FloridaPsychologists.NET

Florida Lions : Former BCBS Providers
Lions
Declaring their Independence from Mis-managed Care

Welcome to FloridaPsychologists.Net:  Who said there are no Florida Lions?!                     

Scroll Down on Right Side for Psychologist Directory

FloridaPsychologists.NET is a listing of Florida Psychologists proclaiming their independence from the interference of managed care or managed care carve outs
in mental health.  They are advocates for mental health parity, and do not believe a seperate system of mental health carve outs or mental health managed care speaks to the spirit or letter of mental health parity laws. 
They have taken the harder road of being private practitioners who answer primarily to their patients and those who consult them for their services.

Florida LIONS are former Blue Cross of Blue Shield Providers who made a break with Blue Cross Blue Shield of Florida when effective Dec. 1, 2011, BCBS decided to introduce a mental health carve out, New Directions. A new contract with New Directions was offered. This included terms many found unacceptable and a reimbursement rate not only below Usual and Customary fees (UCR) and the discounted rate BCBS PPC and Blue Choice Providers were previously paid, but a rate approximately 30-35% below Medicare rates. . Many Florida Lions previously only took BCBS insurance, adhering to a higher standard of care and found proposed procedures, reimbursement, and other policies to be at odds with their abilities to continue to provide the level and quality of care to the patients and families they serve.

--------------------------------------------------------------------------------

Follow our blog to learn more about the struggle for true mental health parity and concerns that Blue Cross Blue Shield of Florida and other insurers raise in their treatment of mental health services and mental health providers.

 IF YOU HAVE HAD PROBLEMS WITH MENTAL HEALTH ACCESS TO SERVICES UNDER BCBS or Are  Provider ADVERSELY IMPACTED BY

THE BCBS OF FL NEW DIRECTIONS BEHAVIORAL HEALTH TRANSITION take the survey and sign the petition.

 Terms of use - by using this site you agree to all disclaimers posted on this site as well as any disclaimers published on the CPANCF.COM site.


FOR A FREE LISTING FOR FLORIDA PSYCHOLOGISTS WHO DO NOT ACCEPT MANAGED CARE MENTAL HEALTH PLANS
CLICK ON FLORIDAPSYCHOLOGISTS.NET APPLICATION and complete form, then send it back by e-mail or fax.
 (voluntary contributions to support or expand this site may be made by paypal to cpancf@aol.com_

Archive Newer       

Wednesday, September 28, 2011

Is the Florida BCBS pre-authorization Availity System Crashing in advance of the "New Direction"
Providers across the state are reporting that the Availity system is giving wrong info claiming no auth needed when there is and providers claim that after spending sessions they are being told "too bad" by BCBS!   So BEWARE.  We also have been having difficulty with getting information from Availity as of late, with n the system down, or not being able to get info as of late.
2:14 pm edt 

Monday, September 26, 2011

Insurance Reimbursement rates and loss of providers
BCBS of FL representatives in public blurbs and "news" stories have been insistent that drastic cuts in reimbursement under the New Directions contract have not led to a loss of providers.  Psychologists in the state report BCB ro ND reps are calling those who did not sign the ND cotract and in their questions seem to anticipate the rate cut is the reason. 

The American Psychological Association reports in a 2008 survey, 11% of psychologists reported that they have dropped out of Medicare participation and a primary reason cited was low reimbursement ratesWith BCBS now offering 30% BELOW medicare rates, is it reasonable to believe they are not losing the best and most experienced providers???
6:24 pm edt 

Just another manic Monday

BCBS of FL and New Directions seem to be calling many providers who have not signed contracts, askign if they received revised contracts (which some apparently never received).  Some speculation is that contrarty to BCBS PR folk's media blurbs, maybe more than just a few providers have not signed.  Rumors are that Dec 1 is their deadline. Maybe they are getting nervous that employers may come to question where have all the providers gone when the new year starts.  In the meanwhile much confusion abounds as psychologists calling BCBS are getting different answers to the same questions, and attempts by psychologists and organizations about the specifics of how state emplyee and federal BCBS out of network benefits will be handles have been met with similar mixed messages and delays in getting to the specifics. Some providers are holding to a position that no information is reliable, unless it is in writing.  However, it would seem BCBS and ND have not provided much in writing in terms of what processess BCBS members will have to go through to get their out of network mental health benefits submitted.

3:04 pm edt 

Friday, September 23, 2011

8:52 am edt 

Wednesday, September 14, 2011

BCBS - New Directions concern, another opt-out, and Palm Beach Mental Health Association criticism of BCBS move. 9:50 pm edt 

Sunday, September 11, 2011

Alcoholism & Drug Abuse treatment by BCBS also likely to be impacted by New Direction
Similar concerns to those of psychiatrists and psychologists are raised by the drug and alcoholism treatment community.  An article addressing these concerns and the efforts of a national coalittion regarding the latest Blue Cross Blue Shield / New Directons moves appears here: http://www.alcoholismdrugabuseweekly.com/sample-articles/parity-implementation-coalition-requests-intervention.aspx

Can different provider groups, hospitals, and advocacy groups form a State-wide coalition in FL?  My information has it some providers and leaders are talkign about doing just that. It will be a tought fight, it seems as if BCBS spent a lot of money on lobbying in advance of this move, and the current governor does not seem to be very friendly to consumers or state employees who might complain that in effect, this cuts access to some providers who will opt out, or at worst may be designed in such a way that discourages mental health care and possibly violates federal parity laws.
9:00 pm edt 

Saturday, September 10, 2011

Gainesville Sun BCBS / New Directions NAMI article
While the author of this Gainesville Sun article seems to get it wrong in that care will not be suspended pending take over of services by New Directions Dec. 1, 2011 - the point of the potential conflict witht he spirit if nto the letter of mental health parity seem to be on target:  http://www.gainesville.com/article/20110904/OPINION03/110909862

An official corporate-sounding response from a BCBS official claiming they were not losing many providers appeared in a follow up article.  No numbers of how many had or had not signed.  apparently they were calling some providers who had not signed.
4:39 pm edt 

Florida Psychiatric Association part of coalition protesting BCBS changes at Federal Level



http://www.psych.org/MainMenu/PsychiatricPractice/ManagingYourPractice/Mental-Health-Parity/Update-BCBS-FL-New-Directions.aspx


The above link should take you to the psychiatric association site and the letter written by the national coalition.
1:08 am edt 

Thursday, September 8, 2011

Psychiatrists also ROAR - Here are some things you may want to know about how your mental Health Care will be managed under New Directions
A concerning analysis of the Florida New Directions approach to managing Blue Cross Blue Shield mental health benefits:

http://cpancf.com/pdf/sarkisndletter.pdf.
5:32 pm edt 

Wednesday, September 7, 2011

Welcome to the FloridaPsychologists.Net Blog
Welcome to our blog.  THe authors and owners of this site, advertiserss, and listed psychologists do not endorse any of the comments or opinions made by others on this blog.  For some brief introduction to some of the mental health parity battle in FLorida and the reasons you may lose access to your former choice of Blue Cross Blue Shield Providers, follow this blog.  Some article links are also on the www.cpancf.com homepage as well as the www.flapsych.org homepage.  We welcome new posts to articles about this growing unfortunate national trend.
12:57 am edt 


Archive Newer       

Pease visit some of the other sites published by CPANCF.

Click here for a .pdf file of American Psychological Association / Florida Psychological Association
letter to US Secretaries of Labor, Health and Human Services and Treasury regarding concerns about mental health parity and Blue Cross Blue Shield / New Directions
actions. 

Links to the Blue Cross Blue Shield New Directions Controversy

Mental Health New Tricks,
Mental health providers in turmoil as Blue Cross shifts business, cuts rates (Palm Beach Post, September 4, 2011)

Blue Cross providing an illusion of coverage (Dr. Stephen. Ragusea's Letter to the Editor, Key West Citizen, August 25, 2011)


 


Protect your family from the lowest bidder.
Lions
Seek a truly independent psychologist.

Protect your family from the lowest bidder.  Choose a truly independent psychologist.

 

PSYCHOLOGISTS BY COUNTY

 

ALACHUA COUNTY


Clinical Psychology Associates of North Central Florida 
2121 NW 40th Terr. Ste B
Gainesville, FL 32605
(352) 336-2888
Licensed Psychologist since 1989
LION
Websites:  www.cpancf.com

Clinical Psychology Associates of North Central Florida 
2121 NW 40th Terr. Ste B
Gainesville, FL 32605
(352) 336-2888
Websites:  www.cpancf.com
 

Angela Allen-Peck, Psy.D.
Psychology Resident under supervision Dr. Bordini
Clinical Psychology Associates of North Central Florida 
2121 NW 40th Terr. Ste B
Gainesville, FL 32605
(352) 336-2888
Websites:  www.cpancf.com
Jan M. Snyder, Ph.D.
7711 SW 103rd Avenue
Gainesville
Tel Number: 352-495-2709
Website: http://www.drjanmsnyder.com/
Licensed Since: 1983
LION

 

CLAY COUNTY

Dale G. Simpson, Ph.D.
210 SW Nightingale St. Ste B
Keystone Heights, FL  32656
Tel: 352-867-5595
Licensed Since: 1988
LION

 

Dade County
Jerome H. Poliacoff Ph.D.
1501 Venera Avenue Suite #225
Coral Gables, 33146
305.624.7900
Licensed Since:                 1984
LION 

 

 

HILLSBOROUGH COUNTY


Harold R. Linde, Psy.D.
13701 Bruce B. Downs Blvd. Suite 103
Tampa, FL, 33613
(813) 972-4343
Licensed Since 1984
LION
 

MARION COUNTY


Ernest J. Bordini, Ph.D.
Clinical Psychology Associates of North Central Florida 
(352) 336-2888
Licensed Psychologist since 1989
LION
Websites:  www.cpancf.com
www.pediatricneuropsychology.com

David P. Dupere, Psy.D.
3515 SE 17th St, Suite #102
Ocala FL
Tel: 352-867-5595
Licensed Since: 1991
LION

Kathleen J. Kelly, Ph.D.
1701 NE 42nd Avenue, Suite 102
Ocala, Florida
Business Tel Number: (352) 351- 4940
Website:
http://www.driscollkellymruz.com
Licensed Since: 2004
LION 

Benjamin Phalin, Ph.D.
Clinical Psychology Associates of North Central Florida 
(352) 336-2888
Licensed Psychologist since 2011
Websites:  www.cpancf.com

Dale G. Simpson, Ph.D.
3515 SE 17th St #102
Ocala FL
Tel: 352-867-5595
Licensed Since: 1988
LION

 

PALM BEACH COUNTY


Robin Goldstein, Ed.D.
7777 Glades Rd. Ste100
Boca Raton, FL 33434
http://Www.robingoldstein.net
561 212 5408
Licensed in FL since 1984
LION

Gail Greenspoon,Ed.D
2499 glades rd. Suite 203
Boca Raton, fl.
33496
561 392 7779
www.Dr.gailgreenspoon.com
LION
Licensed psychologist since 1992

Lynn Rosen Lampert,Ph.D
2900 Military Trail
South Building
Suite 165
Boca Raton,Fl. 33433
Website:
Licensed since 1985
LION

Barbara Winter PhD PA FAACS
2900 North Military Trail #165
Boca Raton
Tel Number: 561-995-4004
Website: www.drbarbarawinter.com
Licensed Since: 1988
LION
 
 

  SARASOTA COUNTY


Diane A. McKay, Psy.D., P.A.
1990 Main St., Suite 750
Sarasota, FL 34236
Tel: (941) 365-7240
Licensed Since 2000
LION

Volusia County

 
 
 
Print

This site is a private site, with no official affiliation with the Florida Psychological Association (FPA).  Free Psychologist Listings however, are limited to FPA members or by special exception.

We hope that you agree that your mental health diagnosis and treatment is too critical to have a third party interfere with or rush. 

Careful and thorough assessment helps reduce overdiagnosis of conditions which may have life-long implications, while underdiagnosis and misdiagnosis can lead to negative life consequences due to lack of proper treatment. This is too important to go to the lowest bidder.

 
With so much at stake, trust truly independent psychologists who is not being coached or restricted by a third party with respect to the assessmet and treatment of you or your precious family.

 
     
     
     

Published by Clinical Psychology Associates of North Central Florida * 2121 NW 40th Terrace Suite B * Gainesville * FL * 32605 http://www.cpancf.com
DISCLAIMER:  The owner and publishers of this site make no warranties or representation about any of the providers listed on this site.  The site is simply to provide an advertising list of providers who have broken with managed mental health care.  You should check with other resource to cerify licensure status, past discipline, your local physicians and other psychologists before selecting a provider. 

  Contact for advertising or more information: info@cpancf.com