
One Team. One Goal
Friday, July 24, 2026

One Team. One Goal.
Colleagues:
Every four years, the FIFA World Cup reminds us of one of sport’s most enduring truths: championships are rarely won by the most talented individual. They are won by the most cohesive team.
Millions watch extraordinary athletes display remarkable technical skills: brilliant saves, precise passing, and spectacular goals. Yet beneath every highlight lies something less visible but infinitely more important, disciplined collaboration. The goalkeeper views the match through an entirely different lens than the striker. Defenders succeed by preventing opportunities, midfielders by orchestrating play, and forwards by converting opportunity into victory. Each position demands years of highly specialized training, distinct judgment, and unwavering trust in the expertise of teammates. Excellence depends not on interchangeability, but on complementary mastery.
Medicine reflects this same reality.
Modern patient care has evolved into one of the most sophisticated examples of interdisciplinary collaboration in society. Family physicians, pediatricians, internists, emergency physicians, surgeons, anesthesiologists, radiologists, pathologists, psychiatrists, obstetrician-gynecologists, cardiologists, orthopedic surgeons, and countless other specialists devote decades to acquiring knowledge and clinical judgment specific to their disciplines. No physician, regardless of talent or experience, can master every field of medicine. Our strength lies not in individual scope, but in collective expertise.
Just as no World Cup team can succeed without every position functioning at the highest level, no healthcare system can deliver optimal patient care without the contributions of every medical specialty. A patient’s care is rarely defined by a single encounter; rather, it is the culmination of coordinated expertise delivered across multiple disciplines. The same principle applies to organized medicine.
Specialty societies appropriately advocate for the relevant clinical, educational, scientific, and professional interests of their respective members. The American College of Surgeons advances surgical practice. The American Academy of Family Physicians champions primary care. The American College of Obstetricians and Gynecologists promotes women’s health. The American College of Radiology represents radiologists, radiation oncologists, and medical physicists. Every specialty organization serves an indispensable role, just as every position on the soccer pitch fulfills a distinct responsibility. Yet there are challenges that go beyond specialty boundaries.
The erosion of physician autonomy, increasingly burdensome prior authorization requirements, inadequate reimbursement, excessive administrative regulation, escalating medical liability concerns, scope-of-practice expansion, and barriers that impede patients’ timely access to physician-led care threaten every physician, regardless of specialty. These issues are not surgical problems, primary care problems, or emergency medicine problems. They are challenges confronting the medical profession itself.
That is precisely why organizations such as the Medical Society of the State of New York and the American Medical Association remain indispensable. They serve as the forums where physicians from every specialty come together, not to advance individual disciplines, but to protect the integrity of the profession and advocate for the patients we serve.
The discussions are not always easy. Nor should they be. Diverse perspectives strengthen policy development. A radiologist naturally approaches an issue differently than an obstetrician, just as a defender reads a match differently than a striker. Thoughtful disagreement is not a weakness of organized medicine; it is one of its greatest strengths. Through deliberation, debate, and compromise, physicians develop policies that are stronger precisely because they reflect the collective wisdom of multiple disciplines.
A championship soccer team cannot succeed if every player insists on pursuing an individual strategy. Victory requires trust, shared purpose, and a recognition that individual accomplishment has meaning only when it advances the success of the entire team. The same principle applies to medicine.
Although we practice in different specialties, care for different patient populations, and may belong to different professional organizations, we remain united by a common commitment to place the welfare of our patients above all else. That shared commitment has always been the foundation of our profession.
When physicians speak with one voice, policymakers, regulators, insurers, and the public listen differently. A fragmented profession can be divided. A unified profession commands respect. Our influence is greatest when we advocate not simply for our own specialties, but for the principles that sustain high-quality, physician-led patient care across every discipline.
The World Cup celebrates the power of extraordinary individuals working toward a common objective. Medicine should aspire to nothing less. Our jerseys may bear different specialty names. Our daily responsibilities may differ dramatically. But we are united by science, professional ethics, rigorous training, and an unwavering commitment to our patients.
Together, these shared values make organized medicine far stronger than the sum of its individual specialties.
Championships are earned through disciplined teamwork.
So too is the future of medicine.
All the best,
Mark J. Adams, MD, MBA, FACR
MSSNY President

NYDOH Cyclospora Health Advisory: Clinicians Advised to Consider Targeted Testing for Persistent Diarrheal Illness
Physicians are reminded to consider Cyclospora cayetanensis infection in patients presenting with prolonged or relapsing watery diarrhea, particularly those with a history of consuming fresh imported produce or recent travel to tropical or subtropical regions where the parasite is endemic. Additional symptoms may include abdominal cramping, bloating, weight loss, nausea, and marked fatigue. Because Cyclospora is not routinely included in all stool ova and parasite examinations or multiplex gastrointestinal PCR panels, clinicians should specifically request testing when clinically indicated. While many immunocompetent patients recover without treatment, illness may persist for weeks or relapse if left untreated. When treatment is warranted, trimethoprim-sulfamethoxazole (TMP-SMX) remains the therapy of choice, with no highly effective alternatives currently available for patients who cannot tolerate sulfonamides.

NYSDOH Medical Aid in Dying Webinar – Tuesday, July 28th
The NYS Medical Aid in Dying law, Article 28-F of the Public Health Law, allows terminally ill adults to obtain a prescription for medication which they can choose to self-administer to end their life. The law will take effect on August 5, 2026. The Department of Health will be hosting a series of informational webinars in advance of this effective date for practitioners and facilities who may be involved in the exercise of medical aid in dying.
NYS Medical Aid in Dying Webinar
Date and time: Tuesday, July 28, 2026, 3:30 PM | (UTC-04:00) Eastern Time (US & Canada)
Join link: https://meetny-gov.webex.com/meetny-gov/j.php?MTID=mafb32800af3cc73aa455a7b10858e5a7
Webinar number: 2830 515 8283
Webinar password: SidkAjWN235 (74352596 when dialing from a phone or video system)
Join by phone
+1-929-251-9612 United States Toll (New York City)
+1-415-527-5035 United States Toll
Access code: 283 051 58283
Save the Date: 8/17 Webinar on the MultiPlan Litigation – What Providers Need to Know
As part of our ongoing advocacy on behalf of our members, MSSNY has joined the MultiPlan litigation, and we want to make sure you have the information you need about what this means for you and your practice.
A sweeping federal antitrust lawsuit is moving forward against MultiPlan, Inc. and several major insurers — including Aetna, Cigna, UnitedHealth, and Blue Cross Blue Shield — alleging that MultiPlan facilitated a price-fixing agreement that artificially suppressed out-of-network payment rates, costing providers billions of dollars.
If you or your practice have received out-of-network payments processed through MultiPlan — also known as Data iSight, Viant, NCN, ProPricer, or MARS — this webinar is directly relevant to you.
As a member benefit, we have arranged a webinar with Matt Lavin, partner at Gilbert LLC, and Jennifer Scullion, partner at Seeger Weiss, both members of the Executive Committee for direct-action plaintiffs. They will walk through the litigation origins, key legal developments, and what affected providers should consider now to determine if they should join the litigation.
Webinar: Navigating the MultiPlan Litigation: What Practitioners and Facilities Need to Know
Date: August 17
Time: 7:30 AM
Format: Virtual Webinar
This webinar is available exclusively to MSSNY members.
Physicians who are interested in attending but are not currently members are invited to contact MSSNY Member Resources at [email protected] or join MSSNY online.
Enhancing Observation, Communication and Stress Reduction: Now Offering 1:1 Sessions Using The Art of Seeing Method
ArtMed inSight is currently offering a series of focused 1:1 Sessions that apply The Art of Seeing Method to support observation, communication, and stress reduction within your specific medical context. Using art-based techniques, we work directly with your real-world situations, such as decisions, challenges or recurring patterns, to examine how perception is shaping your outcomes and goals, while providing a set of tools that can be applied immediately to support effective solutions and meaningful change.
The Art of Seeing perceptual training has been offered at and research-validated by leading medical institutions. Only a few spots left. Click here for more information.
NY Yankees Healthcare Appreciation Games
Head to the stadium September 9th and 10th for the Yankees’ Fall Healthcare Appreciation Games!
All games come with a $15 voucher for food and drinks, and a Yankees Healthcare hat!


NYRx Cost Optimization Program Update
The New York State Medicaid Pharmacy Program (NYRx) has expanded its Cost Optimization Program, effective July 16, 2026, by adding additional high-cost drug formulations and dosages that are significantly more expensive than therapeutically equivalent alternatives. The initiative targets medications where lower-cost strengths, dosage forms (such as tablets instead of capsules), or comparable drugs in the same class provide the same clinical benefit. Prescribers are encouraged to use these less expensive options whenever appropriate to help reduce unnecessary Medicaid spending while maintaining quality of care.
If a prescriber determines that a higher-cost formulation is medically necessary for an individual Medicaid patient, NYRx allows providers to request an exception by submitting a letter of medical necessity, supporting chart notes, and peer-reviewed literature for review. Drugs included in the Cost Optimization Program are identified with an “MR” designation on the NYRx Preferred Drug List when they are also subject to other Medicaid pharmacy programs. The July 16 update adds new medications to the program but does not change the overall policy or exception process.
Links for the updated resources:
NYRx Cost Optimization Program Update
NYRx Brand Less Than Generic Program Update
NYRx, the Medicaid Pharmacy Program: Prior Authorization Update
NYPDP_PDL
Additional Updates:
- Zepbound has been added to the formulary for Obstructive Sleep Apnea (OSA).
- Additional medications have been added to Cost Optimization initiatives.

MSSNY Member Dr. James Cirbus Joins General Physician Cardiology Team
MSSNY member James Cirbus, MD, FACC, has joined General Physician’s cardiology practice in Dunkirk, where he will provide cardiovascular care alongside the existing cardiology team and collaborate with Brooks-TLC Hospital and the future Northern Chautauqua Hospital to expand access to cardiac services in the region.
A Fellow of the American College of Cardiology with more than 40 years of clinical experience, Dr. Cirbus previously served for over two decades as Chief of Cardiology and Director of the Cardiac Catheterization Laboratory at WCA Hospital (now UPMC Chautauqua). He is also a member of the Chautauqua County Medical Society. Congratulations, Dr. Cirbus!
MSSNY Member Dr. Simon Kokkinakis Named Medical Staff President at Richmond University Medical Center
MSSNY member Simon Kokkinakis, MD, has been named President of the Medical Staff at Richmond University Medical Center on Staten Island. An obstetrician-gynecologist who has cared for patients at the hospital since 2006, Dr. Kokkinakis began his two-year term on July 1 and will serve as the liaison between the hospital’s more than 400-member medical staff, executive leadership, and Board of Trustees. A past president of the Richmond County Medical Society, he has also served as Chair of Richmond University Medical Center’s Department of Obstetrics and Gynecology and has held numerous leadership positions in organized medicine and medical education.
“I am eager to represent the medical staff at RUMC, I want to be their biggest advocate ensuring their voices are heard,” Kokkinakis said. “When change occurs, it is important to have a positive outlook and keep morale high. A supported team delivers better care.” Congratulations, Dr. Kokkinakis!

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Coverage that grows with your family. Creative Wealth Planning helps MSSNY members navigate flexible health, dental, and vision options for every stage of life.

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