CONCERNS TO THE BOARD OF DIRECTORS
You can contact your IAFP Board of
Directors through the IAFP website at http://www.iafp.com/about/officers.htm
about any issue or idea you would like.
The Board would love to hear from you!
State Government Relations Activities
**FAMILY PHYSICIANS HEAD TO THE STATE
CAPITOL
Medical homes and health care
disparities are the leading topics of conversations IAFP members are
having with
Illinois
legislators during IAFP’s Spring Into Action.
Kathleen Miller, M.D., IAFP board chair, led a discussion with
Senator Frank Watson, minority leader, about the benefits of medical homes
for the improved health of patients.
“We do support every Illinoisan
having access to primary care medical services through a medical home,”
said Dr. Miller, who is a constituent of Senator Watson.
That conversation continued with
Representative Tom Cross, House minority leader.
“My patients whose healthcare insurance is covered by BP Amoco
have a medical home,” said Soujanya Pulluru, M.D., of
Naperville
, to her state representative, Mr. Cross.
“They get annual physicals and my practice is their medical home.
Family physicians want their practices to be the medical home for
all their patients, no matter how their healthcare is paid for.”
The first two Spring Into Action
sessions included visits with more than 15 legislators.
You can view photos at http://www.iafp.com/whatsnew/SIA.htm
First time attendee, Michael Fessenden,
M.D., medical director of Home Physicians of Chicago, offered his State
Representative, Anazette Collins, the opportunity to accompany him on home
visits with patients. http://www.iafp.com/pdfs/siamfessenden.mp3
to hear Dr. Fessenden’s evaluation of Spring Into Action.
Members
also had an opportunity to meet with Illinois Department of Insurance
Director, Michael McRaith regarding the advantages of a medical home for
all segments of the population to decrease health disparities and increase
access to comprehensive versus episodic care. Director McRaith has
been an advocate for increasing access to healthcare.
For Dr. Ravi Shah, IAFP’s resident
board member, this was his second time attending Spring Into Action and
second time meeting with his State Senator, John Cullerton. Go to http://www.iafp.com/pdfs/siashah.mp3
to hear his evaluation of Spring Into Action.
This was Dr. Pulluru’s first time
attending Spring Into Action. She
also saw her State Senator, Linda Holmes. Go to http://www.iafp.com/pdfs/pulluru.mp3
to hear her evaluation of the meeting.
To register for one of the remaining
Spring Into Action sessions on Weds., April 2 or Thurs., April 10, go
to http://guest.cvent.com/i.aspx?1Q,M3,d821c2f7-baea-4e06-86d2-a9c86c3ebbf1
Federal Government Relations
**QUALITY
IMPROVEMENT GRANTS AVAILABLE
The
federal government is making quality improvement grants through the Small
Health Care Provider Quality Improvement (SHCPQI) program.
http://ruralhealth.hrsa.gov/funding/SHCPQI.asp
Deadline
for applications is March 20, 2008 SHCPQI
will distribute over $4.5 million across 60 new grantees, each eligible
for up to $75,000 over a two-year period to support their quality
improvement efforts. This
grant could be used to support a patient registry for chronic disease such
as DocSite, which was used by all 15 grantees in the first round of grants
for the SHCPQI program. See press release, http://www.docsite.com/pdf/HRSA%20Press%20Release_2008-02-13_FINAL.pdf
**NATIONAL
PROVIDER IDENTIFIER (NPI)
Beginning
March 1, 2008 Medicare Fee-for-Service electronic and paper claims must
include an NPI on the claim. On
May 23, 2008, only the NPI will be accepted, and all legacy identifiers
must be removed or the claim will be rejected.
AAFP provides NPI information in series of questions and answers on
its web site at http://www.aafp.org/online/en/home/practicemgt/regulatory-compliance/hipaa/natlproviderid.html
CME
Information
** CME CASE STUDIES ON HYPERTENSION
AND DIABETES
IAFP is offering free online CME case
studies on “Hypertension in Primary
Care Practice” and "Diabetes in Primary Care Practice" at http://www.IAFP.com\education.
There are three case studies for each topic.
The patient in each case study is uniquely different and represents
what you see in your everyday practice. Each study takes about 45-60
minutes to complete.
*Hypertension in Primary Care
Practice: a case study with coding
. Three cases on Hypertension. Learn
how to diagnose and treat “Ed, Gayle & Jim” 1 Prescribed Credit or
1 AMA PRA Category 1 credit ™ for each case study A program for
Bridging Health Care sponsored by the
Illinois
Academy
of Family Physicians
Links to the Hypertension case
studies:
Hypertension case study 1:
Ed http://www.iafp.com/education/CourseListing_Detail.asp?CourseID=45
Hypertension case study 2: Gayle
http://www.iafp.com/education/CourseListing_Detail.asp?CourseID=46
Hypertension case study 3: Jim http://www.iafp.com/education/CourseListing_Detail.asp?CourseID=44
*Diabetes in Primary Care Practice: a
case study with coding. Three cases on Diabetes.
Learn how to diagnose and treat “Isabella, John & Sam”1
Prescribed Credit or 1 AMA PRA Category 1 credit ™ for each case study A
program for Bridging Health Care sponsored by the
Illinois
Academy
of Family Physicians
Links to the Diabetes Case Studies:
Diabetes case study 1:
Isabella http://www.iafp.com/education/CourseListing_Detail.asp?CourseID=47
Diabetes case study 2: John
http://www.iafp.com/education/CourseListing_Detail.asp?CourseID=48
Diabetes case study 3: Sam
http://www.iafp.com/education/CourseListing_Detail.asp?CourseID=49
**PRI-MED CME INFORMATION
Partnering with the IAFP, Pri-Med Updates offers
world-class CME programs in your area. Taught by leading experts, you can
earn Continuing Medical Education credits at no cost. All activities
listed are approved for AMA PRA Category 1 Credit(s). Application for AAFP
Prescribed credit has been submitted.
*Pri-Med Updates
Two-day continuing medical education programs designed for Primary Care
Physicians currently engaged in patient care. This program features new
and emerging guidelines, therapies, and evidence- based information on
multiple therapeutic areas encountered in primary care.
New Updates scheduled for 2008!!
Oakbrook, IL – Wednesday, April 2, 2008
http://www.pri-med.com/pmo/ViewEvent.aspx?EventCode=30OAK08A&CCODE=r12
Chicago, IL – Tuesday & Wednesday, June 10-11, 2008
http://www.pri-med.com/pmo/ViewEvent.aspx?EventCode=30chi08a&CCODE=r12
*Pri-Med Online
Pri-Med.com offers over 200 primary care focused eCME activities at
no-cost in 15 key Condition Resource Centers including: ADHD, Benign
Prostatic Hypertrophy, Cancer in Primary Care, Congestive Heart Failure,
Diabetes, Dyslipidemia, Hypertension, Infectious Disease, Sleep Disorders
and more. Plus, four eCME activity types are offered so you can thoroughly
examine a topic, including: Patient case studies, Clinical reviews, Expert
perspectives and Multi-media slide lecture series. Earn high-quality
physician-authored eCME anytime at http://www.pri-med.com/onlineCME
.
**FIRST COMPREHENSIVE UPDATE ON PREVENTIVE CARDIOLOGY**
The University of Chicago Pritzker
School of Medicine, Vindico Medical Education and Michael H. Davidson, MD,
are proud to offer The First Annual Comprehensive Update on Preventive
Cardiology on Friday, March 28, 2008. This continuing medical
education program is intended for cardiologists, internists, primary care
physicians and health care professionals diagnosing and managing patients
with cardiometabolic disease. It will take place at the Hyatt
Regency McCormick Place in
Chicago
,
Illinois
, from 8:30 am to 4:30 pm.
The program faculty is comprised
of 22 recognized experts in cardiovascular disease management. The
morning sessions will present lectures and interactive case-based panel
discussions on hypertension, dyslipidemia, metabolic syndrome and type 2
diabetes. In the afternoon, attendees can choose from a series of
specialized workshops that will cover a range of advanced diagnostic
strategies and treatment options.
This full-day educational activity
offers physicians 6 AMA PRA Category 1 Credits™. In
addition, there will be the opportunity for further CME credit in the form
of a comprehensive self-assessment program.
Seating
is limited so register today! http://www.VindicoMedEd.com/Cardio
**FIND IAFP EVENTS AND OTHER CME
OPPORTUNITIES FOR FAMILY PHYSICIANS ANY TIME AT http://www.iafp.com/education/
News from AAFP and its Foundation
**CHANGES TO MEDICARE MODERNIZATION ACT (MMA)
Part D REGULATIONS MAY IMPACT THE WAY YOU PRESCRIBE
From: Steven Waldren, MD
Director,
AAFP
Center
for Health Information Technology
If your practice currently prepares
and submits prescriptions to pharmacies using an Electronic Medical Record
(EMR), it is likely your EMR is generating faxes that arrive on paper at
the pharmacy's fax machine. If so, you won't be in compliance with new
regulations effective January 1, 2009 that require prescriptions for
Medicare Part D be transmitted electronically and not by
computer-generated fax.
Find out whether your EMR is capable of establishing an e-prescribing
connection with pharmacies with a free E-Prescribing Readiness Assessment
at http://www.getrxconnected.com/AAFP/site.aspx.
This web site is provided by the AAFP in collaboration with
leading medical societies. The site will also help you request
pharmacy connectivity from your EMR vendor, and understand the benefits of
e-prescribing if you haven't yet invested in an EMR.
**FINANCING
MEDICARE - AN ISSUE BRIEF FROM AAFP
This
brief provides an overview of Medicare's financing and the fiscal
challenges the program faces in the coming decades. To view, http://chapters.aafp.org/online/execs/home/news/archives/march08news/finanmed.html.
**2008 PFIZER TEACHER DEVELOPMENT AWARDS PROGRAM
This program has been developed to honor 15 outstanding,
community-based family physicians who are part-time teachers of family
medicine. The award is $1,500
scholarship to an educational event of each winner’s choice.
For requirements and application go to http://www.aafpfoundation.org/x269.xml
The deadline to apply is May 9. Contact
Sondra at sgoodman@aafp.org
with further questions.
**CHILDHOOD
IMMUNIZATION AWARDS FOR FAMILY MEDICINE RESIDENCIES
AAFP
Foundation is offering three awards for family medicine residency programs
that develop creative solutions to overcome barriers to childhood
immunizations.
The
Best Practices Award is for overall achievement.
The Most Improved Award focuses on change in immunization rates.
The Implement New System Grant is for designing and implementing a
new system. Applications are
due April 21. For more
information on applications, previous award winners, and other
information, http://www.aafpfoundation.org/wyethimmunization.xml
**POSTER/PAPER
PRESENTATIONS AT ASSEMBLY (Due April 18):
Members
interested in presenting a poster or research paper at the AAFP's 2008
Scientific Assembly apply by April 18. For more, http://chapters.aafp.org/online/execs/home/news/archives/feb2008/poster.html.
**NATIONAL
CONFERENCE POSTER COMPETITION (Due April 18):
Poster
Presentations are a new element in the Exhibit Hall at this year’s
National Conference of Family Medicine Residents and Medical Students
(July 30 - August 2). The deadline for poster applications is April 18.
For more, http://chapters.aafp.org/online/execs/home/news/archives/feb2008/ncposter.html.
**AAFP
OFFERS CODING TUTORIALS ONLINE
AAFP
is offering a series of coding tutorials with CME credit.
Each tutorial consists of a short
pretest; a brief discussion of coding elements, each followed by case
studies; case study answers revealed upon selection of an answer choice,
and a link to an online post-test and evaluation
Tutorials currently available include:
Inpatient
E/M Coding: Selecting a Level of Service
Outpatient
E/M Coding: Selecting a Level of Service
Introduction
to Evaluation and Management Services Coding
at
http://www.aafp.org/online/en/home/practicemgt/codingresources/tutorials.printerview.html#Parsys9752#Parsys9752
Members
in the News
**JANICE
BENSON, M.D. President, medical staff at Stroger Hospital of Cook
County, Chicago, was featured in an NBC5 television news story
"County
Health System To Pass Into Hands Of Independent Board - News Story - WMAQ
| Chicago." To see the
video, link to: http://www.nbc5.com/news/15493077/detail.html?taf=chi
Dr. Benson was also
one of the authors of a Voice of the People letter “Providing health
care in
Cook
County
” in the March 12th issue of the
Chicago
Tribune.com.
**MARK DREXLER, M.D., of Glenview, is featured in the
article “Students battle winter sickness, doctor offers health tips in
the Daily Northwestern,
Evanston
. He explains how the
college lifestyle makes students a prime target for influenza.
To read the article go
to http://media.www.dailynorthwestern.com/media/storage/paper853/news/2008/03/04/Campus/Students.Battle.Winter.Sickness.Doctor.Offers.Health.Tips-3250132.shtml
**DR. PHILIP
ZUMWALT, a family physician from Watseka, is quoted in the Kankakee
Daily Journal in an article “Doctors
specialize in hospital care”
The link to the article is http://daily-journal.com/subscribers/login.php?dest=http://www.daily-journal.com/archives/dj/display.php?id=415360&gwa=
**TONY MIKSANEK, M.D. an IAFP member from
Benton
, was featured in the March 2 issue of The Southern Illinoisan.
The newspaper article focused on the connection between the
practice of medicine and the art of creative writing. Dr. Miksanek's new
book, Raining Stethoscopes and Other Stories, was also discussed.
**VINCENT D. KEENAN, CAE, executive vice president of the Illinois
Academy of Family Physicians, had a letter to the editor published in the
January 24th issue of the Arlington
Heights Post voicing IAFP’s disappointment over the Pioneer Press
articles highlighting MinuteClinics as a solution to suburban
health care needs. Mr. Keenan pointed out that “Solving our health care
problems will not be a matter of convenience; it will be a combined effort
of patients, physicians, providers and policy makers.”
**SYLVIA
MAHONE, M.D., Hazel Crest, is serving as the IAFP representative to the
Illinois Stroke Task Force.
**GUY ABDERHOLDERN, M.D.,
of
Libertyville
, wrote a Letter to the Editor that appeared in the March 10th
issue of the Chicago Tribune. The letter is in response to an
article on improving payment to subspecialists.
He stated clearly the importance of family medicine as the basis
for the future of a healthy healthcare system.
To read the letter go to http://www.chicagotribune.com/news/local/chi-health-care-10mar10,0,2868703.story
**BENJAMIN BREWER, M.D.’s latest article
“The Patient Nobody Wanted,” in the Feb. 27 issue of the Wall
Street Journal online can be found at http://online.wsj.com/article/SB120398164073791983.html
**RONALD GLAS, M.D.,
Darien
, was extensively quoted in the March 11th Naperville Sun article,
“Do it yourself doctoring” written by Katie Foutz.
In the article, Dr. Glas describes how patients bring in
health information they find online.
He tells how family physicians have the expertise to help patients
put that information in perspective.
News You Can Use
**SILVER LINING IN NEW COOK
COUNTY
BUDGET
Last minute tactics to pass the Fiscal Year 2008
Cook
County
budget included the highly controversial increase in the county sales tax.
The silver lining for primary care in it all this is that there are twelve
to seventeen new primary care physician positions, according to Steven
Stabile, M.D., IAFP member and Associate Director for the Ambulatory
Health Care Network. AHCN is looking for family physicians who
perform obstetrics and prefer those who speak Spanish. "We are
looking forward to being able to serve more patients," says Dr.
Stabile.
**
NEW SEARCH ENGINE AVAILABLE TO IDENTIFY GENERIC/BRAND NAME AND PA
HFS has
announced a drug search engine that has been
incorporated into its website
that will allow providers to search for
drugs by both generic and
brand names to immediately determine if the drug
requires prior authorization (PA). This web page also contains
links to information
regarding the PA process, PA forms and PA requirements
so that prescribing for HFS clients can be streamlined. Click: http://ilpriorauth.com/hfs/searchadv.asp
This search engine was
developed and is maintained by the
University
of
Illinois
at Chicago College of Pharmacy (UIC). The Department would
like to sincerely thank UIC
for the hard work that they invested in the search
engine.
**CDC DEVELOPS NEW IPV ASSESSMENT
INSTRUMENTS
Recent research by the Centers for Disease Control
and Prevention (CDC) (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5705a1.htm)
shows men and women who report suffering from Intimate Partner Violence (IPV)
are significantly more likely to experience a number of chronic
health conditions such as arthritis, asthma, and activity limitations.
To help healthcare practitioners better identify and
treat these victims, CDC recently developed the Intimate
Partner Violence and Sexual Violence Victimization Assessment Instruments
for Use in Healthcare Settings. To view, go to http://www.cdc.gov/ncipc/dvp/IPV/ipv-SViolence.htm
This compilation provides practitioners and clinicians
with an inventory of existing assessment tools for determining intimate
partner violence and/or sexual violence victimization. It
also helps inform decisions about which instruments are most
appropriate for use with a given population. This document will aid in the
selection of assessment instruments to identify victims requiring
additional services. It can also help practitioners make appropriate
referrals for both victims and perpetrators.
Family
Health Foundation of
Illinois
News (formerly IAFP Foundation)
Summer Externship Program, Tar
Wars, Students and Resident Activities
**URGENT!!
WE NEED FAMILY PHYSICIAN PRECEPTORS!
Applications
from first year medical students are currently under review and we need
more preceptors, particularly in the Chicagoland area. Please
consider hosting a medical student for four weeks this summer as part of
the IAFP Foundation 2008 Summer Externship Program. Selected
students have expressed an interest in family medicine and you can help
them learn more about your specialty! Contact Crishelle O’Rourke
at corourke@iafp.com
if you are willing and able to
serve as a preceptor. CME credit is available for your
participation.
**WHITE
SOX GAME FUNDRAISER FOR TAR WARS
Mark
your calendars now for this summer’s best fundraiser—Tar Wars at the
White Sox! Thursday, Aug. 7 at
7:11 p.m. at US Cellular Field, the White Sox take on the Detroit Tigers.
For ticket information, go to http://www.iafp.com/pdfs/sox08.pdf
**
TAR
WARS
STATE
POSTER CONTEST DEADLINE IS MARCH 31
Poster contest rules are on the IAFP web site at http://www.iafp.com/tarwars/postercontestrules.htm
and also on page 18 of the Tar Wars Program Guide.
Please mail posters to
TAR WARS
C/O IAFP Foundation
4756 Main Street
Lisle, IL 60532
**RESIDENT ROUNDUPS SCHEDULED FOR 2008
The
Family Health Foundation of Illinois’ successful
Resident Round-up series is set to go for 2008!
This FREE social
and education lunch/dinner event for Family Medicine Residents has two
scheduled—one in
Oak Park
and one in
Springfield
.
Family
medicine residents will be able to network with their family medicine
friends and learn some valuable lessons on job hunting, loan repayment and
contracts. We will present a
program tailored specifically for family medicine resident physicians.
Plus you’ll be able to swap ideas and stories with your fellow
family medicine residents.
Don’t
miss this opportunity for food, fun and finance!
Springfield Thursday, April 17, 2008
4:30 - 7:00 p.m.
Hilton Hotel
Springfield
,
700 E Adams Street
Oak Park Saturday, April 26, 2008
1- 3 p.m.
Papaspiros – Grecian Taverna,
733 W. Lake St.
Oak Park
For more information, e-mail Crishelle
at corourke@iafp.com .
**RESOURCES FOR RESIDENTS
Resident information is always just a click away at
IAFP’s web site http://www.iafp.com/Residents/index.htm
**STUDENT FMIGs
Family medicine interest groups (FMIG) at the various medical schools are
up and running. Join the group, learn more about family medicine, teach a
Tar Wars program, and spend time with family medicine residents and more.
You can find a complete list of the FMIG leaders at each campus on our web
site at: http://www.iafp.com/students/fmigcontacts.htm
**FMIG LEADERS – have you connected with your “Adopt an FMIG”
resident contacts? If you need assistance, please contact the resident
leaders Ravi Shah or Helen Williams at IAFPResidents@yahoo.com.
Worth Repeating
**
Illinois
Cares Rx Pilot Project for People who Lost Extra Help
As
many of you know, the state has the statutory authority to apply on
members' behalf for the federal Medicare Part D Low Income Subsidy often
called Extra Help. Illinois
Cares Rx has begun a PILOT project to obtain the necessary information
from our members to apply on their behalf.
In the coming weeks, certain members will receive a letter from us
requesting they complete the Schedule C.
If you have a member coming in with such a letter, please advise
them this is a legitimate effort on the state's part.
Please let the member know the important financial benefit to them
of being determined eligible for Extra Help.
For
questions specifically related to this pilot project call toll-free 1-866-493-3605.
This number will be discontinued once this project is complete.
Please DO NOT use this number for other Illinois Cares Rx issues.
In
addition to this pilot project, we will continue to work toward efficient
mechanisms for applying for Extra Help on behalf of our members when
appropriate.
As
you know, for many members, Illinois Cares Rx coverage ended 12-31-2007
because they didn't reapply for Illinois Cares Rx or they reapplied and
were determined ineligible for Illinois Cares Rx due to income.
These
former members are beginning to reapply for Illinois Cares Rx and will be
determined eligible now and over the next several months.
When working with these members, please contact the plan to
request the wrap or encourage the member to contact the plan to request
the wrap. We have reminded
the plan to take this information from the member and verify eligibility
using the process we provided to them. We also provide reenrollment
information directly to the plans as members are determined eligible by
the Department on Aging.
You may use the
wrap request form, but, again, please attempt to contact the plan first to
request the wrap. DO NOT send
a wrap request form to HFS if you have already confirmed the wrap with the
plan. This only creates more
work for you, the plan and us. Once a request for wrap has been made to
the plan, the wrap usually is in place within 24 to 48 hours.
After which time, the member may go to the pharmacy to receive the
lower Illinois Cares Rx co-payments.
Please be aware, members are responsible for plan premiums and the plan
co-payments during the time they do not have Illinois Cares Rx coverage or
the federal Extra Help.
Finally on a related note, members will begin to move in to the coverage
gap as the year moves along. Don't
forget cost sharing for members increases during this time because they
are responsible for the low co-payment and the 20% cost sharing.
We know some members are in the coverage gap already and in fact
some have actually moved to the 5% catastrophic coverage.
Questions
may be directed to terri.gendel@ageoptions.org
or georgia.tzanetopoulos@ageoptions.org.
**INPUT
ON VACCINE ISSUES MEMBERS FACE
Are
you in solo or small group practice?
Dr.
Corinne Kohler, a family physician at
Frances
Nelson
Community
Health
Center
in
Champaign
, is representing IAFP at the April 14 Immunization Summit.
Dr. Kohler is a member of the IAFP Public Health Committee.
She
would like to present the issues you have with purchasing vaccines and
getting reimbursement. If you haven’t already, please share your stories
and concerns with her at ckohler@uiuc.edu.
**REPORTING FOR 2008 PHYSICIAN QUALITY REPORTING
INITIATIVE (PQRI) BEGAN JANUARY 1, 2008.
Eligible
professionals should begin submitting appropriate 2008 Quality Data Codes
on qualifying Part B claims with a date of service of January 1, 2008 or
after. Information on the 119
2008 Physician Quality Reporting Initiative (PQRI) measures, release
notes, and detailed specifications are available on the CMS website at
http://www.cms.hhs.gov/pqri.
The
American Medical Association (AMA) has posted PQRI worksheets for the 2008
PQRI program on the AMA website at http://www.ama-assn.org.
These worksheets are also available in the CMS 2008 PQRI Toolkit which is
posted at http://www.cms.hhs.gov/pqri.
**CMS INFORMATION ON NEW MEDICARE FEE SCHEDULE
CMS released that all Medicare
contractors were instructed to process claims with January 2008 dates of
service, using the new fees, beginning January 7. The new fee schedule
should have been posted on contractors' Web sites by January 11. Also, the
"Medicare Physician Fee Schedule Look-Up" link on the CMS Web
site (online at http://www.cms.hhs.gov/PFSlookup/
), which allows users to customize a search, should be updated with 2008
information. Carrier-specific,
public-use files are also available on the CMS website, which can be
accessed at http://www.cms.hhs.gov/PhysicianFeeSched/PFSCSF/list.asp#TopOfPage
Classified
Ad
CHAMPAIGN
,
IL
--Christie Clinic is a physician-owned multi-specialty group of 90
physicians that is recruiting for FP’s for its private practice offices
in nearby
Danville
,
Rantoul
, and Tuscola. Good call schedules. No
OB.
Starting salary range of
$175-200K. With productivity, FP incomes are well above national and
regional averages. We are also
looking for an experienced FP to work in our urgent care office in
Champaign
. Starting salary range of
$150-170K. No call.
Champaign
is the home of the
University
of
Illinois
, with many cultural, social, and athletic amenities.
2.5 hours south of
Chicago
. Contact Christopher Kashnig
at Christie Clinic. Phone
217-366-5374. E-mail address: ckashnig@christieclinic.com.
Website: www.christieclinic.com
**IAFP’S RESOURCES FOR YOUR JOB SEARCH OR
POSTING
The RIGHT job or job candidate is out there in family medicine, and
we’re here to help find it! We post jobs here in e-News, in Family
Physician and at our Web site http://www.iafp.com
for Jobs Online. Select “Job
Listings” from the menu on the left to learn more.
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