Archive for November 13th, 2011

Is An Addiction To PPO’s A Sign of Financial Dependence? How Is Society Impacted By Addicts?

Sunday, November 13th, 2011
Ford D. Albritton, M.D. Dr. Albritton is Board Certified in Otolaryngology, Head and Neck Surgery and is a Fellow of both the American Academy of Otolaryngology, Head and Neck Surgery and the American College of Surgeons. Please Note:
*Accepted insurance plans are subject to change. However, we do accept most insurance programs.To ensure that we accept yours, please call 214.345.1400 

 Accountable Health Plans Of America Inc PPO (Interplan Health Group)
Admar PPO/Merged With Proamerica Through BCE
Aetna HMO/PPO
Aetna Medicare Advantage
Affiliated PPO
Affiliated PPO
AHI – Healthlink (Formerly Affiliated Healthcare)
Amcare HMO ( Formerly Amerihealth HMO)
BCE Emergis
Beech Street PPO/Cappcare PPO
Blue Cross Blue Shield HMO
Blue Cross Blue Shield PPO/POS
Cappcare PPO/Beech Street
Carrollton-Farmers Branch ISD PPO
CCN Managed Care Inc PPO
Centra PPO
Choice Care (Formerly Humana/Employers Health)
Choice Care Medicare Advantage PPO Network
Cigna Care Network (Specialty Care Network)
Cigna PPO
Cigna HMO
City Of Carrollton PPO
CCN Managed Care Inc PPO
CPL
Federal Reserve Bank Of Dallas
First Care HMO
First Health PPO (Formerly Affordable/Healthcare Compare)
First Health Ti PPO
Freescale (Formerly Motorola)
Galaxy Health Network PPO
Golden Rule Ins Co (Purchased By United Health Eff 9/1/04)
Greatwest Healthcare HMO (Formerly One Health)
Greatwest Healthcare One Plan (Formerly One Health)
Greatwest Healthcare POS (Formerly One Health)
Greatwest Healthcare PPO (Formerly One Health)
Healthcare Partners Of East Texas
Healthtexas Provider Network
Healthsmart/NTHN EPO/PPO
Healthsmart/NTHN GEPO
Healthsmart/NTHN POS
(HPET) Healthcare Partners Of East Texas
Humana (Choice Care)
IMS PPO
Independent Medical Systems PPO (Formerly Integrated Medical Systems)
Intereplan Heath Group-Accountable-Interplan
Lewisville ISD PPO
Lumenos (Baylor Employees)
Managed Healthcare Inc PPO
Medical Control PPO/PPOnext PPO
Multiplan PPO
Multiplan PPO
National Healthcare Alliance PPO
North Texas Health Network (Name Changed To Healthsmart)
NPPN
Pacificare HMO
Pacificare PPO
(PHCS) Private Health Care System Open Access
(PHCS) Private Health Care System PPO/Open Access
Plano ISD PPO
PPOnext PPO/Medical Control PPO
PPO Smartnet (Subset Of Choicecare/Humana
PPN- Premeir Provider Network
Proamerica Managed Care Inc PPO (BCE Emergis)
Pronet PPO
Randalls Food Markets PPO
Regional Healthcare Alliance PPO
Santa Fe Employees Hospital PPO
Secure Horizons Direct
Southwest Preferred Network (Alliance Health) PPO
Texas Health Choice HMO (Kaiser Permanente)
Texas Instruments (Ti) PPO
Texas Medical Resource PPO
Texas Municipal League PPO (TML)
Texas True Choice
Texas True Choice Star PPO
TRS-Care (Texas Public School Retired Employees)
TRS-Active Care PPO (Texas Public School Active Employees)
Unicare Classic PPO/Preferred
Unicare Performance
United Health Care Choice Plus & Select Plus POS
United Health Care Choice & Select HMO
United Health Care Options PPO
USA Managed Care Organization
USC Health Services PPO
Texas Institute For Surgery
UHC
Genesis
DPS Renewal
Beech Street Workers’ Compensation New Contract Amendment
Interplan Health Group Workers’ Compensation (Formerly Identified As Accountable) New Contract Amendment
Medical Savings Plans (Through Galaxy) New Contract Amendement

Holy Smoke! How does this guy know what he is going to get paid? Smith with Blue Cross pays him $10 while Jones with Cigna pays him $11 for the same service. Then in comes Garcia with TTC who pays him $13.22 for the same service that Jones recieved. Yabolonski comes in with UHC and pays $9.53 for the same service Garcia received……………….

Then in comes Don Pedro with cash…………….and pays $3.50

Editor’s Note: If we  remove  the addiction (health care intermediaries such as the ones listed above) we can reduce health care costs by more than 40%. A San Antonio employer did  – Bill Miller Forbes.

From The Desk Of Molly Mulebriar:

 Bill, let me see if I understand this post. Ford has contracted with every PPO in the world, “discounting” his fees for service in return for patient steerage to his facility. That is the premise behind PPO’s – doctor charges less so that his name can appear in a PPO directory. So, since he has signed up with every PPO out there, practically every patient he sees he will have to discount his fees which means he will almost never get to charge his full normal fees. Seems to me to be a hell of an expensive advertising campaign, having your name in all those PPO directories. An unscrupulous doctor would inflate his normal fees, then agree to a discount down to his original normal fee giving the illusion of savings.