Doctors Rima and Robert DeFatta, married otolaryngologists who work at Sacred Heart Hospital in Eau Claire, Wisconsin, spend about an hour each day dealing with insurance-related hassles. About 20 percent of their patients are un- or underinsured, so the two physicians spend time dashing off letters to insurance companies, re-jiggering treatment plans and helping patients access available resources. Recently, Rima DeFatta, MD, had to figure out how to diagnose a patient who presented with symptoms that suggested possible neurologic involvement.
