“Ghost” and “phantom networks” describe directories maintained by managed care organizations, listing healthcare providers who are unavailable for their members. However, these networks often include providers who never provided care – or no longer do so – for the plan’s members. Louisiana’s “Ghost” and “Phantom” networks have got to go. Managed care organizations (MCOs) are also called “Medicaid management companies.”…
Posts tagged as “ghost network”
Louisiana’s ghost and phantom networks must disappear to allow families to access real care. Managed care organizations (MCOs) are also called “Medicaid management companies.” These companies are responsible for creating healthcare and mental health provider networks to serve their members. They publish directories that list all the providers in their network. However, members, providers, and auditors have discovered that many…
Managed care organizations (MCOs) are also called “Medicaid management companies.” These companies are responsible for creating healthcare and mental health provider networks to serve their members. They publish directories that list all the providers in their network. However, members, providers, and auditors have discovered that many providers listed in these directories are unavailable to serve the members. “Ghost” and “phantom…