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Her Mental Health Treatment Was Helping. That’s Why Insurance Cut Off Her Coverage.
(www.propublica.org)
this post was submitted on 02 Jan 2025
182 points (99.5% liked)
United States | News & Politics
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Friend, I think you've drunk the Kool-aid.
The only reason the ADA can get away with recommending you brush your teeth 120 minues a month is, tooth brushes are cheep. The product don't cost insurance companies a dime. If tooth brushes cost $150 + an hour, you'd get 6 a year, so long as you'd met your deductible.
Mental health services are not just for folks who aren't doing well. Mental health services are prophylactic! To say that only folks not doing well need metal health services is medical model propaganda that the profit driven insurance industry wants you as a provider to buy into. They know they're screwing you over too! Remember when they made you sign a contract to not share your payout rates with other clinicians so you can't collectively bargain? The mental health parity act languished for ~ 16 years, and it's still a joke.
The term "Medical necessity" is corporate speak for "lower profits", and implies providers would be wide spread abusing the system if not for constant oversight. Meanwhile, they make billions on you, and your colleagues stolen labor.
Yes, because prevention is superior to treatment after the fact in both outcomes & overall cost.
Though it seems you have a differing understanding of "Medically Necessary" to my own so i suspect we won't agree on this.
"For profit healthcare" is a misnomer is should be called something like "profit equilibrium maintenance : healthcare edition"
The best outcome for a "for profit" is profit, not healthcare. Given the choice between larger profits and better healthcare outcomes the profit will win out, every time.