Dear Physical Therapists and Patients-
Who should make the medical decisions regarding patients' orthopaedic and musculoskeletal needs.....physicians and physical therapists or insurance company 'middlemen', like OrthoNet?
Do patients deserve the benefits promised to them by their health plan or do they deserve arbitrary and capricious rationing of their care by an untrained individual sitting at a computer terminal, who has not examined the patient?
Are you opposed to schemes where payers can legally maximize the profits allowed by the state of CA by shifting some of their expenses to the provider side and using middlemen utilization review to ration care?
Are you aware that Anthem Blue Cross has taken in near record profits during the last few years and just agreed to refund $8.3 million to about 50,000 California policyholders to settle a class-action lawsuit over mid-year increases to its annual deductibles, out-of-pocket limits and prescription drug deductibles?
If you answered yes to any or all of the above, please sign this petition opposing the OrthoNet-Anthem relationship. Time is of the essence because the CA Department of Managed Healthcare's approval or denial of the Anthem-OrthoNet scheme is imminent.
Updates
November 2, 2015
WE JUST CRUSHED THE 500 SIGNATURE MARK!! THE MOMENTUM IS ABSOLUTELY UNSTOPPABLE RIGHT NOW!! THANK YOU TO EVERYONE WHO IS STANDING UP AGAINST THESE UNFAIR PRACTICES!!
Reached 500 supporters
October 30, 2015
September 18, 2015
THE MOMENTUM IS ABSOLUTELY EXPLODING!! IT IS CLEAR THAT THE ENTIRE COMMUNITY IS FED UP WITH THESE UNACCEPTABLE BUSINESS PRACTICES AND WE ARE READY TO FIGHT BACK!!!
Reached 100 supporters
May 9, 2015
309 Comments
Patients deserve access to the medical services they signed up for and are paying for, let physicians and physical therapists treat patient's as individuals and not be limited by arbitrary reviews. These policies cost our healthcare system more than they benefit it.
I have had patients through Orthonet in the past and could not believe the paltry amount of care they authorized for post-surgical patients. There are well established protocols for ACL and ORIF surgeries and my patients did not get the amount care that they should have.
Orthonet has proven with our Colleagues in other states that their plan is to restrict physical therapy treatment to Anthem subscribers. This is without regard to forcing the patient into more costly and dangerous treatments such as epidurals and surgery.
According to research presented by Harvard Business Review recently, it is more efficient and cost-effective for licensed physical therapists to treat low back pain than prescribing medicines and expensive technological evaluations for most patients in the study.
This is ridiculous. Why am I paying PPO premiums when my visits will have to be authorized like HMO, along with delays in rehab due to the authorization process after every 4-5 visits and risk even possible denial of my healthcare? Blue Cross, do not do this.
The State of Ct recently changed our state health insurance contract for retirees to Aetna from UnitedHealth. Under United Health I had Physical Therapy treatment based on my need and never had a problem. Aetna contracts with OrthoNet. The last time I went to my Physical Therapist I was told I had 6 sessions. I am working with my retiree union to contest this restriction based on nothing to do with my physical therapy medical needs.
We, hear at peak sport and spine, continue to have issues with Ortho Net being able to dictate if our patients are done with service or not, we would love a response from anyone, who has also had a problem with Orth Net, not wanting to continue coverage on a patient.
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Dear Physical Therapists and Patients-
Who should make the medical decisions regarding patients' orthopaedic and musculoskeletal needs.....physicians and physical therapists or insurance company 'middlemen', like OrthoNet?
Do patients deserve the benefits promised to them by their health plan or do they deserve arbitrary and capricious rationing of their care by an untrained individual sitting at a computer terminal, who has not examined the patient?
Are you opposed to schemes where payers can legally maximize the profits allowed by the state of CA by shifting some of their expenses to the provider side and using middlemen utilization review to ration care?
Are you aware that Anthem Blue Cross has taken in near record profits during the last few years and just agreed to refund $8.3 million to about 50,000 California policyholders to settle a class-action lawsuit over mid-year increases to its annual deductibles, out-of-pocket limits and prescription drug deductibles?
If you answered yes to any or all of the above, please sign this petition opposing the OrthoNet-Anthem relationship. Time is of the essence because the CA Department of Managed Healthcare's approval or denial of the Anthem-OrthoNet scheme is imminent.
Updates
November 2, 2015
WE JUST CRUSHED THE 500 SIGNATURE MARK!! THE MOMENTUM IS ABSOLUTELY UNSTOPPABLE RIGHT NOW!! THANK YOU TO EVERYONE WHO IS STANDING UP AGAINST THESE UNFAIR PRACTICES!!
Reached 500 supporters
October 30, 2015
September 18, 2015
THE MOMENTUM IS ABSOLUTELY EXPLODING!! IT IS CLEAR THAT THE ENTIRE COMMUNITY IS FED UP WITH THESE UNACCEPTABLE BUSINESS PRACTICES AND WE ARE READY TO FIGHT BACK!!!
Reached 100 supporters
May 9, 2015
309 Comments
This is a decision only between my Doctor, Therapist, and myself. Third party's 'cut' corners to save costs and get themselves paid. It is shameful on ANTHEM to even think of this as a means to 'solve' anything. My health and records are not to be shared with anyone.
Patients deserve access to the medical services they signed up for and are paying for, let physicians and physical therapists treat patient's as individuals and not be limited by arbitrary reviews. These policies cost our healthcare system more than they benefit it.
I have had patients through Orthonet in the past and could not believe the paltry amount of care they authorized for post-surgical patients. There are well established protocols for ACL and ORIF surgeries and my patients did not get the amount care that they should have.
Orthonet has proven with our Colleagues in other states that their plan is to restrict physical therapy treatment to Anthem subscribers. This is without regard to forcing the patient into more costly and dangerous treatments such as epidurals and surgery.
According to research presented by Harvard Business Review recently, it is more efficient and cost-effective for licensed physical therapists to treat low back pain than prescribing medicines and expensive technological evaluations for most patients in the study.
This is ridiculous. Why am I paying PPO premiums when my visits will have to be authorized like HMO, along with delays in rehab due to the authorization process after every 4-5 visits and risk even possible denial of my healthcare? Blue Cross, do not do this.
The State of Ct recently changed our state health insurance contract for retirees to Aetna from UnitedHealth. Under United Health I had Physical Therapy treatment based on my need and never had a problem. Aetna contracts with OrthoNet. The last time I went to my Physical Therapist I was told I had 6 sessions. I am working with my retiree union to contest this restriction based on nothing to do with my physical therapy medical needs.
We, hear at peak sport and spine, continue to have issues with Ortho Net being able to dictate if our patients are done with service or not, we would love a response from anyone, who has also had a problem with Orth Net, not wanting to continue coverage on a patient.
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This is a decision only between my Doctor, Therapist, and myself. Third party's 'cut' corners to save costs and get themselves paid. It is shameful on ANTHEM to even think of this as a means to 'solve' anything. My health and records are not to be shared with anyone.