Practice Management

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  • 1.  Kansas Mandates 3D Coverage

    Posted 08-09-2018 13:45

    The Kansas Insurance Commissioner announced yesterday that the department plans to issue regulations mandating 3d coverage starting in 2019: 

     

    http://www.ksinsurance.org/documents/department/consumer-alerts/Consumer-alert-3D-coverage-8-2-18.pdf

     

    For those working on this issue in other states, there may be some interesting lessons.  The Kansas Insurance Commissioner is an elected office.  The current Commissioner is a lame duck, having run and lost in the Republican primary for Governor.  I note that the announcement is attributed to his assistant, who ran in the Republican primary for Insurance Commissioner, and lost.   Interesting timing, politically.

     

    Nonetheless, it is remarkable to me that a red state Republican would mandate 3D coverage by regulation, not waiting for the legislature to act.  The fact that neighboring Missouri recently mandated coverage may have played a role, as many health plans operate across the state line.  However, Blue Cross Blue Shield of Kansas, which is the 800 pound gorilla outside of Kansas City, and which does not operate in Missouri usually dominates any health insurance conversation from their headquarters virtually across the street from the state capitol in Topeka, and they have long been opposed for cost reasons.

     

    So, if you're not getting anywhere with your legislature, you might see what your friendly neighborhood insurance commissioner can do, especially if they're running for something.

     

    David Smith, FACMPE  |  Executive Director  |  785.393.8387

    p-uic-horizontal-03a

     



  • 2.  RE: Kansas Mandates 3D Coverage

    Posted 08-09-2018 15:01

    Oklahoma passed the same legislation and 3D breast tomosynthesis will be paid by all health plans beginning November 1st.  Guess KS felt the squeeze from its neighbors.  Wonderful news for KS radiologists as BCBSKS makes up about 30%+ of practices from what we have seen.

     

     

    Susan Gregg, CMPE, RCC, FRBMA

    Senior Vice President

    MSN Healthcare Solutions, LLC

     

    2224 NW 50th Street, Suite 276W

    Oklahoma City, OK 73112-8088

     

    Office:  800.841.4236 x 65101

    Cell:  405.826.2111

    Fax:  706.653.1567

    Central Time Zone