EmblemHealth将支付250万美元，纠正虚假的提供者名单，并在纽约调查后改善医疗服务的可及性。 EmblemHealth to pay $2.5M, fix false provider listings, and improve care access after NY probe.

EmblemHealth将支付250万美元罚款并实施重大改革，此前纽约州调查发现其列出的行为健康服务提供者中超过80%存在不准确或无法联系。 EmblemHealth will pay $2.5 million in penalties and implement major reforms after a New York investigation found over 80% of its listed behavioral health providers were inaccurate or unreachable. 保险人必须在两个工作日内更正名单,每90天核查一次数据,跟踪投诉,并进行秘密直升机勘察。 The insurer must correct listings within two business days, verify data every 90 days, track complaints, and conduct secret shopper surveys. 它还将为自付费用的成员建立归还程序,并确保及时获得护理,包括24小时紧急预约和10天初步访问窗口,必要时网络外护理按网络内费率提供。 It will also establish a restitution process for members who paid out-of-pocket and ensure timely access to care, including 24-hour urgent appointments and 10-day initial visit windows, with out-of-network care covered at in-network rates if needed. 和解避免了诉讼,是更广泛的国家努力的一部分,旨在修正误导提供者目录。 The settlement avoids litigation and is part of a broader state effort to fix misleading provider directories.