Tag: aetna

The Aetna CVS Merger; good for them, but is it good for us?

The Aetna CVS Merger; good for them, but is it good for us? It is no secret that healthcare in the USA is ridiculously priced for most medical services, compared to the rest of the world.  We have witnessed a number of healthcare company mergers that has done everything but reduced the cost of care for us, the consumer. Insurers confuse and frustrate healthcare consumers with complexities such as precertification, tiered networks while reducing our choices of doctor, while they ring up the profits.   Under Obamacare, insurers are limited to using 20 percent of the healthcare premiums for administrative purposes, however, the new math Read More »

NJ health benefits (SHBP) commission openly discriminates against chiropractors and acupuncturists.

NJ health benefits (SHBP) commission openly discriminates against chiropractors and acupuncturists. Good decisions as well as bad decisions are made behind closed doors. State workers who rely on chiropractors and acupuncturists to stay healthier should be alarmed by the recent move by the NJ health benefits (SHBP) commission to treat chiropractors and acupuncturists who are out of network differently than if they were other types of doctors treating patients out of network. If your chiropractor or acupuncturist is an out of network doctor, chiropractic out of network benefits will be limited to $35 while out of network acupuncture fees will Read More »

Robert Wood Johnson and St. Barnabas healthcare networks merge, is this really good for us, the consumer?

Robert Wood Johnson and St. Barnabas healthcare networks merge, is this really good for us, the consumer? Recently, I read that the reason for high healthcare costs are the few super utilizers of care. While it may be true that a few people (roughly 5% of patients) use a lot of care, few physicians in private practice have been responsible for these costs, yet the drug companies and hospitals continue to profit immensely from cases like these. Obamacare has had the effect of creating more mergers, as more doctors struggle to compete. The end result is that the larger the Read More »

Getting beyond the talk on healthcare costs; Why the president of Aetna, Mark T. Bertolini needs to read Forbes Magazine

Getting beyond the talk on healthcare costs; Why the president of Aetna, Mark T. Bertolini needs to read Forbes Magazine Everyone who is anyone in healthcare agrees something has to change in our healthcare system. The system is wasteful, creates fear, has a lousy record with chronic disease processes and often rewards less effective, more expensive providers of services. For years, the healthcare environment was steered through lower co payments and deductibles, which has been replaced by high deductible plans that often restricts people from going to healthcare providers who are outside the network you are in. Often, more effective Read More »