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Search results for: health insurance

The ACR’s Affiliate Society Council Growth Boosted by Increase in State Societies

From the College  |  December 13, 2016

The ACR’s Affiliate Society Council (ASC) membership has grown from 34 states to 40 since 2015. The growth of the Council is mainly attributed to newly formed state societies, as well as existing state societies focusing on orienting themselves for advocacy on behalf of rheumatologists and their patients. Increased participation by state societies helps support…

Filed under:From the College Tagged with:AC&RAdvocacyAffiliate Society Council (ASC)American College of Rheumatology (ACR)growthstate society

Rheumatologists Should Discuss with Patients Use of Immunomodulatory Agents During Pregnancy

Kimberly Retzlaff  |  November 16, 2016

The decision to continue or discontinue immunomodulatory medications during pregnancy is a difficult one for both patients and physicians. On the one hand, when left untreated, rheumatic conditions can cause harm to an unborn child, as well as to the pregnant mother. On the other hand, medications can be harmful to a developing fetus. In…

Filed under:Practice Support Tagged with:discontinuationdrugimmunomodulatory agentMedicationpatient carepatient communicationpregnancyRheumatic Diseaserheumatologistrisk

ACR President Dr. Joan Von Feldt Reflects on Her Year in Office, Advancing Rheumatology!

Joan M. Von Feldt, MD, MSEd, FACR, FACP  |  November 16, 2016

This has been a year of tremendous growth, change and achievement for the ACR, and I have been fortunate to lead the ACR in these endeavors. The ACR and ARHP, including the ACR Executive Committee, the ACR Board of Directors, standing and special committee chairs and hundreds of dedicated volunteers, have contributed to this growth…

Filed under:President's Perspective Tagged with:American College of Rheumatology (ACR)Dr. Joan Von Feldtofficepresidentrheumatology

Designate a Data Expert for Your Practice

Richard Quinn  |  October 21, 2016

With Medicare and insurers now incentivizing physicians for collecting and reporting data, rheumatologists need at least a minimum understanding of the gigabytes of information flowing through their practices. Actually, every medical practice should have at least one person with some informatics expertise, according to computer-programmer-turned-rheumatologist Jeffrey Curtis, MD, MS, MPH. “Physicians need to be more…

Filed under:Information TechnologyTechnologyTechnology Tagged with:data managementHealth Information Technologypatient dataRISERISE registryTechnology

Racial Bias Found in Pain Assessment, Management, Treatment Recommendations by Clinicians

Mary Beth Nierengarten  |  October 10, 2016

In the world of evidence-based medicine, basing diagnosis and treatment decisions on belief instead of data seems anachronistic. And yet … clinicians are human, and humans live in culture, and culture is formed by beliefs, and beliefs (consciously or unconsciously) drive perception and, often, action. So a new study shining a light on racial bias…

Filed under:Practice SupportQuality Assurance/ImprovementResearch Rheum Tagged with:biasclinicianDiagnosisPainpatient careracialResearchrheumatologist

Transition to ICD-10 Diagnostic Code Set Successful for Most Rheumatology Practices

From the College  |  September 7, 2016

It has been 11 months since the implementation of the ICD-10 diagnostic code set on Oct. 1, 2015, a change from the previous ICD-9. Most practices can probably attest that the transition came and went without the predicted doomsday outcome: Claims were still processed, the confused alphanumeric coding was applied, and patients were not deprived…

Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:BillingCodingICD-10Practice ManagementReimbursementrheumatologisttransition

The Patient's Choice

When Rheumatologists Are a Patient’s Second or Third Choice for Medical Opinion

Charles Radis, DO  |  September 7, 2016

Outside Exam Room No. 5, the chart rack was empty, so I assumed my new consult was late. Just in case, I looked back over my shoulder as I passed by the partially open door and glimpsed the lower half of a woman holding a three-ringed binder on her lap. I squinted and took a…

Filed under:ConditionsPractice SupportPsoriatic Arthritis Tagged with:ArthritisLyme Diseasepatient carePractice ManagementPsoriatic ArthritisRheumatic Diseaserheumatologist

More U.S. Counties May See Obamacare Marketplace Monopoly

Trevor Hunnicutt  |  August 29, 2016

NEW YORK (Reuters)—Nearly a third of U.S. counties will likely be served by only one insurer that participates in an Affordable Care Act (ACA) marketplace in 2017, according to an analysis published Aug. 28 by the Kaiser Family Foundation. The 31% of U.S. counties that will have just a single option of insurers within the…

Filed under:Legislation & AdvocacyProfessional Topics Tagged with:Affordable Care Act (ACA)Health InsuranceObamacare

Aetna CEO Warned It Would Cut Obamacare If Humana Deal Was Blocked

Reuters Staff  |  August 18, 2016

NEW YORK (Reuters)—Aetna Inc.’s CEO said in a letter to the U.S. Department of Justice (DOJ) during the review of its deal to buy rival Humana Inc that the insurer would exit much of the individual Obamacare insurance market if the agency challenged the merger. In the July 5 letter, Chief Executive Officer Mark Bertolini…

Filed under:Legal UpdatesProfessional Topics Tagged with:Aetna Inc.Affordable Care Act (ACA)Health InsuranceObamacare

The ACR’s Advocacy at State Legislature Level in 2016 Focuses on Biosimilars, Step Therapy

From the College  |  August 10, 2016

A majority of state legislatures have concluded their work for 2016. The ACR’s state advocacy efforts continued to focus on policy benefiting rheumatologists and patients alike. The two dominant issues this year were biosimilar substitution and step therapy. Biosimilar Substitution Biosimilar substitution remains the most prevalent issue throughout the states. The ACR continues to monitor…

Filed under:From the CollegeLegislation & Advocacy Tagged with:ACR/ARHPAdvocacyAmerican College of Rheumatology (ACR)BiosimilarsdruglawmakerLegislationrheumatologiststatetherapyTreatment

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