insurance plans

Patient needs should supersede insurance demandsAlmost every eyecare practice has a person, team of people, or outside service whose sole job is to manage problems related to facilitating the relationship between patients and their insurance companies.
How to decide when to drop a crappy planIn his email, Mike tackles the ongoing question in all of eye care: should I accept (or drop or keep taking) That Crappy Insurance (TCI)? Anyone in optometric practice knows exactly which ones they are.
Expanded insurance access: Its effect on physiciansThe surprising changes the Affordable Care Act is bringing to primary care practices
Three things MCOs must consider as the uninsured rate dropsThe drop in the number of uninsured may seem like a good thing, but managed care executives need to be on guard in three areas.
Study: Cancer drug prices vary widely depending on who’s payingPatients without insurance could be asked to pay twice as much or more than insurers pay for chemotherapy, according to a study published in he April issue of Health Affairs.
Business insurance coverage every physician should haveYour biggest risk and greatest exposure as a physician is in the area of professional services. But liability also can arise when it comes to the business side of a medical practice, however, and it is in this area where other types of coverage become highly important.
Narrowing networks create harrowing choicesInsurance companies are paring down plans for patients, impacting patient ability to choose physicians. Dermatologists are being terminated from some plans based on practice profiling software that has insufficient risk analysis.
Level-funding growing in popularity among employersEmployers are increasingly utilizing level-funding, a hybrid self-insurance model, to gain flexibility and control costs.
Gain narrow network buy-inNarrow networks have sparked concern that they will unduly limit patient care and lead to increased patient use of out-of-network providers with higher out-of-pocket costs.
GAO report finds concentration of insurers, lack of competition in most state marketsIn at least 37 states, the three largest insures account for 80% of total health plan enrollment, according to a new study by the U.S. Government Accountability Office (GAO).