Behavioral health parity review can’t stop at plan language.
Check the operating file:
- Provider network adequacy
- Appointment wait times
- Questionnaires or review steps that delay care
- Out-of-network spend after failed in-network access
Kaiser’s $32 million settlement puts a bright light on how alleged access issues can drive enforcement and participant cost. Employers should test member access alongside document review.
#MHPAEA #ERISA #HealthPlans #BehavioralHealth
Check the operating file:
- Provider network adequacy
- Appointment wait times
- Questionnaires or review steps that delay care
- Out-of-network spend after failed in-network access
Kaiser’s $32 million settlement puts a bright light on how alleged access issues can drive enforcement and participant cost. Employers should test member access alongside document review.
#MHPAEA #ERISA #HealthPlans #BehavioralHealth
Shared byParker Bose - An hour ago
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