Cost-Sharing Disparities for Out-of-Network Care for Adults With Behavioral Health Conditions.

ABSTRACT:

Importance

Individuals in the United States with mental illnesses and substance use disorders can face major access barriers from limited provider (eg, clinicians and facilities) networks in health insurance plans.

Objective

To evaluate the cost-sharing payments for out-of-network (OON) care for private insurance plan enrollees with mental health conditions, alcohol use disorders, or drug use disorders compared with those with congestive heart failure (CHF) or diabetes.

Design, setting, and participants

This cross-sectional study used data from a large commercial claims database from 2012 to 2017. The study included adults with mental health conditions, with alcohol use disorders, with drug use disorders, with CHF, and with diabetes who were aged 18 to 64 years and en

SUBMITTER: Xu WY 

PROVIDER: S-EPMC6865267 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature