Health Care Service Corporation
Controversies
Controversies tied to this brand in public sources. A listing is not a finding of fault.
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2019
Lawsuit filed against HCSC and MCG Health over mental health coverage guidelines
Lawsuit filed
Zuckerman Spaeder filed a lawsuit against Health Care Service Corporation (HCSC) and MCG Health. According to the complaint, clinical guidelines developed by MCG and used by HCSC were overly restrictive and led to the denial of medically necessary residential behavioral health treatment. The filing concerns the use of those guidelines in coverage decisions for residential behavioral health care.
Source excerpt
Zuckerman Spaeder LLP today filed a complaint in the U.S. District Court for the Northern District of Illinois on behalf of the mother of a young woman who was denied coverage for mental health treatment. The complaint alleges that Health Care Service Corporation (HCSC) is using overly restrictive clinical guidelines, developed by MCG Health (MCG), to deny medically necessary residential treatment for behavioral health care.