120.943 Physicians and Health Care Institutions as Providers of Health Insurance In the case where a provider or health care institution provides such insurance it should be held to the highest standards and oversight to prevent conflicts of interest that impair quality care; and any institution in the business
120.942 Thoroughly Informing Patients and Physicians About Out-Of-Network Benefit Reduction and Cancellation The Medical Society of the State of New York (MSSNY) will take all possible appropriate steps, utilizing all possible methods including public relations, to fully and thoroughly educate patients and the public about the emerging realities of out-of-network
120.941 Affordable Care The Medical Society of the State of New York will advocate for regulation and legislation which provides that insurers give reasonable credit for out of network expenses based on Fair Health toward a participant’s annual deductibles and out of pocket maximums. MSSNY will submit a resolution
120.940 Patient Educational Tools on Insurer Administrative Policies The Medical Society of the State of New York will develop a series of educational tools for members to give to their patients that will inform patients about policy and administrative problems caused by insurance plans making it more difficult for
120.939 Physician-Directed Medication Access The Medical Society of the State of New York will continue to advocate for: Legislation which will ensure that the physician’s judgment regarding the necessity of a particular medication for their patient prevails over an insurer’s judgment, including for all patients insured through Medicare
120.938 Out of Network Coverage Denials for Physician Prescriptions and Ordered Services MSSNY will pursue regulation or legislation to prohibit any insurer from writing individual or group policies which deny or unreasonably delay coverage of medically necessary prescription drugs or services based on network distinctions of the licensed
120.937 HCV Testing and Treatment The Medical Society of the State of New York supports legislation, to ensure that commercial insurance coverage for the HCV test and access to HCV treatment is required. (HOD 2015-160; Reaffirmed with modification HOD 2025)
120.935 Non-Experimental Status Determined by Centers for Medicare and Medicaid Services The Medical Society of the State of New York will seek by regulation and/or legislation New York State policy/law requiring that any medical service deemed non experimental by the Centers for Medicare and Medicaid Services for government programs also be deemed non-experimental by private
120.934 Payments by Medicare Supplemental Policies The Medical Society of the State of New York will take appropriate action to educate MSSNY members through the E-news and the News of New York about their patients Medigap Plans so that physicians can, in turn, educate their patients’ about the benefits
120.933 Limitation on Outpatient Therapy Copayments As a result of increased physical therapy co-pays, which often cause patients to delay medically necessary treatment, the Medical Society of the State of New York should seek legislation or regulation which would limit a patient’s out-of-pocket co-pay for a prescribed course of
