Literature DB >> 30715986

Medicare Advantage And Commercial Prices For Mental Health Services.

Daria Pelech1, Tamara Hayford2.   

Abstract

In 2014, insurers paid an average of 13-14 percent less for in-network mental health services in their commercial and Medicare Advantage plans than fee-for-service Medicare paid for identical services-despite paying up to 12 percent more than Medicare when the same services were provided by other physician specialties. However, patients went out of network more frequently for mental health services than for comparison services, which increased their average cost-sharing payments.

Entities:  

Mesh:

Year:  2019        PMID: 30715986     DOI: 10.1377/hlthaff.2018.05226

Source DB:  PubMed          Journal:  Health Aff (Millwood)        ISSN: 0278-2715            Impact factor:   6.301


  12 in total

1.  Incorrect Provider Directories Associated With Out-Of-Network Mental Health Care And Outpatient Surprise Bills.

Authors:  Susan H Busch; Kelly A Kyanko
Journal:  Health Aff (Millwood)       Date:  2020-06       Impact factor: 6.301

2.  Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents.

Authors:  Mark L Wolraich; Joseph F Hagan; Carla Allan; Eugenia Chan; Dale Davison; Marian Earls; Steven W Evans; Susan K Flinn; Tanya Froehlich; Jennifer Frost; Joseph R Holbrook; Christoph Ulrich Lehmann; Herschel Robert Lessin; Kymika Okechukwu; Karen L Pierce; Jonathan D Winner; William Zurhellen
Journal:  Pediatrics       Date:  2019-10       Impact factor: 7.124

3.  What if the Role of Healthcare Was to Maximize Health?

Authors:  Alice Hm Chen; Marshall H Chin
Journal:  J Gen Intern Med       Date:  2019-11-14       Impact factor: 5.128

4.  Out-Of-Network Spending Mostly Declined In Privately Insured Populations With A Few Notable Exceptions From 2008 To 2016.

Authors:  Zirui Song; William Johnson; Kevin Kennedy; Jean Fuglesten Biniek; Jacob Wallace
Journal:  Health Aff (Millwood)       Date:  2020-06       Impact factor: 6.301

5.  Effect of Medicare Advantage on health care use and care dissatisfaction in mental illness.

Authors:  Sungchul Park
Journal:  Health Serv Res       Date:  2022-02-17       Impact factor: 3.734

6.  Psychiatrist Participation in Private Health Insurance Markets: Paucity in the Land of Plenty.

Authors:  Nicole M Benson; Catherine Myong; Joseph P Newhouse; Vicki Fung; John Hsu
Journal:  Psychiatr Serv       Date:  2020-08-19       Impact factor: 3.084

7.  A sequence analysis of hospitalization patterns and service utilization in patients with major psychiatric disorders in China.

Authors:  Xueyan Han; Feng Jiang; Jack Needleman; Moning Guo; Yin Chen; Huixuan Zhou; Yuanli Liu; Chen Yao; Yilang Tang
Journal:  BMC Psychiatry       Date:  2021-05-11       Impact factor: 3.630

8.  Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform.

Authors:  Liran Einav; Amy Finkelstein; Yunan Ji; Neale Mahoney
Journal:  Proc Natl Acad Sci U S A       Date:  2020-07-27       Impact factor: 11.205

Review 9.  Organizational Best Practices Supporting Mental Health in the Workplace.

Authors:  Ashley Wu; Enid Chung Roemer; Karen B Kent; David W Ballard; Ron Z Goetzel
Journal:  J Occup Environ Med       Date:  2021-12-01       Impact factor: 2.162

10.  Cluster Analysis of Care Pathways in Adults with Major Depressive Disorder with Acute Suicidal Ideation or Behavior in the USA.

Authors:  Maryia Zhdanava; Jennifer Voelker; Dominic Pilon; Tom Cornwall; Laura Morrison; Maude Vermette-Laforme; Patrick Lefebvre; Abigail I Nash; Kruti Joshi; Cheryl Neslusan
Journal:  Pharmacoeconomics       Date:  2021-05-27       Impact factor: 4.981

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