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How Phantom Networks And Other Barriers Impede Progress On Mental Health Insurance Reform
1Howard H. Goldman (hh.goldman@verizon.net), University of Maryland, Baltimore, Maryland.
Abstract:
Phantom networks are but one of many barriers to realizing access to mental health services. The term phantom networks refers to the misleading practice of listing providers as members of a network when they are not actually accepting patients. Inaccurate information on provider availability impedes the implementation of reforms that are designed to improve health insurance coverage of mental health treatment. Some other barriers to improving access to mental health services include low reimbursement rates from Medicaid, hesitancy of psychiatrists and psychologists to participate in networks, and practices of some managed care networks that require prior approval of mental health services such as psychiatric hospitalization. Phantom networks and these other barriers stand in the way of patients finding providers to help them at a time of need for treatment and support.
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