ASA President Dan Cole, M.D., might have said it best in his January “Administrative Update” in the ASA Monitor: “I don’t know about you, but it seems to me that more change has occurred in health care over the past two or three years than the previous 30.”

Anesthesiology is in so many places in the health care system that any change in that ecosystem affects the specialty. In upcoming columns, I will review the impact of some of these changes, how they might affect you, and the resources ASA is putting into place to deal with them. In this column, I’d like to focus on the health insurance industry.

Having worked for most of my career in health care delivery and policy and thus closely with the insurance industry, I, like Dr. Cole, have witnessed astonishing changes....

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