235.978 Rollback on Physician Performance Measures MSSNY will make public statements calling for a removal of any/all unproven outcomes measures and associated mandates placed on physicians, practices, licensed clinics, nursing homes, hospitals and other places of healthcare. MSSNY will seek legislation or regulation removing any/all unproven outcomes measures associated mandates placed on physicians, practices, licensed
235.979 Mandating Private Payer Coverage for Delegated Credentialing by Certified Verification Organizations and Extending Delegated Credentialing to Medicaid, Including Managed Medicaid Plans The Medical Society of the State of New York (MSSNY) will advocate for the establishment of regulations mandating insurance private payers to provide coverage for the cost of performing delegated credentialing by certified
235.980 Insurance Credentialing Demanding Physician Hospital Affiliation MSSNY will discuss and reissue with the Department of Financial Services that, health insurances should not haphazardly oblige a Physician to obtain hospital privileges in order to be paid for their work or participate in their network. (HOD 2024 – 250)
235.999 MSSNY’s Non-Support of NYS Advisory Committee on Physician Recredentialing Report The Report of the New York State Advisory Committee on Physician Re-credentialing entitled “Phase One: General Principles, Proposed Process, Recommendations” was released in January of 1988. MSSNY does not endorse this report or its recommendations. Historically, quality assurance (optimal patient care) and physician competency
235.998 Physician Recredentialing: SUNSET HOD 2014
235.997 Physician Credentialing: MSSNY adopts as policy the position that the NCQA is not the appropriate organization to determine criteria for physician credentialing and will ask the AMA to adopt a similar policy and seek to develop its own national physician credentialing criteria through AMAP. (HOD 1997-87; Reaffirmed HOD 2014; Reaffirmed HOD in lieu of
235.996 Granting of Provisional Credentialing Status to New York Physicians by MCOs: SUNSET HOD 2014
235.995 Hospital Mergers Resulting in Physician Exclusions: MSSNY will work with appropriate agencies to ensure that where one or more hospitals are merged, a physician credentialed to perform services at any one of the merging hospitals shall be entitled to receive equivalent credentials at any of the other merging hospitals, provided that such physician meets
235.994 Repeal of the Fifth Pathway: SUNSET HOD 2019
235.993 Advertising for the Physician’s Performance of Specific Ancillary Services/Procedures: MSSNY will seek legislation/regulation which would require that any advertisement for the performance of specific ancillary services/procedures, which may be unrelated to a physician’s true board certification (such as laser hair removal) clearly identify the physician’s actual ABMS board designation (or another country’s equivalent), so
