ProPublica (12/30, Eldeib , Miller , Berg ) reports, “Many Americans have faced the denial of mental health treatment by their insurance companies – at times despite vivid evidence of the risk such decisions pose.” And while “in most cases patients don’t appeal,” a small percentage of “patients and their families decide to fight the denials in federal court, setting up a David-versus-Goliath battle where insurers frequently have the upper hand.” Such cases, “ProPublica found, expose in blunt terms how insurance companies can put their clients’ health in jeopardy, in ways that some judges have ruled ‘arbitrary and capricious.’” In order “to do so, court records reveal, the insurers have turned to a coterie of psychiatrists and have continued relying on them even after one or more of their decisions have been criticized or overturned in court.”
Related Links:
— “Insurers Continue to Rely on Doctors Whose Judgments Have Been Criticized by Courts,” Duaa Eldeib and Maya Miller, with research by Kirsten Berg, ProPublica, December 30, 2024