Health Insurance Is Failing Us: Denials, Audits, and the Need for Accessible Health Care

18 days ago
19

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Join Vanessa Lech, NC LCSW, as she candidly unveils her multi-year clinical social work private practice journey, empowering fellow practitioners on their unique paths. Get ready for real talk as she spills the tea on running a private practice. 🚀🍵

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* Insurance Companies Denying Care: Some insurance companies deny payment for full mental health services, offering reduced session lengths or refusing to pay for an hour-long therapy session.

* Impact on Providers: A family-run medical practice went bankrupt after insurance companies performed predatory audits and clawbacks, causing financial strain and forcing the practice to operate without insurance payments.

* Personal Experience: Vanessa Lech shared difficulties as both a healthcare provider and patient dealing with insurance companies, emphasizing challenges with claims, audits, and lack of transparency.

* Insurance Coverage Issues: Many insurance plans fail to fully cover market-value services, leaving providers to work at unsustainable rates and without adequate compensation.

* Alternative Health Options: Health-sharing plans are considered as potential alternatives to traditional insurance, though their legitimacy is still debated.

* Predatory Practices: Audits and clawbacks from insurance companies continue to affect both providers and patients, leading to financial uncertainty.

* Government Subsidized Insurance: Despite being subsidized by the government and funded by both employers and patients in many instances, insurance companies still fail to provide necessary care, burdening individuals with costs.

Some insurance companies deny payments for mental health care, limiting session lengths or refusing to cover hour-long therapy sessions. Current health insurance industry practices led to bankruptcy for a family-run medical practice after aggressive predatory audits and clawbacks. Despite being subsidized by the government and funded by both employers and patients in many instances, insurance companies continue to fail in providing necessary care, leaving patients and providers to bear the financial burden. Vanessa Lech shares her struggles with insurance as both a provider and patient and contemplates health-sharing plans as an alternative, though their legitimacy is still up for debate.

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DISCLAIMER:

Information included in this social media post/video & description are for informational, entertainment &/or educational purposes only. This does NOT establish a clinical relationship with anyone. Please consult with a primary care provider and/or licensed behavioral health clinician in your area for personalized assistance with your unique situation. This video is not intended as professional or legal advice. Be sure to seek the services of a professional if you are in need of them.

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👉🏽 Resources: 👇🏽

988 Suicide & Crisis Lifeline 988
https://988lifeline.org/

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