Centene sued over alleged ghost network following member’s death. When Member’s can’t receive mental healthcare due to ghost networks. Horrible.
6 replies (most recent on top)
@4xk whoa buddy you sure seem to hate sick people for someone that works in health insurance
Sounds great, until you work with this population. How about just staying in your Lithium, buddy, instead of having 10 readmissions in two months. Will see how much your heart bleeds for them when your hospitals close due to them over utilizing the system.
A Health Insurance Network sells its network as a product… it should be relatively accurate, but we all know how cr-ppy our network and network search tools are. It’s the elephant in the room for at least the past decade.
@OP This is awful. But I work for a health plan and since this isn't exclusively a Centene issue I can tell you a huge part of the problem is providers not sending us updated in a timely manner and many groups send us wrong addresses, phone numbers, etc. We have issues we need to work on absolutely, but this is a symptom of failure in America's healthcare system unfortunately.
This is an old story and it happens all of the time. Are you surprised or something?
Horrible that you didn’t cite a link or source. I googled it for you. It’s not just Centene. According to the source you didn’t link….
“It’s a widespread issue: Only one-third of provider listings contacted by Senate subcommittee staffers in 2023 were accurate. Though the investigation had a small sample size, it backs up other research finding a meaningful number of providers on plan directories are not actually in network. One study also from 2023 found upwards of 80% of provider listings contained inconsistencies.”
Hey OP can you link the source I got that from above?