Posts

Aetna NP Update

About a month ago, I lamented Aetna’s effort to ding all the NP fees they pay by 15% across the board. I just heard from Dr. Yes (the opposite of Dr. No, naturally), that at least one southern state has been successful in fighting this change while places like NJ continue to get the Heisman from Aetna.  I’m not …

Really, We Don’t Ration Care and Access is Wonderful! (Shame on GA Caid and Aetna)

“Kids caught in Medicaid pay crossfire” says the CNN article from yesterday.  No kidding.  There are two important reasons to read this piece.  First, it highlights the challenge that pediatricians face when working with Medicaid patients – it usually doesn’t pay enough to keep your doors open.  There’s a reason why only 20% of our …

Quick (Aetna, SOAPM)

I’m busy writing another piece for the SOAPM newsletter and it’s really taking up my time. I’m truly honored to be given the opportunity to provide them comment but, whew, it takes a lot of work. That is, it’s one thing to ramble on in a blog (this is a good example), but it’s a …

The Verden Effect

A couple weeks ago, the Verden Alert gave me this little notice about Oxford: Please note that in an effort to become more transparent and communicate more clearly, Oxford has modified its policy change listings. Oxford now posts exactly what revisions have been made to its changed policies. Interesting, because happened shortly after the release …