America’s Health Insurance Plans: Survey Shows Strong Efforts by Health Insurance Providers in Expanding Mental Health Claims

WASHINGTON, Aug. 5 (TNSRpt) — Health Insurance Plans in America released the following article on Oga. 4, 2022:

Every American deserves access to mental health care that is effective and affordable. A new study released today by AHIP shows how insurers are improving access to mental health care by bringing high-quality providers into their networks, training and supporting primary care physicians (PCPs) to care for patients with better health and wellness. , and help patients find available health care centers.

“Even before the COVID-19 pandemic, millions of Americans struggled with mental health issues and substance abuse,” he said. Kate Berry, Vice President of Clinical Affairs and Strategic Partnerships at AHIP. “The mismatch between coverage for people with mental illness and substance abuse and the need for care is a long-term problem. That’s why insurance providers are working hard to improve their service networks and increase access to care.”

When health care providers participate in health care systems, care becomes more affordable, and providers are more responsive. By offering plans with many online psychiatrists, effective mental health care is more accessible and affordable. And by integrating medical care and primary care, health insurance providers are connecting with physicians and psychiatrists to meet patients where they are and provide continuous, comprehensive, and effective care.

The main findings of the study are as follows:

* All respondents (100%) provide health care over the telephone.

* The number of in-network health care providers has grown by an average of 48% in 3 years among health plans.

* Most health plans (89%) are actively recruiting health care workers, including physicians who reflect the diversity of the population they serve (83%), and 78% have increased payments to providers in an effort to recruit more specialists to their network. .

* The number of providers qualified to provide substance abuse treatment (MAT) for substance abuse disorders, including opioid dependence, has doubled – a 114% growth in three years.

* A strong majority (72%) of plans are training and supporting PCPs to care for patients with chronic/refractory health conditions.

*Most plans (83%) report helping enrollees access mental and behavioral health services.

* Most (78%) use specialized case managers to follow up after emergency room and patient care and/or start new medications.

* More than half of Americans, about 180 million, have employer-sponsored coverage for their health care needs – providing an important means of accessing much-needed health care.

“Health insurance providers are taking steps to improve mental health care by identifying the health needs of their members, collaborating with providers, and reducing stigma,” said Berry. “Although much work has been done, health insurance providers recognize the need to address the problems of the system. This can only be achieved by all health care professionals working together to ensure that Americans have access to the highest quality health care they deserve.”

AHIP conducted a survey on mental illness in the retail industry in May-June 2022. The survey was administered to all AHIP member health plans enrolled in the group (self-insured and fully insured) and individual markets (non-exchange and variable). The survey received responses from plans representing 95 million registered business partners.

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