“The setting in which mental healthcare is delivered has a significant impact on reimbursement for providers, even when the treatments are very similar, according to a new report that suggests mental health professionals and their patients are not getting a fair deal from healthcare insurers.
In addition to the payment disparities found in 46 out of 50 states, “out-of-network” use of addiction and mental health treatment providers is extremely high when compared with physical healthcare providers, the report found.
The report was prepared by Milliman and released by a coalition of mental health and addiction advocacy organizations. It was based on 3 years of insurer claims data, 2013-2015, covering 42 million Americans, including inpatient and outpatient services, primary care office visits, and specialist office visits, comparing in-network and out-of-network claims in all 50 states and D.C.”
Source: MedPageToday.com – December 10, 2017