Leaked internal documents show that the insurance giant is culling providers of applied behavior analysis from its network and scrutinizing the medical necessity of therapy. Advocates say the company’s strategy may be illegal.
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The Big Story

December 13, 2024 · View in browser

In today's newsletter: An insurer limits access to a key autism treatment; why it’s so hard to find a therapist who takes insurance; recalled drugs; another woman denied miscarriage care; and more from our newsroom. 

UnitedHealth Is Strategically Limiting Access to Critical Treatment for Kids With Autism

Leaked internal documents show that the insurance giant is culling providers of applied behavior analysis from its network and scrutinizing the medical necessity of therapy. Advocates say the company’s strategy may be illegal.

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Why I Left the Network 

 
Photo of therapist Rhonda Stewart Jones in Alexandria, Virginia with quote that reads ''I am out $20,000-plus, and so it is a very, very big deal. I continued paying my staff, but I was not taking a salary myself.''

America is in the midst of a mental health crisis. But finding a therapist who takes insurance can feel impossible. Insurers say that’s because there aren’t enough therapists. That’s not entirely true.

We spoke to more than 500 psychologists, psychiatrists and therapists in nearly all 50 states, from rural communities to big cities. Their stories underscore how the nation’s insurers — quietly, and with minimal pushback from lawmakers and regulators — have assumed an outsize role in mental health care.

Each provider said they faced a moment in which they had to leave their network; taken together, their stories help explain why it’s so hard to find a therapist who takes insurance.

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That Stat

 

7

Number of recalls within 12 months that Glenmark Pharmaceuticals issued for pills that didn’t dissolve properly, records show. All were made at the same factory in India. The Food and Drug Administration still hasn’t stopped the company from shipping other pills made there to the U.S. 

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More from the newsroom

 

A Coast Guard Commander Miscarried. She Nearly Died After Being Denied Care.

Family Separations Persist. In Some Cases, the Government Doesn’t Say Why.

The FDA Hasn’t Inspected This Drug Factory After 7 Recalls for the Same Flaw, 1 Potentially Deadly

Maine Public Housing Tenants Face Eviction at High Rates. A New Program to Keep Renters Housed Excludes Them.

How a Decades-Old Loophole Lets Billionaires Avoid Medicare Taxes

 
 
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