Ghost networks hinder US healthcare access

Insurance directories in the United States frequently contain inaccurate information, a phenomenon known as ghost networks. These networks consist of providers who appear to be in-network but are actually unreachable, not accepting new patients, or unavailable for appointments.

Research indicates significant unreliability in these listings. Studies have shown inconsistencies in 81% of entries across directories from five major national insurers. Additionally, a Zocdoc study found that phone numbers in a government directory successfully led to new-patient appointments only 38% of the time, despite providers having online availability.

Medical professionals, such as Jane Zhu of Oregon Health and Science University, report that patients seeking mental health or specialized care often face numerous roadblocks, including failed phone calls and long delays, when attempting to use these directories to find care.