Investigative Reporter at News 5 Cleveland
Mental health caregivers are breathing a little bit easier after a threat of collecting big money from them has been dropped. You gave us tips about this story, and we are following through with insurance organization CareSource, which is now saying it will not ask for 15% of claims paid to some caregivers.
For the co-owner of New Care Behavioral Health in Wellington, the change is good for caregivers and especially for patients.
'It takes away that extra barrier for them,” said Sarah Papesh. “It takes away that fear, that threat of these services being pulled away. ”We did a recent story with Papesh and Morgan Murray from Strive CLE Counseling in Westlake, who were concerned about the potential tens of thousands of dollars CareSource was asking for.
'These practices that have large amounts of CareSource clients, that adds up very quickly,” said Murray. CareSource would not go on-camera but said in a statement that canceling the clawbacks “was a difficult decision,” but it wants people to have “high-quality behavioral health care. ”That decision came on the same day as a special rally of mental health providers in front of CareSource’s headquarters in Dayton.
'We advocated, and we got this immediate threat managed,” said a rally speaker at the time. “But what does this mean for the future? ”It’s a good question because CareSource also told us that from this point forward, reimbursements will be 85% and not the previous 100% for some practitioners like Papesh and Murray.
'That is something that we don’t know if we can absorb that long-term either,” said Papesh. 'Sure, the recoupments are done, but we’re also now getting paid less,” said Murray. “So, that’s still a financial hit for many providers. ”Caresource said behavioral health costs are rising, but it still wants to “ensure access to critical services for Ohioans.
”The women told us that because of the back-and-forth with CareSource and some lingering uncertainty, they have to stay on top of this.
'The mental health community still intends to continue to push back and get answers that we still don’t have right now,” said Murray. 'And that we are fighting for the mental health, the substance use treatments, the support that Ohio needs,” said Papesh. The women said they feel the rally and news stories about the original clawbacks helped change the minds of CareSource leaders.
As a side note, we heard the concerns you had about the recoupments, and we did these stories. So, if you want the News 5 Investigators to look into your concerns, email InvestigatorTips@WEWS.com or call our tip line at 216-431-HELP . CareSource Statements:After News 5 Investigators asked if the suspension of the clawbacks was temporary:
Clawbacks Insurance Medicaid Medicare Mental Health New Care Behavioral Health Strive CLE Counseling
United States Latest News, United States Headlines
Similar News:You can also read news stories similar to this one that we have collected from other news sources.
Suspected hantavirus infections leave 3 dead, several ill on a cruise ship in the AtlanticDennis Romero is a breaking news reporter for NBC News Digital.
Read more »
Two people killed after car runs into crowd in Leipzig, GermanyNicole Acevedo is a news reporter for NBC News.
Read more »
Community activists end effort to recall Cleveland Mayor Justin BibbInvestigative Reporter at News 5 Cleveland
Read more »
Four relatives, including 4-month-old, were fatally shot in FloridaTim Stelloh is a breaking news reporter for NBC News Digital.
Read more »
Officials in Tennessee continue search for Craig Berry, veteran accused of shooting wifeRebecca Cohen is a breaking news reporter for NBC News Digital.
Read more »
Spirit Airlines apologizes after shock shutdown: 'Thank you and sorry to the American public'Mirna Alsharif is a breaking news reporter for NBC News.
Read more »