Suffolk County Medical Society

Suffolk Academy of Medicine

LOW DOSE CT (LDCT) LUNG CANCER SCREENING

 Due to the highly effective nature of LDCT for lung cancer screening in current or prior chronic smokers, MSSNY supports screening patients meeting five established criteria.  These include:

  1. Age 55-77 years of age
  2. No signs or symptoms of lung cancer
  3. A 30-pack years or greater history of tobacco smoking
  4. Current smokers or have quit smoking within the last 15 years
  5. A written order for LDCT from a qualified health professional following a lung cancer screening counseling that attests to shared decision-making having taken place before their first screening CT

CMS has waived Medicare coinsurance and Part B deductible for this preventive service and has reduced its hospital reimbursement (https://www.medicare.gov/coverage/lung-cancer-screening.html). It is covered by NYS Medicaid and by some Medicare Advantage plans. The US Preventive Services Task Force requires coverage by private insure carriers. Additional information is available at the Lung Association’s CT page on Medicare (http://www.lung.org/assets/documents/lung-cancer/interactive-library/lung-cancer-insurance-chart.pdf).

 PLEASE HELP TO GET THESE PATIENTS REFERRED FOR SCREENING


 

  


case review


 In addition to their obvious negative effect on the medical care rendered, lack of communication and poor communication between healthcare practitioners remain top contributing factors when examining the various causes of loss experienced by MLMIC policyholders. The following are two such cases.

CASE STUD Y   #1

The Importance of Protocols for Dealing with Noncompliant Patients

 Mark Collins

Claims Unit Manager, MLMIC
         


 


  


Legislation: 

Allowing Enhanced Religious Exemptions for School Based Immunizations Passed in Senate Education Committee

Senate Bill 6141D, sponsored by Senator Martin Golden, which would allow the admission of certain unvaccinated students to public schools, has passed out of the NYS Senate’s Education Committee and is reported to the Senate Finance Committee.

To Oppose this bill for Unvaccinated Students in Public Schools 

The passage of this bill is the first time that this bill has been voted on by members of any Senate committee.  S. 6141-D amends the Education Law to provide the procedure for religious exemptions from vaccination requirements.  Under the bill, a parent or guardian would complete a religious beliefs vaccination exemption form to ensure a public school district does not deny admission to their unvaccinated child.  A religious exemption is currently allowable under NY State law, but the exemption allows the school institution to make a decision on whether the student should be exempt from vaccination.  

This bill, if passed by the Legislature, would force schools to accept the form and allow unvaccinated students to enter the school. Its companion measure, A. 8123B, sponsored by Assemblymember Richard Gottfried, chair of the Assembly Health Committee, is also pending before the Assembly’s Education Committee. 

Voting against the bill in the Senate Education Committee were: Senators Serrano, Mayer, and Brooks.  Voting Yes, without recommendation were: Senators Peralta, Serino, Lavalle, Little, Stavisky and voting Yes were: Senators Marcellino, Gallivan, Avella, Hamiliton, Lanza, Ranzenhofer, Robach, Seward, Addabbo, Breslin.  Senator Croci was listed as excused and Senator Montgomery was absent. 

Physicians are urged to write to the members of the NYS Legislature and urge that this bill not be enacted. 

To write a letter go to the MSSNY Grassroots Action Center.   


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Suffolk County Medical Society - Suffolk Academy of Medicine
1767-14 Veterans Memorial Highway
Islandia, New York 11749
Phone:(631) 851-1400 Fax:(631) 851-1212

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