Navigation Links
Payments for Physical Therapy Services to be Drastically Cut by Anthem Blue Cross of California
Date:2/16/2010

SACRAMENTO, Calif., Feb. 16 /PRNewswire/ -- Patients enrolled in Anthem Blue Cross of California may be in for a rude and costly awakening the next time they visit a physical therapist. According to the California Physical Therapy Association, the insurance company is slashing payment for physical therapy services to a rate so low it is financially impossible for many physical therapists to continue providing care to enrollees of Anthem Blue Cross.

"Physical therapists are concerned that Anthem's dramatic and unilateral reduction in payment will have a substantial effect on the quality of care being provided, as well as the ability of therapists to continue to participate in Anthem's network," said Dr. Cheryl Resnik, PT, CPTA President. "We find it fundamentally unreasonable for Anthem Blue Cross to jeopardize the treatment of its enrollees by choosing to make such a drastic policy change. We are asking them to reconsider, but there seems to be no move to do so. Physical therapists have been met with a 'take-it-or-leave-it' response from the carrier."

Communications sent to providers indicate that effective March 1, 2010, Anthem Blue Cross will modify the current payment policy to a per diem model. When that goes into effect, physical therapists will experience up to a 50 percent reduction in payment for all treatment regardless of the intensity, duration or degree of care provided. This severe rate cut, coupled with rising practice expense costs, will make it financially impossible for many providers to offer care to Anthem Blue Cross members under this arrangement. This move by Anthem Blue Cross hits PTs from all sides: as employers, they are experiencing increases in premiums of up to 39 percent; as patients, they are experiencing decreases in coverage; and as providers, they are being paid substantially less to provide the same level of care.

"By lowering the boom, Anthem's proposed action will likely have a substantial impact on its beneficiaries, especially those most vulnerable," said Stacy DeFoe, Executive Director, CPTA. "It is difficult to imagine that this move will not detrimentally affect access to care to the full realm of rehabilitative and wellness services provided by physical therapists. It could also delay the resolution of many patients' conditions."

The California Physical Therapy Association urges consumers of health care to write directly to Anthem Blue Cross and inform the insurance company of the potential impact on their access to physical therapist services. Send letters to the Director of Network Management, Anthem Blue Cross, 21555 Oxnard Street, CAAC08-08A, Woodland Hills, California, 91367.

SOURCE California Physical Therapy Association

RELATED LINKS
http://www.ccapta.org

'/>"/>

SOURCE California Physical Therapy Association
Copyright©2010 PR Newswire.
All rights reserved

Related medicine news :

1. Disability payments may spur drug abuse
2. New Web Site Opens Window on Charges, Payments, Quality of Care at Michigan Hospitals
3. New Study Indicates Decreasing Prescription Copayments Results in Increased Adherence for Patients with Chronic Diseases
4. Health insurance co-payments deter mammography use
5. California Department of Social Services Announces Improved Access to Disability Payments to Homeless Individuals
6. Payformance Completes Sale of Corporate Payments Division
7. Health Care Providers Sue State of California Over Cuts in Medi-Cal Payments
8. New Study Shows Lowering Co-payments Can Lead to Lower Total Healthcare Costs, Improved Overall Health
9. Consumers Union Supports Proposed Expansion of Medicare Policy to Withhold Payments to Hospitals That Harm Patients
10. ACP says Medicare should increase payments for physicians that use HIT to improve quality
11. Extra payments to Medicare Advantage plans to total $8.5 billion in 2008
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World ... with chronic pain and the benefits of holistic treatments, Serenity Recovery Center ... with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder of the ...
(Date:6/24/2016)... ... , ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys ... peers for this recognition are considered among the top 2 percent of lawyers practicing ... members of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, ... minimum wage raise to $12 an hour by 2020 and then adjusting it yearly to ... value of the minimum wage, assure the wage floor does not erode again, and make ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... Living, is proud to recognize Dr. Barry M. Weintraub as a prominent plastic ... most beautiful women in the world, and the most handsome men, look naturally ...
(Date:6/24/2016)... ... June 24, 2016 , ... National recruitment firm ... sciences executive with extensive sequencing and genomics experience, as Vice President of North American ... Hill will be responsible for leading the sales team in the commercialization of the ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Calif. , June 24, 2016  Global ... a biopharmaceutical company developing novel therapeutics for the ... needs, today announced the closing of its previously ... common stock, at the public offering price of ... the offering were offered by GBT. GBT estimates ...
(Date:6/24/2016)... June 24, 2016 Research ... "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" ... In-Mold Electronics, Smart Skin, Structural Health ... Structural electronics involves electronic and/or electrical ... structures, replacing dumb structures such as vehicle bodies ...
(Date:6/24/2016)... SAN CLEMENTE, Calif. , June 24, 2016  American ... function testing company, is now able to perform sophisticated lung assessments ... ndd Medical Technologies , Inc. Patients are no ...  Thanks to ndd,s EasyOne PRO ® , ARL patients like Jeanne ... needed testing done in the comfort of her own home. ...
Breaking Medicine Technology: