As you may know, I am a family physician in a public (read "free") clinic. Most of our patients have no insurance. But, due to the primary care physician shortage, we also see people on a variety of health insurance plans who can not find other doctors in the area who are taking new patients. Therefore, I have a handful of clients who are on different Medicare and Medicaid HMOs.
Recently, I have noticed a confusing/annoying trend. Mountains of paperwork are being faxed to my office daily. Much of the paperwork is not worth the trees that are dying to make the fax paper. A typical fax will go something like:
"Did you know that patient X has disease Y? If so, why isn't he taking drug Z?" Never mind that he really is taking drug Z. Or is allergic to drug Z. Or drug Z is not  indicated for what he has. The insurers want us to fill out the form and send it back.
Why? Maybe the answer has something to do with a loophole in the new health care law. Insurers are required to spend 85% of premiums on health care and Quality Assurance.