Indiana Senate bill targets insurer penalties for out-of-network care Physician leaders warn that without protections, insurers' new policies could add administrative and financial burdens, threatening patient care.

SB 189, passed by a 6‑1 vote in committee, prohibits insurers from penalizing hospitals or facilities when care involves an #OutOfNetwork provider. #Indiana #MyOpinion - so how are we supposed to stop the practice?

Physicians push AMA to support mandatory out-of-network benefits The current U.S. provider network rules give managers of health plans without out-of-network benefits a financial incentive to create artificial provider shortages, by refusing to pay physicians…

The drafters of the proposal say that all health plans should pay a reasonable amount for #OutOfNetwork care. Or, basically, they want #indemnity plans back along with a blank check. #MyOpinion #AMA #MedicalCosts buff.ly/xprf7q1

Anthem may penalize hospitals 10% for using out-of-network providers - Becker's Payer Issues | Payer News Elevance Health has shared plans to potentially penalize hospitals and other contracted facilities that use care providers who are not in-network with its Anthem Blue Cross Blue Shield commercial…

Facilities could face an administrative penalty for using #OutOfNetwork providers. They would not be able to bill members to cover this penalty, and they could also be terminated from #Anthem’s network. #NoSurprises #RAPL #hospitals #ElevanceHealth

The Ambulance SCAM No One Talks About!! YouTube video by SoCalMikeyB

The Ambulance SCAM No One Talks About!!
#AmbulanceDebt #OutOfNetwork #MedicareForAll
youtu.be/D0dQckQ-S9A

#85 Top-of-Scope PT, Clinical Integrity & Inclusive Practice Models w/ Dr. Jeff Moore PT, DPT, OCS 🧠 Welcome to the Concussion Corner Podcast®, your trusted resource for interdisciplinary conversations related to all things concussion-related in healthcare, advocacy, and sport.  🥼 Hosted by Dr. Jessica Schwartz PT, DPT, CSCS, a doctor of Physical Therapy and brain injury survivor, who is  unapologetically passionate about educating healthcare professionals about concussion, examination, intervention, collaboration, & advocacy. 🎙️Concussion Corner Podcast® is our Free Open Access Medical Education #FOAMed portion of our 24 weeks of educational programming at Concussion Corner Academy®. We're so happy that you're here! 🎓 Concussion Corner Academy® has two courses, Concussion: The Patient Rehabilitation Journey Part I & Part II, which has 30 hours of continuing education credits for each course for PT, OT, and ATC in all 50 United States. We’ve served hundreds of healthcare professionals all over the world and across all professions. We’re truly  interdisciplinary and interactive across all aspects of our programming! 🔗 Visit us at https://www.concussioncorner.org to learn more about how you can join our #TeachOneServeMany community! --------- 💡 In this Episode: 🎙️ In Part 2 of this powerful conversation, Dr. Jeff Moore and Dr. Jessica Schwartz go deeper into what it means to operate at the top of your clinical scope and how payment models, clinic environments, and referral systems directly impact patient outcomes. 🧳 We Unpack:  •The difference between certification and true clinical confidence  •Why Institute of Clinical Excellence (ICE) Physio doesn’t offer residencies — and why that matters  •How emotionally intelligent PTs navigate flare-ups and complex patient presentations  •The dangers of myopic thinking in business and clinical care  •In-network vs out-of-network care: it’s not either-or — it’s AND 🤝 From concussion recovery to chronic pain, this episode highlights why environment, equity, and education matter  and how we can all be part of the solution. 🎧 Subscribe, rate, and share to amplify compassionate, top-of-scope care across the rehab world. 📲 Listen, rate, and subscribe to support global access to compassionate, evidence-informed concussion care. 🌎 Whether you’re a PT, OT, ATC, OD, or MD, this episode offers a compelling reminder that comprehensive concussion care must include a clear understanding of the the vagus nerve, nervous system, and pelvic health.  📄 #FOAMed Resources Mentioned In This Episode: 🔗 Institute of Clinical Excellence (ICE) Physio home page: https://ptonice.com/ 🔗 Institute of Clinical Excellence (ICE) Physio Certifications page: https://ptonice.com/certifications/ 🔗 Institute of Clinical Excellence (ICE) Physio IG: https://www.instagram.com/icephysio/ 🔗 Onward Home Page: https://onwardphysicaltherapy.com/  🔗 Onward IG page: https://www.instagram.com/onwardphysicaltherapy/ 📖 Chapters: 00:00 Navigating Financial Challenges in Business 01:12 Top of Scope in Physical Therapy 02:28 The Importance of Clinical Expertise 05:24 Understanding Patient Reactions and Emotional Intelligence 08:19 The Role of Environment in Clinical Practice 11:16 Payment Models and Access to Care 14:25 Residency and Certification in Physical Therapy 18:11 The Future of Physical Therapy A Word From Our Sponsor: 🏈 🚲⚽️🏒Since 2011, Virginia Tech researchers have been providing unbiased helmet ratings that allow consumers to make informed decisions when purchasing helmets. The helmet ratings are the culmination of over a decade of research identifying which helmets best reduce concussion risk. This work is done as part of Virginia Tech’s service mission and is 100% independent of any funding or influence from helmet manufacturers. Please visit the Virginia Tech helmet lab website at bit.ly/VirginiaTechHelmets and spread the word to aid in lowering concussion risk in your community 🏇⚾️🥎 *This podcast is for entertainment purposes only and should not be confused for medical advice. Please reach out to your medical team or call 911 if this is an emergency*

📣 New Podcast! "#85 Top-of-Scope PT, Clinical Integrity & Inclusive Practice Models w/ Dr. Jeff Moore PT, DPT, OCS" on @Spreaker #braininjury #chronicpain #concussion #concussioncare #concussionrehab #directaccess #fitnessforward #icephysio #manualtherapy #neurorehab #onwardpt #outofnetwork

#84 Fitness-Forward Physical Therapy and Why Environment Matters in Rehab w/ Dr. Jeff Moore PT, DPT 🧠 Welcome to the Concussion Corner Podcast®, your trusted resource for interdisciplinary conversations related to all things concussion-related in healthcare, advocacy, and sport.  🥼 Hosted by Dr. Jessica Schwartz PT, DPT, CSCS, a doctor of Physical Therapy and brain injury survivor, who is  unapologetically passionate about educating healthcare professionals about concussion, examination, intervention, collaboration, & advocacy. 🎙️Concussion Corner Podcast® is our Free Open Access Medical Education #FOAMed portion of our 24 weeks of educational programming at Concussion Corner Academy®. We're so happy that you're here! 🎓 Concussion Corner Academy® has two courses, Concussion: The Patient Rehabilitation Journey Part I & Part II, which has 30 hours of continuing education credits for each course for PT, OT, and ATC in all 50 United States. We’ve served hundreds of healthcare professionals all over the world and across all professions. We’re truly  interdisciplinary and interactive across all aspects of our programming! 🔗 Visit us at https://www.concussioncorner.org to learn more about how you can join our #TeachOneServeMany community! --------- 💡 In This Episode: 🎙️In this energizing first episode with Dr. Jeff Moore, we explore what it really means to practice at the top of scope, especially in the worlds of concussion, pelvic health, and chronic pain. 📣 We Unpack:  •The risks of rest and the side effects of doing nothing  •The evolution from Institute of Clinical Excellence (ICE) Physio to Onward PT  •Fitness-forward rehab that meets patients where they are  •Why psychologically informed care is essential for nervous system recovery  •How your environment directly shapes clinical outcomes 🧠 Whether you’re treating persistent concussion symptoms or optimizing care for complex orthopedic patients, this episode challenges you to rethink what high-quality, emotionally intelligent physical therapy really looks like in 2025. 🌐 Learn more and enroll: www.ConcussionCorner.org 📲 Listen, rate, and subscribe to support global access to compassionate, evidence-informed concussion care. 🌎 Whether you’re a PT, OT, ATC, OD, or MD, this episode offers a compelling reminder that comprehensive concussion care must include a clear understanding of the the vagus nerve, nervous system, and pelvic health.  📄 #FOAMed Resources Mentioned In This Episode: 🔗 Institute of Clinical Excellence (ICE) Physio home page: https://ptonice.com/ 🔗 Institute of Clinical Excellence (ICE) Physio Certifications page: https://ptonice.com/certifications/ 🔗 Institute of Clinical Excellence (ICE) Physio IG: https://www.instagram.com/icephysio/ 🔗 Onward Home Page: https://onwardphysicaltherapy.com/ 🔗 Onward IG page: https://www.instagram.com/onwardphysicaltherapy/ 📖 Chapters: 00:00 Introduction to Physical Therapy Innovations 01:55 The Evolution of Onward Physical Therapy 05:58 ICE Physio's Curriculum and Specialization 09:43 Challenging Rest: Movement in Recovery 13:48 The Importance of a Safe Learning Environment 16:45 Inclusivity in Physical Therapy Practices 21:24 Looking Ahead: Future of Physical Therapy 27:02 Rethinking Rest and Recovery 27:58 Elevating Clinical Environments for Psychological Safety A Word From Our Sponsor: 🏈 🚲⚽️🏒Since 2011, Virginia Tech researchers have been providing unbiased helmet ratings that allow consumers to make informed decisions when purchasing helmets. The helmet ratings are the culmination of over a decade of research identifying which helmets best reduce concussion risk. This work is done as part of Virginia Tech’s service mission and is 100% independent of any funding or influence from helmet manufacturers. Please visit the Virginia Tech helmet lab website at https://bit.ly/VirginiaTechHelmets and spread the word to aid in lowering concussion risk in your community 🏇⚾️🥎 *This podcast is for entertainment purposes only and should not be confused for medical advice. Please reach out to your medical team or call 911 if this is an emergency*

📣 New Podcast! "#84 Fitness-Forward Physical Therapy and Why Environment Matters in Rehab w/ Dr. Jeff Moore PT, DPT" on @Spreaker #braininjury #chronicpain #concussion #concussioncare #concussionrehab #directaccess #fitnessforward #icephysio #manualtherapy #neurorehab #onwardpt #outofnetwork

#outofnetwork @bsky.app #freeluigi

Needless to say, fuck the Us #healthcaresystem and fuck being #outofnetwork and fuck the way we treat #mentalhealth in this wretched country. I just want to feel normal again and I can’t. Because I need meds and a provider. That I can’t just get because profits. #freeluigi

Everywhere else if you get seriously hurt: “Fuck! Get me to a hospital now! I’m dying!”

When you get seriously hurt in America: “Oh, great! Now that’s something else I’m gonna have to pay for! FUCK!!!”
*Kicks the wall in frustration and breaks foot.*
JUST KILL ME!!!
#OutOfNetwork

Denial of payment! #uhc #outofnetwork #mcdonalds

Luigi Mangione sounds like a hybrid between video gaming and adult contemporary music. #outofnetwork #claimdenied #chuckmangione #mariobros

This Week Again #podcast has all the deets 😃
rss.com/podcasts/thi...

#UHC #BrianThompson #Hilton #newyork #manhattan #OutOfNetwork #Healthcare

This Week Again #podcast has all the deets 😃
rss.com/podcasts/thi...

#UHC #BrianThompson #Hilton #newyork #manhattan #OutOfNetwork #Healthcare

out of network this is my first diary. just felt need to connect. going through huge ground shift and need to feel not so alone and isolated in the midst of change. on 09/30/2024 spouse collapsed around 3am. heart f...

out of network

www.dailykos.com/stories/2024...

#Health #Healthcare #Insurance #HealthInsurance #Medical #OutofNetwork

On the next, This Week Again #podcast rss.com/podcasts/thi...

#UHC #BrianThompson #Hilton #newyork #manhattan #OutOfNetwork #Healthcare

#healthinsurance #outofnetwork #copay #deductible #unitedhealthcare #ceo #eattherich #davetheviking #thevillainsguild #fyp #foryou #coveragedenied 6500 Americans die each year due to lack of health coverage. 6500 Americans die each year due to corporate greed of insurance executives. #EATTHERICH

Maybe Elon's picking up Crude Orange's mounting health insurance deductibles at this point? How solvent actually is he?
#OutOfNetwork

when the three ghosts of christmas don’t make a difference, a new ghost of christmas is made 🔫 #thoughtsanddeductibles #outofnetwork #unitedagainstoligarchy #vivelarevolucion

#EatTheRich #FightBack #OutOfNetwork #WirelessHolePuncher #LeadPoisoning #PreExistingCorruptionDisqualification

Health insurance is not healthcare.

Insurance is a financial service.

Healthcare comes from providers.

Providers are financially compensated by insurance companies.

It’s not semantics.

Words mean things.

#OutOfNetwork #language

“Let them eat cake.”- Marie Antoinette, 1789.

“Have cereal for dinner” - Gary Pilnick, 2024.

History is repeating itself.

#denydefenddepose #outofnetwork #denied

#outOfNetwork

#unitedHealthcare #coveragedenied #outofnetwork #thoughtsandprayers
#bluesky
#eattherich

Live your life in a way that if you get murdered on the street, people won’t be rooting for the murderer. #outofnetwork #zerofucks

In this country healthcare is not a right, but a privilege extended to me as long as I work hard to make the unimaginably rich, richer. #thoughtsandprayers #deniedcoverage #outofnetwork #sorry

Suuuuuper tragic that the UHC CEO died...Maybe if he'd just "lost a little weight" he'd still be alive. Or maybe he's just "being hysterical" and "imagining his symptoms". Either way so sad.
#unitedhealthcare #fafo2025 #healthcare #healthcaresystem #outofnetwork

Photo of man who shot the UnitedHealthCare CEO but with the critical details blurred out. Universal healthcare now!

Normally I would help with this kind of manhunt. But after looking over the terms of my plan, I'm out-of-network.

There is also a rider on the plan saying, "No Coverage for Gunshots from Potentially Disgruntled Clients."

#DenialofCoverage #OutofNetwork #USHealthcareSystemisBroken

My weekly #comic begs the question, "how do you want to be remembered?"

Help support this by sharing and/or visiting my profile link tree linktr.ee/stanyan

#comic #eulogy #funeral #healthinsurance #outofnetwork

Pay hundreds of $/ mos. for the privilege of paying more and more.....
#deductible
#copay
#outofnetwork
#preferredprovider
#facilityfee