MSSNY Secures $17 Million Wrongfully Withheld from New York Physicians by Health Insurance Plans
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For New York physicians, dealing with insurers, regulators, and endless administrative roadblocks is a daily reality. MSSNY’s Payment & Practice Division is revolutionizing the landscape for our members, having successfully recovered over $17 million since 2021 through dedicated advocacy, strategic appeals, and effective intervention. This remarkable achievement underscores our unwavering commitment to supporting healthcare professionals and ensuring they receive what they rightfully deserve.
Led by Heather Lopez, VP of Payment & Practice, the division has completed more than 2,300 consults for New York physicians. It has tackled everything from late insurer payments and credentialing delays to improper takebacks, denials, and downcoding errors. Each case represents money and time put back into physicians’ practices so they can focus on what matters most: patient care.
Beyond direct recovery, MSSNY has delivered statewide wins for all physicians, including preserving free excess malpractice coverage for 16,000 doctors, securing telehealth payment parity, blocking mid-year formulary changes, and helping increase Medicaid E&M payments. The division also plays a critical role in national advocacy, working with the AMA and regulators to oppose Medicare cuts and insurer payment schemes.
At a time when financial pressures and administrative burdens are pushing more physicians out of independent practice, MSSNY stands firm in protecting both your livelihood and your profession. If you’re not yet a member, now is the time to join and ensure you have an advocate working tirelessly on your behalf.
