January 2023

Important Correction to Utilization Review Information in January 2023 Edition

Correction Notice: January 2023 IMPORTANT CORRECTION NOTICE CT Statutes- Utilization Review Important correction to the information pertaining to Utilization Review that was shared in the January 2023 (emailed 12/29/2022), issue of the Connecticut Orthopaedic Society E-Newsletter. The correct statute information for Utilization and Peer Review and related definitions are cited and referenced below. If you have any questions, please contact the COS at 860.690.1146, or email ctorthoexec@gmail.com. Thank you. State of CT - Statutes CHAPTER 700c – Section 38a-591a. Definitions HEALTH INSURANCE https://www.cga.ct.gov/current/pub/chap_700c.htm#sec_38a-591a (7) “Clinical peer” means a physician or other health care professional who (A) holds a nonrestricted license in a state of the United States and in the same or similar specialty as typically manages the medical condition, procedure or treatment under review, and (B) for a review specified under subparagraph (B) or (C) of subdivision (38) of this section concerning (i) a child or adolescent substance use disorder or a child or adolescent mental disorder, holds (I) a national board certification in child and adolescent psychiatry, or (II) a doctoral level psychology degree with training and clinical experience in the treatment of child and adolescent substance use disorder or child and adolescent mental disorder, as applicable, or (ii) an adult substance use disorder or an adult mental disorder, holds (I) a national board certification in psychiatry, or (II) a doctoral level psychology degree with training and clinical experience in the treatment of adult substance use disorders or adult mental disorders, as applicable. Join your colleagues for the 2023 COS meeting developed by Michael Kaplan, MD, Program Director, and featuring: Great speakers, Clinical Education with CME, Breakfast, lunch and networking, Orthopaedist of the Year, Honorary Member and Humanitarian Awards Resident Presentations, Exhibit area with latest products and services, and No registration fee for all 2023 COS dues paying members. Click for Agenda* *Subject to Change. 2023 Annual Meeting Friday May 12, 2023 8 a.m. - 2:00 p.m. Aqua Turf Club Plantsville, CT 2023 COS Membership Renewal The COS is the only statewide association representing Connecticut’s orthopaedic community. In 2022, working on behalf of orthopaedic surgeons and their patients, COS, as a coalition member, and its lobbyists successfully repealed the onerous ASC tax of seven years in Connecticut saving ASCs millions of tax dollars. Members lobbied and testified on this and other important issues impacting the profession in 2022. We have much more work ahead in 2023, Prior Authorization Policy Reforms  Increase Medicaid reimbursements  Ensuring scope expansion equates to patient safety and more. Renew for 2023 online or complete the form and mail with your check payment. To arrange group billing, have your staff contact COS at 860-690-1146 or email ctorthoexec@gmail.com to request. RENEW ONLINE Scan to Join COS Texting Network Receive advocacy alerts, regulatory updates. relevant programs and insurance news.   All cell phone information is private. Texts sent within normal business hours ONLY. Opt-out at any time.  Interested in Serving on the COS Board? The CT Orthopaedic Society Board is an active group of orthopaedic surgeons from throughout the State working on legislative, insurance, regulatory matters impacting Connecticut's orthopaedic community. The Board governs the work of the Society, advocates at the state and federal levels, organizes events and programs and addresses issues of importance to surgeons and their patients. If your interested in supporting your orthopaedic colleagues and would like learn more about the Board and how to get involved, please email the COS for more information and to be placed on the list to be contacted and/or considered when a board vacancy occurs.

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Latest Orthopaedic Updates from CT Orthopaedic Society

December 2022 In Memoriam Ronald A. Ripps, MD May 1943 - November 2022 "The fire that burns in his eyes was lit for the day when he earned the right and the awesome responsibilities of surgical practice and it will never be extinguished.” It's Who You Are, Noah H. Ripps - Summer 2008 The Connecticut Orthopaedic Society (COS) and members of the Board mourn the passing of past president and longtime board member, Ronald Ripps, MD. Dr. Ripps served as COS President from 2001 to 2003, and is being remembered for his leadership, foresight, and contributions to the Society. He joined the Society’s Board in 1996, and for over a decade was a mentor to many, both professionally and within the Society.   Under his leadership and tutelage as President of the Society, Dr. Ripps laid a solid foundation for growth and expansion of the professional society to represent orthopaedic surgeons on legal, regulatory, and professional fronts. He was a contributing editor to BACKBONE, the Society’s original newsletter, writing articles of human interest and professional importance. In 2008, Dr. Ripps was honored with the Society’s highest award, Orthopaedist of the Year, for his work in developing a thriving and relevant professional organization.  He was the founder of Connecticut Family Orthopedics in Danbury, served on the Board of the Fairfield County Medical Association and the Connecticut State Medical Society’s Legislative Committee. Dr. Ripps served as Chief Flight Surgeon at Dyess Air Force during the Vietnam War. He received his medical degree from Tufts University Medical School. He will be missed and fondly remembered. The COS Board extends their sympathy to Dr. Ripps’ wife, Barbara, and their family.  In 2008, his son Noah wrote an article reflecting on his father’s career as an orthopaedic surgeon which was published in the Society’s, Backbone Newsletter in the Summer of 2008.  It's worth a read! Avert 2023 Medicare Pay Cuts Contact CT U.S. House of Representatives Members Join the AAOS and COS in urging Congress to support physicians and Medicare patients and prevent looming Medicare payment cuts beginning in January 2023. Connecticut's Congressional delegation needs to hear from YOU.  As of December 1st, there are 106 cosponsors of House bill, HR 8800, Support Medicare Providers Act of 2022.  REP. JOHN LARSON HAS SIGNED ON FROM CONNECTICUT. IF YOUR U.S. HOUSE OF REPRESENTATIVE MEMBER HAS NOT SIGNED ONTO THE BILL YET; PLEASE SEND A LETTER USING THE LINK BELOW.  It's quick and easy to advocate for the profession and Medicare patients. SEND LETTERS 2023 COS Membership Renewal The COS is the only statewide association representing Connecticut’s orthopaedic community. In 2022, working on behalf of orthopaedic surgeons and their patients, COS, as a coalition member, and its lobbyists successfully repealed the onerous ASC tax of seven years in Connecticut saving ASCs millions of tax dollars. Members lobbied and testified on this and other important issues impacting the profession in 2022. COS representatives met in D.C. with CT House of Representatives and U.S. Senators to lobby for Prior Authorization Reform, and urged congress to avert the 2023 Medicare Payment Cuts. We have much more work ahead in 2023, Prior Authorization Policy Reforms  Increase Medicaid reimbursements  Ensuring scope expansion equates to patient safety and more. Please renew for 2023 either online or complete the form and mail with your check payment. To arrange for group billing, have your staff contact COS at 860-690-1146 or email ctorthoexec@gmail.com to request. RENEW ONLINE Join your colleagues for the 2023 COS meeting developed by Michael Kaplan, MD, Program Director, and featuring great speakers, relevant presentations, CME, latest products and services, breakfast, lunch and networking. All 2023 COS members attend at NO FEE. Click for Agenda* *Subject to Change. Scan to Join the COS Text Network Don't Miss Out - Sign Up Today! Sign up for texts from COS. Receive advocacy alerts, regulatory updates. relevant programs and insurance news.  All cell phone information will remain private. Texts sent weekdays and within normal business hours ONLY. Opt-out at any time.  IMPORTANT : You are giving express written consent to receive mobile text communication from the CT Orthopaedic Society. Message and data rates may apply. COS 2023 Annual Meeting Friday May 12, 2023 8 a.m. - 2:00 p.m. Aqua Turf Club Plantsville, CT AAOS Volunteer Opportunties AAOS members who may be interested in volunteering for one of the many volunteer opportunities with AAOS are encouraged to view the postings in the AAOS CAP System and apply. AAOS members can visit the www.aaos.org/cap from now until to December 18, 2022. LEARN MORE AAOS OrthoPAC The AAOS strongly supports the federal advocacy activities of the Connecticut Orthopaedic Society in Washington, D.C.   There are two major and critical bills the AAOS PAC is working to secure passage by the Senate; Prior Authorization Reforms in Medicare and delaying the Medicare payment cuts scheduled to go into effect January 2023.    To ensure the strength of Connecticut orthopaedic surgeons on a federal level, our Society continues to support the AAOS OrthoPAC with 100% statewide participation.   To augment the collective support of COS, please consider making an additional contribution by texting AAOS to 41444 or click here for easy online donations.

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