Insurance

What Anthem-Cigna merger rejection means for your practice
What Anthem-Cigna merger rejection means for your practiceEarlier this month, federal judge Amy Berman Jackson of the U.S. District Court for the District of Columbia ruled against the proposed $54 billion merger between Anthem and Cigna, the second- and third-largest commercial health insurers in the country.
How did Medicare become the highest paying carrier?
How did Medicare become the highest paying carrier?I hope the new administration can focus on the overall improvement of population health as the goal while it evaluates the healthcare agenda.
The danger of waiving co-insuranceDespite warnings being issued frequently during the years since 1998, and despite the discussion of this issue during any Medicare training you might attend, there are still healthcare businesses that believe they can get by with waiving co-pays without a policy requiring a hardship evaluation.
Republicans face difficult post-election healthcare decisionsACA repeal/replace was a Congressional Republican cornerstone, so there will be lots of pressure to move quickly. But that may be easier said than done.
Top 10 states with the highest uninsured ratesA new report highlights the highest uninsured rates by state. Is your state among the top 10?
Does insurer drop out in South Carolina risk health of individual exchange?
Does insurer drop out in South Carolina risk health of individual exchange?Citing unprofitability, UnitedHealthcare announced it would pull out of South Carolina at the end of 2017. It was followed by Coventry, a subsidiary of Aetna, which served 14 of the state’s 46 counties.
DOJ files suit to block two mega-mergers of health plan giants
DOJ files suit to block two mega-mergers of health plan giantsWhat will it mean to doctors that the U.S. Department of Justice (DOJ) filed suit July 21 in District Court to block two mergers involving health plan giants?
How payer perspective guides reimbursementUnderstanding the distinction between covered and non-covered services is vital to successful practice management.
As insurers leave Obamacare exchanges, doctors pay the price
As insurers leave Obamacare exchanges, doctors pay the priceMajor insurers are no longer sure if they can afford to participate in the Affordable Care Act's (Obamacare) insurance exchanges. That's making the White House nervous.
Is a cash-based model right for you?Physicians often express a feeling of loss of control over their businesses even though they bear all the responsibility of a physician-owned practice. Many dermatologists have found a solution in adopting alternative practice models.