The Doctors Company Appoints New Chief Medical Officer

August 21, 2019 by matray

The Doctors Company announced the appointment of David L. Feldman, MD, MBA, CPE, FAAPL, FACS, as chief medical officer (CMO) of The Doctors Company Group. In this new role, Feldman will lead the group’s education efforts in — and be the primary spokesperson for — trends and issues on patient safety and risk management.

Feldman succeeds David Troxel, MD, who retired after more than 13 years as CMO.

Feldman will continue to serve as senior vice president and CMO at Healthcare Risk Advisors (HRA), formerly Hospitals Insurance Co. and FOJP Service Corp., which was recently acquired by The Doctors Company Group. Under his leadership, HRA provides resources and a collaborative environment designed to minimize claims and lower premiums for HRA clients by preventing patient harm, enhancing teamwork and communication, and improving documentation.

Prior to HRA, Feldman was vice president for patient safety, vice president of perioperative services and vice chairman of the department of surgery at Maimonides Medical Center (Maimonides) in Brooklyn, N.Y. He implemented numerous patient safety initiatives, including the use of the World Health Organization Surgical Safety Checklist. As past president of the Maimonides medical staff, Feldman was instrumental in the creation and implementation of a hospital-wide Code of Mutual Respect and physician peer review committee.

“We are pleased to welcome David to The Doctors Company Group,” said Richard E. Anderson, MD, FACP, chairman and CEO of The Doctors Company. “His leadership, depth of medical experience and commitment to optimal clinical performance and patient outcomes make him the ideal candidate to represent our clinical perspective.”

Feldman serves on the steering committee of the American College of Surgeons (ACS) for retraining and retooling of practicing surgeons. He has served on the ACS committee on perioperative care and as vice chairman of the ACS collaborative task force for the development of high-performance teams in surgery. He also served as the ACS liaison to the Association of periOperative Registered Nurses recommended practices committee.

Feldman is a master TeamSTEPPS trainer and a certified trainer in Crucial Conversations and Crucial Confrontations. He received a Bachelor of Arts degree and Doctor of Medicine degree from Duke University, completed training in general surgery at The Roosevelt Hospital (now Mount Sinai West) and plastic surgery at Duke University Medical Center. He earned a Master of Business Administration degree from New York University.

“I am excited to join The Doctors Company Group and to serve as an ambassador to the medical profession on patient safety issues,” Feldman said. “I am honored to contribute to the future-looking vision for The Doctors Company’s patient safety organization that supports the needs of the business and the mission of advancing the practice of good medicine.”

The Doctors Company Group includes The Doctors Company and three wholly owned strategic business units: TDC Specialty Underwriters, which provides liability solutions for a variety of healthcare organizations and medical facilities; Medical Advantage Group, an innovator in maximizing health plan and physician clinical and financial performance in value-based contracting; and HRA, a premier provider of medical malpractice insurance and risk management advisory services to physicians and hospitals in New York.

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Ken Hawkins Joins Pinnacle Actuarial Resources as Consulting Actuary

August 20, 2019 by matray

Pinnacle Actuarial Resources announced that Ken Hawkins, ACAS, MAAA, has joined Pinnacle as a consulting actuary in the firm’s Bloomington, Ill., home office.

Hawkins returns to Pinnacle after three years of leading pricing and rate implementation for a regional property/casualty insurer’s commercial lines products.

“We are very pleased to welcome Ken back to Pinnacle,” managing principal Joe Herbers said. “Ken has tremendous breadth and depth of experience and will bring a highly relevant, customer-focused approach to the work he does for our clients.”

Hawkins has more than 13 years of experience in the property/casualty practice area. His expertise includes loss reserving, funding studies, cost-allocation mechanisms, loss-cost projections, captive-feasibility studies, commercial-lines ratemaking, financial analysis of insurance companies, deductible analysis and simulation methods. He has extensive experience developing simulations that utilize company-specific data to calculate risk margins.

Hawkins holds Associate of the Casualty Actuarial Society (ACAS) and Member of the American Academy of Actuaries (MAAA) credentials and received his Bachelor of Science degree in actuarial science from the University of Illinois, Urbana-Champaign.

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Internists, Leading Physician & Public Health Organizations Urge Immediate Action to Prevent Firearm-related Injury, Death

August 8, 2019 by matray

Abstract: http://annals.org/aim/article/doi/10.7326/M19-2441

The American College of Physicians (ACP) and the nation’s leading physician and public health organizations called for policies to reduce firearms-related injuries and deaths in the U.S. in a new call-to-action, “Firearm-Related Injury and Death in the United States: A Call to Action from the Nation’s Leading Physician and Public Health Professional Organizations,” published today in the Annals of Internal Medicine.

“We are living in a world where gun violence is becoming increasingly common, and as physicians, we have a responsibility to address this public health crisis and to keep our patients safe and healthy,” said Robert McLean, MD, FACP, president, ACP.

ACP, together with the American Academy of Family Physicians, American Academy of Pediatrics, American College of Surgeons, American Medical Association, American Psychiatric Association, and the American Public Health Association, delineate the following in a new policy paper:

• Comprehensive criminal background checks for all firearm purchases, including sales by gun dealers, sales at gun shows, private sales and transfers between individuals with limited exceptions should be required.

• Research into the causes and consequences of firearm violence and unintentional injuries and deaths to help identify, test, and implement strategies to reduce these unnecessary injuries and deaths is urgently needed.

• Currently, federal laws prohibiting domestic abusers from accessing firearms apply only to spouses and not dating partners— this loophole in the background check system must be closed. Offenders who have been found guilty of a crime of violence against a family member or intimate partner, including dating partners, cohabitants, stalkers, and those who victimize a family member other than a partner or child should be reported to the National Instant Criminal Background Check System and be prohibited from purchasing or possessing firearms.

• Storing firearms safely and securely is essential to reducing the risk of unintentional or intentional injuries or deaths from firearms, particularly in homes with children, adolescents, people with dementia, people with substance use disorders, and the small subset of people with serious mental illnesses that are associated with greater risk of harming themselves and others.

• The great majority of those with a mental illness or substance use disorder are not violent; however, screening, access and treatment for mental health disorders play a critical role in reducing self-harm and interpersonal violence. The organizations represented in this paper support improved access to mental health care and caution against broadly including all individuals with a mental health or substance use disorder in a category of individuals prohibited from purchasing firearms.

• Extreme risk protection order (ERPO) laws, which allow families and law enforcement to petition a judge to temporarily remove firearms from individuals at imminent risk of using them to harm themselves or others, should be enacted in a manner consistent with due process.

• Physicians can and must be able to advise their patients on issues that affect their health, including counseling at-risk patients about mitigating the risks associated with firearms in the home and firearm safety.

• The magnitude and frequency of mass attacks are unacceptable to our organizations. A common-sense approach to reducing casualties in mass shooting situations must effectively address high-capacity magazines and firearms with features designed to increase their rapid and extended killing capacity.

For more than two decades, ACP has advocated for the urgent need for impactful legislation that would reduce firearms-related injuries and deaths, and our policy paper sparked the “This Is Our Lane” movement of physicians speaking out on gun violence prevention. Additionally, in light of last weekend’s shootings in El Paso, Texas and Dayton, Ohio, ACP released a statement expressing our frustration and sadness.

“We need to protect our patients, their families, and our communities across the country from needless injuries and deaths, it’s time for the U.S. to put firearms violence prevention at the forefront of the health care conversation,” said Dr. McLean. “We are committed to working with all stakeholders, and continuing to speak out, to address this public health threat.”

All firearms-related health policy content published in Annals of Internal Medicine is free to the public at http://annals.org/aim/pages/firearm-related-content.

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The Doctors Company Completes Acquisition of Hospital Insurance Co., FOJP Service Corp. in New York

August 1, 2019 by matray

The Doctors Company has completed the purchase of Hospitals Insurance Company (HIC), a New York State admitted and licensed insurance company, and FOJP Service Corp., a New York service organization that provides third-party comprehensive insurance and risk management advisory services to HIC-insured hospitals. The purchase price is $650 million, subject to closing adjustments.

"We are excited to bring our mission to advance, protect, and reward the practice of good medicine to an even greater number of healthcare providers in New York," said Richard E. Anderson, MD, FACP, chairman and CEO of The Doctors Company. "Our mission is beautifully aligned with the great work of HIC and FOJP."

Proceeds from the transaction will be returned to the not-for-profit hospitals that owned and founded HIC and FOJP more than 30 years ago — The Mount Sinai Hospital and Beth Israel Medical Center (Mount Sinai), Montefiore Health System (Montefiore) and Maimonides Medical Center (Maimonides).

"Mount Sinai, Montefiore and Maimonides are indispensable anchors of New York's healthcare system, and this transaction will not only strengthen their ability to provide high-quality care to their communities, but also make capital improvements that will benefit millions of New Yorkers," said Greater New York Hospital Association president Kenneth E. Raske.

The close of this transaction is also the inception of Healthcare Risk Advisors (HRA), a new business unit within the TDC Group, which will succeed FOJP and focus on third-party comprehensive insurance and risk management advisory services, including management of the self-insured programs of large healthcare organizations in New York and beyond.

HIC will continue to exist as an admitted New York-domiciled insurer providing coverage for hospitals, physicians affiliated with HIC's insured hospitals, and long-term care facilities and social services agencies. HIC and FOJP employees will become part of HRA and continue to provide the same outstanding services to HIC, the member hospitals, longterm care facilities and social services agencies as prior to the transaction.

HRA and HIC will be led by Noeleen Doelger as chief operating and financial officer and Robert A. Kauffman as president. Walter Harris, who served as president and CEO of HIC and FOJP prior to the transaction, will assume a consulting role with the TDC Group and report to Dr. Anderson.

"This transaction provides a platform on which to expand our self-insured programs to additional physicians, hospitals, and healthcare systems," said Kauffman. "At the same time, we remain steadfast in our commitment to provide our founding hospitals with the excellent service that supports what they do best — providing quality healthcare to their communities."

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