The Benefits of Having a Good Private Practice PT

In winter, Maine farmers sow relief for the aches and pains that grow all year: How a new generation of farmers takes care of themselves, with yoga, physical therapy and common sense. Simons & Associates client, Ken Simons, PT, DPT, MS, OCS, was quoted throughout this fantastic article in the Portland Press Herald on Jan. … Read more

Feds investigating allegations that Humana Inc. overcharged Medicare Advantage program

Do insurers have a double-standard when it comes to correct coding?  Perhaps so when the insurer owns the provider’s practice and the payer is the federal government through a Medicare Advantage Plan.  The Center for Public Integrity reported today that Humana might be up to its old tricks (when it owned for-profit hospitals until a story … Read more

Are Provider Payment Cuts Funding Top Insurance Execs’ Salaries?

The next time United Healthcare, Aetna, WellPoint (Anthem BC/BS), Humana or Cigna arbitrarily deny your claims or inform you they are going to unilaterally cut your reimbursement, think about where that money is going. . . . A Connecticut Health I-Team article reports salary and compensation for the 5 highest paid execs at these companies in 2012 ranged … Read more

Consumer Victory Against CIGNA – $77 Million Set Aside to Pay Mishandled Disability Claims

 Breaking News May 23, 2013 CIGNA mishandles long-term disability claims – has to set aside $77 million in settlement with 5 states (ME, CT, MA, PA and CA) to pay additional benefits and current claims in addition to fines.  The problems involved three CIGNA entities:  Life Insurance Company of North America, Connecticut General Life Insurance … Read more