Claim denial rates vary among Affordable Care Act marketplace payers

RevCycle Intelligence (7/6, LaPointe) reports “claim denial rates varied significantly among Healthcare.gov marketplace payers,” according to a Kaiser Family Foundation analysis. The results showed “that, overall, nearly one out of every five claims submitted for in-network services in 2020 was denied by marketplace payers,” but “depending on the payer, average claim denial rates ranged from just 1% to 80%.” Also, denial rates “varied significantly by location, the analysis showed.”

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— “Claim Denial Rates as High as 80% for Some Marketplace Payers “Jacqueline LaPointe, RevCycle Intelligence, July 6, 2022

Children As Young As 9 Or 10 Start To Wonder About Tobacco, Alcohol, And Marijuana, Researchers Say

HealthDay (7/6, Quinlan Houghtaling) reports, “Children as young as 9 and 10 start to wonder about tobacco, booze and even marijuana, and many may have easy access to these substances at home, mostly because their parents have not forbidden their use yet,” researchers concluded in a study revealing that “about one in 10 of the nearly 12,000 preteen children…said they’re curious about using alcohol or tobacco products, while one in 50 expressed curiosity about using marijuana.” The findings were published in the June issue of the journal Drug & Alcohol Dependence Reports.

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— “Do Preteens Think About Booze, Pot? Survey Says Yes “Cara Murez, HealthDay, July 6, 2022

High Use Of Telemental Health Services By Patients With SMI Who Live In Nonmetropolitan Counties Associated With Improvements In Key Outcomes, Study Suggests

Medscape (7/6, Subscription Publication) reports, “High use of telemental health services by patients with serious mental illness (SMI) who live in nonmetropolitan US counties is associated with improvements in key outcomes, including greater post-hospitalization follow-up, new research suggests.” In this “nationwide study, researchers drew on Medicare data from nearly 3000 counties covering the period from 2000 to 2018.” The “results show that counties in which there was greater use of telemental health services reported higher increases of clinical visits and better follow-up after hospitalization among patients with bipolar 1 disorder and schizophrenia or other psychotic disorders.” The findings were published online June 27 in JAMA Network Open.

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Officials Hope New 988 Number Will Help More People In Crisis, Especially LGBTQ Youth

The Washington Post (7/6, McShane) reports, “On July 16, Americans will be able to call or text a new phone number – 988 – if they feel they are experiencing a mental health crisis and/or are at risk of suicide.” This “forthcoming switch to 988 is due to passage of the National Suicide Hotline Designation Act,” which “also mandated that the switch to 988 include a strategy to provide specialized services for LGBTQ youth, who are more than four times as likely to contemplate suicide than their non-LGBTQ peers, research shows.” Many “officials say they hope the new, shorter phone number will be easier for Americans to remember, with the goal of helping more people in crisis – and LGBTQ youth in particular.”

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Psychedelics Such As MDMA, Psilocybin Have Shown Promise For Certain Psychiatric Disorders, But Any FDA Approval Of Them Will Almost Certainly Also Lead To Substantial Off-Label Use, Viewpoint Argues

Psychiatric News (7/5) reports, “Psychedelics such as 3,4-methylenedioxymethamphetamine (MDMA) and psilocybin have shown promise for the treatment of such psychiatric disorders as posttraumatic stress disorder and depression,” but “any FDA approval of psychedelics will almost certainly lead to substantial off-label use as well, cautioned medical ethicists in a Viewpoint piece” published online June 29 in JAMA Psychiatry.

Related Links:

— “Guardrails Needed to Control Promotion, Off-label Use of Psychedelics, Psychiatric News, July 5, 2022

Thematic Analysis Reveals Factors Driving Physician Suicides

According to MedPage Today (7/5, Firth), “a thematic analysis of 200 physician deaths” revealed that “among physician suicides included in the National Violent Death Reporting System database from 2003 to 2018, six themes were found to precede such deaths, including inability to work due to physical health, substance use, mental health issues, relationship conflicts, legal problems, and increased financial stress, all leading to work-related stress.” Researchers then “suggested that suicide risk is associated with premature retirement due to health issues that affect employment.”

HealthDay (7/5, Munez) reports the study authors concluded that “in the short term,” physicians “need better access to primary care services, as well as help with scheduling challenges and concerns about confidentiality.” For “the long term, broader changes are needed to address workplace stress and poor physician self-care, the study said.” The findings were published online June 29 in the journal Suicide and Life-Threatening Behavior.

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Researchers say eliminating certain risk factors may help prevent dementia

The New York Times (7/3, Span) reported cases of dementia are increasing “along with an aging world population, and yet another much-anticipated Alzheimer’s medication, crenezumab, has proved ineffective in clinical trials.” Researchers and public health experts contend “it is past time to turn our attention to a different approach – focusing on eliminating a dozen or so already known risk factors, like untreated high blood pressure, hearing loss and smoking, rather than on” a new drug. The article added, “The latest modifiable risk factor was identified in a study of vision impairment in the United States that was published…in JAMA Neurology” in April.

Related Links:

— “New Dementia Prevention Method May Be Behavioral, Not Prescribed ” Paula Span, The New York Times, July 3, 2022

More Than 76% Of Parents Of Middle, High School Students In New Jersey Say Depression Screenings In School Are Necessary, Survey Indicates

Healio (7/1, Downey) reported, “More than 76% of parents of middle and high school students in New Jersey said that depression screenings in school are necessary, according to a survey conducted by Rutgers University” of “678 parents of adolescents aged 12 to 18.” Click here to read more about the survey’s findings.

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— “More than three-fourths of parents call for depression screenings in schools “Ken Downey Jr., Healio, July 1, 2022

Young Homosexual, Bisexual, And Gender-Diverse People Appear To Experience More Mental Distress Than Their Heterosexual And Cisgender Peers, Study Suggests

Psychiatric News (7/1) reported, “Young homosexual, bisexual, and gender-diverse people experience more mental distress than their heterosexual and cisgender peers,” researchers concluded after examining “data from 762,541 people who participated in the Behavioral Risk Factor Surveillance System between 2014 and 2018.” The study revealed that “the difference in rates of mental distress between people who identified as a sexual and gender minority and those who identified as cisgender and heterosexual was strongest in those between the ages of 18 and 24 years.” The findings were published online June 23 in Psychiatric Services, a publication of the American Psychiatric Association.

Related Links:

— “Young Adults Who Identify as Sexual, Gender Minority Report More Mental Distress, Psychiatric News, July 1, 2022

Becerra Calls On States To Help Ensure Success Of National Suicide Hotline Rollout

Bloomberg Law (7/1, Lopez, Subscription Publication) reported, “The Biden administration’s national suicide hotline rollout will need state governments to play a strong hand to be a success, Health and Human Services Secretary Xavier Becerra said Friday.” The “US National Suicide Prevention Hotline will begin its shift to its new 988 number” on July 16, yet “a report from the Rand Corporation suggests that many state and local agencies aren’t ready for the launch.”

ABC News (7/1, Livingston) reported, “Despite an influx of federal funding from the Biden administration, states across the nation are still struggling to develop the infrastructure required to ensure all calls are answered.”

Related Links:

— “Suicide Hotline ‘Won’t Work Well’ Without State Help, HHS Says “Ian Lopez, Bloomberg Law, July 1, 2022