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:2/8/2016)... ... 2016 , ... Coast Dental has a new way to help parents keep ... family dentist Yvonne Dorrian, DMD, is hosting a free seminar on Friday, February 19 ... Target at 1207 North Peachtree Parkway in Peachtree City. Dr. Dorrian will have healthy ...
(Date:2/8/2016)... Alexandria, Minn. (PRWEB) , ... February 08, 2016 ... ... introduces the BantamPro L top-load case packer for pouches, bags, and flow wrapped ... designed to help co-packers and specialty product manufacturers step up to semi-automatic or ...
(Date:2/8/2016)... ... February 08, 2016 , ... The Bell Agency, a ... latest beneficiary of their ongoing community enrichment program. The current campaign fundraises for ... Donations are now being accepted at: http://www.angelsanddoves.com/donate.html . , Angels & Doves ...
(Date:2/8/2016)... ... February 08, 2016 , ... Remember the old saying “rub some dirt on ... A~, author of “Calcium Bentonite Clay” the health benefits of integrating clay into a ... the body. , A former motivational speaker, Perry A~ has since dedicated her life ...
(Date:2/8/2016)... ... 08, 2016 , ... GrassrootsHealth published data from its D*action ... diabetes in the GrassrootsHealth cohort with substantially higher vitamin D levels than a ... health,” states Carole Baggerly, Director of GrassrootsHealth, “the safety and benefits of ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... France , Germany , ... Israel ). It includes a 10-year epidemiology forecast for the total ... and sex in these markets. GD epidemiology report is written and developed ... transparent and market-driven, providing expert analysis of disease trends in the 7MM. ... Italy , Spain , UK, and ...
(Date:2/4/2016)... Ohio , Feb. 4, 2016 For ... Program, or those already participating in the program, the ... often referred to as the , Mega-Guidance , could ... final guidance is published in September 2016. ... Product and Service Marketing , summarizes the Mega-Guidance,s key ...
(Date:2/4/2016)... -- The Senior Care Pharmacy Coalition (SCPC) today commended ... Jason Chaffetz (R-UT) and Ranking Member Elijah ... "Developments in the Prescription Drug Market," to examine ... abusive pharmacy benefit manager (PBM) pricing practices. ... Elijah Cummings (D-MD) are diligent, serious lawmakers committed ...
Breaking Medicine Technology: