Friend, I think you've drunk the Kool-aid.

The only reason the ADA can get away with recommending you brush your teeth 120 minues a month is, tooth brushes are cheep. The product don't cost insurance companies a dime. If tooth brushes cost $150 + an hour, you'd get 6 a year, so long as you'd met your deductible.

Mental health services are not just for folks who aren't doing well. Mental health services are prophylactic! To say that only folks not doing well need metal health services is medical model propaganda that the profit driven insurance industry wants you as a provider to buy into. They know they're screwing you over too! Remember when they made you sign a contract to not share your payout rates with other clinicians so you can't collectively bargain? The mental health parity act languished for ~ 16 years, and it's still a joke.

The term "Medical necessity" is corporate speak for "lower profits", and implies providers would be wide spread abusing the system if not for constant oversight. Meanwhile, they make billions on you, and your colleagues stolen labor.

The point of the article was about how the patients in question were only doing better(ish) due to intensive help from the therapists and still needed time.

From a lay persons view “better” does not equal doesn’t need continued therapy by a long shot and I’d rather have people use more therapy than they need than the other way around due to the outsize harms of getting that decision wrong.