The New York Times (7/5, Abelson) reports, “People with private Medicare coverage may not be getting the mental health services they need because they cannot find a psychiatrist within their plan’s network,” investigators concluded in findings published online July 5 in the journal Health Affairs. The study revealed that “more than half of the counties…studied did not have a single psychiatrist participating in a Medicare Advantage plan, the private-sector counterpart to traditional Medicare.” Psychiatrists “may be unwilling to participate in Medicare Advantage plans because of the low payments paid by the insurers, coupled with all of the required paperwork, said” Robert Trestman, MD, PhD, who chairs “the council on health care systems and financing for the American Psychiatric Association.” Dr. Trestman said, “Many of the challenges and frustrations are emphasized in the Medicare Advantage plans.”
Related Links:
— “Medicare Advantage Plans Offer Few Psychiatrists,” Reed Abelson, The New York Times, July 5, 2023