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Monday, December 14, 2015

PAI Takes on Insurance Mega-Mergers


The pending mergers of Aetna with Humana and Anthem with Cigna were the hot topic at last week’s meeting of the Physicians Advocacy Institute (PAI). We agreed that physicians need a coordinated effort and strategy to oppose the mergers nationally, and to provide support to state medical associations seeking to fight the mergers in the states. (TMA already submitted a formal letter opposing the Aetna-Humana merger.) PAI will coordinate efforts by TMA and eight other state societies to develop additional legal documents opposing the mergers to send to the Department of Justice. These mergers would create two “too big to fail” insurers whose combined market power would be bad for physicians and for patients. Read more in the cover story of this month’s Texas Medicine. In other action, PAI reviewed the status of a congressional measure we support to rein in the Recovery Audit Program bounty-hunter contractors (RACs). The bill is HR 2568, the Fair Medical Audits Act of 2015, by Rep. George Holding (R-N.C.).

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