MA Beneficiaries Have Fewer In-Network Options for Psychiatrists Than Other Insurance Types

MedCity News July 6, 2023
Marissa Plescia

A Health Affairs study discovered that nearly two-thirds of Medicare Advantage psychiatrist networks, or 64.6%, were narrow in 2019. Comparatively, about 43.1% of Medicaid managed care networks were narrow and 39.5% of ACA Marketplaces were narrow.

Medicare Advantage enrollees have less access to in-network psychiatrists than members of Medicaid managed care and Affordable Care Act plans, a new study found.

The Health Affairs study, published Wednesday, was conducted by researchers at Oregon Health and Science University, Johns Hopkins University and the University of Pittsburgh. It analyzed 2019 data from multiple data sources of mental health provider networks for Medicare Advantage, Medicaid managed care and ACA markets.

The researchers discovered that nearly two-thirds of Medicare Advantage psychiatrist networks, or 64.6%, were...

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