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Clinical Pathways

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Upcoming Events

Save-the-date! Wednesday, October 22, 2014!
The MOASC Administrator Meeting will be held at the Disneyland Hotel in Anaheim.
The speakers and topics will be announced shortly.
For more information and to register, email or call 909-985-9061 ext. 1.

Save-the-date!  Friday, November 14, 2014!
The MOASC Oncology Summit will be held at the InterContinental Hotel in Century City.
The schedule is:
5:00pm      Networking Reception - Exhibit Hall
6:30pm      Dinner – Welcome & Introductions
7:00pm      Keynote presentation
                    Physician Hospital Partnerships: What                    they look like, Whether they work
                    and Should you consider one?

Presented by:
                    Lawrence D. Piro, M.D.
                    President & CEO, The Angeles Clinic
                    MOASC Board of Directors
                    Chair, MOASC Executive Committee
8:30pm      Program concludes

For more information and to register, email or call 909-985-9061 ext. 1.
This meeting precedes Research To Practice - Year In Review Program with Dr. Neil Love on
Saturday, November 15, 2014. For more information visit:

Hot Topics

Medical Oncology Association of Southern California  President's Letter

United We Stand

The practice of oncology is changing. The Medicare Modernization Act, Affordable Care Act, and sequestration have strained oncology practices to the breaking point.  Oncologists are retiring without replacements. Practices are going out of business or bankrupted.

Oncologists are now confronted with rapidly changing contracting freedom.  The proposed Anthem/Blue Cross Cancer Care Quality Program Treatment Pathwaysis the most recent fore by an insurer into controlling medical decisions via financial leverage.

Oncologists are fleeing to hospitals, Kaiser Permanente, and universities as a "safe haven."  But, are they really safe?  As those oncologists age, they will find themselves in an increasing "take it or leave it situation."  Who will defend their employment and medical decision rights?

We at the Medical Oncology Association of Southern California (MOASC) want ALL oncologists to know that we will always stand beside you.  MOASC and the Association of Northern California Oncologists (ANCO) have united and initiated the "Renewal Committee" to ask California oncologists, "What does today's oncologist want and need from its association?"  MOASC and ANCO are committed to reformulate themselves to address the needs of all the current and future oncologists.

MOASC also continues its mission as your voice in State and Federal, insurance, and hospital matters.  MOASC and ANCO fought, and won, its efforts to prevent MediCal from collecting years of past drug reimbursement, that MediCal arbitrarily and retroactively deemed "over-payments."  MOASC is challenging the proposed Anthem/Blue Cross Cancer Care Quality Program Treatment Pathways.  MOASC is part of the fight against the trial lawyers' attack on MICRA, Proposition 46. In his concluding act as MOASC President, my predecessor, Robert A. Moss, M.D., rebuts Proposition 45 in the 2014 California General Election Official Voter Information Guide. MOASC perseveres to protect oncologists' ability to provide unfettered patient care, prevent physician assisted suicide, and thwart over-regulation.

In these difficult times, I am asking you to stay united with your brethren through the Medical Oncology Association of Southern California.  Help us stay politically strong.  Help us help you.  Join, or renew your membership in, MOASC.  Get your colleagues to join as well. Together we can shape oncology in the future.  Together we can dictate how we practice.  Only physicians can provide medical care; only we can cut ourselves out of the decision making through apathy and fragmentation.  United we stand; divide we fall.
Thank you,
Warren Fong, M.D.

A comprehensive set of FAQs on California's standardized and required Prescription Drug Prior Authorization Form are available at For more information, click here.

Noridian/JEMAC has posted the following updates to its website  ( PQRS and eRx Incentive Program Feedback Reports for 2013. For more information, click here.

The new Drug Medi-Cal Provider Agreement (DHCS 6009) is now available in the Application Forms by Form Name and Number section of the Provider Enrollment page of the Medi-Cal website. Additional information about the agreement, including requirements for completing and submitting the agreement, is available in the article Medi-Cal Requirement for the Drug Medi-Cal Provider Agreement.
. For more information, click here.

The Institute of Medicine (IOM) has released a report entitled Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life (available at

Near-the-End-of-Life.aspx). The report assesses the current state of end-of-life care in the United States and calls on stakeholders to achieve a system that provides care for individuals near the end of life that is compassionate, affordable, sustainable, and of the best quality possible. To help achieve these goals, ASCO's full range of resources on this issue are at In related news, the American Medical Association (AMA) has released current procedural terminology (CPT) codes for advance care planning services, a necessary first step for Medicare to begin considering reimbursement for end-of-life discussions between physicians and patients. The new codes will also help streamline reimbursement from private payers. For more information, visit For more information, click here.

Secretary of Health and Human Services Sylvia Burwell announced last week that next year's standard Medicare Part B monthly premium and deductible will remain the same as the last two years. Medicare Part B covers physicians' services, outpatient hospital services, certain home health services, durable medical equipment, and other items. Medicare Part B premiums and deductibles will remain unchanged in 2015 at $104.90 and $147, respectively.
Read more about announcement. For more information, click here.

MOASC Information

The MOASC Clinical Staff Program was held on September 19th in Pasadena.
The first presentation was "Oral Adherence” Presented by: Flora Woo, MSN, RN, Senior Clinical Nurse Consultant, Celgene Corporation.  The second presentation was " Compassion Fatigue: Building Resilience in Oncology Nurses” Presented by: Katherine Joyce Janzen RN, MN, ONC(C), Assistant Professor, School of Nursing and Midwifery; Faculty of Health and Community Studies, Mount Royal University, Calgary, Alberta, Canada. The third presentation was The Art of Active Listening” Presented by: Selinza Ann Mitchell, CNSOncology Clinical Nurse Educator.  
This program was sponsored in part by the following: Celgene, Pfizer, McKesson, Millennium, Eisai, Merck, Genentech, OncoQol, American Regent, and Foundation Medicine.  
For a copy of the handouts, please send an email to

Wednesday, September 10, 2014, 12:00pm - 1:00pm PST. 
Due to overwhelming interest and realization of needing to be prepared, MOASC is
providing an encore presentation of, "Medicare Physician Fee Schedule (PFS)
2015 Proposed Rule, the Value Based Modifier and Changes to Physician
Quality Programs." 
Presented byKelly Davies, Healthcare Policy & Advocacy
Director, Southern CA, Strategic Customer Group, Johnson & Johnson Health
Care Systems Inc. For more information on the 2015 proposed rule, click here.
Physicians may lose up to 9% in Medicare revenue come 2017! 
You cannot afford to miss this encore presentation on Wednesday,
September 10, 2014, 12:00pm - 1:00pm PST. 
To RSVP contact Danielle Overman at

The MOASC LunchTime Series Webinar was held on August 27th.
The first presentation was "Medicare Physician Fee Schedule (PFS) 2015 Proposed Rule, the Value Based Modifier and Changes to
Physician Quality Programs”
Presented by:Kelly Davies, Healthcare Policy & Advocacy Director, Southern CA, Strategic Customer Group,
Johnson & Johnson Health Care Systems Inc. The second presentation was "Eliminating Collection Costs While Reducing Accounts
Receivables by More Than 61%" 
Presented by:Shawn Ecksel, Vice President, Sales and Development, USPAY.  For a copy of the
handouts, please send an email to

If you did not attend last Wednesday's LunchTime Series Teleconference, "California Regulated Medical Waste Management and Proper Waste Segregation," presented by Richard Best, Technical Director, Stericycle, Inc., you can listen to the recording by dialing 1-888-203-1112 and enter the pass code 353441415#This recording will be available for the next 30 days. To view the handouts for the presentation, please email Danielle Overman at

Rosetta Genomics announced that enrollment has begun for a prospective Registry of U.S. patients whose tumor biopsy samples have been analyzed by a microRNA-based Gene Expression Profiling (GEP) assay.  This study has been initiated because emerging clinical evidence appears to support the clinical value of this type of testing to improve diagnostic certainty of a specific cancer diagnosis. It is intended that this Registry Study will add considerable evidence validating the clinical utility of microRNA-based GEP by evaluating its impact on patient treatment. Your participation in this Registry Study is therefore vital to its success.  Compensation for completing the Actionability survey for each patient, enrolling each patient and for entering follow-up data will be provided.  For more details please visit
or contact Janet Bernard, Study Coordinator: Tel 617-532-5709 or and / or email to E. Robert Wassman, MD:


Thank you to the following sponsors for assisting MOASC in achieving their mission.

Bayer Healthcare Pharmaceuticals, Cardinal Health Specialty Solutions, Lilly Oncology, Oncology Supply, Teva Oncology

Amgen, Astellas Oncology, Novartis
AMAG Pharmaceuticals, AstraZeneca, Dendreon, Genentech, Genomic Health, McKesson Specialty Health, Merck Oncology, Millennium, Onyx Pharmaceuticals, Pfizer, Pharmacyclics, Rosetta Genetics, Seattle Genetics, Sanofi Oncology

BMS, Myriad

© 2008 - 2014 Medical Oncology Association of Southern California
P.O. Box 161   •    Upland, CA 91785
Phone: (909) 985-9061   •    Fax: (909) 985-8581   •   email:

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