News
President’s Message
Recent News
- Aetna Clinical Payment, Coding and Policy Changes
Published: - CIGNA Changing Name
Published: - Delegated Payer Claims
Published: - Access to Information During the Credentialing Process
Published: - United Security Life and Health Insurance
Published: - Changing To Online Newsletter
Published: - President’s Message
Published: - CIGNA Online Remittance Reports Available in 2011
Published: - Supporting Documentation for CIGNA Electronic Claims
Published: - CIGNA's Use of Modifiers 59 and 25
Published: - CIGNA Code Auditing
Published: - Holiday Hours
Published: - ICD-10 Code Translator
Published: - 5010 Update
Published: - New Aetna Radiology Preauthorization Requirements
Published: - Great-West Website Has New Look, Upgraded Features
Published: - Aetna Out-of-Network Benefit
Published: - Aetna Offers Multi-Payer Transactions via NaviNet at No Charge
Published: - Changes to 2011 Aetna Precertification List
Published: - Aetna Publishes CT Scan, MRI and Ultrasound Payment Policy
Published: - Mennonite Mutual Aid Announces Name Change
Published: - Paper Claims Must be Typed
Published: - Aetna Review of Hospital Acquired Conditions
Published: - Newsletter Readership Survey
Published: - TRISTAR Acquires American Administrators
Published: - Aetna Signature Administrators
Published: - Printed Directory Being Phased Out
Published: - Staff Achieves Clean Claim "Gold Standard'
Published: - BMI Administers Federal Plan in Iowa
Published: - ICD-10 Readiness
Published: - President’s Message
Published: - Principal LMHP Coverage
Published: - Principal and Magellan
Published: - OTC Reimbursement Requirements Changing
Published: - Aetna Policy and Practice Updates
Published: - CIGNA/Great-West Global Maternity Reimbursement Policy
Published: - CIGNA Modifier 59 Update
Published: - Out-of-Pocket Cost Estimator for Aetna Members
Published: - Aetna Laboratory Provider Change
Published: - New Online Directory Feature
Published: - American Family
Published: - BMI Administers Federal Insurance Plan in Iowa
Published: - New TPA for Creighton Student Plan
Published: - Aetna Policy and Practice Updates
Published: - President's Message
Published: - Online Claims Save Time and "Green"
Published: - Aetna Payment Estimators Help Determine Patients’ Costs
Published: - 5010 Preparation Under Way
Published: - CIGNA ID Card Brochure
Published: - Groups Access Network through Sanford Health Plan
Published: - Webinar Invitation List
Published: - Five Steps to a Successful Appeal
Published: - Rehabilitation Order Issued for American Community
Published: - Great-West Accesses Midlands Choice in South Dakota
Published: - Highlights of 2010 CPT Changes
Published: - South Dakota Group Accesses Midlands Choice Network
Published: - CIGNA and Great-West Healthcare Precertification
Published: - Aetna Student Health Plans Addresses Have Changed
Published: - Aetna Online Resources
Published: - Keep Us Up to Date on Demographic Changes
Published: - NaviNet Link Includes Access to Both Aetna and CIGNA
Published: - Nebraska Law Impacts Lab Billing
Published: - New Great-West ID Cards
Published: - Questions About Our Website?
Published: - News Archives
Would your health improve if you ate less and exercised more? If you don't always put that knowledge into action, don't feel alone.
An employee benefits and human resources consultant recently surveyed thousands of employees and dependents covered by employer-sponsored healthcare plans. More than 80 percent of respondents said smart choices in daily life have the most influence on health, even more influence than affordability or access.
More than half also reported they don't exercise as often or eat as carefully as they should.
Is there a parallel between the choices we face as individuals wanting to be healthy and the choices our industry faces overall? On an individual level, we have a good idea of what our choices should be. Industry-wide, it's a different story. Is there waste in the system? Can we agree on where and what to do about it? Can we agree on a method for calculating healthcare costs and make this information readily available to consumers? (Nearly half of the respondents to the employee survey said they would make better decisions if they knew how much healthcare actually costs.)
No single entity--consumers making better and more informed decisions, payers bringing new products to the marketplace, providers scrutinizing their methods to determine which are most effective, or employers continuing to cover the majority of their employees' healthcare costs--will be effective alone.
Fruits, vegetables, grains, low-fat protein and regular exercise are part of a "balanced" lifestyle. We also need to "balance" the overall picture of healthcare industry health.
As a provider-owned PPO encompassing more than 100 payers and, indirectly, thousands of consumers, Midlands Choice plays an important role in facilitating the discovery of what that balance should be. It's a role we look forward to continuing to play, on behalf of stakeholders and their variety of perspectives, in the months to come.
Thomas E. Press
President & CEO
