Characteristics of Specialty Mental Health Provider Networks in Oregon Medicaid.

ABSTRACT:

Objective

Provider networks for mental health are narrower than for other medical specialties. Providers' influence on access to care is potentially greater in Medicaid because enrollees are generally limited to contracted providers, without out-of-network options for nonemergency mental health care. The authors used claims-based metrics to examine variation in specialty mental health provider networks.

Methods

In a cross-sectional analysis of 2018 Oregon Medicaid claims data, claims from adults ages 18-64 years (N=100,515) with a psychiatric diagnosis were identified. In-network providers were identified as those associated with any medical claims filed for at least five unique Medicaid beneficiaries enrolled in a health plan (coordinated care organization [CCO]) during the

SUBMITTER: Zhu JM 

PROVIDER: S-EPMC9800638 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature