Anthem Reveals OrthoNet Plan to Patients: Let’s Read Between the Lines?
Here is what Anthem said and did not say in their recent letter to patients, dated September 1, 2015, regarding OrthoNet: Dear Member: “Lots of us need physical therapy and occupational therapy at some point.” And it’s gotten really expensive for Anthem– about 1-2% of total medical costs. “And it can be a confusing part…
Entry-Point Physical Therapy for Low Back Pain Saves Money!
Researchers have found that Medicaid patients with low back pain (LBP) whose front-line treatment is provided by a physical therapist (PT) tend to generate lower costs over 1 year than patients who went to the emergency department or a physician first. Seventy-Five Medicaid enrollees used a PT as their entry point—analysis showed that patients who…
Anthem Blue Cross is at it Again….
I hate to say it but I have some scary news from Anthem Blue Cross. Starting November 1, they will be utilizing a company called OrthoNet to authorize ALL physical therapy services. This means even though you have a prescription from a physician, Anthem can (and will) deny your care. We are able to evaluate…
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