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Download PDF File September 2018 | www.cmsdocs.org Pay Hikes The Shift to Value- Based Care Favors Primary Care Physicians Accelerating Healthcare Innovation Through Collaboration Timeline: Your Society’s Proud Heritage New Guidance for Disposing of Electronic Devices and Media Publication of the Chicago Medical Society THE MEDICAL SOCIETY OF COOK COUNTY ISMIE is the perfect fit. ISMIE’s customized coverage means that your medical professional liability insurance policy is always the perfect fit. No matter your specialty, tenure, full or part-time status, or practice setting, we ensure that you are safeguarded with protection, quality, service, and value. Discover why nearly 10,000 policyholders choose ISMIE at ismie.com/perfectfit. 20 N. Michigan Avenue, Suite 700, Chicago IL 60602 | 800-782-4767 | [email protected] © 2018 ISMIE Mutual Insurance Company Volume 121 Issue 9 September 2018 ISMIE is the perfect fit. 10 PRESIDENT’S MESSAGE MEMBER BENEFITS FEATURES 2 Legislative Harvest 30 Calendar of Events By Vemuri S. Murthy, MD 10 Pay Hikes Favor Primary Care 31 Classifieds Docs Over Specialists PRACTICE MANAGEMENT Amid a growing shortage of primary care 4 Implementing Threat-based WHO’S WHO physicians and the shift to value-based Cybersecurity 32 Working for Better Patient Care care, organizations put a premium on By Gregory Garrett Board-certified internist Vineet Arora, primary care physicians’ skills. By Bruce MD, MAPP, serves as the director of Japsen HEALTHCARE INNOVATION GME Clinical Learning Environment and 6 Accelerating Innovation Through Innovation at the University of Chicago 14 CMS Timeline: 1850-1999 Collaboration Medicine. In that position, she helps In honor of the Chicago Medical Society’s By Steven Collens, MBA residents and fellows become more ISMIE’s customized coverage means that your medical proud past, Chicago Medicine offers this engaged in patient care values such as detailed timeline highlighting the Society’s LEGAL quality and safety, a goal that she is professional liability insurance policy is always the perfect successes. By Elizabeth Sidney 9 Disposing of Electronic Devices passionate about making successful. fit. No matter your specialty, tenure, full or part-time status, and Media 26 A Historical Sampling of Colorful By Stephanie T. Eckerle, Esq., and or practice setting, we ensure that you are safeguarded with CMS Presidents Meghan M. Linvill McNab, Esq. protection, quality, service, and value. Discover why nearly Our Society has certainly had its share of memorable presidents. Here we highlight 10,000 policyholders choose ISMIE at ismie.com/perfectfit. five especially colorful physicians. By Patrick Butler September 2018 | www.cmsdocs.org | 1 20 N. Michigan Avenue, Suite 700, Chicago IL 60602 | 800-782-4767 | [email protected] © 2018 ISMIE Mutual Insurance Company MESSAGE FROM THE PRESIDENT Legislative Harvest EDITORIAL & ART OOKING AHEAD to the midterms, we know EXECUTIVE DIRECTOR Theodore D. Kanellakes that healthcare has been a rallying point in recent elections. It could be a decisive issue in November. ART DIRECTOR Regardless of what happens at the federal level, Thomas Miller | @thruform your Chicago Medical Society took the lead by EDITOR/EDITORIAL Ladvancing reforms locally. Elizabeth C. Sidney As health plan networks shrunk, we made sure plans sold EDITORIAL CONSULTANT in Illinois meet basic minimum standards. We laid out provi- Cheryl England sions of a bill that went on to become the Network Adequacy CONTRIBUTORS and Transparency Act. The legislation was enacted in 2017. As Patrick Butler; Steven Collens, MBA; a result, plans sold in Illinois must ensure adequate networks Stephanie T. Eckerle, Esq.; Gregory of physicians; notify patients when a provider is no longer in a network; and maintain Garrett; Bruce Japsen; Meghan M. up-to-date provider directories. Linvill McNab, Esq.; Vemuri S. Murthy, Your CMS also took on prescription drug price gouging. We’ve partnered with every- MD one from city aldermen to U.S. senators on transparency and accountability measures ADVERTISING for drug companies and PBMs. We’ve been active on other legislative priorities on behalf of patients such as: Fox Associates, Inc. 800-440-0231 • Preventing health plans from removing a drug from their formulary or changing its [email protected] Chicago • New York • Los Angeles tier status once the drug has been approved for coverage to treat a medical condition Detroit • Phoenix during the plan year. The new law also streamlines the process by which physicians can certify medical necessity. CHICAGO MEDICAL SOCIETY • Strengthening mental health parity. A new law prohibits all prior authorization and OFFICERS OF THE SOCIETY step-therapy requirements for treatment of substance use disorders. School districts can no longer discriminate against mental health and addiction coverage. PRESIDENT • Extending the period a patient can refill a prescription for a non-controlled Vemuri S. Murthy, MD substance from 12 months to 15 months. PRESIDENT-ELECT • Preserving continuity by giving Medicaid managed care enrollees the option to stay Dimitri T. Azar, MD with their primary care physician if the contract between their physician and health SECRETARY plan is terminated. A. Jay Chauhan, DO • Raising the purchase age for all tobacco products, including e-cigarettes, from 18 TREASURER to 21. This national movement, called Tobacco 21, was adopted in Chicago as an Tariq Butt, MD ordinance, as well as in various other counties and cities and states. In spite of the CHAIR OF THE COUNCIL groundswell movement, however, Governor Rauner vetoed the legislation. Christine P. Bishof, MD This is only a partial recap of the past year’s legislative bounty. Next month, we’ll VICE CHAIR OF THE COUNCIL Victor M. Romano, MD update you on advocacy to protect physician practice and reimbursement. Pushback from special interest groups is typically the roadblock to bills moving IMMEDIATE PAST PRESIDENT forward. That’s why critical mass and physician unity are so important. Clarence W. Brown, Jr., MD Will you be practicing in 2019? Now more than ever, a unified Chicago Medical CHICAGO MEDICINE Society must lead rather than react to the forces reshaping medicine and healthcare delivery. 515 N. Dearborn St. Chicago IL 60654 312-670-2550 www.cmsdocs.org Chicago Medicine (ISSN 0009-3637 is published monthly for $30 per year by the Chicago Medical Society, 515 N. Dearborn St. Chicago, IL. 60654. Periodicals postage paid at Chicago, IL. and additional mailing offices. Postmaster: Send address changes to Chicago Medicine, 515 N. Dearborn St., Vemuri S. Murthy, MD Chicago, IL 60654. Telephone: 312-670- President, Chicago Medical Society 2550. Copyright 2018, Chicago Medicine. All rights reserved. 2 | Chicago Medicine | September 2018 cms_insurance_ad_fullpage_PRINT.pdf 1 3/12/12 11:41 AM C M Y CM MY CY CMY K PRACTICE MANAGEMENT Implementing Threat-based Cybersecurity Patient care innovation requires safely storing and analyzing patient data by Gregory Garrett ECHNOLOGY HAS brought analyze patient data—the most valuable resource healthcare to consumers’ fingertips, to the consumer, to the business of health and, we putting them at the nucleus of care and believe, to the security of a nation. Threat-based blurring the definition of a healthcare cybersecurity will be their lifeline. organization. Traditional technology Tentities are building healthcare apps, wearables Threat-based Cybersecurity: A and other connected devices, and consumers are Condensed Roadmap using them to track their health progress and feed Based on intent, threat-based cybersecurity is a data back to their provider, payer or both. Retailers forward-looking, predictive approach. Instead of are partnering with pharmacies, so both can gain focusing solely on protecting critical data assets or access to each other’s data and reach a greater following the basic script of a generic cyber program, number of consumers. Insurers are partnering with threat-based cybersecurity concentrates investments pharmaceutical manufacturers to leverage patient in the most likely risks and attack vectors based on data to improve outcomes and lower health costs. your company’s unique threat profile. But perhaps nothing says the healthcare How do healthcare organizations develop and company of the future has arrived as much as maintain a comprehensive cyber threat profile? the innovative partnership between Amazon, The first step is to assess and take ownership of JPMorgan and Berkshire Hathaway. your organizational DNA: the data assets and other Data-sharing between consumer health intellectual property that make you unique—or a organizations is of course net positive. Capitalizing potential target. Owning your organizational DNA on data is the first step to achieving precision starts with information governance: identifying, medicine and creating shared value across the managing, accurately categorizing, protecting and health ecosystem. But cyber risks are also growing optimizing organizational data from inception to as data sharing increases. final disposition. But, keep in mind that the data If organizations in the business of consumer assets you value most may not be the prime target health are going to sustainably innovate around for a would-be hacker. Your data on performance patient care, they must be able to safely store and outcomes, for example, is far harder to monetize on Type of Breach Unauthorized Access/Disclosure Theft Loss Impro per D isposal Hacking/IT Incident 0 10 20 30 40 50 60 70 80 90 4 | Chicago Medicine
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