WMS is responsible for identifying WY physicians for appointment to the WY Admissions Committee for the University of Washington School of Medicine's WWAMI medical education program.

 Letters have been sent to WMS members with more detailed information.  To read the letter CLICK HERE. Anyone interested in applying to serve on the committee for a six-year term can CLICK HERE to review the application and return it to the WMS office no later than May 13, 2016.

CHEYENNE - The National Practitioner Data Bank (NPDB) is a manual developed by the federal government to provide guidance on NPDB-related requirements.  The Guidebook was first published in 2001, and remained unchanged until 2015.  Physicians should be aware that the recent revisions to the NPDB Guidebook make several important changes to the NPDB’s interpretation of hospital’s NPDB obligations, recommending that hospitals and other reporting entities to adopt a broader definition of “investigation” in the peer-review context and to interpret any leave of absence as a “surrender of privileges.”

WMS Legal Counsel Nick Healey gave a presentation on NPDB issues last year to the Wyoming Association of Medical Staff Services, which discussed the 2015 changes to the Guidebook.  Nick’s Power Point presentation from the presentation can be viewed here

The AMA sent a notice last week it believes these current reporting requirements may cause significant harm to physicians. For example, under the NPDB’s revised interpretation of its reporting requirements, a physician who unwittingly takes a leave of absence for health reasons during an investigation—say, a physician who takes a leave after the birth of a child—must be reported to the Data Bank, even if she was unaware of the investigation and even if she intends to request reinstatement of all privileges upon her return.

The AMA recommends that, before taking a leave of absence or otherwise surrendering any privileges, physicians should always seek to determine whether they are the subject of any investigation. Medical staffs can further safeguard their members against unnecessary and unfair reporting by adopting medical staff bylaws that:

  • Clearly define what constitutes an “investigation;”
  • Clearly define when an “investigation” begins and ends; and
  • Require that physicians be notified before the initiation of an “investigation.”

Access the AMA...

Each week the Wyoming Medical Society receives a number of webinar, CME, and other conference opportunities which we share with our members without endorsement. This week’s list includes:


The Wyoming Legislature’s Joint Labor, Health, and Human Services Committee will meet April 28-29 at Casper College. A very robust agenda includes time to discuss State-owned Healthcare facilities; Title 7 Placements; Implementation of the Gatekeeper Process, Provider reimbursement and a multi-payer claims database. Click here to see the full agenda.

There is a new PQRS Learning and Action Network starting this month through Mountain-Pacific. The purpose of this monthly meeting is to provide anyone subjected to PQRS a place to get timely updates, ask questions, and learn from each other. As the payment methods and models for eligible professionals are shifting, Mountain-Pacific Quality Health wants to provide a forum where participants can get updates in a timely fashion. The LAN will be in addition to the frequent, in-depth educational webinars provided by the Health Technology staff.

Here is a link to The Physicians Foundation’s national Survey of America’s Physicians. We currently are conducting the 2016 version of the survey and are encouraging all doctors to participate.


The American Academy of Family Physicians released its April e-newsletter, Family Practice Management. The subject matter includes tools to help with chronic care management, how to start a good workday, as well as notes on family practice compensation.

The April 14 edition of the MLN Providers e-News has been released. Among the subject...

Cigna announced via certified letter to clinics in southwest Wyoming that they would be transitioning their reimbursement structure.  Cigna currently pays physicians on a percentage of billed charges, and will now be moving to a structured fee schedule.

WMS physician leadership responded quickly on behalf of Wyoming doctors who have risk of being dramatically impacted by this change.  WMS Executive Committee members met with members of Cigna's leadership team in the WMS offices February 23, drafted a letter to the membership alerting them to the coming changes, and remain committed to serving as a resource for members as they individually determine what's best for them and their patients moving forward.

To read a summary written by WMS Communications Director, Tom Lacock, on the executive Cigna meeting, CLICK HERE.

To read a letter from WMS Executive Director, Sheila Bush, regarding this issue, CLICK HERE.

To see a video released by Cigna interviewing Wyoming's State Health Insurance Plan Administrator, Ralph Hayes, CLICK HERE.


Cigna hosts physician panel dinners in Cheyenne, Casper and Laramie.

For more information, please CLICK HERE



The Doctors Company, the nation’s largest physician-owned medical malpractice insurer, has announced a $28 million dividend, which is made possible by the excellent claims experience of The Doctors Company’s members.

Since 1976, The Doctors Company has paid more than $338 million in dividends, and 2015 marks the 10th year in a row that the company has awarded dividends. The 2015 dividend, approved by The Doctors Company’s Board of Governors, will provide a premium reduction of 20 percent to eligible members in Wyoming.

Dividend percentages are based on the loss experience of the individual state. Eligible members will receive this year’s dividend as a credit on their annual premium for policy renewals on or after July 1, 2015. Members of the following select medical specialty societies may also receive a dividend: American College of Surgeons, American Academy of Otolaryngology—Head and Neck Surgery, and American Society of Plastic Surgeons®.

Are You In Compliance?

We are pleased to announce that Federally mandated annual OSHA bloodborne pathogen exposure control training is now available on-line to WMS members, and their employees.

For a small $10 registration fee participants will receive training, and an opportunity to take the quiz to receive their certificate of completion.

Multiple individuals may view the program simultaneously, but each must register individually to obtain their certificate of training.

To register, CLICK HERE, complete the form and send it with a check in the appropriate amount to 

Wyoming Medical Society
PO Box 4009
Cheyenne, WY  82003

WMS is actively participating in the Joint Labor, Health and Social Services Committee meeting in Cheyenne representing phyisican interests.  The two day meeting, beginning January 9 and concluding January 10, features agenda items to include Medicaid Expansion, licensure of hospitals, back injuries related to WY workforce services and Dept. of Health reports.  Check the WMS twitter at WyoMedSociety for current updates on Committee work.

Wyoming Board of Pharmacy promulgates rules and regulations allowing pharmacists to administer vaccinations to individuals age 7 and older.

The Wyoming Legislature enacted House Bill 94, "Immunizations by Pharmacists" during the 2013 legislative session.  CLICK HERE to read the enrolled act.  After Governor Matt Mead signed the legislation into law, the Board of Pharmacy was charged with promulgating rules and regulations to implement the law.  

The Board has promulgated rules that can be viewed by CLICKING HERE.  WMS opposed this legislation in light of individual pharmacists, the Board of Pharmacy and the University of Wyoming School of Pharmacy all raising concern with the legislation and practice feasibility.  

The Board of Pharmacy is currently taking public comment and will continue to do so through 5 pm on November 4, 2013.  Read the public release by CLICKING HERE, or email the Board of Pharmacy directly at BOP@wyo.gov expressing your concerns and asking that the Board limit the allowed vaccines to be administered by a pharmacists to anyone under the age of 18 to influenza.