Basically any plan with "care" or "community or "centennial" is no bueno.
The three "c"'s of crap payments? 🤔
Its funny you say that because my front desk receptionist had a similar joke about how all the Medicaid and managed care plans constantly change their names, but you can always recognize them because of the words they contain are so similar.
Things that are sad
#1 - The second I started reading the first page - I already knew I was getting a rate cut. Bogus praise/thank you letters always equal rate cuts. If you start reading and think "oh this is nothing" - you are about to be made a fool.
#2 - Centene had this contract a year ago and cut my rates, but I got it reversed in January of this year... only for Centene to lose the contract.
#3 - I am once again back to writing to a government contractor telling them - fix my rates or I'm out.
Being a veteran/Tricare seems pretty crappy to me. No one wants to take their insurance because its terrible and its just non-stop prior authorizations and permissions. I've spoken to two different podiatrists who said - Why are you taking Tricare/Tri-veteran etc - they need to go see their own overpaid VA podiatrist.
Playing games with payors on rates is just so tiresome. This is literally twice in under a year that I've had to fight Tricare.
One year ago I agreed to join a Medicare Advantage plan that was supposed to pay 100% of Medicare on everything. I check the reimbursement on my first patient from it and saw that I got $21 for a 73630 - so $10 under the agreement. I write to the plan facilitator who told me they'd handle things and of course - not a word back. Even funnier - it appears to be a University retirement plan which means taking less than Medicare is just me being a sucker. Better to be OON and know you have to be paid full value.
I was contractually underpaid for like 2 years by another big MA plan. They started fixing billing and told me they'd send me a list of everything they revised - never did, and I found new underpaid claims the other day.
The cherry on top of all this is that unasked for - United has sent an email claiming they have a new contract for us to sign. I literally just ended my contract with them a few months ago and am totally out of network. Why would I sign a contract with the 2nd most evil company in the world when I'm getting full Medicare fee schedule on their MA advantage patients and charging their commercial patients my fee schedule.
Anyway. Long story short. If you aren't reading every email and checking your payments - someone is assuredly underpaying you.
