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Medical staff prevails in legal battle over medical staff self-governance

A settlement has officially been reached in the case of the Tulare hospital embroiled in a bitter legal battle over the self-governance rights of its medical staff. The case stems from actions taken in 2016, when hospital administrators at Tulare Regional Medical Center (TRMC) terminated the entire medical staff and its duly elected officers. The hospital then adopted new medical staff bylaws in secret and without input from physicians at the hospital. The hospital dictated leadership and standards of medical care, seized control of the disciplinary process without legal or ...

Health Net Federal Services experiences significant challenges with TRICARE transition

On January 1, 2018, Health Net Federal Services (HNFS) became the new Defense Heath Agency (DHA) managed care contractor for the TRICARE West Region, serving approximately 2.9 million beneficiaries in 21 western states, including California. HNFS took over the contract previously held by UnitedHealthcare Military and Veterans’ Services (UMVS). The California Medical Association (CMA) has learned that HNFS has experienced implementation issues related to provider contracting and credentialing, beneficiary reassignment to new primary care managers (PCM), and provider directory inaccuracies. Read More

Mental health after devastating Northern California wildfires focus of July 31 conference

Recovery from the mental health impacts of the October wildfires, retaining and recruiting doctors to the area and key legislation affecting medicine will be among the topics at the North Bay Business Journal / Western Health Advantage Health Care Conference on July 31, a Project Rebuild event. Addressing the recovery of the North Bay from the mental health impacts will be a panel moderated by Sonoma County Supervisor Shirlee Zane and the following leaders. Read More

A Letter to Doctors from CMS Administrator Seema Verma

In a letter addressed to doctors, CMS Administrator Seema Verma reaffirmed the federal agency’s commitment to “turning the tide” of rising rates of physician burnout and reducing clinical documentation requirements to cut provider burden.   A Letter to Doctors from CMS Administrator Seema Verma Dear Doctor, Thank you for the difference you make in your patients’ lives. Many of our nation’s best and brightest students go into medicine – the competition is intense for every spot. To become a practicing physician, you had to put in years of training, hours of studying, and ...