MedPage Today (1/23, Frieden) reported the American Psychiatric Association is suing New York-based health plan EmblemHealth “over its alleged use of ‘ghost networks’ that list mental health [professionals] that are not in their network or aren’t taking new patients.” The class action lawsuit, filed Dec. 30 in federal court, “alleges that the ghost network directory ‘constitutes unlawful deceptive acts and practices, false advertising, and violations of statutory and regulatory requirements,’” according to an APA press release. The networks “[harm] clinicians’ reputations by listing them in provider directories when they do not accept the plan’s insurance or do not practice at the locations where they are listed,” the release noted. The APA “seeks punitive damages and a jury trial.”
Related Links:
— MedPage Today (requires login and subscription)