Examining reimbursements for psychiatric services
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Tuesday, April 18, 2023 | The Latest Research, Commentary, And News From Health Affairs
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Psychiatric Services Medicaid Reimbursement
In a paper published this month, Jane Zhu and colleagues compare Medicaid fee-for-service reimbursement rates for mental health services delivered by psychiatrists and benchmark Medicaid reimbursement rates to those of Medicare.

Using publicly available Medicaid fee-for-service schedules from state Medicaid agency websites in 2022, the authors demonstrate wide variation in mental health reimbursement rates for psychiatrists across states, with payments in the lowest- and highest-paying states differing by more than fivefold.

Their results also show reimbursement for mental health services continues to lag that of Medicare and that there is no strong correlation between Medicaid reimbursement rates and the number of Medicaid-participating psychiatrists per 10,000 enrollees.

Zhu and colleagues’ analysis helps inform policy options that leverage reimbursement as a way to expand access to mental health professionals. "Policies focusing solely on increasing reimbursement may be insufficient to improve enrollees’ access to mental health services," they conclude.
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Elsewhere At Health Affairs
Today in Forefront, Elliott Fisher and George Isham discuss the rising costs of health care, arguing that the prices associated with care can undermine the legitimacy and trust that patients have in providers.

Read more on Forefront and learn more about how you can contribute to the publication.
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Michael Chernew On Medicare Advantage Benchmarks

Health Affairs Editor-in-Chief Alan Weil interviews Michael Chernew from Harvard Medical School on his recently published paper examining the effects of lower Medicare Advantage benchmarks on plan generosity and benefits.
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