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‘Ghost networks' are harming patients, but attempts to eliminate them have fallen short
The clock started ticking when Michelle Mazzola’s son, Guy, was diagnosed with autism before his second birthday. Doctors told her the sooner Guy received therapy for his nonverbal communication and ...
This article originally appeared on ProPublica. In late 2024, Nimrod Shimrony, an emergency medical technician for the New York City Fire Department, tried to end his life. After completing an ...
It’s a familiar frustration for those trying to find a doctor or therapist: You browse the provider directory on your insurance company’s portal and, at first, it seems like there are plenty of ...
Insurance carrier MVP Health Plan has agreed to overhaul its mental health offerings to settle claims that it offered patients spotty access to care, the state attorney general’s office announced. MVP ...
New York Attorney General (AG) Letitia James reached a $2.5 million settlement with health insurer EmblemHealth following an investigation of the behavioral health provider “ghost networks.” “Ghost ...
Another Elevance Health business, this time Carelon Behavioral Health, is accused of misleading beneficiaries seeking mental health services by pushing ghost networks, or inaccurate provider ...
This article originally appeared on ProPublica. ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox. The ...
The “Ghost Network” Problem: The Key Questions Employers Can Ask to Avoid Little-Known Benefits Risk
A recent federal district court decision highlights a little known but significant risk faced by employers with welfare benefit plans that rely on medical provider and facility networks supplied by ...
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