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National HMO Class-Action Case Settled

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The latest development in the healthcare class-action settlement will affect approximately 900,000 physicians (and some major state medical societies) who may be eligible to receive compensation from the settlement – as long as they file a claim. The case has been called “historic” by those representing both physicians and insurance companies.

ACR Board Lobbies Congress

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ACR Board of Directors members recently spent time in Washington, D.C., discussing rheumatology-related issues with members of Congress, including Sen. Edward M. “Ted” Kennedy (D-Mass.). The senior senator from Massachusetts is the chair of the Senate Health, Education, Labor, and Pensions Committee, which oversees health legislation that affects rheumatologists.

Rheum After 5: Embracing Their Inner Swiftie

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Dr. Jean Liew Favorite album: “It used to be 1989, then folklore; now it’s The Tortured Poets Department.” Many people know Jean Liew, MD, MS, as a respected rheumatologist and a dedicated researcher. Her colleagues also know Dr. Liew as a Swiftie, a moniker given to devoted fans of singer-songwriter Taylor Swift. Swifties can be…

The Transition from a Rheumatology Fellowship to Private Practice

Tom Berry, DO  |  

The transition from being a rheumatology fellow to being in private practice is significant. As I reflect on the past two years, I want to share my observations and begin a conversation about how to prepare rheumatology fellows for careers as practicing rheumatologists. The difference between learning about rheumatology and practicing rheumatology is nuanced. Upon…

ACR Comments on Proposed Medicare Advantage Changes

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In response to proposed changes to the Medicare Advantage and prescription drug programs for contract year 2026, the ACR submitted comments on the provisions related to the Inflation Reduction Act, prior authorization and the influence that pharmacy benefit managers have on the placement of biosimilars on formularies.

Editor's Pick

The Burden Imposed by Prior Authorization Requirements

Deborah Levenson  |  

‘Prior authorizations are the bane of our existence as rheumatologists,’ says Physician Editor Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS. ‘How bad is it, how can we manage them, and how is the ACR helping?  Read on in this month’s Editor’s Pick.’ Healthcare providers consider prior authorization (PA) a significant burden, but to different degrees…