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External Research

Health Affairs: Medicare Advantage And Commercial Prices For Mental Health Services

Daria Pelech, Tamara Hayford
February 4, 2019

​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.

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Topics: Commercially Insured Health Affairs Medicare Advantage Mental Health and Substance Use Peer Reviewed Journals

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