Survey Suggests Payers Need Sharper Focus on Behavioral Health

Payers have not prioritized management and organizational expenditures around behavioral health at the highest level, according to a recent Avalere survey of 37 payers, integrated delivery networks and behavioral health management organizations. Although they are required to by the Mental Health Parity and Addiction Equity Act, not all payers have analyzed whether their behavioral health provider networks are adequate. Over half of respondents reported a considerable amount of behavioral health out-of-network care utilization due to inadequate in-network services. In addition, only 33% of plans reported using value-based payment arrangements and alternative payment models for the delivery of behavioral health services.

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Jinghong Chen

Jinghong Chen Reporter

Jinghong has been producing infographics and data stories on employer-sponsored insurance, public health insurance programs and prescription drug coverage for AIS Health’s Health Plan Weekly and Radar on Drug Benefits since 2018. She also manages AIS Health’s annual executive compensation database for top insurers and Blue Cross and Blue Shield affiliates. Before joining AIS Health, she interned at WBEZ, Al Jazeera English and The New York Times Chinese. She graduated from Missouri School of Journalism with a focus on data journalism and international reporting.

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