[…] conditions, which defeats t he purpose of this proposed rule. Inclusion of these non -specialized practitioners in the network adequacy metrics would merely perpetuate the problems with ghost networks that are widespread in MA plans iii, and fail to meaningfully expand access to outpatient MH and SUD treatment in line with CMS’s intent. We […]
[…] Mental Health Program Directors 675 N. Washington St , Suite 470, Alexandria, VA 22314 (703) 739 -9333 are not accepting new patients. We have heard of " ghost networks" that exist in difficult to find locations on insurers/plans websites. Patients are unable to locate them, but they exist for the purposes of regulation. Restrictions: […]
[…] licensure and compacts. • Requiring Enhanced and Accurate Lists of Providers to Improve Access to Care and Better Data. The bill addresses the persistent problem of " ghost networks," an ongoing and frustrating problem that has led to individuals delaying and foregoing care. This bill ensures that cost - sharing is limited to in […]
[…] by Senators Smith and Wyden, would require health plans to do independent audits to ensure their provider networks are up -to -date and accurate, therefore eliminating " ghost networks," seemingly lengthy lists of providers who, in reality, are no longer taking that insurance, not accepting new patients or are otherwise inaccurate. Incentivize Integration of […]
[…] Rates of "psychotic like experiences" (PLEs) fluctuate enormously from culture to culture • PLEs may be culturally normative • Can/are misidentified as psychosis/schizophrenia • Example: sleep paralysis/ ghost possession How common are these experiences? 13 -15% of "healthy" individuals experience semi -regular voices ( Beavan et al., 2011; Waters et al., 2012) • Major […]
[…] Medicare & Medicaid (CMS) found that 52 percent Medicare Advantage provider locations in directories contained at l east one inaccuracy. 1 Inaccurate directories and so -called " ghost networks" hinder access to care, causing far too many individuals to face barriers in connecting to a provider at the very beginning of trying to find […]
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