Tag: horizon blue cross blue shield

Urge DOBI to oppose Horizon partnering with American Specialty Health Network (ASH). You must act now

Urge DOBI to oppose Horizon partnering with American Specialty Health Network (ASH) Horizon Blue Cross Blue Shield of NJ has decided to partner with a utilization review company called American Specialty Health Network (ASH) to manage claims for acupuncture, chiropractic, occupational therapy, physical therapy and speech therapy. The potential union of Horizon and ASH is scheduled to begin January 1, 2020, pending approval by the New Jersey Department of Insurance (DOBI). Why is this bad for patients – the nearly 3.8 million insured by Horizon? Based upon information received from multiple credible sources, it is our opinion that the following Read More »

Horizon’s Blue Cross Blue Shield’s newest idea; Omnia, should the buyer beware?

Horizon’s Blue Cross Blue Shield’s newest idea; Omnia, should the buyer beware? Omnia, Horizon’s controversial new product has been making news for months, as it is a tiered product, with 40 or so hospitals being listed a tier 2, while the larger hospital systems were invited in as tier 1.  For those who use chiropractors, two per county are tier 1 and the rest of the 1700 chiropractors are tier 2.   In physical therapy, 86 percent are tier 1 and 14 percent are tier 2. What is the difference in the tier’s and how did they come up with this product. 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 »