Aetna Admits Stealing From Dental Insurance Patients in California

https://www.cnn.com/2018/02/11/health/aetna-california-investigation/index.html

Why is health care in the US so expensive?

Ryan: Obamacare a threat to Medicare 

Medicaid patient: 'If I could work, I would'

Gov. Kasich defends Medicaid expansion

Aetna investigated after stunning admission

Denied teen has strong words for Aetna

Strike Force nets largest take down of Medicare fraud

Aetna envelopes reveal customers' HIV status

Why is health care in the US so expensive?

Ryan: Obamacare a threat to Medicare 

Medicaid patient: 'If I could work, I would'

Gov. Kasich defends Medicaid expansion

Aetna investigated after stunning admission

Denied teen has strong words for Aetna

Strike Force nets largest take down of Medicare fraud

Aetna envelopes reveal customers' HIV status

(CNN)California's insurance commissioner has launched an investigation into Aetna after learning a former medical director for the insurer admitted under oath he never looked at patients' records when deciding whether to approve or deny care.

California Insurance Commissioner Dave Jones expressed outrage after CNN showed him a ....... You can go to the link to read the entire article from CNN.

I told you that Dental Insurers were lying stealing thieves and now a former Medical Director for Aetna admits that he would reject medical claims without even looking at the patient's records.

This is why I gave up participating with Dental Insurance 26 years ago.

You Better Pay Attention

I have been on dental forums for almost 20 years. I have NEVER seen dentists admit that in order to survive, they must provide dental treatment that is not always in the best interest of their patients.

This was UNTHINKABLE years ago. Sure there have always been unsavory characters  in every profession but they have been the small minority of dentists. I know of a dentist who cut down the front teeth of a 13 year old for profit many years ago and I was sickened by it.

Today is different.

New dentists have $3,000 to $4,000 a month dental school loans to pay while working for corporate dental practices that DEMAND production at any 'cost' i.e. tooth structure (a crown)

Dental Insurance REDUCES payments to dentists every year despite the fact that everything costs more every year.

In the big picture, teeth and dentistry are not THAT important but imagine if the same thing is happening in MEDICINE.

I told you that the surgeon who performed a Reverse Shoulder Replacement for me 3 years ago was paid a total (Medicare and the Supplemental Insurance advertised on TV) of $1755 INCLUDING 3 office visits when the usual fee was $16,500. Whether you think the usual fee is too little or too much, you must believe that $1,755 is unacceptable.

But the average person is not concerned how much OR HOW LITTLE the doctor is paid...

We all better pay attention because our lives  and our familie's lives depend on it. If you are paid $100 a day but your boss says that you must work for $10 a day on Mondays, how enthusiastic would you be to work on Mondays?

(Aside: For your reference, my student loan was $127.50)

"He Says The He Is Innocent" (Not Political)

Democracy Dies in Darkness

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The man who hit this woman with his fist is the same man who took this photo.

And the man who believes the man who says that he is not a wife beater must live in an alternative universe...Shame on him.

If it was possible to copy and past the ORDER OF PROTECTION by Rob Porter's second wife I would have attached that to this blog as well.

Have the American people lowered their standards so much that we chose not to believe our own eyes?

Honor and Respect

Sometimes I find something on a dental forum that surprises me because it was done without my knowledge like the following:

Paul Goodman

Admin · Yesterday at 11:27am

Hey guys. Really great conversations here focused on students, residents and new dentists. I encourage you to add your student, resident and young dentist friends. 

I love running my own larger group Dental Nachos, but I know it can be intimidating for new dentists to post on that group. 

I have specifically chosen some great dentists like David WetheringtonDeanna Snitzer Gerald Benjamin Brad Keener and more to be helpful to the conversation. It's important to get different views on the industry and not just those of Dr. Nacho even though I am the smartest boy in the world according to my Baba.

And sometimes I am contacted by a new dental journal asking me to serve on the editorial board of the group such as:

Dear Dr. Gerald Benjamin,

Greetings..!!

We would like to take a minute to introduce our Open Access scientific journal “Dentistry & Dental Practices Journal (DDPJ)” to you.

Based upon your eminence and expertise, we humbly request you to be a part of DDPJ Editorial board.

To know more about Editor roles, kindly go through below link for guidelines
http://chembioepub.com/editor-guidelines.php

We hope you to consider our invitation for being an Editorial board member in our Journal and kindly forward your particulars: Curriculum vittae, Research interest, Short biography, recent photograph to upload your profile in our Journal website.
Hope our Journal will offer you an enriching experience and hope to achieve great successful endeavors. We look forward to receive from you at the earliest.

Many thanks in advance for considering this request.

Kind Regards
Flora Dalton

Assistant Managing Editor
Dentistry & Dental Practices Journal
Chembio Publishers

Because I did not seek out these groups, it is always an honor to be considered because I have gained the respect of a group.

"I Trusted and Lost 3 Teeth"

I saw a 30 year old female today who has been frustrated by her dental experiences. I am the third dentist that she visited to learn how to save her teeth. She has had three root canals (Not by Root Canal Experts), three crowns followed by three extractions...by age 30. The two previous dentists told her that she needed more root canals and more crowns which brought her to tears.

Some facts:

The number of root canals that fail are infinitesimal compared to the number of root canals that were never done right in the first place.

If I see tooth decay around MY work, I immediately look around a patient's mouth to see if they have new virgin areas of decay on their natural teeth. IF I see decay around only MY fillings then I have a problem. If I see decay around my work, I virtually always see a mouthful of new decay on teeth that have never been filled before.

I looked around this patient's mouth and guess what I found? ALL of the tooth decay in her mouth is around existing dental fillings which, in MY opinion were never done right. The patient is not responsible for the dental problems that I saw...She is, however, a person that wanted good dentistry, accepted the recommendations of dentists and yet continues to have problems.

So what did I tell the patient?
1. That she did indeed need to see Dr. Banchs at Root Canal Experts.
2. That she has many areas of tooth decay but no VIRGIN areas of tooth decay.
3. That if she were MY Daughter, I would not place any new crowns in this patient and place well done bonded resin fillings.

There ARE patients who don't brush their teeth, don't floss their teeth and rarely go to the dentist. This patient was doing everything right and yet not having good dental experiences.

My conclusion: The patient did not receive high quality dental treatment. But you know what?

That will end NOW.