2017 New Jersey Patient Care and Access Coalition Board of Directors Officers Elected

NJPCAC Member News on February 9th, 2017 No Comments

From left: Dr. Robert Gialanella, Vice Chairman, Dr. Abe Horn, Secretary, Dr. Alan Krieger, President and Chairman, Dr. Patrick Ciccone, Treasurer.

The New Jersey Patient Care and Access Coalition Board of Directors elected its 2017 officers at its annual meeting in New Brunswick on February 8th.

Update from Trenton

Legislation, NJPCAC Member News on November 29th, 2016 No Comments

Two of NJPCAC’s priority issues are heating up in Trenton as Legislators tackle an aggressive pre-holiday agenda. The Out of Network issue and the NJPCAC-led initiative to reform New Jersey’s “Codey Act” to allow for value-based/alternative payment model health care are expected to see action. A third issue – Horizon’s OMNIA tiered network product and its impact on hospitals and physicians – has gone dormant. A new issue has also emerged: Horizon’s notice effective December 1, to its reimbursement policy involving site of service differential for surgical CPT codes (10000 through 69999). NJPCAC is in the early stages of deciding how to respond to this new issue. Updates on the Out of Network, Codey Act Reform and OMNIA issues are now available.

Out of Network Bill

Legislation, NJPCAC Member News on November 29th, 2016 No Comments

UPDATE: On Monday, December 5th, the sponsor of the bill, Senator Joe Vitale, Chair of the Senate Health Committee, delayed action on the legislation to give stakeholders more time to reach a compromise.

Brand new coalitions have been created in recent weeks to both support and oppose out of network reform. Horizon Blue Cross Blue Shield of New Jersey is funding one group: “Better Choices, Better Care, NJ” made up primarily of business and labor groups. NJPCAC is participating in another coalition – the “Access to Care Coalition” – consisting of medical providers.

There appears to be general agreement on issues of transparency and disclosure – assuring that patients are told by their Plan or Provider what is covered and what is not prior to a non-emergency treatment. Where the disagreements lie is in how to resolve disputes. Horizon and some labor unions would like to move to an arbitration system that relies on a percentage of Medicare as the benchmark, while NJPCAC and other hospitals and providers are pushing for a system that would recognize fair market value.

Final legislative action on the out of network bill is not expected by the end of the year. However, at least one committee – the Senate Budget and Appropriations Committee – has scheduled a hearing on the matter in December.

NJPCAC members are encouraged to participate in the Medical Society of New Jersey’s “Action Alert” on the Out of Network issue. You can easily contact your own legislators by going here:http://www.cqrcengage.com/msnj/app/write-a-letter?1&engagementId=149533

Codey Act Reform

Legislation on November 29th, 2016 No Comments

UPDATE: An identical bill (A4334) introduced in the Assembly by Dr. Herb Conaway, Chairman of the Assembly Health and Senior Services Committee, was unanimously and favorably reported from that committee on December 5th. The vote was 13-0 with no abstentions and no absent members.

Legislation advanced by the New Jersey Patient Care and Access Coalition to modernize the state’s “Codey Act” to permit alternative payment models and other value-based health care was UNANIMOUSLY and favorably released from the Senate Health, Human Services and Senior Citizens Committee on November 3rd.

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NJPCAC Board Member Dr. Robert Gialanella and NJPCAC Counsel Neal Shah

S2724 (Codey/Vitale) “Requires alternative payment models to register with DOH; permits health care practitioners to refer patients to health care service in which the practitioner has beneficial interest when related to alternative payment model” was amended and approved with a vote of 9-0 with no abstentions and no absent members. The two amendments – one requiring a six-year review of the program by the Department of Health and another to allow physicians to forego registration under programs for which they were already approved by CMS – were supported by NJPCAC and also approved unanimously.

NJPCAC Board Member Dr. Robert Gialanella and NJPCAC Counsel Neal Shah provided testimony to the committee.

An identical bill was introduced in the Assembly by Dr. Herb Conaway, Chairman of the Assembly Health and Senior Services Committee. The bill number in the Assembly is A4334.

It is expected that the Assembly bill will be considered by the Assembly Health Committee in early December. The bills still must pass the full Assembly and Senate and be signed by the Governor before they can become law.

OMNIA Update

Legislation on November 29th, 2016 No Comments

Efforts to reform New Jersey’s network adequacy and plan disclosure laws that were introduced in the Legislature late last year in response to the roll out of Horizon’s new OMNIA tiered network product have stalled and have little hope of enactment. Court cases – one of which NJPCAC participated amicus – have also hit a dead end and there is little likelihood of a court solution. NJPCAC continues to work with Legislators on this important issue to craft a solution.

Men’s Health Month

Patient Care on June 20th, 2016 No Comments

This week we celebrate Men’s Health Week designated by Congress to coincide with Father’s Day. June is also Men’s Health Month in the United States. I understand there is also an “International Men’s Health Week” that is marked this week

Continue reading “Men’s Health Month” »

Patient Care and Access Matters

Patient Care on April 12th, 2016 No Comments

Welcome to our new blog. This is an effort to keep members of the New Jersey Patient Care and Access Coalition updated on our activities as well as give us the ability to comment on healthcare topics affecting independent and integrated physician practices. We will try to provide new content here at least monthly and are always open to ideas from our members and other visitors to our website.

Continue reading “Patient Care and Access Matters” »

Alan Krieger Elected New NJPCAC President and Chairman

Press Releases on February 21st, 2014 No Comments

Alan P. Krieger, MD was unanimously elected Chairman of the Board of Directors and President of the New Jersey Patient Care and Access Coalition at the Coalition’s Board of Directors’ annual meeting on February 19th in New Brunswick. Dr. Krieger had previously served as Vice Chairman.

“I am honored to have been given this responsibility by my peers,” said Dr. Krieger. “This Coalition has been important not just to protecting our integrated model of care, but in educating public policy makers on the issues that are critical to us. I hope to be able to build on the success of my predecessor Dave Taylor and strengthen the Coalition.”

Alan Krieger is a Board-certified urologist and President of the Urology Group of New Jersey (UGNJ), a large independent practice with twelve office locations throughout four counties in New Jersey. He serves as the Division Chief of Urology at Trinitas Regional Medical Center in Elizabeth and oversees the clinical and didactic medical education in urology for students from St. George’s University in Grenada, and Touro College of Osteopathic Medicine in New York, where he is an Adjunct Clinical Assistant Professor of Urology.

After receiving his Bachelor of Arts degree in Art History at New York University and attending medical school at the Universidad Autonoma de Guadalajara in Mexico, Dr. Krieger went on to complete his urology training and Chief Residency at Maimonides Medical Center in Brooklyn, New York.
Alan is a Past President of the Union County Medical Society in New Jersey and is a member of the American Urological Association, New York Section of the AUA, Medical Society of New Jersey and the Union County Medical Society. Dr. Krieger currently resides in New Jersey with his wife Laurie, and is the proud father of three grown children.

David Taylor Honored at Annual NJPCAC Meeting in New Brunswick

Press Releases on February 21st, 2013 No Comments

David Taylor, MD, was honored by the New Jersey Patient Care and Access Coalition Board of Directors at its annual meeting in New Brunswick on February 19th for his service as Chairman of the Board of Directors and President for the past three years. Dr. Taylor will serve as Vice Chairman for the coming year. He was succeeded as President and Chairman by Alan Krieger, MD.

“It has been a privilege to serve this Coalition which we all worked together to build,” said Dr. Taylor. “I believe it has served our interests well and is a model for other specialties that want to come together to protect the voice of independent physician specialty practices. I am confident that Alan will continue to build on our past successes and I intend to remain actively engaged as Vice Chairman.”

In presenting a recognition award to Dr. Taylor, Dr. Krieger said, “Dave’s tireless efforts on behalf of the Coalition and the critical role he played in elevating NJPCAC’s profile and relationships in Trenton with key legislators and regulators did not go unnoticed and are certainly not unappreciated by all of us.”

The Stone Center Acquires Powerful New Prostate Cancer Targeting Tool

Press Releases on October 21st, 2012 No Comments

NEWARK, NJ – The Stone Center, one of the largest lithotripsy centers in the United States, announced that it is expanding its urological services for patients through the acquisition of a powerful new tool for the analysis, planning and targeted biopsy of the prostate. The new technology, available in New Jersey only at The Stone Center, is known as the “UroNav fusion biopsy system” and clinicians have found that it is better able to pinpoint trouble spots and lead to a quicker prostate cancer diagnosis.