Physical Therapists Opposed to OrthoNet Business Practices

BCROSS HAS ALREADY REDUCED THEIR PAYMENT TO ALL TIME HIGH AND NOW TO SUBJECT P.T.S TO THIS INJUSTICE VIA ORTHONET IS UNACCEPTABLE. OUR EXPERIENCE WITH ORTHONET HAS DEFINITELY NOT BEEN A GOOD ONE!

Stop the middlemen in OrthoNet from making decisions on patient care.

I urge you to deny the Anthem OrthoNet relationship for the following reasons: OrthoNet does not perform a real medical review OrthoNet engages in arbitrary and capricious review with the intent of denying and rationing medically necessary services Strong evidence exists from other states where OrthoNet operates that the above is true, which will be revealed shortly Patients deserve access to the medical services they signed up for and are paying for Do not approve this scheme without full disclosure and presentation of the facts. Patients will be helped when you deny this harmful business relationship.

Health Care needs to be unburdened.

I strongly oppose this!

Orthonet!!!

10 years ago Featured

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.

I oppose the Anthem-Orthonet relationship. It's bad for patients.

I have emailed and called Mrs Davis and the DMHC to express my deepest concerns and disapproval of Anthem and OrtoNets partnership.

please stop Ortho-net from performing capricious reviews as strongly evidenced from other states' and denying patients the access to the services they deserve and pay for.

orthonet will hamper what physical therapists try to accomplish for patients

If this is allowed to continue, all insurance companies will put in similar processes to save themselves money by depriving patients of the care they need and pay for.

Just another way to take away care from those who need it. And take away any direct access right patients have in CA!

This would be a terrible deal for Anthem Blue Cross patients who did NOT sign up for HMO-type plans! In addition, now NONMEDICAL professionals make the call on how much care a patient needs!

This is about greed on the insurance companies part and not taking care of the patients that loyally pay into the anthem system. I am a patient that deserves to have the benefits I've paid for all of these years. I have PPO insurance not HMO. This is an attempt to turn PPO insurance policies into HMO coverage still paying the high PPO prices . Any patient that goes with an HMO knows the costs are lower but they're subject to this sort of scrutiny. The whole point of paying the high PPO prices is to hopefully avoid that. A patient still has to choose a provider within the list. You're forcing PPO providers to want to take themselves off the list & forcing patients into a corner. You're also encouraging attorneys to lodge lawsuits against anthem on behalf of the patients being wronged . Ultimately the patient is not healthier and will therefore have higher health costs when decisions like this are made. Let the patients get the care that they deserve and pay for. Perhaps then it won't be such a burden on the system and could ultimately save Anthem more money then the perceived notion they're going to save now by cutting benefits.

As a PT with 20+ years experience in the field of outpatient PT, I believe that the decision as to whether PT services are medically necessary belongs to the PT, the patient and the referring physician, not an arbitrary untrained 3rd party payer/decision maker whose only purpose is to increase the bottom-line profits of the insurance company.

Compassion and caring. That's what the P.T. profession is about. Providing quality of care, for individuals that come to us with chronic pain, new injuries, post operative care, etc. To deny individuals the right to be cared for is ludicrous. Since when does a 3rd party, such as OrthoNet, have the right to deny care, when the physician or P.T. has evaluated the individual and determined the necessity of treatment?? Since when does a 3rd party have the right to deny patients wellness and to improve the quality of his or her life?? Blue Cross profits, as well as OrthoNet. The patients suffer, as well as the providers.

Anthem Blue Cross is planning to spend a lot of money with a 3rd party to deny care to patients while burdening providers with the time and dollar expense of needless paperwork. They are doing this after several years of private physical therapists dealing with a drastic cut in reimbursement from Anthem Blue Cross. This is not good for the health and well being of the patients and is too great a burden for practitioners to bear.

This is just disgusting. It is time the insurance companies stopped t is ok and what isn't.

No third party should have a say in my health care ... This is between me and my doctor!!!!