New survey shows tougher action by health insurance providers…

Washington, DC – (August 4, 2022) – Every American deserves access to effective and affordable mental health support. A new survey released today by AHIP highlights how health insurance providers are improving access to mental health care by bringing more high-quality providers into their networks, training and supporting primary care physicians (PCPs) to care for patients with mild to moderate behavioral health conditions. . , and helping patients find available behavioral health appointments.

“Even before the COVID-19 pandemic, millions of Americans struggled with mental health and substance use challenges,” said Kate Berry, senior vice president of clinical affairs and strategic partnerships at AHIP. “The mismatch between the supply of mental health and substance use disorder providers and the demand for care is a long-standing problem. That’s why health insurance providers are working hard to improve their provider networks and increase access to care.”

When health care providers participate in health plan networks, care becomes more affordable, and providers are more accountable for quality. By offering plans with a wide array of mental health professionals in network, effective mental health support is more accessible and affordable. And by integrating mental health care with primary care, health insurance providers are partnering with physicians and mental health professionals to meet patients and provide more consistent, holistic and effective care.

Key findings from the survey include:

  • All respondents (100%) Provide coverage for tele-behavioral health services.
  • There are a number of in-network behavioral health providers Increased by an average of 48% over 3 years Among occupational health plans.
  • The overwhelming majority (89%) of health plans are Actively recruiting mental health care providersincluding Physicians who reflect the diversity of the people they serve (83%), and is 78% Increased payments to providers In an effort to recruit more high-quality professionals into their scheme networks.
  • The Number of Providers Eligible to Prescribe Medication Assisted Therapy (MAT). For substance use disorders, including opioid dependence, has more than doubled
    – Growing 114% in 3 years.
  • A strong majority (72%) have plans Training and supporting PCPs to care for patients with mild/moderate behavioral health conditions.
  • The vast majority of plans (83%) report that they do Assist enrollees in finding available mental and behavioral health placements.
  • A large majority (78%) Use specialized case managers for follow-up after emergency room and inpatient care and/or starting new medications.
  • More than half of AmericansAbout 180 million, six Employer-provided coverage for their health care needs – which provides one An essential pathway to accessing much needed mental health support.

“Health insurance providers are taking steps to improve mental health care by proactively identifying the behavioral health needs of their members, collaborating with providers, and reducing stigma,” Berry continued. “Despite much work, health insurance providers recognize the need to address systemic challenges. It is only by all health care stakeholders working collaboratively that Americans can ensure affordable access to high-quality mental health support.”

AHIP fielded a survey on mental health coverage in the commercial market in May-June 2022. The survey was fielded to all AHIP member health plans enrolled in the group (self-insured and fully insured) and individual (on and off exchange) markets. The survey received responses from plans representing 95 million professional enrollees.

Click here to view the survey.

Click here for more AHIP resources on mental health.

Click here to see innovative actions health insurance providers are taking in response to demands for mental health care.

Click here to view the issue brief: Integrating Behavioral Health and Primary Care.

About AHIP

AHIP is a national association whose members provide health care coverage, services and solutions to millions of Americans every day. We are committed to market-based solutions and public-private partnerships that make healthcare better and coverage affordable and accessible for all. Visit www.ahip.org to learn how working together, we are guiding Greater Health.

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