120.925 Peer-to-Peer Reviews by Insurers The Medical Society of the State of New York will seek legislation to change peer to peer review by insurers to include evidence-based criteria publicly available and to be conducted by a physician of the same specialty and responded to the physician practice on a timely basis via fax or
120.924 New York State Insurance Fund Unfair Rule Changes The Medical Society of the State of New York will work with all relevant agencies, including the Workers Compensation Board, to force the New York State Insurance Fund to return to the policy of providing physician offices with both the status
120.923 Prompt Response to Physician’s Request for Patient Care Services Authorization MSSNY will seek legislation and/or regulation requiring all insurance plans to respond in one business day to requests for services for the patient and if such response is not in the affirmative, then the response must include an option for
120.922 Insurers Withhold Key Financial Information from Out-of-Network Physicians MSSNY will seek legislation or regulation which would require important information contained in a Claim Remittance or Explanation of Medical Benefits be sent to all treating physicians. MSSNY will seek legislation or regulation which would prohibit insurers from using the term
120.921 Sale of Health Insurance Across State Lines The Medical Society of the State of New York opposes federal and state legislative proposals that permit the sale of health insurance products in a state that does not comply with that state’s law and regulations. This resolution will be introduced
120.920 Out of Network Insurance Benefit Availability in Individual Market and Self-Funded Plans MSSNY will seek, through legislation and/or regulation, the availability of out-of-network benefits including plans utilizing usual, customary and reasonable (UCR) payment methodology for out-of-network benefits in all tiers, including the individual market and New York State of Health.
117.972 Integrating Data into Physician’s E-prescribing Workflow The Medical Society of the State of New York supports legislative or regulatory efforts to ensure the interoperability of the State’s Prescription Drug Monitoring Registry with electronic health record and e-prescribing workflow. (HOD 2018-167; Reaffirmed HOD 2019 in lieu of res 52)
120.919 MSSNY Support of Universal Health Insurance The Medical Society of the State of New York will advocate for legislation to ensure that all New Yorkers have at least basic health insurance coverage. (HOD 2017-64)
120.918 MSSNY Statement on Increased Health Insurance Deductibles MSSNY supports health insurance coverage that is affordable and usable for patients in terms of premium, deductible, coinsurance and/or copayment. (HOD 2017-59, referred to Council, substitute adopted June, 22, 2017)
120.917 Printing Co-Pays & Deductibles on All Insurance Cards The Medical Society of the State of New York will request that the New York State Department of Financial Services mandate all insurance companies print current copays, deductibles and date of issue on all subscriber health insurance cards. (HOD 2018-250)
