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Dec. 20, 2015                                                                                             Vol. 4, No. 67





Medicare Bonuses for Primary Care Expire Dec. 31


Primary care doctors who see a high volume of Medicare patients need to brace themselves for a pay cut starting Jan. 1, 2016. A provision in the Affordable Care Act that provided Medicare payment bonuses to primary care physicians is expiring on Dec. 31. That means some Texas physicians will lose hundreds of thousands of dollars with the extinction of the Centers for Medicare & Medicaid Services (CMS) Primary Care Incentive Payment Program (PCIP), which aimed to narrow the gap in Medicare payments between primary care physicians and specialists.


To receive the quarterly incentive payments, which began in 2011, physicians' primary care services (CPT codes 99201 through 99215 and 99304 through 99350) had to account for at least 60 percent of their total allowed charges under the physician fee schedule in the calendar year. Eligible physicians include those with a Medicare specialty designation of family medicine, geriatrics, pediatrics, and internal medicine.

- See more at: 


Click here for more information.





Our sister city in India, Chennai, has been hit very hard by recent flooding and the death toll is approaching 300.

The city has also suffered from more than $2 billion in economic losses and is struggling to deal with more than a million displaced people.


And yet, the spirit of Chennai has not been extinguished. It is burning brighter than ever with neighbors rescuing each other and strangers cooking food and distributing aid.

Hindus, Muslims, Sikhs, and Christians are throwing their temples, mosques, gurudwaras, and churches open to shelter the displaced.


We want to salute this spirit of Chennai, our beloved sister city, by tipping our hats and pledge to stand with them.


Here are some facts about Chennai:

  • Chennai is the 5th largest city in India with a population of more than 8 million               
  •  Industries: Automobile, Petrochemical industries and refineries, Information                    Technology, Healthcare, Education, Movie making, Arts and culture, Tourism
  • Chennai has a bustling automobile industry and is referred to as "The Detroit of India." 
  • Has been named the 2nd best food city in the world by National Geographic.               
  • Has been named the 9th best cosmopolitan city in the world by The Lonely Planet       
  • Chennai has 80.73% Hindus, 9.45% Muslims, 7.72% Christians, 0.06% Sikhs, 0.06%   Buddhists, 1.11% Jains, 0.83% living in peace and harmony


HATS OFF CHENNAI- We salute your spirit!


Here are ways that you can help:

Take a photo of yourself as your tip your hat to Chennai and its people. Post it on Facebook and nominate at least 5 of your friends to do the same. Include this link with your post and ask your friends to make a donation toward the Chennai relief efforts. Every penny counts and Chennai needs our help!


Mail checks to

Anuja SA, PO Box 591801, San Antonio, TX 78259

Anuja is 501 (C) {3} organization.

tax ID 45-2836698






Addressing Child Abuse and Neglect in 2016


The Public Health and Patient Advocacy Committee at BCMS is looking for doctors who would like to volunteer their time to support efforts to better address issues of child abuse and child neglect in Bexar and the surrounding counties. 


This adjunct committee would focus on researching the issue, collecting data, looking at what is already being done locally, what is being done elsewhere that has been effective and then making recommendations to the full committee. 


The PH&PA Committee meets on the first Wednesday of every odd month at the BCMS offices. For more information or to volunteer to participate please contact committee liaison Mike Thomas at 210-582-6399.







Has the Cadillac tax hit a dead end?


Summary of article from Modern Healthcare:


By Shannon Muchmore  | December 16, 2015

The delay of the tax on high-end insurance plans will not have much of an immediate effect on healthcare economics or the success of the Affordable Care Act, but if the tax continues to be pushed off and is essentially dead, consequences loom large.

Congress announced the omnibus budget agreement and tax extenders bill late Tuesday with a vote planned before the end of the week. White House officials have indicated the president will sign the package into law.

It includes delaying for two years implementation of the "Cadillac" tax, which was scheduled to go into effect in 2018. It also freezes the medical-device tax that began in 2013 for two years and delays the annual tax on health insurers by one year.

The Obama administration is one of the last defenders of the so-called Cadillac tax, which has never been politically popular even among those supporting the ACA. Several Democrats, including the top contenders for the party's nominee for president next year, have come out in favor of repealing it.

The Cadillac tax is 40% of the value of employer-sponsored plans that exceed certain thresholds: $10,200 for individual coverage and $27,500 for family coverage. An August report from the Kaiser Family Foundation estimated that about a quarter of businesses would be subject to the tax in its first year, increasing to 42% by 2028.

Employers have been scaling back medical coverage for years, shifting more of the direct costs to workers and their families through higher annual deductibles and cost-sharing. Increasingly, they have cited the Cadillac tax as a factor.


Click here for full article.







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or more to BCMS annually.


Support our sponsors; our sponsors support us!



Thank you to our BCMS Circle of Friends sponsors! This information is sent on behalf of a valued sponsor, but it is not an endorsement. Donations from Circle of Friends sponsors help keep down the cost of dues and allow BCMS to continue to provide quality service to its members. The society continues its pledge to you and only will involve itself in services and programs that benefit you, the member, and your patient.


Bexar County Medical Society

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San Antonio, TX 78201







About The Weekly Dose

The Weekly Dose is a service of the Bexar County Medical Society.

Some of the suggestions conveyed may not be applicable to your practice today, 

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