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.”…
Ethics Forum: Ethical Challenges Arise for Rheumatologists Pressed to See Patients of High Social, Professional Standing Before Others
The Case You’re working in a busy rheumatology practice with wait times of two to three months for new outpatient consultations. A hospital administrator requests that his daughter see you right away. All but one of your urgent appointment slots for the week is already filled, and there are several patients on a waitlist; these…
Why Keep a Seat at the AMA Table?
As 2017 unfolds—a year when MACRA begins, lawmakers take steps to dismantle the health reform efforts of the past eight years, and political uncertainty is the rule—it is imperative that the ACR leverage its advocacy agenda by maintaining its seat at the American Medical Association’s (AMA’s) House of Delegates (HOD), says Gary Bryant, MD, FACP…
2016 ACR Distinguished Fellows Award Winners Discuss Early Career Contributions to Rheumatology
For they’re some very good fellows … no, seriously. They are this year’s recipients of the ACR Distinguished Fellows Awards. The Rheumatologist spoke with them about their burgeoning contributions to Advancing Rheumatology! ACR Distinguished Fellow Awards Eric Allenspach, MD, PhD Acting Assistant Professor, Seattle Children’s Hospital, Seattle Background: Dr. Allenspach seeks to understand the genetic basis…
Step Therapy, Biosimilars among ACR’s 2017 State-Level Priorities
Opportunities and challenges will continue to face the rheumatology community in 2017. In response to these challenges, the ACR has outlined its federal– and state-level legislative and regulatory healthcare priorities for the year. Howard Blumstein, MD, chair of the ACR Affiliate Society Council, says that achieving at least some of these priorities at the state…
Trump Vows ‘Insurance for Everybody’ in Replacing Obamacare
WASHINGTON (Reuters)—U.S. President-elect Donald Trump aims to replace Obamacare with a plan that would envisage “insurance for everybody,” he said in an interview with the Washington Post published on Sunday night. Trump did not give the newspaper specifics about his proposals to replace Democratic President Barack Obama’s signature health insurance law, but said the plan…
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