估计心理服务的医疗补助退款
Jane M Zhu1, Aine Huntington2, Emily Mitchell3
1Jane M. Zhu (zhujan@ohsu.edu), Oregon Health & Science University, Portland, Oregon.
Health affairs (Project Hope)
|December 2, 2025
概括
心理服务的医疗补助补偿费率平均为医疗保险费率的74%. 许多州在2019年至2024年期间将这些关键心理治疗和测试服务的费率提高了25-33%.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 心理学 心理学 心理学
背景情况:
- 医疗补助补偿费率对获得心理服务有重大影响.
- 之前的分析表明,医疗补助和医疗保险对心理健康护理的补偿之间存在很大的差异.
研究的目的:
- 分析与医疗保险相关的心理服务目前的医疗补助补偿率.
- 随着时间的推移,追踪特定心理服务的医疗补助补偿率的变化.
主要方法:
- 对心理服务的州级医疗补助补偿数据的分析.
- 医疗补助费率与医疗保险基准费率的比较.
- 对2019-2021年和2024年之间对所选服务的费率变化进行了审查.
主要成果:
- 医疗补助补偿金平均为全国心理服务的医疗保险费率的74%.
- 几乎所有的州都以低于医疗保险的费率偿还心理服务.
- 大多数州在2019-21年至2024年期间实施了25-33%的普通心理治疗和心理测试服务的利率上.
结论:
- 尽管最近有所增加,但医疗补助公司 (Medicaid) 对心理服务的报销总体上仍低于医疗保险水平.
- 国家一级努力增加补偿可能会改善获得基本心理健康护理的机会.
- 持续监测退款趋势对于了解提供者参与和患者获取至关重要.
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