NCMGMA News Sponsor

Twice monthly, NCMGMA News will feature a sponsor on our site. Our sponsors are a vital part of our organization, enabling us to provide the high-level of products and services our members have come to enjoy from NCMGMA.

Our sponsor this period is rater8.

Learn more about rater8 by viewing their ad on NCMGMA News and on our website. You can also visit their website here.

Review Gating: Google and rater8 Say No

2021 Alliance sponsor feature article courtesy of rater8


To review gate, or not to review gate, that is the question
Negative reviews can tarnish a doctor’s online brand, so should they review gate?

What is review gating?
Review gating is the process of filtering patients before asking them to leave you a review. Usually, this is done by sending patients an email or text asking them if they had a positive or negative experience. If they had a positive experience, they are directed to leave a review on Google (or any other review site), but if they had a negative experience, they are prompted to leave private feedback and are never sent the option to leave a review publicly.

2021 Advocacy Days a Great Success

We continued our return to in-person meeting this month as more than 50 people joined us in Raleigh on June 15th and 16th for our 2021 Advocacy Days. With advocacy being one of the main pillars of our organization, it was great to be back in Raleigh taking action once again!

Tuesday, we spent the day hearing from some of North Carolina’s important legislative players on the current political climate of healthcare in North Carolina, and what it means to patients, providers and our medical practices. Thank you to Dr. Richard Bruch; Melanie Bush, MPAff, with NC DHHS; Dr. Mandy Cohen, NC DHHS Secretary; Treasurer Dale Folwell, CPA; and Sue Ann Forrest, MPA, with the NC Medical Society, for sharing their time and insights.

On Wednesday, we gathered at the NC Medical Society offices and then headed over to the Legislative Building and Legislative Offices to commence our morning legislative visits and General Assembly meetings.

Thank you, again, to everyone who participated in this successful event! A big thank you also goes out to our Premier level Alliance sponsor, Curi, for sponsoring our Tuesday evening networking reception at Rye.

Keep Making Your Voice Heard

Though Advocacy Days is a great start, we need to keep up the work of making our voices heard among our NC legislators. Use NCMS’s Tips and Tricks sheet and our Advocacy Days Talking Points to continuing voicing your concerns about current legislation affecting North Carolina’s healthcare patients, doctors and practices.

Event Photos

Upcoming Events

  • Next week, on Tuesday, June 22nd, we’ll be holding our Lunch and Learn webinar, “Top 10 Payer Contracting Tools: 2021 and Beyond,” led by Doral Davis-Jacobsen, MBA, FACMPE, partner with Prosper Beyond LLC. There’s no cost to register so sign up today here.
  • October 6-8 in Asheville we’ll be holding our in-person Fall Conference. Our host hotel is The Renaissance Asheville so we’re excited to be at a new venue and to be downtown for this event. Registration is opening soon so watch your email and keep checking NCMGMA News and the website for more details!

June 22nd Lunch & Learn Webinar: Top 10 Payer Contracting Tools

Top 10 Payer Contracting Tools: 2021 and Beyond

Tuesday, June 22nd | 12:00 PM – 1:00 PM EDT | Zoom

This presentation focuses on supporting practices on the payer contracting journey by defining a step-by-step process to build an effective strategy through sharing the top 10 tools used by successful practices. Registrants will receive top 10 payer contracting tools as take-aways and will include:

  • Value proposition template
  • Payer contract termination evaluation tool
  • Payer relationship check list
  • Payer contracting preparation grid
  • Contract catalogue template
  • Transparency grid by provider
  • Proposal determination tool
  • Hassle factor matrix
  • Action plan template
  • Contract Quick Reference Guide tool

The talk concludes with recommended go-forward strategies to integrate the contracting process into your core financial management strategy.

Webinar Speaker

Doral Davis-Jacobsen, MBA, FACMPE
Partner at Prosper Beyond LLC

Doral Davis-Jacobsen, MBA, FACMPE, is a Partner at Prosper Beyond LLC, a specialized healthcare consulting firm nestled in beautiful Asheville, North Carolina. Doral is a seasoned healthcare consultant with over 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. Doral serves as the Chair for the North Carolina MGMA Payer Contracting Committee. Doral is a co-author of MGMA’s book, Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting, published in October 2016.

Registration

This webinar is free but you must be registered to attend. Space is limited so register early! After you register, you will receive an email confirmation and an email reminder with webinar login instructions.

Continuing education credit may be granted through your professional organization (MGMA, PAHCOM, AHIMA, etc.). Please self-submit for these organizations.

Questions

For questions, please contact the NCMGMA offices at info@ncmgm.org.

Mandatory Use of NC CSRS in Effect July 7

A STOP Act requirement to check the NC Controlled Substances Reporting System (NC CSRS) before prescribing certain controlled substances will be in effect as of July 7, NCMB has been advised by the NC Department of Health and Human Services (NC DHHS).

To view the complete announcement on the NCMS website, follow this link.

NC State and NCMS Seek Feedback on Potential MBA Program

NC State University and the North Carolina Medical Society (NCMS) are seeking your help to guide decisions about a future professional development opportunity. NC State is considering offering an online MBA program targeted at the needs of health care professionals. The program would cover essential business topics such as finance, leadership, marketing and operations. It also would offer courses in health care markets, health care innovation, health care equity, leadership, design thinking and systems thinking.

The health care MBA would cost the same as NC State’s current online MBA. No standardized test scores would be required for admission decisions. At the completion of the program, graduates would be able to advance in a health care organization, manage their own practice or start their own enterprise.

We would appreciate your feedback regarding this program. This survey should take approximately 5 minutes to complete.

Employment Practices Liability Trends to Watch in 2021

2021 Alliance sponsor feature article courtesy of the Sentinel Risk Advisors


As an employer, you care about making your workforce feel valued and managing your organization successfully. However, even if you do everything you can to ensure smooth relationships with your staff, employment practices liability (EPL) risks remain. That’s why it’s crucial for your organization to have EPL coverage. Such a policy can offer protection for claims that result from employees alleging various employment-related issues—such as discrimination, harassment and wrongful termination. The policy can be extended to include third-party coverage for claims made by non-employees, patients or vendors who allege an employee engaged in harassment or discrimination.

Apart from securing EPL coverage, it’s important to stay up to date on the latest EPL market trends. In doing so, your organization will have the information needed to respond appropriately and make any necessary coverage adjustments. Here are the EPL trends to watch in 2021:

The COVID-19 Pandemic

The ongoing COVID-19 pandemic has forced many organizations to make serious workplace changes—such as having employees work remotely, adjusting office setups or conducting significant staff layoffs or furloughs. And with these changes, EPL claims followed. Some of the most common, pandemic-related EPL claims include:

  • Allegations that unsafe working conditions or minimal precautionary measures (e.g., poor sanitation practices, a lack of social distancing protocols or inadequate personal protective equipment) contributed to employees getting sick or dying from COVID-19
  • Allegations of retaliation after an objection to unsafe working conditions or workplace exposure to individuals displaying COVID-19 symptoms
  • Allegations of disability discrimination related to remote working (e.g., failing to accommodate remote staff or denying employees the option to work remotely)
  • Allegations related to employee leave concerns (e.g., forcing staff to take leave, retaliating against employees that take leave due to COVID-19 or not allowing staff to take leave due to COVID-19 altogether)
  • Allegations of laying off or furloughing staff without providing proper employment notices
  • Allegations of discrimination related to laying off or furloughing employees

With these trends in mind, it’s crucial to fully document and review any organizational changes created by the COVID-19 pandemic. These changes should be reviewed to ensure they adequately consider the needs of your workforce and are compliant with employment law.

Social Movements

Several social movements have led to an increase in EPL claims in recent years, including the #MeToo movement and the Black Lives Matter movement.

The #MeToo movement—which is an anti-sexual harassment campaign that was originally founded in 2006 and has gained significant social media attention since 2017—largely contributed to a 50% rise in sexual harassment lawsuits against employers over the past few years, according to the U.S. Equal Employment Opportunity Commission (EEOC). This movement emphasizes how important it is for employers to implement effective sexual harassment prevention measures (e.g., a zero-tolerance policy and a sexual harassment awareness training program), reporting methods and response protocols.

The Black Lives Matter movement—which is a racial justice campaign that was originally founded in 2013 and resurged in 2020 in the form of nationwide protests—has the potential to become a driving factor in race-related workplace discrimination and harassment lawsuits. This movement makes it increasingly vital for your organization to take steps to promote diversity, acceptance and inclusion in the workplace, as well as take any accusations or reports of racism seriously.

LGBTQ+ Protections

Although the EEOC had previously released guidance stating that workplace discrimination and harassment based on sexual orientation, gender identity and gender expression violated Title VII of the Civil Rights Act of 1964, the U.S. Supreme Court just recently confirmed in 2020 that Title VII protects gay and transgender employees from such treatment. While this is a relatively new development, the Supreme Court’s decision highlights the need for your organization to ensure all LGBTQ+ employees feel properly supported in the workplace.

Age Discrimination

According to the U.S. Bureau of Labor Statistics, the share of employees over the age of 55 in the labor force is expected to rise to nearly 25% by 2024 (up from 13% in 2001). This demographic shift makes it increasingly important for employers to take steps to minimize the potential for age discrimination issues within the workplace. After all, the Age Discrimination in Employment Act (ADEA) forbids age discrimination against employees and job applicants aged 40 and over.

Despite the ADEA; however, a recent Hiscox study found that 21% of U.S. employees have reported experiencing workplace discrimination based on their age. Such discrimination can lead to poor staff morale, a tarnished organizational reputation and an increase in EPL claims. With this in mind, it’s important to review your organization’s employment practices to ensure you are fostering a workplace culture that rejects ageism.

Wage, Leave and Salary History

As wage and hour laws continue to change across the country, it’s critical that your organization regularly reviews state-specific legislation related to minimum wage, employee classifications (e.g., hourly or salaried), overtime pay, sick leave and other paid time off. A failure to provide your staff with adequate wages or paid leave could lead to various EPL claims.

Employers’ ability to receive their employees’ prior salary history has also become a rising concern. In fact, in some states, recent legislation now prohibits employers from requesting or requiring salary history from a job applicant as a condition of being interviewed, hired or even considered for a position. In light of these changes, it’s best to speak with legal counsel for state-specific employee wage, leave and salary history guidance.

Marijuana Legalization

Following the 2020 election results, medical marijuana is now legal in 36 states and recreational marijuana is now legal in 15 states. As marijuana legalization becomes increasingly commonplace across the country, it’s crucial for your organization to review any state-specific legislation and adjust workplace policies and procedures accordingly.

Specifically, some states have enacted legislation that restricts an employers’ ability to conduct drug tests for marijuana. Further, several state court cases have ruled in favor of the employee in recent employment lawsuits related to marijuana usage. This includes a case in which a disabled employee sued their employer for alleged workplace discrimination due to medical marijuana usage, as well as a case in which an employee sued their employer for alleged wrongful termination due to a positive drug test for marijuana.

That being said, your organization may need to reconsider or revise procedures related to conducting workplace drug tests for marijuana or basing employment decisions on an employee’s marijuana usage, as these practices could potentially contribute to EPL claims. Be sure to consult legal counsel for state-specific compliance guidance on this topic.

We’re Here to Help

You don’t have to respond to this changing risk landscape alone. We’re here to help you navigate these EPL market trends with ease. For additional coverage guidance and solutions, contact Amelia Bernstein, Senior Director of Specialty Lines at Sentinel Risk Advisors.

Amelia Bernstein’s legal background allows her to provide clients with complex needs with specialty lines of coverage. As the Senior Director of Specialty Lines and a Partner in the firm, Amelia oversees a broad range of accounts, including all of Sentinel’s professional, executive and cyber liability insurance clients. She has a proven background of providing clients with risk management solutions they were once told were impossible to achieve.

June 22nd Lunch & Learn Webinar: Top 10 Payer Contracting Tools

Top 10 Payer Contracting Tools: 2021 and Beyond

Tuesday, June 22nd | 12:00 PM – 1:00 PM EDT | Zoom

This presentation focuses on supporting practices on the payer contracting journey by defining a step-by-step process to build an effective strategy through sharing the top 10 tools used by successful practices. Registrants will receive top 10 payer contracting tools as take-aways and will include:

  • Value proposition template
  • Payer contract termination evaluation tool
  • Payer relationship check list
  • Payer contracting preparation grid
  • Contract catalogue template
  • Transparency grid by provider
  • Proposal determination tool
  • Hassle factor matrix
  • Action plan template
  • Contract Quick Reference Guide tool

The talk concludes with recommended go-forward strategies to integrate the contracting process into your core financial management strategy.

Webinar Speaker

Doral Davis-Jacobsen, MBA, FACMPE
Partner at Prosper Beyond LLC

Doral Davis-Jacobsen, MBA, FACMPE, is a Partner at Prosper Beyond LLC, a specialized healthcare consulting firm nestled in beautiful Asheville, North Carolina. Doral is a seasoned healthcare consultant with over 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. Doral serves as the Chair for the North Carolina MGMA Payer Contracting Committee. Doral is a co-author of MGMA’s book, Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting, published in October 2016.

Registration

This webinar is free but you must be registered to attend. Space is limited so register early! After you register, you will receive an email confirmation and an email reminder with webinar login instructions.

Continuing education credit may be granted through your professional organization (MGMA, PAHCOM, AHIMA, etc.). Please self-submit for these organizations.

Questions

For questions, please contact the NCMGMA offices at info@ncmgm.org.

Advocacy Days are Next Week in Raleigh: June 15-16

Join Us In-person for Our 2021 Advocacy Days
Registration and hotel rooms still available

June 15-16, 2021
Raleigh Marriott City Center
Raleigh, NC

This year, we host our 12th annual Advocacy Days which we promise to be packed full of legislative action and information! There is no shortage of issues in NC and NOW is the time to be heard. On Tuesday, June 15th, we’ll hold sessions with key decision-makers and players within North Carolina and host an evening networking reception sponsored by Curi. On Wednesday, June 16th, we’ll take what we’ve learned and put it to use by meeting with our NC legislators!

Schedule of Events

Tuesday, June 15th

1:00pm – 5:30pm
Legislative Updates & Presentations
Lieutenant Governor Mark K. Robinson, State of North Carolina
Treasurer Dale Folwell, CPA, State of North Carolina
Secretary Mandy K. Cohen, MD, MPH, NCDHHS
Sue Ann Forrest, MPA, NC Medical Society

5:30pm – 7:00pm
Networking Reception

Sponsored by Curi – a Medical Mutual Company


Wednesday, June 16th

9:00am – 12:00pm
Legislative Visits

NCMGMA & General Assembly Meetings

Speakers

Mandy K. Cohen, MD, MPH
Secretary of the North Carolina Department of Health and Human Services (DHHS)

Dr. Mandy Cohen was appointed to the role of Secretary of the North Carolina Department of Health and Human Services (DHHS) in January 2017 by Governor Roy Cooper. Secretary Cohen and her team work tirelessly to improve the health, safety and well-being of all North Carolinians. DHHS has 17,000 employees and an annual budget of $20 billion serving as the home to NC Medicaid, Public Health, Mental Health/IDD/SUD, State Operated Hospitals and Facilities, Economic Services, Adult and Child Services, Early Childhood Education, Employment Services, and Health Services Regulation. Secretary Cohen and her team are focused on responding to and recovering from the COVID-19 pandemic, building a robust, efficient Medicaid program, improving early childhood health, safety and education, combatting the opioid crisis, and ensuring equitable access to health resources.

Dale R. Folwell, CPA
State Treasurer of North Carolina

Dale R. Folwell, CPA, was sworn in as State Treasurer of North Carolina in January 2017. As the keeper of the public purse, Treasurer Folwell is responsible for a $100 billion state pension fund that provides retirement benefits for more than 900,000 teachers, law enforcement officers and other public workers. Under Folwell’s leadership the pension plan was rated among the top five highest-funded in the country and won accolades for proactive management and funding discipline. In 2020 the state’s coveted AAA bond rating was reaffirmed by every major rating agency, making North Carolina one of only 13 states in the country to hold that distinction. Treasurer Folwell also oversees the State Health Plan, which provides medical and pharmaceutical benefits to more than 720,000 current and retired public employees and is the largest purchaser of health care in North Carolina.

Sue Ann Forrest, MPA
Director, Legislative and Political Action, NC Medical Society

Sue Ann holds a BA in English and Communication Studies with a minor in Marketing from Campbell University, where she served as Student Government President, Miss Campbell University, and where she is still active as an Alumni Board Member and Student Union Foundations Board Member. She also recently attained her Masters of Public Administration at East Carolina University. In her precious free time she enjoys volunteering as a Scholarship Committee Member for the Miss North Carolina Scholarship Pageant and as a Steering Committee Member for the NC Museum of History Young Associates group. She grew up in Greenville, NC, and when she truly wants to relax, you’ll find her on the beach at the Outer Banks with a good book.

Mark K. Robinson
North Carolina Lieutenant Governor

Mark Robinson is a native of Greensboro and a proud Army veteran. He and his wife are blessed to have two children, and two grandchildren. Mark became a household name in 2018 when he delivered an incredibly strong address to the Greensboro City Council defending the 2nd Amendment. This speech went viral and to-date has been viewed over 200 million times online. In the primary election, Mark achieved a strong victory in a crowded field of eight impressive candidates, garnering just over thirty- two percent of the vote, allowing him to avoid a runoff, and send a strong message that North Carolina was ready for a Patriot to lead the state. In July of 2019, Mark Robinson launched his historic campaign for Lieutenant Governor of North Carolina. Upon his successful general election, Mark Robinson became the first black American to be elected to Lieutenant Governor of North Carolina.

Hotel Information

Reserve your room now at the Raleigh Marriott City Center. Limited standard rooms available at the discounted rate of $169/night for single/double occupancy plus tax. To reserve your hotel room, please call the hotel directly at 1 (888) 236-2427. Guests making such reservations must identify themselves as members of the North Carolina Medical Group Management Association.

Registration

Advocacy Days online registration is now open. The cost to register is $75 for NCMGMA members, $99 for non-members and $25 for students. To register today, please follow the online registration link below.

Questions

If you have any questions about Advocacy Days, please contact the NCMGMA offices at info@ncmgm.org.

NC AHEC June 2021 Medicaid Managed Care Webinars

The Medicaid Managed Care webinars on the 1st and 3rd Thursday of the month are dedicated to bringing you late breaking information and guidance on NC Medicaid’s transition to Managed Care. Topics will vary, but each session will include an open question and answer period. Upcoming topics will include: pharmacy and durable medical equipment, behavioral health, transitions of care, specialized therapies, quality measures, network adequacy, provider directory, billing, incentive payments, clinical coverage policy updates, and more.

The webinars are hosted by Shannon Dowler, MD, Chief Medical Officer of the NC Division of Health Benefits, and moderated by Hugh Tilson, Director of the NC AHEC Program.

Thursday, June 3
5:30 PM – 6:30 PM
Click here to register

Thursday, June 17
5:30 PM – 6:30 PM
Click here to register

Updated NC AHEC MIPS Quick Reference Guide

Based on the recent CMS announcement about the MIPS cost performance category, North Carolina Area Health Education Centers (NC AHEC) updated their Merit-Based Incentive Program MIPS Quick Reference Guide. Click here to access the updated guide.

To learn more about the NC AHEC, visit their website here.