How UnitedHealth’s Playbook for Limiting #MentalHealth Coverage Puts Countless Americans’ Treatment at Risk
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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.

#News #Healthcare #Health #Insurance #UnitedHealth #Medicaid #Government

propub.li/3Ogrfow

Inside UnitedHealth’s Playbook for Limiting Mental Health Coverage

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.

^ProPublica

“Not Medically Necessary”: Inside the Company Helping America’s Biggest #Health Insurers Deny Coverage for Care
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When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to #EviCore, whose business model depends on turning down payments for #care recommended by #doctors for their #patients.

propublica.org/article/evicore…

#News #Insurance #Algorithm #AI #Healthcare

EviCore, the Company Helping U.S. Health Insurers Deny Coverage for Treatments

When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to EviCore, whose business model depends on turning down payments for care recommended by doctors for their patients.

^ProPublica