Over the past two decades, many physicians have ironically abrogated their intellectual abilities by resigning themselves to a fate of being worthless unless they work for someone else. Many factors have contributed to this process, including, but not limited to, declining reimbursements, escalating costs, onerous electronic record mandates, intense competition from hospital conglomerates and burdensome…
U.S. Court Blocks Anthem-Cigna Deal
(Reuters)—A federal judge on Wednesday ruled against U.S. health insurer Anthem Inc.’s proposed $54 billion merger with smaller rival Cigna Corp, derailing an unprecedented effort to consolidate the country’s health insurance industry. The U.S. Department of Justice sued in July to stop Anthem’s purchase of Cigna, a deal that would have created the largest U.S….
U.S. House Speaker: Obamacare Replacement Law to Pass this Year
WASHINGTON (Reuters)—The U.S. House of Representatives‘ Republican leader said on Tuesday that legislation to replace former President Barack Obama’s signature healthcare law will be completed this year, trying to assuage concerns that the party is retreating from its campaign promise to dismantle Obamacare. “We are going to be done legislating with respect to healthcare and…
RISE Up: The Registry Now Includes More than 4 Million Patient Encounters & Counting
ATLANTA—Despite a downpour outside, ACR and ARHP leaders enjoyed sunny news about the Rheumatology Informatics System for Effectiveness (RISE) Registry at the on Jan. 21. RISE now includes data on more than 4 million patient encounters, and attendees were charged with thinking of ways to increase utilization of the registry and better use its valuable information….
UnitedHealthcare Delays Lab Program Implementation in Texas
As you probably know, the ACR is one of several organizations that has been advocating against the UnitedHealthcare (UHC) Laboratory Benefit Management Program, which was launched in Florida in 2014 and was due to expand to Texas on March 1. The program requires use of certain laboratories and online physician decision support for certain tests,…
Principles Would Streamline Prior Authorization Processes
The ACR recently partnered with the American Medical Association (AMA) and a coalition of 16 other organizations representing physicians, medical groups, hospitals, pharmacists and patients to dramatically reshape prior-authorization protocols. The coalition is urging an industry-wide reassessment of these protocols to align with a newly created set of 21 principles, called the Prior Authorization and…
Full Circle: How Becoming an Educator Reenergized a Rheumatologist’s Career
Career changes can be difficult. But for Stanford Shoor, MD, leaving clinical practice and becoming an educator in the field of rheumatology has been “a renaissance.”
Sen. Susan Collins: Trump’s Obamacare Order ‘Confusing;’ Replacement Law Needed
WASHINGTON (Reuters)—U.S. Sen. Susan Collins (R-Me.) called President Donald Trump’s executive order against Obamacare “very confusing” on Monday, saying whatever actions the Trump administration takes, legislation will still be needed to replace the health insurance law. “We really don’t know yet what the impact (of the order) will be,” Collins told reporters, adding that it…
Trump May Not Enforce Individual Health Insurance Mandate
WASHINGTON (Reuters)—The Trump administration may no longer enforce a rule requiring individual Americans to carry health insurance or pay a penalty if they do not, a senior White House official said on Sunday Speaking on ABC’s “This Week” program, Kellyanne Conway, counselor to the president, said President Donald Trump “may stop enforcing the individual mandate.”…
Medical Paradoxes in Clinic, Lab Should Encourage Physicians to Reappraise Ideas about Health and Disease
Wash your hands. This most basic tenet of proper hygiene has been drummed into our heads for years. It’s an obvious infection prevention activity, yet for years, compliance among physicians and other caregivers has been lackluster. To rectify this matter, regulatory agencies began auditing hospital staff adherence to this axiom of infection prevention. Not only…
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