Medigram, the Society’s electronic newsletter for physicians, features timely news, upcoming events, answers to frequently asked questions and all the information you need to know to make your practice run more efficiently. Topics include legislative updates, legal information, practice management information, government regulations, and much more. Published weekly, Medigram is delivered via email on Thursdays.

If you have a Medigram story idea or would like to offer feedback, please email us or call 866.442.3800.

Doctor Day 2022 registration now open!
Doctor Day 2022 is February 8 at the Monona Terrace in Madison. We are excited to gather in person again!

MEB’s Chaperone Rule economic comment period extended
Having already received a significant number of economic impact comments related to a Medical Examining Board-proposed chaperone rule regarding physicians performing sensitive physical exams, the State of Wisconsin’s Department of Safety and Professional Services has extended the economic impact comment period through January 3, 2022.

Biennial Worker’s Comp agreement does not include unneeded fee schedule
The State of Wisconsin’s Worker’s Compensation Advisory Council (WCAC), made up of representatives from the state’s labor and business communities, reached agreement November 17 on an “agreed-to” bill to update the state’s worker’s compensation (WC) statutes and administrative code.

Foundation seeks nominations for Superhero of Medicine award
The Wisconsin Medical Society Foundation is currently accepting nominations for the 2022 Superhero of Medicine. Each year, the Superhero of Medicine Award is presented to a Wisconsin physician who lives out the mission of the Foundation to an exemplary degree, going above and beyond to improve the health of their patients and/or community.

Society bylaws updates
The Wisconsin Medical Society’s Board of Directors approved amendments to the bylaws at its November 6, 2021 meeting.

Since long-term care insurance is so expensive, is it really necessary?
The rapidly increasing cost of long-term care is driving dramatic increases in long-term care (LTC) premiums and insurers are becoming increasingly stingy about offering new policies.

Comment today on the State Health Assessment
The Wisconsin Department of Health Services (DHS) is accepting comments on the 2020 State Health Assessment (SHA) through today, Friday, November 19.

Member discounts on tech, travel and more!
Enjoy special discounts as a Wisconsin Medical Society Member. Tech deals include up to 69% off Lenovo’s best brands like ThinkPad, IdeaPad, Yoga and Legion gaming systems, as well as brands like FitBit and Logitech webcams through November 26, 2021.

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Doctor Day 2022 registration now open!

Doctor Day 2022 is February 8 at the Monona Terrace in Madison. We are excited to gather in person again!

Each year Doctor Day brings together physicians from every specialty and practice environment to meet with their legislators and advocate on health care issues that affect their patients and practices. The multi-specialty nature of Doctor Day makes it among the most unique advocacy events for physicians in the country.

Physicians and medical students will gather in Madison to take part in policy breakout sessions, hear keynote presentations and participate in a briefing on the day’s priority issues. Attendees will then participate in group visits with legislators and staff at the Capitol. The day will conclude with a Doctor Day reception to network and catch up with colleagues. 

Whether you’re an experienced advocate or new to the legislative process, attending Doctor Day will provide you with advocacy tools to make your voice heard.

Thank you to our generous sponsors! Because of their on-going support, this event is free and includes breakfast, lunch and a reception. Sign up today at widoctorday.org or call Heidi Green at 608.358.6116 with any questions.

We look forward to seeing you on Tuesday, February 8, 2022! Additional information on issues and speakers will be announced soon.

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Rogers Behavioral Health

MEB’s Chaperone Rule economic comment period extended

Having already received a significant number of economic impact comments related to a Medical Examining Board-proposed chaperone rule regarding physicians performing sensitive physical exams, the State of Wisconsin’s Department of Safety and Professional Services has extended the economic impact comment period through January 3, 2022. The original comment period was set to expire on Monday, November 15 (see this November 4 Medigram story for more details about the rule process). This extension was announced at the Medical Examining Board’s (MEB) monthly meeting on November 17.

The public comment period is specifically on the potential economic impact of complying with the proposed rule, not on the overall positives or negatives of the rule; opportunity for overall input will be at a future MEB meeting. To that end, the Wisconsin Medical Society (WisMed) Board of Directors had an extensive discussion about the rule at its most recent meeting on November 6, including a question-and-answer opportunity with MEB Chair Sheldon Wasserman, MD. Following the discussion, the WisMed Board discussed concerns over the rule’s creation of a presumption of guilt for physicians who have certain complaints filed against them, as well as how compliance with the rule (in part because of that presumption of guilt provision) could significantly disrupt how physicians are able to care for patients. The Board unanimously approved the following motion:

The Wisconsin Medical Society supports efforts to eliminate inappropriate physician sexual behavior involving patients. The Society wants patients to be comfortable in the exam room. The Medical Examining Board’s current rule proposal addressing this issue may cause unintended consequences negatively impacting physicians’ ability to appropriately provide needed care to patients. Therefore, the Society supports MEB efforts that are more precisely tailored to investigating suspected wrongdoers while supporting patient access to appropriate care.

As directed by the Board, WisMed staff will continue to work with the MEB and others in protecting the public from inappropriate behavior while ensuring that any new regulations more properly focus on potential wrongdoers rather than a scattershot approach impacting all physicians entrusted to perform important physical exams.

The MEB also discussed two additional items of note during Wednesday’s meeting:

  • The MEB will explore whether to alter the current requirement that two of 30 CME credits each biennium include an MEB-approved course on responsible opioid prescribing. Some members of the MEB shared concerns that limiting courses to MEB-approved classes could cause some license holders to unwittingly violate the rule by taking an unlisted opioid prescribing course.
  • When issuing a discipline, the MEB currently does not have the ability to also levy a fine against a license-holder. Some Wisconsin regulatory boards have this ability; the MEB may explore including such a power in the state statutes.

Contact WisMed Chief Policy and Advocacy Officer Mark Grapentine, JD for additional information.

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Biennial Worker’s Comp agreement does not include unneeded fee schedule

The State of Wisconsin’s Worker’s Compensation Advisory Council (WCAC), made up of representatives from the state’s labor and business communities, reached agreement November 17 on an “agreed-to” bill to update the state’s worker’s compensation (WC) statutes and administrative code. Unlike deals reached in recent legislative sessions, the current agreement does not negatively impact the health care portion of the WC system.

The agreement will be drafted as state legislation and introduced yet this session on behalf of the WCAC. Wisconsin Medical Society (WisMed) is one of four health care liaisons to the WCAC – hospital, physical therapy and chiropractic organizations also serve as advisory, non-voting liaisons.

Previous “agreed-to” proposals included an artificial fee schedule for providing WC care despite data showing that Wisconsin’s injured workers receive superior care quickly and efficiently at a cost near the national average. This significant strength of the WC system results in nation-leading patient satisfaction while state businesses have enjoyed six consecutive years of reduced WC insurance rates. Health care’s strong opposition to past proposals that would have negatively affected patient access to WC care prevented those agreements from being enacted into law.  

This session’s proposal includes:

  • An increase in the minimum weekly rate for workers suffering a Permanent Partial Disability. The new rate for injuries sustained in 2022 will be $415/week, an increase from the current $362/week rate that was set in 2017. The rate will increase to $430/week for injuries suffered in 2023.
  • A change in calculations for the average weekly wages of part-time workers.
  • Various operational changes and updates sought by the state’s Department of Workforce Development.

Contact WisMed Chief Policy and Advocacy Officer Mark Grapentine, JD for more information. 

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Foundation seeks nominations for Superhero of Medicine award

2021 Superhero of Medicine, Emily Jewell, DO

The Wisconsin Medical Society Foundation is currently accepting nominations for the 2022 Superhero of Medicine. Each year, the Superhero of Medicine Award is presented to a Wisconsin physician who lives out the mission of the Foundation to an exemplary degree, going above and beyond to improve the health of their patients and/or community. The nomination form can be found here.

The 2021 Superhero of Medicine, Emily Jewell, DO, was nominated for partnering with Community Connections Free Clinic in Iowa County to start a clinic on wheels that travels to farms in rural Wisconsin to bring health to farm workers who would not otherwise have access. Dr. Jewell’s work is a wonderful example of Wisconsin physicians thinking outside of the clinic to increase health access and equity to improve rural health.

Learn more about Dr. Jewell's work and the Community Connections Free Clinic and support future Superheroes of Medicine via the fund set up by last year's Superhero, Jasmine Zapata, MD, MPH. 

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Society bylaws updates

The Wisconsin Medical Society’s Board of Directors approved amendments to the bylaws at its November 6, 2021 meeting. Those redrafted bylaws can be viewed here and the redlined copy is available here.

Please contact Interim Society CEO Jim Lorence with any questions or concerns.

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Since long-term care insurance is so expensive, is it really necessary?

Wismedassure.org

The rapidly increasing cost of long-term care is driving dramatic increases in long-term care (LTC) premiums and insurers are becoming increasingly stingy about offering new policies.

When they created the LTC market years ago, insurance companies made two assumptions. They calculated LTC premiums assuming policyowners would let their insurance lapse at a rate similar to owners of other types of insurance, primarily life. This hasn’t been the case. LTC owners are aware of the high cost of long-term care and are holding on to their policies despite national average premium increases of 45 percent last year. Additionally, the insurance companies assumed interest rates would be high enough to create favorable returns on the bond portfolios in which they invest the premiums. The current lengthy period of historically low interest rates can’t end soon enough for these companies.

Unfortunately, these issues are exacerbated by the rapidly rising cost of care. Not only are insurance companies raising premiums, but they are also decreasing the benefit terms of the policies and offering these expensive policies to fewer people. In short, it’s tougher to qualify and when you do, you get less for more.

So, is LTC insurance really worth it?

Despite the current market, it’s still important to have some form of long-term care insurance. According to Longtermcare.gov and the AARP, 70 percent of people 65 and older will require long-term care and the cost of that care will continue to become more expensive.

Genworth’s Cost of Care Survey shows national annual median costs increased across the board for assisted living facilities (6.1%), home care (4.3-4.4%) and skilled nursing facilities (3.2-3.5%). The median monthly cost of an assisted living facility is $4,051, a home health aide costs $4,385 and a private room in a skilled nursing facility $8,517 a month. Genworth estimates these costs will almost double over the next 20 years.

Since traditional policies do not pay out if the policyholder doesn’t require any form of long-term care, consider a hybrid life and LTC policy. By combining permanent life insurance and LTC, these policies provide a death benefit and guarantee a fixed premium over the life of the policy. Please note that the death benefit is reduced when a policy pays for long-term care.

To learn more about LTC insurance that offers the right coverage for the best price with the best terms, contact WisMed Assure Insurance Advisor Tom Strangstalien at 608.442.3730 or [email protected]. 

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Comment today on the State Health Assessment

The Wisconsin Department of Health Services (DHS) is accepting comments on the 2020 State Health Assessment (SHA) through today, Friday, November 19.

“Painting the Picture of Wisconsin’s Health” describes the current health of Wisconsin communities, as well as the key community conditions and factors that impact health outcomes. The SHA process and contents were guided by Wisconsinites and elevate voices from across the state, including through 72 listening sessions with community members and partner organizations.

DHS is asking the public to review the SHA and comment through the State Health Assessment webpage, featuring the full report and a short survey. Feedback received by November 19, 2021 will be considered as the SHA is finalized for publication in December 2021.

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Member discounts on tech, travel and more!

Lenovo Black Friday Deals - Click here!

Enjoy special discounts as a Wisconsin Medical Society Member. Tech deals include up to 69% off Lenovo’s best brands like ThinkPad, IdeaPad, Yoga and Legion gaming systems, as well as brands like FitBit and Logitech webcams through November 26, 2021.

Support the Foundation through your Amazon purchases with Amazon Smile

WisMed Members can also get exclusive discounts on car rentals, hotel bookings and shipping.  

And if you’re shopping online this year, consider setting your Amazon Smile account to support the Wisconsin Medical Society Foundation at no cost to you.

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