Medigram, the Wisconsin Medical Society’s electronic newsletter for physicians, features timely news, upcoming events, answers to frequently asked questions and the information you need to make your practice run more efficiently. Topics include legislative updates, legal information, practice management information, government regulations, and much more. Medigram is delivered via email on Thursdays.

If you have a Medigram story idea or would like to offer feedback, please email us or call 866.442.3800.

WisMed members: advocacy stars
Wisconsin Medical Society (WisMed) members have been graciously hosting campaign events for their preferred candidates. This kind of above-and-beyond commitment shows how many physicians understand the importance of connecting with candidates for elected office.

Jesse Ehrenfeld, MD, MPH concludes presidential term at 2024 AMA annual meeting
Earlier this month, the 2024 Annual Meeting of the American Medical Association (AMA) saw the conclusion of 178th presidential term as our state’s own - Jesse Ehrenfeld, MD, MPH, Wisconsin Medical Society Member, Senior Associate Dean, Professor of Anesthesiology and Director of the Advancing a Healthier Wisconsin Endowment at the Medical College of Wisconsin - addressed the AMA House of Delegates for the final time as AMA President.

Weigh in on House of Delegates Referendum by June 30
Member feedback will determine whether the Wisconsin Medical Society (WisMed) continues using the year-round online portal, PolicyLink, for policy submission and review or returns to the once-per-year, one location House of Delegates (HOD) for policymaking. A “Yes” vote means going back to an annual House of Delegates system. A "No" vote means WisMed will continue with its year-round system.

Where in Wisconsin is the Foundation?
The Wisconsin Medical Society Foundation (Foundation) has been connecting with physicians working to improve health access. Most recently we visited Eau Claire and Rice Lake, two communities in beautiful Western Wisconsin.

Events in Madison, Milwaukee welcome residents, fellows, and medical students
This week, the Resident and Fellow Section held their Annual Welcome to Meet-up Events in Madison and Milwaukee.

Deadlines this week for federal student loan borrowers
There are two important deadlines approaching for federal student loan borrowers.

Latest issue of WMJ now available
The latest issue of the WMJ explores generational differences in patient preferences, communication styles, and health beliefs. An editorial in this issue of WMJ breaks down these generational attributes and suggests that understanding them is essential for patient satisfaction and improved health outcomes.

WisMed members: advocacy stars

Wisconsin Medical Society (WisMed) members have been graciously hosting campaign events for their preferred candidates. This kind of above-and-beyond commitment shows how many physicians understand the importance of connecting with candidates for elected office.

Recent events include:  

Bradley Burmeister, MD, hosting an event for U.S. Senator Tammy Baldwin (D-WI) in Green Bay.

Bradley Burmeister, MD and Senator Tammy Baldwin

Don Lee, MD, hosts U.S. Representative Bryan Steil (WI-01) in Franklin.

Don Lee, MD and Representative Bryan Steil

WisMed and physician specialty groups arranged an event for State Senator Dan Feyen (R-Fond du Lac) in West Bend.

photo at Senator Dan Feyen event

Katheryn Hope Wilkinson, MD hosts State Assembly candidate LuAnn Bird (D-Hales Corners) in Greenfield.

Katheryn Hope Wilkinson, MD, State Assembly candidate LuAnn Bird

The 2024 campaign season promises to be the most interesting cycle we’ve seen in Wisconsin in a generation. Supporting physician-friendly candidates is an investment to help support wise health care policy and stop proposals that may not be in patients’ or physicians’ best interests. If you are making political contributions, please make those contributions via WISMedDIRECT. Email, call 608.442.3720 or text 608.358.6116 Heidi Green to learn how to strengthen the voice of medicine!

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Jesse Ehrenfeld, MD, MPH concludes presidential term at 2024 AMA annual meeting

Jesse Ehrenfeld, MD giving address

Earlier this month, the 2024 Annual Meeting of the American Medical Association (AMA) saw the conclusion of 178th presidential term as our state’s own - Jesse Ehrenfeld, MD, MPH, Wisconsin Medical Society Member, Senior Associate Dean, Professor of Anesthesiology and Director of the Advancing a Healthier Wisconsin Endowment at the Medical College of Wisconsin - addressed the AMA House of Delegates for the final time as AMA President. His tenure saw significant advocacy for reducing physician burnout including tackling topics such as Medicare reform and prior authorization; mistrust and misinformation; promoting equitable access to health care; and fighting scope creep.

Dr. Ehrenfeld championed the adoption of digital health tools to enhance patient care and streamline medical practices. He was also a vocal advocate on public health issues such as gun violence prevention and climate change, pushing for policies and research to address these concerns.

As the first openly gay physician to be elected as AMA President, Dr. Ehrenfeld continued to promote inclusive health care practices and policies for the LGBTQ+ community. In the final days of his presidency, the AMA House of Delegates welcomed delegates from the newly established LGBTQ+ section, marking a significant step towards inclusivity within the organization.

In his final address, Dr. Ehrenfeld highlighted the critical challenges faced by the medical community, stating, "The stakes are high. The risks to patients are growing. The demands on physicians are unrelenting. The world around us is mired in uncertainty, misinformation, and mistrust." He called on his colleagues across the country to "fight for what we know is right. A better health care system." 

The Wisconsin Medical Society thanks Dr. Ehrenfeld and all of our members who attended the AMA meeting for their continued advocacy for patients and physicians.

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Weigh in on House of Delegates Referendum by June 30

Member feedback will determine whether the Wisconsin Medical Society (WisMed) continues using the year-round online portal, PolicyLink,* for policy submission and review or returns to the once-per-year, one location House of Delegates (HOD) for policymaking. A “Yes” vote means going back to an annual House of Delegates system. A "No" vote means WisMed will continue with its year-round system.

In August of 2020, the WisMed HOD voted overwhelmingly to eliminate itself as WisMed’s ultimate policymaking body. Following the trend of other state medical societies across the country and responding to member feedback criticizing the once-per-year House of Delegates process, WisMed embraced a new, year-round system where members can submit policy proposals at any time. The 40-member Board of Directors regularly reviews and acts on those proposals following membership input. PolicyLink is open for any member to submit a proposal at their convenience.

As part of that August 2020 action, the HOD included a failsafe in case the new year-round system did not function: holding a membership referendum for June 2024 to ask the question: “Should the Wisconsin Medical Society rescind the constitutional amendment adopted in August 2020?” This binding referendum will be held via PolicyLink from June 24 through June 30.

A recording of the Town Hall and other pertinent materials are available for WisMed members here. Please review the materials, then submit your feedback here by June 30.

For more information, contact WisMed Chief Policy & Advocacy Officer Mark Grapentine, JD. If you need assistance with your WisMed login or password, call 866.442.3800 or email [email protected].

*PolicyLink requires your WisMed username and password. Click here to retrieve your username or password, or call 866.442.3800 or email [email protected] for assistance.

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Opioid Prescribing Education discounts for WisMed members

Where in Wisconsin is the Foundation?

photo of Chippewa Valley Free Clinic staff

The Wisconsin Medical Society Foundation (Foundation) has been connecting with physicians working to improve health access. Most recently we visited Eau Claire and Rice Lake, two communities in beautiful Western Wisconsin. Both communities are exceedingly warm and welcoming. Eau Claire is known for its great embrace of public art and music. Farther north, Rice Lake is full of natural beauty with recreation areas, hiking trails, and many historical sites.

Through the Foundation’s annual Physician County Survey, physicians recommend community organizations that are improving health in Wisconsin. The Foundation is taking time to visit those communities, physicians, and organizations. Organizations like the Chippewa Valley Free and Charitable Clinic (CVFCC). With the closures of Hospital Sisters Health System Sacred Heart Hospital and Prevea Health, Western Wisconsin saw a loss of approximately 1,400 health professionals in the region. That loss has far-reaching impacts. CVFCC had already faced a substantial volunteer shortage as a result of the pandemic, with many of the retired physicians and nurses choosing not to return. The closures and loss of a residency program in the area greatly exasperated that shortage. In addition, the clinic is looking for ways to make up for the loss of in-kind resources like printing and supplies that the now closed systems previously provided.

photo of Chippewa Valley Free Clinic sign

The clinic sees more than 3,200 patient visits a year, providing vaccinations, wellness programs, women’s health care, screenings, ophthalmology, and optometry, in addition to regular clinic visits. They serve patients from a staggering eight county range who fall through the cracks because they don’t have employer-provided insurance and don’t have BadgerCare. While some are unhoused, the vast majority of patients are the working poor, often doing seasonal work and holding two to three jobs at the same time.

While visiting the clinic, Foundation staff had a chance to meet with retiring Executive Director Maribeth Woodford, incoming Executive Director, Wendy Andre, and Volunteer Medical Director, Lori Whitis, MD. It was clear all are passionate about the mission to provide quality health care and advocacy for those who have no reasonable health care alternative. Eau Claire physician and Foundation President, Jose Ortiz, MD, added “The Chippewa Valley Free Clinic is a vital resource providing quality health care and advocacy to our community. Its mission is in direct alignment with that of the Wisconsin Medical Society Foundation, to advance the health of Wisconsin by supporting medical education and health initiatives to increase health equity and access.” He continues, “Given the current challenges facing health care, it is vital that the clinic continue to obtain support from organizations like the Foundation.”

In Rice Lake, Foundation staff had the chance to visit members of the Barron, Washburn, Burnett County Medical Society where members were interested in setting up a scholarship to provide support to medical students from their communities. In addition, they voiced concerns about physician shortages in the area that require patients to go as far as Eau Claire, the Twin Cities, or to Madison to receive care, including trauma, surgery, and obstetric care.

In addition to the shortages, there is concern about how to get physicians more engaged to support each other and to look at issues that are hinderances to practice. We discussed the results of last year’s survey, which shows that physicians in the area report the biggest workforce issues are provider shortages and burnout and the most significant population health issues are mental health, access to healthy food, and access to care. Those same concerns were reflected in the survey results for District 7, the district where both Rice Lake and Eau Claire are located. More broadly in District 7 there were also concerns about rising levels of chronic disease and on workforce, a general sense that profits and losses have taken priority over patient care in some instances. In Rice Lake, as in Eau Claire, there is a strong desire to recruit physicians and other health professionals to support the Rice Lake Area Free Clinic.

Listening to physicians about what matters most in your work and communities is a top priority for the Foundation and Wisconsin Medical Society (Society). We believe a strong, supported physician workforce leads to improved health equity and access in Wisconsin and a healthier Wisconsin for all. Our annual Physician Survey is one way we connect with physicians, but it’s also important to meet with physicians where you live and work to listen and to better understand your community, your strengths, and your challenges. Over the summer, we would like to come to your community to do just that. Together, the Foundation, Society, WisMed PAC, WisMed Financial, and WisMed Assure are your team, and we are ready to act on what matters most in your community.

The Foundation will use information gathered from the listening sessions to home in on ways to support local organizations, like free and charitable clinics, that are increasing health equity and access and looking for ways to build and support our physician and health workforce. Please consider volunteering with your local free and charitable clinic. If you would like to participate in an in-person listening session in your community, please reach out to Elizabeth Ringle at [email protected] and please complete the Foundation’s Physician Survey and encourage your colleagues to as well. 

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WisMed Assure - Insurance Solutions for the health care community

Events in Madison, Milwaukee welcome residents, fellows, and medical students

Milwaukee group photo

This week, the Resident and Fellow Section held their Annual Welcome to Meet-up Events in Madison and Milwaukee. WisMed Assure and WisMed Financial sponsored the Madison event on June 24 at Café Hollander where Madison-area residents and medical students gathered. WisMed Assure and WisMed Financial, along with the Medical Society of Milwaukee, sponsored the Milwaukee gathering at Camp Bar in Wauwatosa on June 25. At both events, attendees heard from representatives from the Wisconsin Medical Society, WisMed Assure, WisMed Financial, and the Wisconsin Medical Society Foundation about the importance of becoming and staying involved in organized medicine.

Madison event photo

Attendees learned about:

  • opportunities to get involved
  • the important advocacy work being done with their input and on their behalf
  • ways to protect their reputation and income
  • programs to support them throughout their careers

Wisconsin Medical Society President-elect Michelle Graham, MD, MME, FAAFP, attended both events to share her passion for organized medicine and encouraged attendees to stay involved and active here in Wisconsin.

Thank you to all those who attended. We look forward to supporting you throughout your career and helping give voice to the future of medicine.

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Deadlines this week for federal student loan borrowers

calendar marking June 30

There are two important deadlines approaching for federal student loan borrowers.

PAYE Enrollment Ends July 1

The deadline to enroll in the Pay As You Earn (PAYE) income-driven repayment plan is fast approaching. As of July 1, the Department of Education will no longer be accepting new applications for PAYE. This applies to both new borrowers and those who haven't yet switched to PAYE from another plan. Those already using PAYE can remain in the payment plan.

Consolidation Deadline is June 30 for Payment Count Adjustment

The deadline to consolidate federal student loans to qualify for a special payment count adjustment is also coming up this week. This adjustment can give borrowers credit for past payments that previously didn't count towards forgiveness programs like Public Service Loan Forgiveness (PSLF).

Who Should Act Now?

  • Borrowers with Rising Income: If you are currently on the SAVE repayment plan (previously REPAYE) and your income will be increasing soon, you may be a good candidate for PAYE. With SAVE, the higher your income, the higher your payment. However, PAYE includes a payment cap equivalent to the 10-year standard repayment amount. If your future high income pushes your SAVE payment over the 10-year standard repayment, switching to PAYE is probably beneficial. Use the Loan Simulator to calculate your payments.
    • Tip! Wisconsin is a community property state. Married couples should calculate loans as married filing joint and married filing separately (MFS). With MFS in Wisconsin, adjusted gross income for each spouse is 50% of their combined marital income.
  • Borrowers Hoping for Loan Forgiveness: If you have loans with different payment counts, Perkins loans, HEAL loans, or certain FFEL loans not held by the Department of Education, consolidate them into a Direct Loan by June 30 to benefit from the payment count adjustment. This can significantly increase your progress towards forgiveness programs.

Where to Get Help?

For more information on these deadlines and your student loan options, visit the Department of Education's website studentaid.gov or contact your loan servicer.

WisMed Financial
Mark Ziety

For personalized help with your financial plan, please contact Mark Ziety, CFP®, AIF® 608.442.3750. 

Note: This article is for informational purposes only and should not be considered as financial or tax advice. Please consult with a qualified financial advisor or tax professional before making any financial decisions.

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Latest issue of WMJ now available

WMJ Cover Image

The latest issue of the WMJ explores generational differences in patient preferences, communication styles, and health beliefs. An editorial in this issue of WMJ breaks down these generational attributes and suggests that understanding them is essential for patient satisfaction and improved health outcomes. The issue also includes studies exploring rural-urban indexes used in cancer research, neurological outcomes of traumatic spinal cord injuries for patients transported via helicopter vs ambulance, an overview of cutaneous blastomycosis in Wisconsin, and more.

Read the full issue here.

Subscribe to WMJ and submit a manuscript here.

WMJ (the Wisconsin Medical Journal) is a peer-reviewed, indexed, scientific journal published quarterly and online ahead of print each month.

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