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Search results for: health insurance

ACR Convergence 2024 Preview: Key Business Takeaways

Carina Stanton  |  October 8, 2024

In sessions in the business of rheumatology track, rheumatology practice leaders will share ways to manage payer complexities head-on while also improving patient care.

Filed under:ACR ConvergencePractice ManagementPractice Support Tagged with:ACR Convergence 2024

The 7 Virtues of Rheumatology We Should Cultivate

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  October 8, 2024

1949 was a momentous year—astronomer Fred Hoyle coined the term Big Bang, the North Atlantic Treaty Organization (NATO) was formed, and Rodgers and Hammerstein’s classic musical South Pacific opened on Broadway.1 Much less recognized was the publication of an essay by Richard Asher, FRCP, titled the “Seven Sins of Medicine.”2 Although it’s over 75 years…

Filed under:EthicsEthicsOpinionRheuminations Tagged with:patient perspectivephysician-patient communication

Editor's Pick

Palliative Care for Inclusion Body Myositis, a Case Report

Kamini E. Kuchinad, MD, MPH, Ambereen Mehta, MD, MPH, David Wu, MD, & Jemima Albayda, MD  |  September 7, 2024

“Our patients’ goals for their care aren’t always the same as ours. We’re typically focused on disease control, and they’re often focused on quality of life. Having ongoing discussions about care goals is the only way to know when it’s time to switch gears. Would you know when to refer your patients to palliative care?…

Filed under:ConditionsMyositis Tagged with:case reportEditor's Pickinclusion body myositis (IBM)palliative care

How the ACR Helps with Reimbursement, Utilization Management & Other Practice Challenges

Carina Stanton  |  September 6, 2024

Improving reimbursement for underwater biosimilars is just one example of how the ACR’s practice advocates have achieved solutions to members’ insurance challenges. Here’s a look at current ACR efforts in insurance advocacy and how to get help with your own insurance challenges.

Filed under:InsurancePractice ManagementPractice Support Tagged with:ACR advocacyACR Insurance Subcommittee (ISC)Member benefits

ACR Offers Resources & Personalized Help for Practice Management Questions

From the College  |  August 19, 2024

ACR staff can help members navigate questions on all areas of practice management.

Filed under:Practice ManagementPractice Support Tagged with:Member benefits

Business of Rheumatology Manual: A Preview of What’s to Come

From the College  |  August 17, 2024

Revisions of the handbook to reflect an evolving healthcare landscape are underway, led by the Committee on Rheumatologic Care, Community Practice Council and Insurance Subcommittee. The first new chapters will be available in fall 2024.

Filed under:Practice ManagementPractice Support Tagged with:Committee on Rheumatologic Care (CORC)

Let’s Define Undifferentiated Connective Tissue Disease

Lucy Masto, BS, Medha Barbhaiya, MD, MPH, Caroline H. Siegel, MD, MS, Lisa R. Sammaritano, MD, & Michael D. Lockshin, MD  |  August 6, 2024

Undifferentiated connective tissue disease (UCTD) is a diagnosis given to patients who do not fulfill current classification criteria for named connective tissue diseases (CTD)—systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), systemic sclerosis (SSc), or Sjögren’s disease—but who nonetheless have clinical signs and symptoms and serological evidence of autoimmune CTDs. In 1980 LeRoy et al. were…

Filed under:ConditionsGuidanceGuidelinesOpinionOther Rheumatic ConditionsSjögren’s DiseaseSystemic Lupus Erythematosus Tagged with:clinical criteriaconnective tissue diseaseDiagnostic CriteriaSLE Resource Centerundifferentiated connective tissue disease (UCTD)

ACR Leads Coalition Effort Opposing UHC Policy Change on G2211

From the College  |  August 5, 2024

In July, UHC announced it would discontinue reimbursement for G2211 for commercial plans as of Sept. 1. The ACR led a multispecialty sign-on letter urging the payer to reconsider its decision to help ensure clinicians can maintain the additional work needed to manage complex and chronic diseases.

Filed under:InsuranceLegislation & Advocacy Tagged with:G2211UnitedHealthCare (UHC)

ACR Successfully Leads Coalition in AMA House of Delegates to Support Higher Pediatric Specialist Compensation

From the College  |  June 25, 2024

An ACR-led resolution that calls for Medicaid payment parity for pediatric specialists will become AMA policy.

Filed under:From the CollegeLegislation & Advocacy Tagged with:AMA House of Delegates (HOD)Medicare ReimbursementPediatric Rheumatology

Meet the ACR’s Advocacy Team

Carina Stanton  |  June 24, 2024

It’s an election year, and ACR staff are excited about the possibility of moving key initiatives, such as Medicare reimbursement, across the finish line. But they need members’ help to do so.

Filed under:American College of RheumatologyProfiles Tagged with:ACR advocacy

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