Networks In ACA Marketplaces Are Narrower For Mental Health Care Than For Primary Care.
There is increasing concern about the extent to which narrow-network plans, generally defined as those including fewer than 25 percent of providers in a given health insurance market, affect consumers' choice of and access to specialty providers--particularly in mental health care. Using data for 20...
| Publicado en: | Health Affairs Vol. 36; no. 9; pp. 1624 - 1632 |
|---|---|
| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Sep2017
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125308717&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125308717 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Sep2017 vid: 36 iid: 9 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 125308717 125308717 125308717 10.1377/hlthaff.2017.0325 125308717 ppf: 1624 ppct: 8 formats: tig: atl: Networks In ACA Marketplaces Are Narrower For Mental Health Care Than For Primary Care. aug: au: Zhu, Jane M. Yuehan Zhang Polsky, Daniel affil: National Clinician Scholar and fellow in the Division of General Internal Medicine at the University of Pennsylvania Perelman School of Medicine, in Philadelphia sug: subj: Patient Protection and Affordable Care Act Insurance, Health Mental Health Services Primary Health Care Health Insurance Exchanges Human Comparative Studies Descriptive Statistics Data Analysis Software Chi Square Test Spearman's Rank Correlation Coefficient Confidence Intervals ab: There is increasing concern about the extent to which narrow-network plans, generally defined as those including fewer than 25 percent of providers in a given health insurance market, affect consumers' choice of and access to specialty providers--particularly in mental health care. Using data for 2016 from 531 unique provider networks in the Affordable Care Act Marketplaces, we evaluated how network size and the percentage of providers who participate in any network differ between mental health care providers and a control group of primary care providers. Compared to primary care networks, participation in mental health networks was low, with only 42.7 percent of psychiatrists and 19.3 percent of nonphysician mental health care providers participating in any network. On average, plan networks included 24.3 percent of all primary care providers and 11.3 percent of all mental health care providers practicing in a given state-level market. These findings raise important questions about provider-side barriers to meeting the goal of mental health parity regulations: that insurers cover mental health services on a par with general medical and surgical services. Concerted efforts to increase network participation by mental health care providers, along with greater regulatory attention to network size and composition, could improve consumer choice and complement efforts to achieve mental health parity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|