Alliant Dermatology forced TO TERMINATE UHC The Villages and AARP Med.Advantage

[MSGirl]

For those of you on The Villages UHC Healthcare 1 and 2 and AARP Medicare Advantage plans, UHC is terminating their participation effective Sept 1,2018. What this means to you is that you can no longer see Dr Casper, Dr Bolton or any of the other drs in this practice with the exception of UHC The Villages Medicare plan 2 (the $81 per month plan). You will be out of network and will pay a $30 copay.
There is a petition in each of the offices to sign to try and stay in the system. If you are a patient of this practice, I encourage you to drop by any of their 3 locations and sign the petition!

[villagetinker]

OK, that explains it, we have AARP UHC supplemental plans, as we had previous problems the villages Supplemental plans not being accepted by some of our specialists. Good luck with the petitions.

[CFrance]

OK, that explains it, we have AARP UHC supplemental plans, as we had previous problems the villages Supplemental plans not being accepted by some of our specialists. Good luck with the petitions.
Your statement is confusing to me. Are you then not affected by Alliant's action because you have a supplemental plan rather than an advantage plan?



My husband has an AARP supplemental, and we use Dr. Casper. Will our insurance still be accepted by Alliant?

[MSGirl]

Your statement is confusing to me. Are you then not affected by Alliant's action because you have a supplemental plan rather than an advantage plan?



My husband has an AARP supplemental, and we use Dr. Casper. Will our insurance still be accepted by Alliant?

Sorry to be confusing. If you have Medicare and AARP supplement, you are ok. It only effects the AARP Medicare Advantage plan.

[Dan9871]

My husband has an AARP supplemental, and we use Dr. Casper. Will our insurance still be accepted by Alliant?


It's only some advantage plans. The info is on Alliant's web page here:

Alliant Dermatology and Skin Cancer Center - We are a premier Dermatology office led by board certified Dermatologist, David J. Casper, MD (http://www.alliantdermatology.com/)

The details are in a letter here:

http://cloud2.snappages.com/245674c0077e7ab6e667c23d087bddcae8096125/Patient%20notice%20UHC%20June%202018.pdf

[NotGolfer]

Looks to me like The Villages Health, Advantage Plan is affected. It's not Dr. Caspar and his group BUT Medicare who is doing it. In the PDF it's explained and patients are told who they may make an appeal to.

[MSGirl]

Looks to me like The Villages Health, Advantage Plan is affected. It's not Dr. Caspar and his group BUT Medicare who is doing it. In the PDF it's explained and patients are told who they may make an appeal to.

Correct. As well as the AARP Medicare Advantage plan. If one has the UHC The Villages plan 2, they may still use Dr Casper but at the out of network cost of $30. Plan 1 does not have an out of network benefit

[NotGolfer]

Correct. As well as the AARP Medicare Advantage plan. If one has the UHC The Villages plan 2, they may still use Dr Casper but at the out of network cost of $30. Plan 1 does not have an out of network benefit

I'm not sure which one we have but we have a co-pay for specialists....so perhaps we're "good". Still going to check on this though.

[villagerjack]

Why would a Plan drop one practice and retain another? Does it have anything to do with the number and types of claims? This practice expanded aggressively over the last few years and as a patient of dermatologists for close to 30 years, I notice the number of surgeries has increased greatly. For close to 20 years, I had a single surgery and for the last 8-10 years, I had at least 2 or 3 MOHS surgeries every year.

[NotGolfer]

Medicare, itself dropped these is how I read it and not the plan itself or the doctors (clinic). Insurance is about making money and not about the care of patients which is VERY unfortunate.

[graciegirl]

...

[theorem painter]

I'm not sure which one we have but we have a co-pay for specialists....so perhaps we're "good". Still going to check on this though.

If you have the plan that you pay $81 a month for you will pay a copay of $30.

[KyWoman]

Grace, Even though asking patients to sign a petition probably won't do a thing, I see no harm in doing it, especially when their very lively hood is threatened. They work hard to build a patient base only to have it ripped away from them. Of course, that's what can happen when you agree to play with the devil.

[graciegirl]

…///

[Boomer]

Insurance is about staying solvent as well.

I like David Casper a lot. I can't believe he would encourage signing a petition. That does not seem realistic.


“Staying solvent,” you say. Of course, but, actually, staying highly profitable is what drives the game plan in any publicly traded stock.

Yesterday, June 8, United Healthcare stock (UNH) closed at $250.68, near its 52-week high of $251.50. The stock’s 52-week low was $176.42. (What does the percentage math on that say.)

Also, United Healthcare has raised its stockholder dividend with a 20% increase and has announced a new 100 million shares buyback program. Gee. Where did allllll that cash come from.

Before I am accused of being some kind of commie pinko who does not like the stock market, let me say that I like it fine. I am in it — though not with healthcare stocks.

Publicly traded healthcare stocks have the interests of the stockholders and CEOs way ahead of patients and their doctors.

I can own toothpaste. I can own tech. I can own utilities.

But I do not want to own a piece of another person’s life, potentially their actual life.

[ColdNoMore]

“Staying solvent,” you say. Of course, but, actually, staying highly profitable is what drives the game plan in any publicly traded stock.

Yesterday, June 8, United Healthcare stock (UNH) closed at $250.68, near its 52-week high of $251.50. The stock’s 52-week low was $176.42. (What does the percentage math on that say.)

Also, United Healthcare has raised its stockholder dividend with a 20% increase and has announced a new 100 million shares buyback program. Gee. Where did allllll that cash come from.

Before I am accused of being some kind of commie pinko who does not like the stock market, let me say that I like it fine. I am in it — though not with healthcare stocks.

Publicly traded healthcare stocks have the interests of the stockholders and CEOs way ahead of patients and their doctors.

I can own toothpaste. I can own tech. I can own utilities.

But I do not want to own a piece of another person’s life, potentially their actual life.


:BigApplause:...:BigApplause:...:BigApplause:


Buying back stock, to increase stock price and therefore bonuses...is what a lot (most?) of publicly traded companies are doing with their 'new found money.'

Yeah, sure, a few have given $1,000 one-time bonuses to employees to try and avoid criticism, but smart folks know the real goal of paying less taxes...is for upper management to increase their own compensation.

And denying as many medical claims as possible, is also how health insurance companies increase their profits...and stock price. :mad:

[thetruth]

“Staying solvent,” you say. Of course, but, actually, staying highly profitable is what drives the game plan in any publicly traded stock.

Yesterday, June 8, United Healthcare stock (UNH) closed at $250.68, near its 52-week high of $251.50. The stock’s 52-week low was $176.42. (What does the percentage math on that say.)

Also, United Healthcare has raised its stockholder dividend with a 20% increase and has announced a new 100 million shares buyback program. Gee. Where did allllll that cash come from.

Before I am accused of being some kind of commie pinko who does not like the stock market, let me say that I like it fine. I am in it — though not with healthcare stocks.

Publicly traded healthcare stocks have the interests of the stockholders and CEOs way ahead of patients and their doctors.

I can own toothpaste. I can own tech. I can own utilities.

But I do not want to own a piece of another person’s life, potentially their actual life.

The goal of any corporation is to make money for the stock holders. You mention toothpaste, tech and utilities. Same exact thing-THE GOAL IS TO MAKE MONEY FOR THE STOCK HOLDERS. You declare you do not own united healthcare for,"ethical," reasons. .I refuse to buy any of the tobacco stocks. I think if bother were to check, if you have a pension, owns a fund, an ETF, you might well find that YOU
OWN stock in many companies that you would not buy due to your morals.

RE: Medicare changes.
We will ALL be screaming. Our current debt is stated as 20 TRILLION DOLLARS. Of that 20 TRILLION DOLLARS, a sum that WE/I simply can't comprehend, SOCIAL SECURITY hold just over 40% of that and their is no payback period or stated interest. That BILL will be paid as government pays all it's bills-INFLATION, combined with SERVICE CUT BACKS.
To pay this bill you simply can't cut the small stuff and pay it. You need to cut the SACRED EXPENSES-the BIG ONES.
MILITARY,EDUCATION AND WELFARE-INCLUDING SOCIAL SECURITY. No one wants to see it and that includes me.

IN THE END, THROUGHOUT HISTORY, EVERYONE WANTS BUT WANTS SOMEONE ELSE TO PAY FOR IT.

[ColdNoMore]

The goal of any corporation is to make money for the stock holders. You mention toothpaste, tech and utilities. Same exact thing-THE GOAL IS TO MAKE MONEY FOR THE STOCK HOLDERS. You declare you do not own united healthcare for,"ethical," reasons. .I refuse to buy any of the tobacco stocks. I think if bother were to check, if you have a pension, owns a fund, an ETF, you might well find that YOU
OWN stock in many companies that you would not buy due to your morals.

RE: Medicare changes.
We will ALL be screaming. Our current debt is stated as 20 TRILLION DOLLARS. Of that 20 TRILLION DOLLARS, a sum that WE/I simply can't comprehend, SOCIAL SECURITY hold just over 40% of that and their is no payback period or stated interest. That BILL will be paid as government pays all it's bills-INFLATION, combined with SERVICE CUT BACKS.
To pay this bill you simply can't cut the small stuff and pay it. You need to cut the SACRED EXPENSES-the BIG ONES.
MILITARY,EDUCATION AND WELFARE-INCLUDING SOCIAL SECURITY. No one wants to see it and that includes me.

IN THE END, THROUGHOUT HISTORY, EVERYONE WANTS BUT WANTS SOMEONE ELSE TO PAY FOR IT.

While making money on stocks is always the goal, doing it while knowing that it's being done to the detriment to other citizens health or life, is well..... :ohdear:

And there's a very simple way to change it, which every other developed country on the planet, except us...have figured out. :oops:

[Bucco]

/////

[Villageswimmer]

Medicare, itself dropped these is how I read it and not the plan itself or the doctors (clinic). Insurance is about making money and not about the care of patients which is VERY unfortunate.


Not sure how that conclusion is reached. UHC dropped Alliant. Medicare didn’t.

It’s UHC—not Medicare—who is the bad guy. This is scary for those with UHC Advantage Insurance that they can arbitrarily drop a provider with seemingly no responsibility to their (UHC) customers.

I wish Casper had posted the letter from UHC.

Please correct me if I’m wrong.

[Bucco]

//////

[Bucco]

Interesting. Not disputing your post but I don’t see what this has to do with UHC dropping a provider(s). Yes—there are a myriad of high-level problems, but I believe the thread focuses UHC dropping Alliant Dermatology.

Are other providers headed to UHC’s chopping block?

It would likely be beneficial to start a new thread discussing national health care in general. I’m sure that input would be valuable to many. Just sayin’.

OK...TO save folks time and effort and a strain on PMs and the Moderator, I have deleted all my posts.

[rivaridger1]

Does anyone find it curious with The Villages Health rapidly expanding their specialty practice that their privately negotiated " approved " UHC " insurance plan is no longer available to what might be a rival specialty practice ? I think I read everything correctly and stand to be told I did not. Might be our cardiologists are next to get the notice. I've always been reminded whenever I post on the subject of the Villages Health that it is a business and thus must act accordingly when it comes to producing a profit. I also know the easiest way to produce a profit is to establish a monopoly and that a geographic monopoly works perfectly well for that purpose.

[champion6]

Does anyone find it curious with The Villages Health rapidly expanding their specialty practice that their privately negotiated " approved " UHC " insurance plan is no longer available to what might be a rival specialty practice ? I think I read everything correctly and stand to be told I did not. <snip> The specialists in TV Health do NOT restrict insurance providers for patients over 65. They take essentially all insurances, most importantly Medicare. So, your "rival specialty practice" example is meaningless.

This is not the same for TV Health primary care physicians, as we all know.

I can state this from first-hand experience.

[CFrance]

The specialists in TV Health do NOT restrict insurance providers for patients over 65. They take essentially all insurances, most importantly Medicare. So, your "rival specialty practice" example is meaningless.

This is not the same for TV Health primary care physicians, as we all know.

I can state this from first-hand experience.
Thanks for that information, champion6. That is very good to know.

[Boomer]

Speaking of insurance coverage:

I hope everyone makes sure to read the very recent news about how the protection for pre-existing conditions is being actively targeted. They are cranking up the heat — “they” who hold the power and will never have to worry about their own healthcare.

Then there are us regular Americans, the majority of whom like the idea of pre-existing conditions protection —

— although I am constantly confused by those who continue to rail against the thing that has allowed them or their spouse or their adult child to be insured. I just don’t get it. I want to say, “Hellooooo, let me draw you a picture of where you actually are in this thing.” —

— But I never bother to say that. I just think about how Pogo was right.

A lot of news on how pre-existing conditions protections are still, and even more so, in peril came out yesterday.

If those protections get thrown out, here is what will follow:

Anyone who gets downsized and has a pre-existing condition could find themselves with no access to healthcare.

Also, anyone who can remain insured but has a pre-existing condition could be carved out for higher premiums.

Or people could be sold policies that are basically useless if they get really sick.

Sound familiar?

Even if you are among those feeling smugly swaddled in Medicare or employer plans, I hope you will take the time to read the recent articles on the current crank-up of the war on pre-existing conditions protections.

[graciegirl]

Speaking of insurance coverage:

I hope everyone makes sure to read the very recent news about how the protection for pre-existing conditions is being actively targeted. They are cranking up the heat — “they” who hold the power and will never have to worry about their own healthcare.

Then there are us regular Americans, the majority of whom like the idea of pre-existing conditions protection —

— although I am constantly confused by those who continue to rail against the thing that has allowed them or their spouse or their adult child to be insured. I just don’t get it. I want to say, “Hellooooo, let me draw you a picture of where you actually are in this thing.” —

— But I never bother to say that. I just think about how Pogo was right.

A lot of news on how pre-existing conditions protections are still, and even more so, in peril came out yesterday.

If those protections get thrown out, here is what will follow:

Anyone who gets downsized and has a pre-existing condition could find themselves with no access to healthcare.

Also, anyone who can remain insured but has a pre-existing condition could be carved out for higher premiums.

Or people could be sold policies that are basically useless if they get really sick.

Sound familiar?

Even if you are among those feeling smugly swaddled in Medicare or employer plans, I hope you will take the time to read the recent articles on the current crank-up of the war on pre-existing conditions protections.
///

[Villageswimmer]

Does anyone find it curious with The Villages Health rapidly expanding their specialty practice that their privately negotiated " approved " UHC " insurance plan is no longer available to what might be a rival specialty practice ? I think I read everything correctly and stand to be told I did not. Might be our cardiologists are next to get the notice. I've always been reminded whenever I post on the subject of the Villages Health that it is a business and thus must act accordingly when it comes to producing a profit. I also know the easiest way to produce a profit is to establish a monopoly and that a geographic monopoly works perfectly well for that purpose.

I get your logic. I really hope you’re wrong.

[Bucco]

I guess we are allowed to discuss political topics now?

It applies DIRECTLY to the thread and health care in general.

It is not aimed at anyone.

It is in the news each day and applies to ALL, or at least most of who post on this forum.

It is not a discussion of politics but a discussion of the happening that will affect ALL HEALTH CARE.

EVERYONE SHOULD KNOW what is happening relative to Health Care no matter the political party or leaning.

That and the floundering Social Security (we need to dip into the back up fund for the first time since the 1980's....the mortality prediction on not only Social Security but also Medicaire.

These are subjects that YOU may find political for whatever reason but the politicians have control and with our HUGE deficit those who live in The Villages, who have any conscience should be discussing these issues daily.

Perhaps you have the wealth to not worry at all, but most of us have children or grandchildren and our own health care costs to worry about

[graciegirl]

Uncle.

[Bucco]

Uncle.

Why would you not want to be involved in a discussion of such a subject.....?

One that is extremely vital in our community.

May not clear the weeds or get you a better restaurant, but my guess is that in a retirement community, HEALTH CARE and HEALTH COST are talked about quite a bit and should be.

[JoMar]

My final comment is that this could have all been fixed years ago if your elected officials had chosen to do so. Also, the the loss of the trust fund doesn't mean benefits will stop (there is always the general fund) but it will mean that your elected officials may actually need to address it but they will wait, as always, until it becomes a crisis. As I remember, none of these programs were meant to take our individual responsibility away, but were meant to supplement and cover those that needed it. We have, as a society, seem to have changed that to mean we should all be taken care of regardless of financial situation and taken care of the way we want to be taken care of, not how we should be taken care of. We get what we allow.

[CFrance]

Uncle.
I think Uncle is probably a good choice you made, Gracie. It may be could be construed as political, but I really think it's more pertinent to our lifestyle then it is to our political leaning. We all have to be concerned about the future funding of our medicare and social security.



I used to be concerned that we were drawing off our children's earnings for that. I'm still concerned, but also worry about current reductions that might apply.


From your previous posts, I know you have some kind of supplementary health care that allows you not to have to take an advantage plan. We do too, but many in TV do not.



I have a friend who has several skin cancer issues that have always been taken care of by Dr. Casper. This is probably for four years. She has an advantage plan that will now force her to try to find another dermatologist.


I wonder why Alliance is doing this, and if they're planning to putt out of The Villages. I certainly hope not.

[Bucco]

My final comment is that this could have all been fixed years ago if your elected officials had chosen to do so. Also, the the loss of the trust fund doesn't mean benefits will stop (there is always the general fund) but it will mean that your elected officials may actually need to address it but they will wait, as always, until it becomes a crisis. As I remember, none of these programs were meant to take our individual responsibility away, but were meant to supplement and cover those that needed it. We have, as a society, seem to have changed that to mean we should all be taken care of regardless of financial situation and taken care of the way we want to be taken care of, not how we should be taken care of. We get what we allow.

First, MY elected officials are the same as YOURS.

Second, I, with great respect, suggest you do some reading on this country's financials straites, how they just got worse and how we stack up with the rest of the world regarding healthcare who we simply demean but they have worked it out somehow by suggesting that their citizens were worthy no matter what it took

[villagerjack]

I do find it curious that when I come for treatment in The Villages, the likelihood of MOHS sutgeries is much greater than when I am in NY which is most of the time. I used to go to Dr TRAN until I changed insurance plans and had up to 7 biopsies each time, resulting in many MOHS surgeries. In that short time with Allient I had 3 MOHS and when I got back to NY I had no biopsies and no surgeries in my last two visits. The NY doctor is still in the Plan while Tran and Allient are not in the Plan. Could there be a correlation? Perhaps it is the medical practices doing all the damage and not insurance companies or politicians that it is suggested don’t care about grandkids. Until anyone knows why this practice was dropped, everything posted is pure speculation

[Moderator]

The topic of this thread is the specific change in dermatology providers by United Health Care. If you wish to start a new thread about health care plans/policies in general, please do so. Further off topic posts will be deleted.

Thank you.

Moderator

[jojo]

The specialists in TV Health do NOT restrict insurance providers for patients over 65. They take essentially all insurances, most importantly Medicare. So, your "rival specialty practice" example is meaningless.

This is not the same for TV Health primary care physicians, as we all know.

I can state this from first-hand experience.

Yes the quotes are accurate (and I thought well known), but irrelevant to the fact that The Villages Health plan has reduced the availability of dermatologists in the network that they accept. This should be concerning to those on that Advantage plan (which we used to be).

[rivaridger1]

The specialists in TV Health do NOT restrict insurance providers for patients over 65. They take essentially all insurances, most importantly Medicare. So, your "rival specialty practice" example is meaningless.

This is not the same for TV Health primary care physicians, as we all know.

I can state this from first-hand experience.

I know that. My post references the possibility other practices might no longer to be able to bill the Villages Health " plan. It would force the individuals that opted for their " Advantage Plan " to only use Villages Health for all their care including all specialty care if they want to " stay local ".

[Barefoot]

I do find it curious that when I come for treatment in The Villages, the likelihood of MOHS sutgeries is much greater than when I am in NY which is most of the time. I used to go to Dr TRAN until I changed insurance plans and had up to 7 biopsies each time, resulting in many MOHS surgeries. Is it your feeling that Dr. Tran does unnecessary MOHS surgeries?
I'm curious because I just had a MOHS surgery with Dr. Tran for squamous cell carcinoma.
I'm Canadian so it was a self pay.

[Villageswimmer]

I do find it curious that when I come for treatment in The Villages, the likelihood of MOHS sutgeries is much greater than when I am in NY which is most of the time. I used to go to Dr TRAN until I changed insurance plans and had up to 7 biopsies each time, resulting in many MOHS surgeries. In that short time with Allient I had 3 MOHS and when I got back to NY I had no biopsies and no surgeries in my last two visits. The NY doctor is still in the Plan while Tran and Allient are not in the Plan. Could there be a correlation? Perhaps it is the medical practices doing all the damage and not insurance companies or politicians that it is suggested don’t care about grandkids. Until anyone knows why this practice was dropped, everything posted is pure speculation


I think your point is well taken. I don’t know whether the large number of non melanoma surgeries are “unnecessary” or if the docs are just very conservative. I wish I knew. No doubt some of it is necessary. Maybe not all.

[Barefoot]

I think your point is well taken. I don’t know whether the large number of non melanoma surgeries are “unnecessary” or if the docs are just very conservative. I wish I knew. No doubt some of it is necessary. Maybe not all.I wish I knew also. :shocked:
When a doctor says "You have skin cancer", I think it's a natural reaction to want it removed ASAP!

[villagerjack]

Are you suggesting that Dr. Tran does unnecessary MOHS surgeries?
I'm curious because I just had a MOHS surgery with Dr. Tran. I'm Canadian so it was a self pay.

I could not know that for sure however he does a lot of surgeries on a daily basis and based on my experiences with Dermatologists over 30 years I do find that the chances of having a MOHS surgery even for basil cell have been much greater with the Dermatologists in The Villages and that cost, justified or not, could be a prime reason why they are no longer accepted by the Plan and not greed of insurance companies or some nefarious scheme cooked up by the Villages Health Plan. Point is no one knows why they were dropped, except perhaps Allient but no reason was Disclosed as far as I know. I am sure Medicare does not just pick names out of a hat.

[villagerjack]

I wish I knew also. :shocked:
When a doctor says "You have skin cancer", I think it's a natural reaction to want it removed ASAP!

I agree with that. Since it is usually minor same day surgery second opinions are usually not sought. I remain somewhat skeptical but I still have the surgeries. I had planned to schedule more visits with my NY doctor and fewer in The Villages but this has now made that decision a little easier.

[Villageswimmer]

I think Uncle is probably a good choice you made, Gracie. It may be could be construed as political, but I really think it's more pertinent to our lifestyle then it is to our political leaning. We all have to be concerned about the future funding of our medicare and social security.



I used to be concerned that we were drawing off our children's earnings for that. I'm still concerned, but also worry about current reductions that might apply.


From your previous posts, I know you have some kind of supplementary health care that allows you not to have to take an advantage plan. We do too, but many in TV do not.



I have a friend who has several skin cancer issues that have always been taken care of by Dr. Casper. This is probably for four years. She has an advantage plan that will now force her to try to find another dermatologist.


I wonder why Alliance is doing this, and if they're planning to putt out of The Villages. I certainly hope not.


Alliant is not “doing this.” UHC is dropping Alliant. Not vice versa. See the link upstream on the thread to Alliant’s website. The thread title wording is a bit misleading.

[graciegirl]

Alliant is not “doing this.” UHC is dropping Alliant. Not vice versa. See the link upstream on the thread to Alliant’s website. The thread title wording is a bit misleading.

Thank you. I am still confused. We have United Health Care Insurance which is used by Dr. Casper's office. Still valid.

This is the health insurance that the Villages Health Care uses which is a small Florida Firm???? Oh please explain someone.

[Villageswimmer]

Thank you. I am still confused. We have United Health Care Insurance which is used by Dr. Casper's office. Still valid.

This is the health insurance that the Villages Health Care uses which is a small Florida Firm???? Oh please explain someone.


You may have the Supplemental as opposed to Advantage. My best guess.

[graciegirl]

You may have the Supplemental as opposed to Advantage. My best guess.

So. The Villages Health Care System is no longer using Dr. Casper. NOT MEDICARE and NOT United Health Care. Just the Villages.

He has so many patients and people waiting in line because he is GOOD. I don't think it will hurt HIM. Some People may have to buy another insurance to use him? So the petition MAY have been put in his office by disappointed patients and not HIM? He is so kind and would not say no I am sure.

[Villageswimmer]

So. The Villages Health Care System is no longer using Dr. Casper. NOT MEDICARE and NOT United Health Care. Just the Villages.



No. This is confusing. The best way to understand this is to read the notice on his site at the link on page one of this thread. And, yes, the petition was started by Alliant.

[villagerjack]

Thank you. I am still confused. We have United Health Care Insurance which is used by Dr. Casper's office. Still valid.

This is the health insurance that the Villages Health Care uses which is a small Florida Firm???? Oh please explain someone.

Gracie look at the small print on the bottom of your insurance card. If it says UNITED HEALTHCARE MEDICARE COMPLETE (HMO) you have a MEDICARE ADVANTAGE PLAN. That is the Villages Plan, not a small company. It is part of United Healthcare. This is the Plan dropping Allient. Dr Casper has not disclosed the reason his practice was dropped. It is curious that The Plan would favor one doctor over another since his patients will continue to seek care, just not with Allient. IMHO it could be one of two reasons, the cost, which may involve an abnormal number of surgeries or the type of care, remember he has a lot of new doctors. I caution you my opinion is just speculation. But before I sign any petition, I feel I am entitled to know why his practice was dropped.

[Villageswimmer]

Gracie look at the small print on the bottom of your insurance card. If it says UNITED HEALTHCARE MEDICARE COMPLETE (HMO) you have a MEDICARE ADVANTAGE PLAN. That is the Villages Plan, not a small company. It is part of United Healthcare. This is the Plan dropping Allient. Dr Casper has not disclosed the reason his practice was dropped. It is curious that The Plan would favor one doctor over another since his patients will continue to seek care, just not with Allient. IMHO it could be one of two reasons, the cost, which may involve an abnormal number of surgeries or the type of care, remember he has a lot of new doctors. I caution you my opinion is just speculation. But before I sign any petition, I feel I am entitled to know why his practice was dropped.

Agree, which is why I said in an earlier post that I wish Casper had posted the letter from UHC on his website. I think there may be more to this than the two reasons you mention, however.

[Dan9871]

I wish Casper had posted the letter from UHC.
.

The Alliant website says that if you stop by one of their offices you can get a copy of the UHC letter.

From the Alliant website:

" If you would like a copy of the letter we received from UHC, please stop by one of our offices to receive one. "

[Dan9871]

Yes the quotes are accurate (and I thought well known), but irrelevant to the fact that The Villages Health plan has reduced the availability of dermatologists in the network that they accept. This should be concerning to those on that Advantage plan (which we used to be).

This article When Medicare Advantage Drops Doctors, Some Members Can Switch Plans | Kaiser Health News (https://khn.org/news/when-medicare-advantage-drops-doctors-some-members-can-switch-plans-2/) is a couple of years old but is probably still applicable.

It basically says if your doctor's is dropped from your advantage plan you may be able to switch plans or go back to regular medicare. It's not automatic but the law was changed to allow medicare to make an exception when events like this happen so you have to check with medicare to see if you can get one.

[Villageswimmer]

This article When Medicare Advantage Drops Doctors, Some Members Can Switch Plans | Kaiser Health News (https://khn.org/news/when-medicare-advantage-drops-doctors-some-members-can-switch-plans-2/) is a couple of years old but is probably still applicable.

It basically says if your doctor's is dropped from your advantage plan you may be able to switch plans or go back to regular medicare. It's not automatic but the law was changed to allow medicare to make an exception when events like this happen so you have to check with medicare to see if you can get one.

Very helpful info, thanks! The down side of switching, though, is you’re now out of the Villages Health System since you no longer carry UHC Advantage. It’s a slippery slope.

[Marathon Man]

The topic of this thread is the specific change in dermatology providers by United Health Care. If you wish to start a new thread about health care plans/policies in general, please do so. Further off topic posts will be deleted.

Thank you.

Moderator

Thank you.

[Marathon Man]

… But before I sign any petition, I feel I am entitled to know why his practice was dropped.

An excellent point.

[villagerjack]

The Alliant website says that if you stop by one of their offices you can get a copy of the UHC letter.

From the Alliant website:

" If you would like a copy of the letter we received from UHC, please stop by one of our offices to receive one. "

Seems strange especially since we have a lot of Seasonal Resudents that cannot just stop by his office. Why not put it on the Website? Casper should be calling or sending letters to all of his patients to explain why UHC prefers other Dermatologists over his practice. If I did not read TOTV I would not know that UHC HMO dropped his practice. Something very unprofessional about the way this has been handled.

[l2ridehd]

UHC is a business. They have profit goals like every business. When they miss their objectives they go to the doctors and cut costs, usually by asking them to take a lower payment for certain procedures. If the doctor refuses or can't because they just built a new building or expanded staff or some reason, then UHC will find another provider and drop them. It happens all the time.

Always remember that the doctor doing your surgery is the one who agreed with the insurance company to do it for the lowest cost.

[CFrance]

UHC is a business. They have profit goals like every business. When they miss their objectives they go to the doctors and cut costs, usually by asking them to take a lower payment for certain procedures. If the doctor refuses or can't because they just built a new building or expanded staff or some reason, then UHC will find another provider and drop them. It happens all the time.

Always remember that the doctor doing your surgery is the one who agreed with the insurance company to do it for the lowest cost.
Huh. Thanks, I just learned something about doctor group business practices that I never thought of.

And is that a sailboat in your avatar?

[villagerjack]

UHC is a business. They have profit goals like every business. When they miss their objectives they go to the doctors and cut costs, usually by asking them to take a lower payment for certain procedures. If the doctor refuses or can't because they just built a new building or expanded staff or some reason, then UHC will find another provider and drop them. It happens all the time.

Always remember that the doctor doing your surgery is the one who agreed with the insurance company to do it for the lowest cost.

Except we do not know that to be the case in this instance since Dr Casper has not disclosed why UHC dropped his practice and approved other providers.

(UHC dropped him, he did not drop UHC, that much seems clear. In fact, he wants to come back to UHC.)

In not publicly disclosing why he was dropped, he has caused unnecessary speculation. Some are whispering about the quality of work of his younger and newer doctors and others about the need for surgery that could be addressed in a simplier fashion. This is unnecessary and possibly damaging speculation.

BTW just because a doctor accepts a lower amount from UHC does not mean his or her work is inferior. It could very well mean that the Practice considers payments from UHC as being satisfactory to cover his costs.

[Villageswimmer]

Except we do not know that to be the case in this instance since Dr Casper has not disclosed why UHC dropped his practice and approved other providers.

(UHC dropped him, he did not drop UHC, that much seems clear. In fact, he wants to come back to UHC.)

In not publicly disclosing why he was dropped, he has caused unnecessary speculation. Some are whispering about the quality of work of his younger and newer doctors and others about the need for surgery that could be addressed in a simplier fashion. This is unnecessary and possibly damaging speculation.

BTW just because a doctor accepts a lower amount from UHC does not mean his or her work is inferior. It could very well mean that the Practice considers payments from UHC as being satisfactory to cover his costs.


I agree with you about the speculation and I’m sorry to see his practice suffer. But are you sure Dr. Casper hasn’t disclosed the reason by virtue of his offering to give a copy of UHCs letter upon request? Has anyone on this forum seen it?

Surely the reason for dropping him is in that letter. I still think it would have been cleaner and perhaps stifle rumors had it been posted on his site with the other document.

In his defense, I believe this is all very new. He probably never experienced a crisis like this and didn’t know how best to handle it.

[villagerjack]

I agree with you about the speculation and I’m sorry to see his practice suffer. But are you sure Dr. Casper hasn’t disclosed the reason by virtue of his offering to give a copy of UHCs letter upon request? Has anyone on this forum seen it?

Surely the reason for dropping him is in that letter. I still think it would have been cleaner and perhaps stifle rumors had it been posted on his site with the other document.

In his defense, I believe this is all very new. He probably never experienced a crisis like this and didn’t know how best to handle it.


Many seasonal residents are not able to go to his office and view the letter from UHC. As one of those people, I am disappointed that Dr Casper seems to be a bit evasive in this regard. UHC has 41 local Dermatologists on their web site with just two of those in Casper’s office so it would be very interesting to know what the 39 other Dermatologists are doing that ingratiates them with UHC while Alliant is being dropped. In this case Silence is not golden.

[Barefoot]

I have friends and relatives in Canada, have talked to several Villagers from England...they have stated that the socialized medical they live under works well if they are healthy and young but as they get older it becomes less wonderful. Plus, the tax burden is onerous.
I'm from Canada, and socialized medicine works equally well for the young and for seniors.
I just had two knee replacements. I also had cataract surgery on both eyes.
The price can't be beat.
I have the doctor of my choice and I can see her anytime.
I am referred to a specialist if I need it or at my request.
Yes, we pay high taxes and we don't mind.
It's a fair way to ensure health care is available for all.

[ColdNoMore]

I'm from Canada, and socialized medicine works equally well for the young and for seniors.
I just had two knee replacements. I also had cataract surgery on both eyes.
The price can't be beat.
I have the doctor of my choice and I can see her anytime.
I am referred to a specialist if I need it or at my request.
Yes, we pay high taxes and we don't mind.
It's a fair way to ensure health care is available for all.

Sadly, that's the real issue.

Your country (and every other developed one on this rock), have determined that its citizens deserve health care.

A large part of our nation have the attitude of..."I got mine, too bad for you."

And driving this is the need to produce a profit...which has just so aptly been demonstrated by UHC. :ohdear:

[graciegirl]

Sadly, that's the real issue.

Your country (and every other developed one on this rock), have determined that its citizens deserve health care.

A large part of our nation have the attitude of..."I got mine, too bad for you."

And driving this is the need to produce a profit...which has just so aptly been demonstrated by UHC. :ohdear:

That is one way to describe it. One way to look at it.

I would think that three out of four reading this forum wouldn't agree.

In Salzburg they pay fifty percent income tax. They only allow top of the class to attend college. Lot of food for thought and debate. Friend had to wait four months for mastectomy in Austria.

Income taxes abroad - Austria (https://europa.eu/youreurope/citizens/work/taxes/income-taxes-abroad/austria/index_en.htm)

[villagerjack]

Sadly, that's the real issue.

Your country (and every other developed one on this rock), have determined that its citizens deserve health care.

A large part of our nation have the attitude of..."I got mine, too bad for you."

And driving this is the need to produce a profit...which has just so aptly been demonstrated by UHC. :ohdear:

I would be very interested to know how you came to that conclusion since no one seems to know why Casper was dropped and 39 other Dermatologists in our area were not dropped? How do you know it had anything to do with profit of UHC? This thread is about Alliant/UHC and NOT Universal Healthcare. Moderator has already warned twice. Let’s keep this topic going until everyone knows why UHC dropped Casper and anyone who is signing a petition, calling their Congressman etc etc without knowing the answer to that question is doing a disservice to the rest of the Community.

[Barefoot]

But are you sure Dr. Casper hasn’t disclosed the reason by virtue of his offering to give a copy of UHCs letter upon request? Has anyone on this forum seen it?
After 65 posts, surely someone will soon post a copy of the UHC letter
with the reason Dr. Casper has been dropped. :throwtomatoes:

[Carla B]

I am a patient of Dr. Casper's, but am not in the UHC Advantage plan. I wonder if I went to his office if I'd be allowed to read the letter. Probably not.

At any rate, there always seems to be confusion about how an Advantage plan works vs. a Medigap or supplemental plan. My understanding is that Medicare takes the Part B premium paid by certain taxpayers on Medicare and "gives" it to an insurer (UHC). UHC then sets up an Advantage plan and recruits doctors who will accept a certain $ amount for their services. Any monies not paid out constitute profit for UHC. If all the money plus co-pays goes to provide care there is no profit, the insurance plan goes insolvent, and the stockholders get upset.

On the other hand, many or most of those eligible for Medicare have Supplemental (Medigap) plans. Supplemental subscribers pay a monthly premium to an insurer. The provider submits a claim to Medicare who pays 80% of the claim and the insurer pays the remaining 20%. Medicare takes the "hit" to its budget in case of a deficit, not the insurer.

Logically, it would seem that UHC/Dr. Casper pulled the plug, unless UHC drafted a contract with Medicare that shifted the deficits to Medicare?

[Dan9871]

I am a patient of Dr. Casper's, but am not in the UHC Advantage plan. I wonder if I went to his office if I'd be allowed to read the letter. Probably not.



The Alliant website says that you can stop by any of their offices and pick up a copy of the letter they received from UHC.

From the Alliant web site:

" If you would like a copy of the letter we received from UHC, please stop by one of our offices to receive one. Thank you."

[villagerjack]

“Logically, it would seem that UHC/Dr. Casper pulled the plug, unless UHC drafted a contract with Medicare that shifted the deficits to Medicare?”

I have no idea what the above comment means. Can you explain?

Casper was dropped by UHC. Casper could clear all this up if he simply explained why UHC is retaining 39 other Dermatologists in our area and dropping him.

[villagerjack]

The Alliant website says that you can stop by any of their offices and pick up a copy of the letter they received from UHC.

From the Alliant web site:

" If you would like a copy of the letter we received from UHC, please stop by one of our offices to receive one. Thank you."

Would you pay my airfare? Seasonal residents cannot just stop by the office. Why doesn’t he simply post the letter on his web site with the other information?

[graciegirl]

Would you pay my airfare? Seasonal residents cannot just stop by the office. Why doesn’t he simply post the letter on his web site with the other information?

We really like Dr. David Casper a LOT but I think you are right.

[Dan9871]

Would you pay my airfare? Seasonal residents cannot just stop by the office. Why doesn’t he simply post the letter on his web site with the other information?

My guess is that Alliant didn't think of the snowbird case... it was probably a shock when the received the UHC letter and they just wanted to get something up on their web site as quickly as they could.

I doubt their office maintains their web site directly, they are probably working through a third party to make changes to it which makes responding quickly to things like this even harder to do.

You might give them a call and ask them to send you the letter.

[Carla B]

“Logically, it would seem that UHC/Dr. Casper pulled the plug, unless UHC drafted a contract with Medicare that shifted the deficits to Medicare?”

I have no idea what the above comment means. Can you explain?

Casper was dropped by UHC. Casper could clear all this up if he simply explained why UHC is retaining 39 other Dermatologists in our area and dropping him.

Well, does Medicare ever put pressure on an insurance company to delete a provider? I don't know.

[villagerjack]

My guess is that Alliant didn't think of the snowbird case... it was probably a shock when the received the UHC letter and they just wanted to get something up on their web site as quickly as they could.

I doubt their office maintains their web site directly, they are probably working through a third party to make changes to it which makes responding quickly to things like this even harder to do.

You might give them a call and ask them to send you the letter.

Dan: I have had this happen before with other providers who were renegotiating the contract with United healthcare. My doctor sent letters out to everyone in the plan that was affected. In my opinion Casper has miscalculated or he just does not want to have all of the information released.

[CFrance]

I would like to say "Somebody go get the #$%^&* letter, already!" but that would be rude, so I won't. (And I don't go to Colony Publix, if I may cross-thread...)

But hopefully someone who is in town will go get the letter and tell us what it says.

[Dan9871]

Dan: I have had this happen before with other providers who were renegotiating the contract with United healthcare. My doctor sent letters out to everyone in the plan that was affected. In my opinion Casper has miscalculated or he just does not want to have all of the information released.

You may be right Jack, but is seems like this all happened just last Thursday or Friday and Alliant is just still getting it's act together. I'll be surprised if we don't all receive the letter posted to the web site in the US Mail sometime this week.

But I'm not yet ready to assign a bad motive to Dr. Casper yet. He may not be posting the UHC letter to the web site for a bunch of reasons... they literally may not have figured out how to do it, or maybe there is some contractual thing that prevents it, or who knows what???

In any case I'm pretty sure my wife and I will be going to a different dermo next year... I really wish that wasn't the case but it wouldn't be the first time that sort of thing has happened to us because of insurance, HMO or doc's.

[Barefoot]

I would like to say "Somebody go get the #$%^&* letter, already!" but that would be rude, so I won't. :evil6:

[tejas]

I was at Alliant Dermatology this morning and read the letter. A copy was put in my folder but I forgot to bring it home. Basically, it said UHC reviews its medical partners periodically and pursuant to contract terms can cancel the contract with 90 days notice and no signature required from the practice. Therefore, as of September 18 the contract was being canceled. ( I may have the exact date wrong.)

There was NO reason given in the letter. It was a one page letter, short and to the point. I was seeing the plastic surgeon after melanoma surgery and really wasn't focused on the letter.

[graciegirl]

You may be right Jack, but is seems like this all happened just last Thursday or Friday and Alliant is just still getting it's act together. I'll be surprised if we don't all receive the letter posted to the web site in the US Mail sometime this week.

But I'm not yet ready to assign a bad motive to Dr. Casper yet. He may not be posting the UHC letter to the web site for a bunch of reasons... they literally may not have figured out how to do it, or maybe there is some contractual thing that prevents it, or who knows what???

In any case I'm pretty sure my wife and I will be going to a different dermo next year... I really wish that wasn't the case but it wouldn't be the first time that sort of thing has happened to us because of insurance, HMO or doc's.

No. It was more than a month ago when I saw a sign a petition letter in his waiting room. I didn't understand it then or now.

[Villageswimmer]

I was at Alliant Dermatology this morning and read the letter. A copy was put in my folder but I forgot to bring it home. Basically, it said UHC reviews its medical partners periodically and pursuant to contract terms can cancel the contract with 90 days notice and no signature required from the practice. Therefore, as of September 18 the contract was being canceled. ( I may have the exact date wrong.)

There was NO reason given in the letter. It was a one page letter, short and to the point. I was seeing the plastic surgeon after melanoma surgery and really wasn't focused on the letter.


Prayers your way for a speedy recovery. Thanks for the update.

[Twodogs]

Could it be the over the top number of patient complaints? I've heard the whispering......... just sayin

[mrf6969]

Just get the Medicare "F" Plan whether it is UHC or Blue Cross or whomever you can go to ANY doctor and not be pushed around by the system. I know it cost a little bit more but it is so worth it in the short and long run. Wise to not shortcut when it comes to your health.

[mrf6969]

I doubt it. He has been my doctor for years and is a very honest and professional business man/doctor.

[Barefoot]

I was at Alliant Dermatology this morning and read the letter. Basically, it said UHC reviews its medical partners periodically and pursuant to contract terms can cancel the contract with 90 days notice and no signature required from the practice.
There was NO reason given in the letter. It was a one page letter, short and to the point. I was seeing the plastic surgeon after melanoma surgery and really wasn't focused on the letter.
Thanks for the update Tejas.
I had a melanoma removed a year ago, no recurrence.
Good luck to you.

[JoMar]

I'm from Canada, and socialized medicine works equally well for the young and for seniors.
I just had two knee replacements. I also had cataract surgery on both eyes.
The price can't be beat.
I have the doctor of my choice and I can see her anytime.
I am referred to a specialist if I need it or at my request.
Yes, we pay high taxes and we don't mind.
It's a fair way to ensure health care is available for all.

Well my niece is 60 and hates the system for the reasons I have given and would disagree with you.. I have talked to Canadians who maintain dual citizenship and live here and they would disagree. I have talked to Canadian seniors that crossed the border to the US because the wait time for the surgery was many, many months. It might work for you, but it doesn't work for everyone.

[cmb1951]

Supplemental plans are not affected, only advantage plans.

[villagerjack]

I doubt it. He has been my doctor for years and is a very honest and professional business man/doctor.

The practice has taken on several other doctors, mostly younger. It is not the same practice it was just a few years ago. Jury still out until these younger doctors gain some experience.

[villagerjack]

No. It was more than a month ago when I saw a sign a petition letter in his waiting room. I didn't understand it then or now.

Gracie, you are one of the honest ones. No one really understands why UHC chose 39 other dermatologists in our region and Casper was dropped.there has to be a reason but Casper is just not disclosing it. Unless he does I think it is disingenuous of him to request his patients to intercede for him without having this information which could be related to the quality of care. This whole thing sounds rather fishy but as we talked through this, I am no longer disappointed that I will be seeing a different dermatologist. If I was permitted back I would always be wondering if the surgery he is recommending was even necessary. I certainly am not signing any petition for a doctor that did Not even give me the courtesy of a letter or a phone call informing me that my Plan was no longer acceptable at his practice. Good luck to all.

[Villageswimmer]

Gracie, you are one of the honest ones. No one really understands why UHC chose 39 other dermatologists in our region and Casper was dropped.there has to be a reason but Casper is just not disclosing it. Unless he does I think it is disingenuous of him to request his patients to intercede for him without having this information which could be related to the quality of care. This whole thing sounds rather fishy but as we talked through this, I am no longer disappointed that I will be seeing a different dermatologist. If I was permitted back I would always be wondering if the surgery he is recommending was even necessary. I certainly am not signing any petition for a doctor that did Not even give me the courtesy of a letter or a phone call informing me that my Plan was no longer acceptable at his practice. Good luck to all.


Agree. How can anyone sign a petition not knowing what they’re advocating by signing or contact one of the parties on the website without facts? That’s crazy.

Jack, where did you find the listing of the other 39 dermatologists? When I google, I only get a few. One would think there would be a number of them at the new Brownwood Professional but there’s only one listed and he’s not taking new patients.

[champion6]

I would like to say "Somebody go get the #$%^&* letter, already!" <snip> But hopefully someone who is in town will go get the letter and tell us what it says.

I was at Alliant Dermatology this morning and read the letter. A copy was put in my folder but I forgot to bring it home. Basically, it said UHC reviews its medical partners periodically and pursuant to contract terms can cancel the contract with 90 days notice and no signature required from the practice. Therefore, as of September 18 the contract was being canceled. (I may have the exact date wrong.)

There was NO reason given in the letter. It was a one page letter, short and to the point. I was seeing the plastic surgeon after melanoma surgery and really wasn't focused on the letter.Sheesh! The letter is posted on the front page of the Alliant Dermatology website: Alliant Dermatology and Skin Cancer Center (http://alliantdermatology.com/)

I'm beginning to think that there are most posts in this thread than there are patients affected by the UHC decision.

[graciegirl]

Sheesh! The letter is posted on the front page of the Alliant Dermatology website: Alliant Dermatology and Skin Cancer Center (http://alliantdermatology.com/)

I'm beginning to think that there are most posts in this thread than there are patients affected by the UHC decision.

Mike. That isn't the letter TO Alliant telling them why they were terminated. It is the letter asking for support.

I think. It does not stay up on the screen very long and may switch(?).

[villagerjack]

[QUOTE=Villageswimmer;1552626]Agree. How can anyone sign a petition not knowing what they’re advocating by signing or contact one of the parties on the website without facts? That’s crazy.

Jack, where did you find the listing of the other 39 dermatologists? When I google, I only get a few. One would think there would be a number of them at the new Brownwood Professional but there’s only one listed and he’s not taking new patients.


[/https://connect.werally.com/search/providers/32162/page-1?coverageType=medical&pf=t&sort=distance&specialty=66&lat=28.9341&long=-81.9599&propFlow=true

[NotGolfer]

[QUOTE=Villageswimmer;1552626]Agree. How can anyone sign a petition not knowing what they’re advocating by signing or contact one of the parties on the website without facts? That’s crazy.

Jack, where did you find the listing of the other 39 dermatologists? When I google, I only get a few. One would think there would be a number of them at the new Brownwood Professional but there’s only one listed and he’s not taking new patients.


[/https://connect.werally.com/search/providers/32162/page-1?coverageType=medical&pf=t&sort=distance&specialty=66&lat=28.9341&long=-81.9599&propFlow=true

I'm wondering if it would be easier to find one by having your pcp referring you??!!

[villagerjack]

[QUOTE=Villageswimmer;1552626]Agree. How can anyone sign a petition not knowing what they’re advocating by signing or contact one of the parties on the website without facts? That’s crazy.

Jack, where did you find the listing of the other 39 dermatologists? When I google, I only get a few. One would think there would be a number of them at the new Brownwood Professional but there’s only one listed and he’s not taking new patients.

Go to MYuhc.com, Medicare plans, zip code 32162, Sumter County, dermatologists and there are 41 of whic 2 are Alliant. You can also go to the Medicare Stire and they will print out a list. Good Luck.

Here is link but not sure you can get in.

[/https://connect.werally.com/search/providers/32162/page-1?coverageType=medical&pf=t&sort=distance&specialty=66&lat=28.9341&long=-81.9599&propFlow=true

[villagerjack]

Go to MYuhc.com, Medicare plans, zip code 32162, Sumter County, dermatologists and there are 41 of whic 2 are Alliant. You can also go to the Medicare Stire and they will print out a list. Good Luck.

Here is link but not sure you can get in.

[/https://connect.werally.com/search/providers/32162/page-1?coverageType=medical&pf=t&sort=distance&specialt y=66&lat=28.9341&long=-81.9599&propFlow=true

[villagerjack]

[QUOTE=villagerjack;1552693]

I'm wondering if it would be easier to find one by having your pcp referring you??!!

Could be but I was trying to answer your question. Point is why are these 39 Dermatologists remaining and why was Casper dropped? He really knows why but he is not telling his patients. I Think that is a serious flaw. Asking patients to sign petitions and contact their Congressman without telling his patients why he was dropped appears very disengenious.

[villagerjack]

Sheesh! The letter is posted on the front page of the Alliant Dermatology website: Alliant Dermatology and Skin Cancer Center (http://alliantdermatology.com/)

I'm beginning to think that there are most posts in this thread than there are patients affected by the UHC decision.

The letter explaining why Casper was dropped from UHC while 39 other Dermatologists are preferred by UHC is NOT on his website. Your outrage appears misplaced.

[Villageswimmer]

Thank you, Jack. That wasn’t my post wrt asking pcp. We all know that’s an option—not always the best one. But one. Sorry for straying off topic.

[Villageswimmer]

Sheesh! The letter is posted on the front page of the Alliant Dermatology website: Alliant Dermatology and Skin Cancer Center (http://alliantdermatology.com/)

I'm beginning to think that there are most posts in this thread than there are patients affected by the UHC decision.


Wow—bad day? Many, many folks are affected by this and if this is the only way for them to find out about it, let the thread continue.

[Janice1877]

As a 70 year old Floridian I abused my skin by sitting in the sun at the beach without protection for many years. We used baby oil and iodine for a great tan! Now I'm paying the price. I've been faithfully having annual dermotology appointments for forty years. I've been a patient of Dr Casper for five years. I have found him to be very thorough and competent....... my opinion. He has not suggested any surgeries. Just a few biopsies that were benign. I consider myself very fortunate so far. I've scoured the internet for reasons why a doctor would be dropped from the advantage plan. Time magazine had an article saying there are some shortcomings in the quality of providers in some Advantage networks. Only 40% of their networks include top quality cancer centers. I also read that doctors are not given a reason when they are dropped. It's very common. Please check out some of the articles online before assuming there is something "wrong" with Dr Casper. It may be just the opposite.

[villagerjack]

Why should any patient have our “scour the internet” to see why other doctors may be dropped?. Patients are not concerned about a response from a reporter, particularly from a failed publication like Time Magazine. Casper's patients want to know why Their doctor was dropped and 39 other dermatologists in our area were not dropped. Do you know why?

[pkfavreau2]

I just went to Dr Bolton, also saw Dr. Casper in the past. UHC seems to be dictating who can be in plan even more. They are great dermatologists, very sad. They will probably leave the Villages. Recently I wanted to change my ‘Village’ doctor. Not even in the UHC plan yet do to not being quite 65 yet. I had to be interviewed as to why and approved. I am going totally out of the Village Health Plan, not willing to let someone dictate my doctors. Scary!

[champion6]

I just went to Dr Bolton, also saw Dr. Casper in the past. UHC seems to be dictating who can be in plan even more. They are great dermatologists, very sad. They will probably leave the Villages. <snip>Were you told that by an Alliant doctor or are you guessing? My point is, where would they move? UHC has the largest national market share of advantage plans. Alliant couldn't accept AARP (UHC) Advantage patients anywhere.

[Barefoot]

Well my niece is 60 and hates the system for the reasons I have given and would disagree with you.. I have talked to Canadians who maintain dual citizenship and live here and they would disagree. I have talked to Canadian seniors that crossed the border to the US because the wait time for the surgery was many, many months. It might work for you, but it doesn't work for everyone.
My friends are quite happy with the Canadian healthcare system, however you are absolutely right.
That doesn't mean that it works for everyone.
You obviously have more input from unhappy users of the system than I do.
I've been lucky to have good doctors and good specialists; and I've always been able to access surgery in a timely manner.
But this thread isn't about socialized medicine, it's about Dr. Casper.

[Wiotte]

My friends are quite happy with the Canadian healthcare system, however you are absolutely right.
That doesn't mean that it works for everyone.
You obviously have more input from unhappy users of the system than I do.
I've been lucky to have good doctors and good specialists; and I've always been able to access surgery in a timely manner.
But this thread isn't about socialized medicine, it's about Dr. Casper.




I had to chime in, sorry. Ironically, more than 80% of Villagers enjoy socialized medicine. Lol


Sent from my iPhone using Tapatalk

[Carla B]

I had to chime in, sorry. Ironically, more than 80% of Villagers enjoy socialized medicine. Lol


Sent from my iPhone using Tapatalk

You got that right!

[ColdNoMore]

If/when the actual truth comes out, I believe it will basically come down to UHC...simply trying to increase their bottom line.


Follow the $$$. :ho:

[perrjojo]

Here is what I know. Insurance companies offer physicians a contract for a certain fixed price on claims. My guess (and it is only a guess)is that Dr Casper is not willing to accept a lower pay schedule for services and consequently they no longer have a contract. I use Dr Casper and hate to lose his practice.
I doubt UHC ‘dropped” Alliant. I doubt Alliant quit UHC. I see this as a matter of contract negotiations and we, the patients who have UHC Advantage, are being used as pawns to negotiate the contract.

[Villageswimmer]

The loss of Alliant’s six dermatology providers to UHC subscribers is significant particularly since there are very few dermatology providers in TV. Where will all these patients go? Or will many drop UHC/AARP Medicare Advantage, causing a mass exodus from The Villages Health System? Surely TVHS could intercede if only to ensure their own survival. Seems like UHC holds all the cards. I really feel bad for these young doctors and their staff facing such upheaval and uncertainty.

[ColdNoMore]

The loss of Alliant’s six dermatology providers to UHC subscribers is significant particularly since there are very few dermatology providers in TV. Where will all these patients go? Or will many drop UHC/AARP Medicare Advantage, causing a mass exodus from The Villages Health System? Surely TVHS could intercede if only to ensure their own survival. Seems like UHC holds all the cards. I really feel bad for these young doctors and their staff facing such upheaval and uncertainty.

Could it be that UHC is trying to cut their costs, because they've already lost numerous customers...due to their previous actions?

If so, it sure seems pretty dumb to me to make up for one bad/detrimental decision...by making another. :oops:

It's analogous to golf in that if you take a risky shot that doesn't work out or made a bad decision in course management, the last thing you want to do...is to follow it right up with another. :ohdear:

[Dan9871]

The loss of Alliant’s six dermatology providers to UHC subscribers is significant particularly since there are very few dermatology providers in TV. .

The UHC web site lists 40 dermatologists besides the ones from Alliant in network for Advantage members. Most are within the Villages itself.

[JohnN]

Dr.Casper is an excellent doctor. I hope people will do what they can to keep him and Alliant in UHC.

[graciegirl]

Dr.Casper is an excellent doctor. I hope people will do what they can to keep him and Alliant in UHC.

I really like Dr. Casper. I don't think that we can do anything about whether an insurance company will contract with him or not. It isn't supposed to be a popularity contest.

[Bigben007]

When you chose the Advantage plan, you get what you pay for.

[alanmcdonald]

I called UH on Wednesday to complain about losing Dr. Casper. They said they don't drop doctors, doctors drop them.

I had an appointment with Dr. Casper yesterday and told him what UH had said. He told me that was not true and that the letter shows they are dropping him.

He is working hard to get this reversed and needs all the help we can give him.

[ColdNoMore]

I called UH on Wednesday to complain about losing Dr. Casper. They said they don't drop doctors, doctors drop them.

I had an appointment with Dr. Casper yesterday and told him what UH had said. He told me that was not true and that the letter shows they are dropping him.

He is working hard to get this reversed and needs all the help we can give him.

Very interesting.

Someone is obviously lying through their teeth...and it's not Dr. Casper. :ohdear:

[graciegirl]

Very interesting.

Someone is obviously lying through their teeth...and it's not Dr. Casper. :ohdear:

Maybe not. I think we are not understanding what happened. If someone gets a hard copy of the letter please post it. There is no letter on Alliant's site from the insurance company to Alliant, only a letter from Alliant to patients.

Now very curious.

[Topspinmo]

If/when the actual truth comes out, I believe it will basically come down to UHC...simply trying to increase their bottom line.


Follow the $$$. :ho:

I think you might be right. UHC wanted bigger piece of the pie and seems dr. In question wouldn't sign the contract. So, basically he was bullied out of UHC/VHC IMO of course.

[Topspinmo]

I really like Dr. Casper. I don't think that we can do anything about whether an insurance company will contract with him or not. It isn't supposed to be a popularity contest.

No it's money contest. IMO UHC Wants bigger piece of his pie.

[Dan9871]

Just got a letter from UHC saying that Dr.Casper is not going to be an in-network provider as of Sept 1. But it says that if you are already under his care for a continuing condition you may be able to use him as a in-network provider anyhow. You got to check with UHC first though and check to see if you qualify for this and get an exception. We just go for an annual checkup so we won't be able to use him any more.

[villagerjack]

I think you might be right. UHC wanted bigger piece of the pie and seems dr. In question wouldn't sign the contract. So, basically he was bullied out of UHC/VHC IMO of course.

You both are dangerously guessing. Casper has never shown the letter from UHC despite many requests. He said he was going to post it on his web site but never did. He owes it to all his patients whom he wants to go to bat for him.