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How Insurers Use Patient Progress to Justify Denials of Mental Health Coverage
ProPublica 
Dec. 31, 2024 "Health insurers frequently review patients' progress to see if they can be moved down to a lower -- and almost always cheaper -- level of care. That can cut both ways. They sometimes cite a lack of progress as a reason to deny coverage, labeling patients' conditions as chronic and asserting that they have reached their baseline level of functioning. And if they make progress, which would normally be celebrated, insurers have used that against patients to argue they no longer need the care being provided." MORE >> |
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