Ravi didn’t know it, but he, like millions of Americans, was trapped in a “ghost network.” As some of those people have discovered, the providers listed in an insurer’s network have either retired or died. Many other providers have stopped accepting insurance — often because the companies made it excessively difficult for them to do so. Some just aren’t taking new patients. Insurers are often slow to remove them from directories, if they do so at all. It adds up to a bait and switch by insurance companies that leads customers to believe there are more options for care than actually exist.
Ambetter’s parent company, Centene, has been accused numerous times of presiding over ghost networks. One of the 25 largest corporations in America, Centene brings in more revenue than Disney, FedEx or PepsiCo, but it is less known because its hundreds of subsidiaries use different names. In addition to insuring the largest number of marketplace customers, it’s the biggest player in Medicaid managed care and a giant in Medicare Advantage, insurance for seniors that’s offered by private companies instead of the federal government.
ProPublica reached out to Centene and the subsidiary that oversaw Ravi’s plan more than two dozen times and sent them both a detailed list of questions. None of their media representatives responded.
Large-scale, privatized healthcare appears unable to provide actual healthcare.
And all that under the pretense of having “more options.”
It’s a scam that plays on people’s well-being and that is very sad indeed.
Let’s say you need to pull a screw, and you’re given a box of ‘tools’ to work with. In the box you find old shoes, ratty clothes, a mace, and some flyers for ‘cats the musical’
Technically there’s more options that you might have expected, but none can do the job.
That’s American healthcare.
Being paid to not provide any useful service is, indeed, most profitable.