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Medicare Advantage And Commercial Prices For Mental Health Services
Daria Pelech1, Tamara Hayford2
1Daria Pelech ( daria.pelech@cbo.gov ) is a principal analyst in the Health, Retirement, and Long-Term Analysis Division, Congressional Budget Office, in Washington, D.C.
Abstract:
In 2014, insurers paid an average of 13-14 percent less for in-network mental health services in their commercial and Medicare Advantage plans than fee-for-service Medicare paid for identical services-despite paying up to 12 percent more than Medicare when the same services were provided by other physician specialties. However, patients went out of network more frequently for mental health services than for comparison services, which increased their average cost-sharing payments.
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