U.S. Senator Tina Smith Seeks Answers From Insurance Companies on Mental Health Care “Ghost Networks”
Washington, D.C. – U.S. Senators Tina Smith (D-Minn.), Ben Ray Luján (D-N.M.), and Steve Daines (R-Mont.) led a bipartisan letter to Aetna, Anthem Blue Cross Blue Shield, Humana, and United Healthcare regarding “ghost networks” that make it difficult for patients to find in-network providers. According to a March 2022 US Government Accountability Office (GAO) report, problems include inaccurate or out-of-date information on provider networks. Ghost networks occur when providers are listed as in-network on an insurer’s website but are no longer in-network, accepting new patients, or even in business. The problem of ghost networks is especially prevalent in mental health care and worsened during the pandemic mental health crisis as providers left their positions or stopped taking new patients due to overload. “Ghost networks sow confusion and frustration among patients who are often in need of immediate care. Patients who lack the time and resources to sift through inaccurate provider directors may ultimately choose to forgo or delay needed health care. Others may be forced to pay out-of-pocket for a provider,” the Senators wrote. “When patients search for an in-network provider on a company’s website or directory, it is essential that they are given accurate and up-to-date information,” the Senators continued. Supporting groups include The Kennedy Forum, Mental Health America, American Psychological Association, National Council for Mental Wellbeing, National Alliance on Mental Illness (NAMI), Treatment Advocacy Center, and American Foundation for Suicide Prevention. In November, Senator Smith introduced legislation with Senator Ron Wyden (D-Ore.) to strengthen mental health care coverage, crack down on ghost networks and create stronger