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Why Your Insurance Company Has More Power Over Your Care Than Your Doctor
If you ask anyone who they trust most in healthcare, their answer would most likely be their doctor. Your doctor knows your history, understands the symptoms you are feeling, and has undergone extensive training to make healthcare decisions in your best interest. But what the general population doesn’t realize is that your doctor’s expertise is not the final word.

Theresa Barta
Feb 23
What Every Doctor Should Know Before Speaking Up
Speaking up in healthcare takes a lot of courage. Doctors, nurses, and other healthcare workers often see things that aren’t right, such as unsafe care, fraud, harassment, or misuse of medical tools.

Theresa Barta
Feb 17
Retaliation in Healthcare: What It Looks Like and How to Prove It
Retaliation in healthcare is far more widespread than many people think.

Theresa Barta
Feb 6
What to Do When Your Insurance Denies a Claim
There are few things more frustrating and concerning than when you open a letter from your healthcare insurer and see the word DENIED.

Theresa Barta
Feb 2
5 Things To Do Before You Call A Lawyer
There are a few simple things that you can do and prepare to make sure that your consultation is smooth, clear, and productive.

Theresa Barta
Jan 28
How Corporate Medicine Is Reshaping Patient Care - And Not Always for the Better
In the last 10 years, the American healthcare system has undergone a dramatic shift. It's one that most patients never see, but almost all of them feel. More and more hospitals, emergency departments, physicians’ practices, and specialty clinics are no longer owned by doctors or community health systems. Rather, they are being bought up by private equity firms and other corporate entities, and their primary obligations are not to the patients but to the investors. This is a

Theresa Barta
Jan 24
The 5 Things Every Person Living In America Should Know About The Healthcare System
The American healthcare system is one of the most misunderstood aspects of American life, even though it is one of the most frequently discussed ones.

Theresa Barta
Jan 24
When Insurers Retaliate Against Physicians, They Also Harm Patients
When insurers, health plans and health care systems retaliate against physicians, surgeons, and other health care providers (which is...

Theresa Barta
May 4, 2021
What Type of Conduct Can Be Retaliatory Under California’s Law That Protects Physicians and Surgeons
California Business & Professions Code 2056 protects physicians and surgeons (and similar laws protect other health care providers)...

Theresa Barta
Apr 3, 2021
A Termination ‘Without Cause’ Can be Legally Challenged.
If you’re a physician, a “without cause” termination is just as harmful as being terminated for cause. In many cases it can be legally...

Theresa Barta
Mar 1, 2021
Is Telehealth here to stay?
Telehealth (telemedicine) seemed like it was here to stay when the pandemic hit. Being stuck at home and needing the advice or services...

Theresa Barta
Feb 2, 2021
Theresa J. Barta selected to California Super Lawyer list
Theresa J. Barta has been selected to the 2020 California Super Lawyers list for health care law. Each year, no more than five percent of...

Theresa Barta
Dec 4, 2020
Are Medical Directors who work for health plans and insurance companies Medical Doctors (M.D.s)?
The answer is, “Kind of.” While Medical Directors have a medical degree, their focus is not on providing patient care. Instead, they...

Theresa Barta
Nov 24, 2020
Determinations by insurers of ‘not medically necessary’ are used to punish doctors
Letters and Explanation of Benefits (EOBs) sent by insurers to patients stating that the medical services their doctor provided were “not...

Theresa Barta
Nov 5, 2020
Beware of silent PPOs: they are of NO benefit to doctors or patients
When a physician joins an insurer’s PPO network, they agree to accept discounted rates for their services in exchange for the insurer...

Theresa Barta
Oct 8, 2020
Insurers often violate law when terminating Medicare Advantage plan doctors
Are you a doctor who provides services to patients through Medicare Advantage plans? IF SO . . . you should know that a federal law (CFR...

Theresa Barta
Sep 13, 2020
Focus on productivity by health care systems affects quality of care
I’m sure you’ve heard the term “productivity” and know that increased productivity is a goal in most, if not all, businesses. But, did...

Theresa Barta
Aug 27, 2020
Narrow Network Health Plans are NOT What’s Best for the Patient
Beware patients (which means everyone!). Only health insurers and employers who sponsor health insurance for their employees benefit from...

Theresa Barta
Jul 20, 2020
How Insurers Profile and Punish Physicians
Physicians are tracked on performance measures, which are NOT to be confused with economic or efficiency profiling. Health insurers use...

Theresa Barta
Jun 27, 2020
Doctors Cannot Be Arbitrarily Excluded From Insurers’ Provider Networks
Health insurers have long used exclusion of doctors from provider networks as a means to increase their bottom line. When there are fewer...

Theresa Barta
May 22, 2020
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