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LEGISLATIVE UPDATE
October
29, 2007
Attorney
General Cuomo’s Announcement of Settlement With
CIGNA Regarding Doctor Ranking Programs
The
announcement on October 29, 2007, of an agreement between New York
State Attorney General Andrew Cuomo and CIGNA is a major step in
assuring consumers that quality of medical care…not money…is
the key element in judging the competency of physicians in the
state. Attorney General Coumo and his staff are to be
commended by patients throughout New
York State for their focus on this critical healthcare issue and
the months of effort they have spent in bringing about this
historic agreement.
Importantly,
CIGNA’s agreement to rank physicians based on verifiable
measures of clinical skills…rather than on measurers of how
little money is spent on an individual patient…is a milestone in
assuring that patients have a prime role in selecting physicians
based on what is important to their personal health care needs.
What Attorney
General Cuomo has negotiated is a doctor ranking system based on a
balanced process, a process that would ensure data provided to
patients was accurate and doctors were evaluated fairly.
Until today, no plan existed that fairly balanced the interests
and concerns of consumers, the medical community, and insurers.
The critical
aspect of this agreement is that the measures that have been
agreed upon will lead to doctor ranking programs that provide
patients with clear and comprehensive information that accurately
reflects the quality of healthcare provided by doctors. This
model also ensures transparency for both patients and doctors --
patients will now understand the criteria upon which doctors are
ranked, and doctors will be able to provide input into the ranking
system. The Attorney General’s inclusion of a continual
oversight initiative will assure the effectiveness of the program.
This
agreement will become a model for similar agreements in New
York State and across the country and it is expected that it will
become a cornerstone in the future relations between health
insurance carriers, patient and physicians. It is important
to recognize that all three players are winners in this agreement
but that patients are the ultimate beneficiaries. The use of
factual information to establish physician credentials is as
important to patients as any medical research in the past 100
years.
Attorney
General Cuomo’s initiative sets up a fair process that works for
all and represents an important step forward for the healthcare
community. It will provide assurance that patients will have
solid information on which to select the best physicians for their
personal care.
-- The Medical Society
of the State of New York
LEGISLATIVE UPDATE
The Governor has signed each of our children’s health bills that
were passed by both the Senate and Assembly:
- Chapter 189 of the Laws
of 2006 requires pneumococcal immunization for
children entering child care or nursery school.
This statute, (A8761B/S8341A), becomes effective for
children born on or after January 1, 2008.
- Chapter 506, the TDaP
booster statute, (A11042A/S7421B), requires a TDaP
booster for children at entry to sixth grade. This
bill becomes effective September 1, 2007.
- Chapter 544
creates the statewide Immunization Registry
(A12021A/S8227A). This law will bring all the
information from various existing registries together
and will require statewide implementation. The time
will develop with the process.
- Chapter 614 creates
Emergency Medical Services for Children infrastructure
for statewide decision making. This bill was
needed to draw down federal monies to support EMSC
services statewide. It also creates a structure
to help New York plan for better and more
comprehensive Emergency Medical Services for Children.
- The District continues
its strong support for the School Nutrition Bill
(A10729/S7367) which would mandate more nutritious
foods be made available in school vending machines and
the a la carte portion of the school cafeteria.
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Have you checked out the Federal
Affairs area of the Academy's web site recently? Exciting
enhancements have been made to make it easier for you to be an
advocate for children. You can reach the new site by clicking http://capwiz.com/aap3.
In addition to providing contact information to legislators, the
site also gives legislative updates on current AAP priorities,
lets you see which Members of Congress have supported these
priorities, and provides sample letters and ways to communicate
directly with your Senators and Representative and your local
media.
To find your New York State Senator go to http://www.senate.state.ny.us/,
click on Senators,
New York State
Senator
Call your Senator in Albany at 518-455-2800 and
ask the operator to connect you to your senator’s office.
To find your State Senator go to http://www.senate.state.ny.us/,
click on Senators, type in your zip code and the directory will
provide you with your Senator’s name.
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