Talk of The Villages Florida

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-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   Alliant Dermatology forced TO TERMINATE UHC The Villages and AARP Med.Advantage (https://www.talkofthevillages.com/forums/medical-health-discussion-94/alliant-dermatology-forced-terminate-uhc-villages-aarp-med-advantage-265316/)

Carla B 06-13-2018 05:54 PM

Quote:

Originally Posted by Wiotte (Post 1552995)
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 06-13-2018 06:08 PM

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 06-13-2018 06:33 PM

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 06-13-2018 07:49 PM

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 06-13-2018 08:20 PM

Quote:

Originally Posted by Villageswimmer (Post 1553012)
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 06-13-2018 08:36 PM

Quote:

Originally Posted by Villageswimmer (Post 1553012)
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 06-14-2018 04:03 AM

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

graciegirl 06-14-2018 05:55 AM

Quote:

Originally Posted by JohnN (Post 1553031)
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 06-15-2018 09:53 AM

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

alanmcdonald 06-16-2018 06:47 AM

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 06-16-2018 06:59 AM

Quote:

Originally Posted by alanmcdonald (Post 1553561)
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 06-16-2018 08:05 AM

Quote:

Originally Posted by ColdNoMore (Post 1553565)
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 06-17-2018 09:29 AM

Quote:

Originally Posted by ColdNoMore (Post 1553002)
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 06-17-2018 09:31 AM

Quote:

Originally Posted by graciegirl (Post 1553040)
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 06-21-2018 02:33 PM

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.


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