United’s practices were deemed illegal in three states. But that hasn’t stopped the company from policing mental health care with arbitrary thresholds and cost-driven targets.
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The Big Story

November 19, 2024 · View in browser

In today’s newsletter: UnitedHealth’s playbook for limiting mental health coverage; inaccuracies in insurance directories; a free virtual event on post-Roe America; and more from our newsroom. 

How UnitedHealth’s Playbook for Limiting Mental Health Coverage Puts Countless Americans’ Treatment at Risk

United used an algorithm system to identify patients who it determined were getting too much therapy and then limited coverage. It was deemed illegal in three states, but similar practices persist due to a patchwork of regulation.

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That Stat

 

86%

Portion of the hundreds of mental health providers listed in insurance directories who were “unreachable, not in-network, or not accepting new patients” when staffers with the New York state attorney general’s office called over the course of 2022 and 2023. The office was investigating a pernicious insurance industry practice known as “ghost networks,” where health plans list providers who supposedly accept that insurance but who are not actually available to patients.

We covered the office’s findings and dug into what states are doing about the lack of accurate information available in these directories. 

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🎫 You’re Invited

 

Life and Death in Post-Roe America

Join us on Thursday, Nov. 21, at 4 p.m. EST for a free virtual event in which reporters will take you inside ProPublica’s reproductive health coverage. 

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More from the newsroom

 

Finding Focus: How a Visual Storyteller Gets the Right Image — and the Right Tone

Segregation Academies Across the South Are Getting Millions in Taxpayer Dollars

Biden Asked Microsoft to “Raise the Bar on Cybersecurity.” He May Have Helped Create an Illegal Monopoly.

Senator Slams Gun Industry’s “Invasive and Dangerous” Sharing of Customer Data With Political Operatives

How Lincare Became a Multibillion-Dollar Medicare Scofflaw

 
 
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