Behavioral Health Business December 6, 2023
More than 80% of mental health provider listings on Medicare Advantage (MA) directories are inaccurate or unavailable.
That’s according to a recent secret shopper study conducted by the Senate Committee on Finance. These inaccurate provider directories, also known as “ghost networks,” can cause patients to get pinned down by large out-of-pocket bills and clinicians to miss out on potential patients. Involved parties struggle to determine the steps to take to solve the ghost network problem.
Payers and providers must collaborate to protect patients and improve the status quo for providers, industry insiders told Behavioral Health Business.
Ghost networks have come under fire in US courts for misleading patients.
“When insurance companies host ghost networks, they...
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