Medigram, the Wisconsin Medical Society’s electronic newsletter for physicians, features timely news, upcoming events, answers to frequently asked questions and the information you need to make your practice run more efficiently. Topics include legislative updates, legal information, practice management information, government regulations, and much more. 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.

There's still time to nominate for WISMedPAC Board!
We've received great interest from physician members and medical students to serve on the WISMedPAC board. The deadline to nominate yourself or a fellow physician is tonight at midnight!

Foundation challenge exceeded!
Happy New Year! Thanks to everyone who donated to the Wisconsin Medical Society Foundation (Foundation) during the special year-end challenge, we exceeded the $10,000 goal.

New Retirement Rules with SECURE Act 2.0
On December 29, 2022, SECURE Act 2.0 was signed into law, creating multiple changes to retirement planning. This builds on SECURE Act 1.0 by encouraging Americans to save for retirement to strengthen the financial safety net.

Opportunity to request free supplies from DHS
The Wisconsin Department of Health Services (DHS) is providing an opportunity for partner organizations and stakeholders to request free supplies. There is a large variety of items including PPE, office materials, durable medical equipment and furniture.

AMA webinar: Understanding the CPT Code Set and its Place in Medicine
Physicians and their medical societies are central to the future of medicine, utilizing and driving innovations in patient care from their unique perspective.

Action needed: Congress can prevent a 4.5% Medicare cut for physician care
Wisconsin’s Congressional delegation needs to hear from Wisconsin physicians that a looming 4.5 percent cut to physician Medicare payments scheduled for January 1, 2023 needs to be averted
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December 1, 2022

Watch future issues of Medigram to stay up to date on this topic and other important issues.

There's still time to nominate for WISMedPAC Board!

PACtalk

We've received great interest from physician members and medical students to serve on the WISMedPAC board. The deadline to nominate yourself or a fellow physician is tonight at midnight!

The WISMedPAC board meets quarterly via Zoom. Every meeting includes a politics and policy update from Mark Grapentine, WisMed Chief Policy and Advocacy Officer. Heidi Green, Director of Development and Political Giving, provides updates on fundraising efforts and events that may be worthy of physician support.

If you’re interested, please consider joining this bipartisan committee. The committee respects each other's opinions and strives to support legislators that support the medical profession and the physician-patient relationship. Primary responsibilities include directing PAC contributions to candidates who are seeking leadership roles and the leadership committees on both sides of the aisle at the state level. In addition, the board provides advice and input on the staff’s efforts to raise money from physicians.

Nominations are due by Thursday, January 5. Simply submit your name or the name of a physician or medical student and any questions to Heidi Green at [email protected] or 608.358.6116. WisMed members and medical students (member or non-member) are eligible for one-year terms. The WISMedPAC board executive committee will submit the nominations to the WisMed Board of Directors on January 21 and the Board will appoint between eight and 16 new WISMedPAC board members for 2023.

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Foundation challenge exceeded!

Thank you! Foundation Logo, Click here to view Impact Map

Happy New Year! Thanks to everyone who donated to the Wisconsin Medical Society Foundation (Foundation) during the special year-end challenge, we exceeded the $10,000 goal.

Foundation and Wisconsin Medical Society Board members collectively pledged $10,000 to the Foundation and challenged others to match their donation by December 31. You responded and donated a total of $10,835 – exceeding the challenge!

Thanks to the dedication of physicians and the financial support of donors like you, the Foundation is able to invest directly back into our state by providing financial support to students, medical research and community health programs, helping to advance the health of Wisconsin.

Your year-end donation helped to make it possible for the Foundation to double the number of community health grants that we are able to award for 2022. You also helped to support medical students through scholarships, fellowships, mentorships and programs to encourage children to consider careers in health and medicine.

For a snapshot of the many programs and activities supported check out the Impact Map to hear from others who benefited from your generosity and click here to add your support.

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WisMed Assure - Insurance Solutions for the health care community

New Retirement Rules with SECURE Act 2.0

New Rules written on chalk board

On December 29, 2022, SECURE Act 2.0 was signed into law, creating multiple changes to retirement planning. This builds on SECURE Act 1.0 by encouraging Americans to save for retirement to strengthen the financial safety net.

Five Key takeaways of SECURE Act 2.0

  1. More Roth features
    1. Employer matching and/or nonelective contributions may be added as Roth dollars instead of pretax. Roth contributions will be included in the employee’s income for the year of the contribution. This is effective immediately or as soon as plan providers can adopt the change.
    2. Catch-up contributions for high earners must be Roth (if plan allows), instead of pretax starting in 2024 for employees with wages more than $145,000.
    3. 529 plan balances may be used to make Roth IRA contributions for the beneficiary. The beneficiary must still have earned income, the transfer counts toward the annual Roth IRA contribution limit, money must be in the 529 for at least five years and the 529 must be maintained for at least 15 years. There is also a lifetime maximum transfer of $35,000.
  2. Increased catch-up retirement plan contribution limits
    1. IRA catch-up contributions will be indexed for inflation starting in 2024.
    2. Employees age 50+ can make catch-up contributions as before. Starting in 2024, those age 60-63 can make an even larger catch-up contribution defined as the greater of $10,000 or 150% of the regular catch-up contribution. You may be scratching your head because a worker age 64 or older can’t make the higher catch-up contribution. I’m scratching my head too.
  3. Changing the age of the required minimum distributions
    1. Three years ago, the age for taking a required minimum distribution (RMD) increased to age 72 from 70½. This has changed again, and the new RMD starting age increases to 73 starting in 2023. In 2033, the RMD start age will increase to 75.

    2. Birth Year Age when RMDs begin
      1950 or earlier 70½ or 72
      1951-1959 73
      1960 or later 75

    3. Beginning in 2024, RMDs from Roth 401(k), 403(b), 457(b) and TSP plans will no longer be required. This makes the Roth employer plan distribution rules like Roth IRAs.
    4. Note that the RMD age change does not impact the qualified charitable distribution age which still begins at 70 ½ years old.
  4. RMD penalty relief
    1. Beginning this year, the penalty for missing an RMD is reduced from 50% to 25%. And 2.0 goes one step further. If the RMD that was missed is taken in a timely manner and the IRA account holder files an updated tax return, the penalty is reduced to 10%. But let’s be clear, while the penalty has been reduced, you’ll still pay a penalty for missing your RMD.
  5. Back-door student loan relief
    1. Starting next year, employers are allowed to match student loan payments made by their employees. The employer’s match must be directed into a retirement account.

Final thoughts

What’s provided here is a high-level overview of some SECURE Act 2.0 features. Keep in mind that it’s not all-encompassing and you should seek the advice of a competent tax advisor and financial planner for your situation.

Want more retirement strategies? Please join us January 20, 2023, at noon for 6 Keys to Retirement Success. Can’t make it? Sign up anyway as all registrants will receive a replay.

For personalized help eliminating debt, investing smart and securing retirement, please contact Mark Ziety, CFP®, AIF® 608.442.3750.

WisMed Financial
Mark Ziety

Mark Ziety, CFP®, AIF®
WisMed Financial, Inc. part of the Wisconsin Medical Society. 

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Opportunity to request free supplies from DHS

The Wisconsin Department of Health Services (DHS) is providing an opportunity for partner organizations and stakeholders to request free supplies. There is a large variety of items including PPE, office materials, durable medical equipment and furniture. If interested, please complete this survey. The deadline to fill out the survey for supplies in Douglas, Outagamie and Rock counties is Monday, January 9 at 8 a.m. The deadline to fill out the survey for supplies in La Crosse, Marathon and Racine counties is Monday, January 16 at 8 a.m.

Only one representative from each organization or site should complete the survey. Due to limited quantities and logistical constraints, completing the survey does not guarantee your organization’s request will be fulfilled, or that the quantity of items requested are available.

A member of the DHS COVID-19 Vaccination Program will contact you following your survey submission regarding your request and to coordinate supply distribution. Note: requestors are responsible for pickup and delivery of supplies.

If you have any questions, please email [email protected].

Thank you for your continued service and dedication to COVID-19 efforts.

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AMA webinar: Understanding the CPT Code Set and its Place in Medicine

Physicians and their medical societies are central to the future of medicine, utilizing and driving innovations in patient care from their unique perspective.

One of the keys to success for an evolving health care system is ensuring that the experience and voice of the physician remain at the center of the codes used to characterize and describe their work: Current Procedural Terminology (CPT®).

The American Medical Association (AMA) is hosting a free webinar, Understanding the CPT® Code Set and its Place in Medicine, on January 18, 2023, from noon to 1 p.m. The webinar will help you understand how these codes, reported by physicians and used by health plans, health technology companies and others, respond to changes in the health care landscape, spark and spur innovation and serve to advance health equity efforts. Specifically, you’ll learn how the CPT process works, from the CPT Editorial Panel through the participation of specialty societies and workgroups; and how you and your society can get involved to strengthen the collective voice of the CPT code set and its development process.

Learn more and register here.

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