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Search results for: health insurance

ACR Advocacy: 2019 Year in Review

Blair Solow, MD  |  January 5, 2020

As a new year begins, Government Affairs Committee chair Blair Solow, MD, takes stock of ACR advocacy wins in 2019 and issues to watch in 2020.

Filed under:Legislation & Advocacy Tagged with:Blair SolowGovernment Affairs Committee (GAC)legislation and advocacy

Survey Sheds Light on Physician Retirement

Kurt Ullman  |  November 17, 2019

According to a survey commissioned by CompHealth, doctors work longer than the average American, intending to retire at age 68.1 Eventually, most physicians do decide to pull the plug on their careers. Questions about when to retire and what happens next are important to answer. “The primary question to ask yourself is, ‘Do I still…

Filed under:Professional Topics Tagged with:CompHealthlocum tenens physiciansretirement

Ethics Forum: Are We Ethically Bound to Support Access to Rheumatologic Care for All?

Bernard Hildebrand, MD  |  October 18, 2019

A 43-year-old woman is establishing care in your new urban clinic after her previous rheuma­tologist stopped accepting her Medicaid insurance more than a year ago. Since that time, she has been trying to find a new rheumatologist who will accept Medicaid. She lives 90 miles away in a small town without a rheumatologist. Seven years…

Filed under:Ethics Tagged with:Access to careEthics ForumMedicaid

Study Examines How Depression Subtypes May Stem from Osteoarthritis

Susan Bernstein  |  October 18, 2019

People with or at risk for sympto­matic knee osteoarthritis (OA) may be assigned to four depression subtypes with distinct clusters of depressive symptoms that may affect pain and disability over time, according to a new study in Arthritis Care & Research.1 Four depression subtypes were identified in the study using the Center for Epidemiologic Studies…

Filed under:ConditionsOsteoarthritis and Bone DisordersResearch Rheum Tagged with:Association of Rheumatology Professionals (ARP)Depression

Study Finds ANA-Negative Classification Errors Among Newly Diagnosed Lupus Patients

Catherine Kolonko  |  October 18, 2019

How laboratories define a serological hallmark of systemic lupus erythematous and which assays they use to detect it could contribute to misclassification of patients identified as anti-nuclear antibody (ANA) negative, according to researchers. Most people who have lupus test positive for ANAs as part of an immunology screening for autoimmune disorders. The presence of ANAs…

Filed under:ConditionsResearch RheumSystemic Lupus Erythematosus Tagged with:ANA testantinuclear antibodieslabs

The Cost of Free Pharmaceutical Services

Philip Seo, MD, MHS  |  October 18, 2019

The cards sat, untouched, in a corner of my desk. In the 1800s, it was common for American saloons to provide patrons with a free meal. Of course, the meal came with a catch: The meals were predictably salt laden and designed to encourage patrons to drink more beer. Hence was born the expression, “There…

Filed under:OpinionRheuminationsSpeak Out Rheum Tagged with:GoodRxpharmacy benefit administratorspharmacy benefit managers (PBMs)

An Interview with ACR Honoree Rep. Raul Ruiz on Step Therapy Reform

Carol Patton  |  October 17, 2019

Rep. Raul Ruiz co-introduced the Safe Step Act in April and has helped educate members of Congress about how step therapy hurts patient outcomes and care.

Filed under:Practice SupportProfiles Tagged with:Award for Public Leadership in RheumatologyRep. Raul RuizSafe Step Act of 2019 (H.R. 2279)step therapy

ACR Leads Coalition Opposing Cigna’s Elimination of Consultation Codes

From the College  |  October 17, 2019

In a letter co-signed by other Cognitive Specialty Coalition organizations, the ACR is requesting at least a one-year delay to better coordinate payer changes with recent federal initiatives.

Filed under:Billing/CodingLegislation & Advocacy Tagged with:Cigna Corp.Cognitive Specialty CoalitionConsultation CodesEvaluation and Management

Clinical Insights into Gout Management: Rheumatology Drugs at a Glance Pt. 4

Mary Choy, PharmD, BCGP, FASHP  |  October 14, 2019

Three clinical experts on gout offer their insights into common management errors, clinical pearls, new safety data from the FDA and the role of biologic therapies in the management of gout.

Filed under:Biologics/DMARDsClinical Criteria/GuidelinesConditionsDrug UpdatesGout and Crystalline Arthritis Tagged with:GoutGout Resource Center

ACR Fights Cigna Decision to Eliminate Consultation Codes

From the College  |  September 24, 2019

As of Oct. 19, Cigna will deny claims billed with codes for consultation services, making it the second payer to discontinue payment for evaluation and management codes in 2019.

Filed under:Billing/CodingLegislation & Advocacy Tagged with:ACR Insurance SubcommitteeCigna Corp.Consultation CodesEvaluation and Management

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