M.D. discusses how Anthem policies affect patients & physicians on ‘Top Docs’     

Jeffrey Gallups, M.D., F.A.C.S. – the founder and medical director of the ENT Institute – discusses how Anthem/Blue Cross Blue Shield of Georgia’s contract and claims policies are negatively affecting his patients and physicians on the latest episode of the Medical Association of Georgia’s (MAG) ‘Top Docs Radio’ show. 

“If we don’t attend to the physician-insurer relationship, it’s going to take a toll on the physician-patient relationship,” says Dr. Gallups. “If the insurance companies do what they're supposed to do, it all works.”

He stresses that, “We want to have a good relationship with every payer, but it can be a real challenge when an insurer denies a practice’s claims in a systemic way…it undermines our cash flow – keeping in mind we have bills to pay like any other business – as well as patient care.”

Dr. Gallups also points out that, “It’s unfortunate that physicians also have to be business people, but it’s 2018 and there's no turning back.”

He sees great value in organized medicine, but Dr. Gallups encourages his fellow physicians to take an active role in the process. He believes that, “Organizations like MAG do great work in the legislative and regulatory arenas, but they can’t do it alone. No one advocates for you like you do.”

The ENT Institute treats patients of all ages for diseases and disorders of the ear, nose, throat, and related structures of the head and neck. It has 14 practice locations in the Atlanta area. Go to www.entinstitute.com for additional information. Physicians can contact Dr. Gallups at drgallups@nsainstitute.com.

MAG sponsors two ‘Top Docs Radio’ episodes per month. Between downloads and live listeners, the program has reached more than 145,000 listeners – more than 7,500 viewers and listeners per show – which includes people in all 50 states and 84 countries.    

MAG’s ‘Top Docs Radio’ show is supported with a grant from Health Care Research, a subsidiary of Alliant Health Solutions.