Becker's Healthcare May 3, 2023
Medicare Advantage directories are plagued with inaccuracies, particularly for mental health providers, the Senate Finance Committee Chair Ron Wyden said.
Committee staff conducted a “secret shopper” study, calling behavioral health providers listed in 12 Medicare Advantage plan directories in six states.
Of 120 providers staff contacted, 33 percent had inaccurate numbers or did not return calls. The report called networks “haunted” by ghost entries.
The Senate Finance Committee held a hearing on improving provider directories on May 3.
In his opening remarks, Mr. Wyden, an Oregon Democrat, said ghost networks add unnecessary barriers to mental health treatment.
“When insurance companies host ghost networks, they are selling health coverage under false pretenses, because the mental...