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Private payer strategies detailed in morning session

Eric Y. Loo, MD, FCAP, asks panelists a question.

Pathologists heard today from other organizations and medical specialties about their strategies to address disruptions caused by private health payers.

The advice came this morning during a panel, Adverse Impacts of Insurance Interference on Patient Care, moderated by Ronald McLawhon, MD, PhD, FCAP, and featuring experts Teresa Emory, MD, FCAP, Wes Cleveland, JD, Lauren Foe, MPH, and Molly Smith, MS.

The latest: Dr. Emory reviewed the CAP's recent private payer report, explaining how insurers are taking control of patients’ medical care.

  • Wes Cleveland, JD, senior attorney at the American Medical Association, briefed CAP members about an antitrust lawsuit filed against insurers.
  • Lauren Foe, MPH, a senior associate with the American College of Surgeons, suggested pathologists consider strategies surgeons use to engage with private insurers.
  • Molly Smith, MS, group vice president of public policy at the American Hospital Association (AHA), detailed how the AHA holds commercial health insurers accountable. See details in the organization's advocacy agenda.

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