It's no surprise that insurance companies are restructuring in anticipation of major health reform changes. There's one article published in American Medical News titled, "Another insurer blames health reform for layoffs."
Assurant Health says the cuts will help "streamline its organizational structure" to prepare for changes in the insurance marketplace.
This is probably not the best time to leave clinical medicine to pursue non-clinical career opportunities in the health insurance industry. Then again, maybe the government will need to hire hundreds of physicians to serve as medical directors for the Public Option. Would you like to work for the government so that you can deny medical claims? How will the government define "medical necessity" as they roll out the Public Option to the 46 million uninsured individuals who are living in the United States?