A law firm dedicated to mental health insurance advocacy on behalf of patients and providers. Recognized as a national leader in mental health parity.
Los Angeles, CA
Joined January 2012
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Learn how an addiction center in California is challenging Anthem over claims denials. But they're not alone. We need more aggressive monitoring and oversight of health plans by the Dept of Managed Health Care. calmatters.org/health/mental…
#MentalHealthMatters
The latest on #WitvUBH: Federal district court affirms that UBH breached its fiduciary duties to mental health patients. Read more: news.bloombergtax.com/health…
#MentalHealthIsHealth
Why do we see a low number of appeals for #mentalhealth claims in group health plans? Participants may not understand the appeals process. Also 1) wrongful medical necessity denials & 2) inadequate networks. Read more in this DOL report with my testimony. psych-appeal.com/wp-content/…
It's a tragic story: Health plan denies treatment, son dies of a fentanyl overdose & mom files a wrongful death lawsuit. Our view: "Aggressive monitoring and oversight by regulators should address this troubling trend." Story by @jocelynwiener, @CalMatters calmatters.org/health/mental…
The @journalsentinel analyzed 5 years of lawsuits over denial of long-term disability claims & +1/3 involved #mentalhealth, reports @natalie_eilbert. Our view: Employers & 3rd-party administrators reviewing claims are "acting in their own best interests." jsonline.com/story/news/heal…
It's called a ghost network: When insurers don't update their #mentalhealth provider directories, leaving you to believe there are more options than exist. @propublica's @MaxBlau investigates the issue and how to navigate a ghost network to get treatment. propublica.org/article/how-t…
Ravi's tragedy is all too common & it underscores the failings of our healthcare system to provide #mentalhealth treatment when it's needed most. TY @MaxBlau, @propublica for your diligence in reporting an issue health insurers would rather remain uncovered. #MentalHealthParity
Ravi Coutinho thought his health insurance plan would unlock access to mental health care providers. But the problems with accessing care were impossible to escape. This is the story of his perilous journey through what’s known as a “ghost network.” 🧵propublica.org/article/ambet…
Mental health care protections vary across the U.S. @propublica's @AnnieWaldman looks at state laws, existing legal protections for patients – & our opinion on why it's an issue if "insurers are allowed to home bake their own medical necessity standards." propublica.org/article/menta…
According to @LLSusa, only ~90K of 48M denied claims are appealed. So we're advocating for 1) DOL FAQ that urgent cases aren't limited to inpatient care & 2) if there's no response w/in the required 72 hrs, an urgent claim should be automatically approved. plansponsor.com/health-claim…
Two years in, #988Lifeline continues to provide #mentalhealth support when people need it most. Help spread the message of this vital resource. Support is available 24/7 by call, text or chat. #MentalHealthMatters
A new NAMI/@ipsosus poll shows that many Americans still don’t know what to do if they or a loved one are in crisis or having thoughts of suicide. As we mark the 2nd anniversary of 988 this July, help us spread awareness of this lifesaving resource.
Learn more: bit.ly/4eTUiup
For those interested in advancing their careers in psychiatry and #substanceuse treatment, consider signing up for this webinar by the @AAAP1985 and @APApsychiatric to learn more about fellowship opportunities.
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Michigan joins other states with the signing of its first #mentalhealth parity law on May 21. "Right now, there are too many loopholes that allow providers to avoid paying for certain medical mental health treatments," said @GovWhitmer. Yes, #ParityNow. freep.com/story/news/politic…
"Mental health is essential health. There cannot be healthcare without mental health." Well said, @PJK4brainhealth.
#ParityNow #MentalHealthAwarenessMonth #MentalHealthMonth #MHAM24
Join us in the moment demanding PARITY FOR MENTAL HEALTH! #DontDenyMe
bit.ly/3UujU7I
An @RTI_Intl report finds patients are 10x more likely to go out of network for #mentalhealth care – & lower reimbursement plays a key role in the crisis. @APA CEO Arthur C. Evans Jr., PhD, says this is unacceptable. We agree in the need for #ParityNow. apa.org/news/press/releases/…
Psych-Appeal, Inc. retweeted
In the professional world, knowing your mental health rights is vital for well-being and career success. Mental Health Parity ensures fair access to services. Learn more at the @USDOL's site: bit.ly/3txD2aZ.
A Health & Human Services OIG report finds all eight states selected did not comply with Medicaid managed care #mentalhealth parity requirements, which could affect treatment access for Americans enrolled in Medicaid, writes @Ganny_Belloni. #ParityNow news.bloomberglaw.com/health…
For moms of newborns, #zuranolone could help with #PostPartumDepression. But three months after hitting the market, it's unclear if insurers will cover the drug & if they do, what fail-first requirements will be applied, as I discuss with @adembosky. npr.org/sections/health-shot…
The rising cost of #mentalhealth care creates a Hobson's choice for families. The "hurdles can be so difficult & expensive for a person with an untreated mental health condition to navigate that it’s causing some to forgo care," writes @TATIANADFLOWERS. coloradosun.com/2024/02/09/m…
We've long followed Kaiser Permanente's changing #brexanolone guidelines for #PostPartumDepression. In my conversation w/ @adembosky, @KQED, the new question is if insurers will cover the pill form, zuranolone. Both can make a difference for new moms. kqed.org/science/1985979/kai…
We've known for a long time that there's under-reimbursement of mental health care. A new Milliman report says 2/3 of Americans weren't able to access treatment in 2021, even though they were insured. More of our reaction in this @NPRHealth story, @RhituC. npr.org/sections/health-shot…