BrikoXHer Mental Health Treatment Was Helping. That’s Why Insurance Cut Off Her Coverage.
Encode1307I’m a mental health provider and medical necessity review irritates the hell out of me sometimes. I still think it’s absolutely necessary though. I’ve seen countless examples of therapists that want to keep working with people that are doing well. Meanwhile, someone else who really needs it can’t find a provider.
I realize that won’t be a popular opinion here but whatever.
The point of the article was about how the patients in question were only doing better(ish) due to intensive help from the therapists and still needed time.
From a lay persons view “better” does not equal doesn’t need continued therapy by a long shot and I’d rather have people use more therapy than they need than the other way around due to the outsize harms of getting that decision wrong.
In this case, they ended up being very wrong. Most of the time when I’m irritated about a denial, I go back and look at the details of the case and I get it. There are times that they’re wrong, obviously. We appeal those and win a majority of the appeals. The number of cases where I thought they were clearly wrong is really small. Propublica can find those small numbers of cases and make a sensational story, but it doesn’t really help to understand how to fix the system.
i pity your patients
The level of fucking ignorance and stupidity on this site is astounding
such arrogance, such lack of self awareness or empathy. such projection. read the room clown. “i know this will be unpopular” isn’t a magic phrase that will make the unsupported things you say in direct contradiction to our lived experiences as patients and insurance subjects somehow valid. blackstone’s reasoning applies here.
I’m tempted to say some uncharitable things about the reputational damage your statements tend to do to your profession, but i would just be rehashing the comments you’ve made, and i think people already get the gist.
I know trying to have a rational discussion about policy on lemmy is as likely as having one on Truth Social, but I got irritated enough to engage. That was dumb of me. I’m done