I have asked our office if the have noted any changes. The big thing that they have seen is a new middle man. A firm that is contracted by the insurance providers to control pre-certifications. Working with them is next to impossible. In fact they even have hours that don't correspond to when doctor's offices are open just to decrease the number of cases that they have to approve. Every case seems to need a peer-to-peer review just to add to the burden of the whole process.
I can't help to think that perhaps the CEO's of the health insurance companies will have to take a pay cut this year. Then again, if it is only half, they will still get millions!