Tag: horizon omnia

Horizon Blue Cross Blue Shield and American Specialty Health; Will the NJ Department of Banking and Insurance listen?

Posted on by bill
Horizon Blue Cross Blue Shield and American Specialty Health; Will the NJ Department of Banking and Insurance listen? Horizon Blue Cross Blue Shield is attacking chiropractors and other professions vital to the health of those who are insured with them.  The proposed but not yet approved relationship with Horizon will have chiropractic, physical therapy, acupuncture and even psychotherapy managed by a company whose sole purpose is to make the difficult job of these helpful and cost-effective providers more difficult while reducing visits and procedures those providers require to do their job properly. Their reward is profits at the expense of Read More »

Horizon Omnia reduces competition, provider access, and raises healthcare costs; here’s how.

Posted on by bill
Horizon Omnia reduces competition, provider access, and raises healthcare costs; here’s how. The headline read “Confidential documents suggest Horizon misled public on how it picked hospitals for OMNIA program”.   Was Horizon interested in saving costs by developing Omnia, or picking winners and losers in the hospital systems, as well as in other parts of their network to increase our costs and their profits? In 2015, Horizon announced Omnia which offered the promise of revolutionizing health care options in the state.    Horizon Omnia was to offer lower premiums in exchange for a network that was based on cost and value using Read More »

United Healthcare and the Medicare Advantage scam; is this the tip of the iceberg?

Posted on by bill
United Healthcare and the Medicare Advantage scam; is this the tip of the iceberg? If you have United Healthcare or Oxford Health Plans (purchased by United Healthcare a few years ago), you may have heard about the latest news on how United Health Group’s  former finance director in Minneapolis, Benjamin Poehling,  contends that his company and other insurers have been systematically bilking Medicare Advantage for years according to the NY Times. When we look at healthcare costs, and how they have risen over the years, you must be asking yourself why, when other countries take care of their aging population at Read More »

Is Horizon Omnia acting badly by requiring your primary physician to explain their controversial tiered plans?

Posted on by bill
Is Horizon Omnia acting badly by requiring your primary physician to explain their controversial tiered plans? The NJ Medical Society is annoyed that Horizon is forcing primary doctors to explain or defend their tiering system of doctors in NJ.   For those who have Horizon Blue Cross Blue Shield,  chances are they switched you at your renewal date to one of their tiered plans, which eliminated 40 hospitals and indemnified large hospital monopolies under their tier 1. There is a good chance you were likely priced out of your older plan and chose a more affordable plan, only to find out Read More »