Insurer Agrees to Pay Millions for Failing to Fix Errors That Made It Harder for Customers to Get Mental Health Care
One of New York’s largest health insurers is set to pay a multimillion-dollar fine for failing to fix a series of errors that made it harder for its customers to get mental health care. EmblemHealth this week agreed to a $2.5 million settlement with the New York attorney general’s office because of the large number of inaccuracies in its listings of in-network mental health providers, a problem that has persisted for years. The fine is the biggest secured by the state attorney general’s office in its yearslong quest to clamp down on the chronic problem of provider directory errors, also known as ghost networks. It’s an issue that has led customers to postpone treatment, forgo care and pay for more expensive out-of-network providers. The office found that EmblemHealth overstated the availability of in-network mental health providers and failed to comply with state and federal laws requiring that insurers make mental health care as available as other kinds of medical care. “Hea...