Search results for: health insurance

PRACTICE PAGE: The ACR Takes on Insurance Companies

Staff | February 12, 2011

In response to the increasing demands of medical necessity and denials for approved drugs, the ACR is taking a large step towards protecting the rights of members when dealing with insurance companies.

March Madness on the High Seas: Hoops and Healthcare as Bedfellows

David S. Pisetsky, MD, PhD | June 1, 2010

Hoops and healthcare as bedfellows

The Good and Bad of Healthcare Reform

Stanley B. Cohen, MD | May 1, 2010

Even though the law was passed, the work of reform is just beginning

Philadelphia Displays Many Facets of the Healthcare Debate

David S. Pisetsky, MD, PhD | January 1, 2010

City of Brotherly Love displays many facets of the healthcare debate

The Health Buzz

Stanley B. Cohen, MD | November 1, 2009

What is the ACR doing with healthcare reform?

Value-Based Purchasing: The Future of US HealthCare?

Staff | August 1, 2009

Purchasers of healthcare are beginning to take a more active role in ensuring they receive value for their health care dollars, and these savvy shoppers want to develop programs to increase the quality and efficiency of the care they purchase. This movement has given rise to the concept of value-driven healthcare, commonly called value-based purchasing. Over the next three months, “From the College” will take a look at this type of purchasing and provide rheumatologists and rheumatology health professionals with practical advice on how to stand out to these value-based purchasers.

Healthcare in the Obama Administration

Staff | February 1, 2009

The ballots are counted, the run-off elections are complete, and a new administration and Congress are set to begin. You may recall that the mock election that was held during the 2008 Annual Scientific Meeting—78% of U.S. meeting attendees chose Barack Obama as their next president—and the general election echoed that choice. On January 20, Barack Obama was sworn in as the United States’ 44th President.

Five Answers You Won’t Get From Insurance Carriers

From the College | October 1, 2008

Have you ever called a carrier and asked why something was denied? If you work in a rheumatology practice, chances are you have, and you probably hung up feeling even more confused than before you made the call.

UnitedHealth Group to Require MRI Accreditation

Staff | June 1, 2007

Starting March 1, 2008, UnitedHealth Group will require all freestanding facilities and physician offices that perform MRIs and certain other imaging studies to obtain accreditation. Physicians without accreditation will not be reimbursed for the technical or global codes. UnitedHealth Group is the umbrella organization for insurance companies such as United Healthcare, Ovations, and AmeriChoice.

Commercial Payers Update Reimbursement for Underwater Infliximab Biosimilars

From the College | May 5, 2024

Three commercial health insurance payers have increased reimbursement for infliximab biosimilars in response to concerns that formulary requirements are leaving practices underwater.