MSSNY PULSE

Over $45 Million Saved for Physicians

Friday, July 31, 2026

Payment & Practice: Turning Complex Payer Challenges Into $45 Million Recovered Revenue

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Payer disputes can drain time, revenue, and staff capacity from practices already managing rising costs, workforce pressures, and growing administrative demands. For New York physicians, delayed payments, claim denials, credentialing issues, and recoupments are not just billing problems; they directly affect practice stability and the ability to continue delivering care.

MSSNY’s Physician Payment and Practice Division continues to deliver measurable results. The team has now recovered $18 million to date in 2026 and $45 million since 2021, helping practices reclaim revenue that may otherwise have remained delayed, denied, or unrecovered.

The service is available to both MSSNY members and non-members, providing hands-on support for complex payer-related challenges. MSSNY members receive additional value through their membership, while non-members can also access the expertise of the Payment and Practice team when payer problems become difficult to resolve alone.

A recent testimonial from Dr. Thakor C. Rana reflects the real-world impact of this work. Dr. Rana wrote that his practice has worked with Heather Lopez of MSSNY on numerous occasions, particularly while navigating complex insurance-related challenges, and described her support as “nothing short of exceptional.” He noted that the team helped with “claim denials, delayed payments, and credentialing complications” involving a wide range of insurers.

Dr. Rana also emphasized the team’s responsiveness and persistence, writing, “Heather is remarkably responsive and efficient. She treats every issue with urgency, communicates clearly, and keeps us informed throughout the entire process.” Most importantly, he added, “she delivers results,” noting that payment issues were resolved, claims were processed, and credentialing matters were successfully completed.

His conclusion was direct: “In all honesty, Heather has been a true lifesaver for our practice.”

These results reinforce the value of having an experienced advocate when payer issues stall or threaten practice revenue. MSSNY’s Physician Payment and Practice Division works to protect physicians, strengthen practice sustainability, and help practices recover what they have earned.

If your practice is facing unresolved claims, payer disputes, credentialing delays, recoupment concerns, or other payment challenges, contact [email protected]

NYSDOH Guidance: Medical Aid in Dying (MAID) Physician Information

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With New York’s Medical Aid in Dying law set to take effect next Wednesday, August 5, the New York State Department of Health has published a FAQ document, Medical Aid in Dying Law Frequently Asked Questions, with more information regarding what physicians need to know about this law.

The DOH has also developed a short physician guidance document, physician_guidance.pdf, that provides a concise summary.

MultiPlan Litigation – What Physicians Need to Know

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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

Register Here.

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.

New York Ranks 39th for Healthcare: What the Data Means for Physicians

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New York has one of the strongest physician workforces in the country, ranking 3rd nationally for physicians per capita and 3rd for insured children.

But the state ranked only 39th overall for healthcare. High insurance costs, gaps in routine care, dental access challenges, and middling resident retention continue to weigh down New York’s performance.

For physicians, the message is clear: access to care depends on more than the number of doctors. It also requires affordability, a sustainable practice environment, and policies that help retain the next generation of physicians.

MSSNY continues to advocate for New York physicians and patients by pushing for policies that reduce administrative burdens, protect physician-led care, and make New York a stronger place to practice medicine.

New York Healthcare Ranking

39th — Overall healthcare rank
46th — Average monthly insurance premium
20th — Hospital beds per capita
3rd — Physicians per capita
27th — Dentists per capita
7th — Insured adults
3rd — Insured children
26th — At-risk adults with no routine doctor visit in the past two years
31st — Adults with no dental visit in the past year
27th — Medical residents retained

Best & Worst States for Healthcare (2026) (McCann, Wallethub, 7/27).

Medical Student Dues Announcement

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For many years, MSSNY has provided medical student membership at no cost. During that time, thousands of students have taken advantage of leadership opportunities, advocacy initiatives, educational resources, networking opportunities, and member-exclusive benefits.

As our Medical Student Section has grown, MSSNY has worked closely with the MSS Governing Council to identify the programs, benefits, and opportunities that are most valuable to medical students. Based on this feedback, and with approval from the MSS Governing Council, MSSNY Board of Trustees, and MSSNY Council, MSSNY is introducing an updated membership model for medical students.

Beginning with the 2027 membership year, medical student membership will transition to a prorated membership fee structure. This one-time fee covers membership through graduation, calculated by the expected year of graduation.

Expected Graduation Year	One-Time Fee
2030	$30
2029	$20
2028	$15
2027	$10
*Additional Years	$5

This prorated structure provides membership throughout medical school while keeping costs modest for students at every stage of training.

Why the change?

Our goal is to build a stronger and more engaged community of future physicians. This revised membership model will support expanded programming and benefits while encouraging continued participation and connection throughout medical school and beyond.

MSSNY is expanding the benefits and opportunities available to medical students based on student feedback. Along with discounted educational resources from leading platforms such as AMBOSS, Sketchy, and Boards & Beyond, members will benefit from new career development resources, including an AI-enhanced Physician Career Center, expanded Beyond the Bedside educational programming, and additional residency and physician leadership programming.

We understand that changes to membership structures require clear and timely communication. Additional updates will be shared in the coming weeks as these programs and benefits are finalized.

We hope medical students will continue their involvement with MSSNY and encourage their fellow medical students to join this growing community. We look forward to continuing to expand and modernize our programs, benefits, and opportunities based on feedback from medical student members.

If you have questions, please contact the MSSNY Membership Team at [email protected].

How Remote Monitoring is Changing Chronic Disease Management

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Article provided by ChronicCare

One of the greatest challenges in managing chronic disease is what happens between office visits. A patient with hypertension may appear stable during today’s appointment but experience dangerously elevated blood pressure weeks later. Unless that patient contacts the practice—or ends up in the emergency department, the provider may never know.

Remote Patient Monitoring (RPM) is changing that reality.

Recently, one of our patients enrolled in our Remote Patient Monitoring program recorded a significantly elevated blood pressure using a cellular-connected device provided through our program. Because the reading was transmitted in real time, our care management team was immediately alerted.

A care coordinator quickly contacted the patient to assess symptoms, while our clinical pharmacist performed a medication review to identify adherence issues, recent medication changes, or opportunities for optimization. We communicated our …

findings directly to the treating physician, who was able to make timely clinical decisions based on current information rather than waiting for the next office visit.

While no one can say with certainty what would have happened otherwise, early intervention may have reduced the patient’s risk of a serious cardiovascular event. This illustrates the true value of RPM—not simply collecting data but turning it into timely clinical action.

Moving from Reactive to Proactive Care

Traditional healthcare is often reactive, treating complications after they occur. RPM enables practices to become proactive by identifying concerning trends before they become emergencies. Combined with Chronic Care Management (CCM), physicians gain continuous oversight of their highest-risk patients without adding significant burden to their schedules.

When implemented through an experienced clinical partner, pharmacists, nurses, and care coordinators can monitor physiologic data, contact patients when abnormal readings occur, perform medication reconciliation, reinforce treatment plans, coordinate follow-up care, escalate significant findings to providers, and document CMS-compliant services. Physicians remain in control of all medical decision-making while benefiting from an expanded care team.

Improving Quality While Supporting Financial Sustainability

Beyond improving patient care, CCM and RPM support better chronic disease control, earlier identification of clinical deterioration, improved medication adherence and patient engagement, fewer avoidable emergency department visits and hospitalizations, stronger quality performance, and appropriate Medicare reimbursement for care coordination services.

As healthcare continues shifting toward value-based care, programs that improve outcomes while supporting financial sustainability are becoming increasingly important.

Looking Ahead

Technology alone does not improve outcomes—the clinical response does. Every elevated blood pressure reading, abnormal glucose value, or concerning weight gain represents an opportunity to intervene before a preventable complication occurs.

For physicians caring for patients with chronic disease, CCM and RPM are no longer simply reimbursement programs. They are powerful clinical tools that extend care beyond the walls of the practice, enabling continuous, proactive care that improves the health and lives of patients.

NY Budget: Practice Impact

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In this episode of MLMIC’s The Verdict, MSSNY’s Moe Auster, Esq and MLMIC’s Marc Craw, Esq. talk about what the New York 2027 State Budget means for physicians, medical practices, and healthcare organizations.

The conversation breaks down key legislative and regulatory developments affecting healthcare policy, compliance planning, practice operations, and the evolving New York regulatory landscape. Get the budget takeaways for your practice.

Enhancing Observation, Communication and Stress Reduction: Now Offering 1:1 Sessions Using The Art of Seeing Method

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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. For more information.

NY Yankees Healthcare Appreciation Games

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Head to the stadium September 9^th and 10^th for the Yankees’ Fall Healthcare Appreciation Games!

All games come with a $15 voucher for food and drinks, and a Yankees Healthcare hat! Click here to purchase!

Dr. Brian White Returns to National Cycling Podium

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Brian F. White, DO, a MSSNY member since 2009 and Chief of Interventional Pain Management at Bassett Healthcare Network, continues to demonstrate commitment both in medicine and in elite cycling.

Dr. White recently finished fourth at the USA Cycling National Championship Masters Road Race in Fall River, Wisconsin. The 55-mile race was held on a rolling 11-mile course under hot and windy conditions, testing both endurance and race strategy.

Early in the race, Dr. White joined a four-rider breakaway that built nearly a one-minute lead before being caught by the field around the 30-mile mark. Later, after another breakaway formed ahead, Dr. White launched a solo attack with approximately eight miles remaining and fought to build a 30-second gap over the pursuing field.

Reflecting on the effort, Dr. White said, “Those last 8 miles were hard, really hard; this is the hardest fight I can ever remember for a 4th place finish.” He added that after the early breakaway was caught, “I wasn’t convinced I had another deep effort left in me,” but decided to attack on the final lap as the course entered the climbs.

His result follows a strong return to competitive cycling after more than two decades away from the sport. In a previous MSSNY Member Spotlight, Dr. White reflected on stepping away from cycling during medical school and training, then rediscovering the sport as a way to reconnect with discipline, health, and personal purpose.

That message remains relevant for physicians across New York. Dr. White’s story is not only about athletic performance; it is about longevity, self-care, and the importance of maintaining identity beyond professional demands.

MSSNY congratulates Dr. White on this national achievement and is proud to spotlight members whose commitment, resilience, and leadership extend beyond medicine into every part of life.