ArticleHealth affairs (Project Hope)2020
Incorrect Provider Directories Associated With Out-Of-Network Mental Health Care And Outpatient Surprise Bills.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 47 citations in OpenAlex.
- Mental Health Utilization Gap by Insurance Type Among US Adults With Chronic Pain.JAMA health forum · 2026Article
- Oncology Organization and Oncologist Networks Under Medicare Advantage Plans.JAMA network open · 2026Article
- ACA network regulatory filings are inaccurate, poorly match provider directories.The American journal of managed care · 2025Article
- Impact of insurance type on outpatient mental health treatment of US adults.PLOS mental health · 2025Article
- Inaccuracies related to accepting new patient flags in Affordable Care Act plans' provider directories.Health affairs scholar · 2025Article
- Medicaid managed care organizations' experiences with network adequacy.Health affairs scholar · 2025Article
- Persistence of provider directory inaccuracies after the No Surprises Act.The American journal of managed care · 2024Article
- Rural-urban differences in out-of-network treatment initiation and engagement rates for substance use disorders.Health services research · 2024Article
- Article
- Self-Pay Outpatient Mental Health Care for Children and Adolescents, by Socioeconomic Status.Psychiatric services (Washington, D.C.) · 2024Article
- Insurance acceptance and cash pay rates for psychotherapy in the US.Health affairs scholar · 2024Article
- Differences in self-reported disruptions in mental health treatment during COVID-19 in a national household sample: impact of severity of functional impairment.Research square · 2024Article
- Characterizing physician directory data quality: variation by specialty, state, and insurer.BMC health services research · 2024Article
- Inaccuracies in provider directories persist for long periods of time.Health affairs scholar · 2024Article
- Evaluating the network adequacy of vision care services for children in Arizona: A cross sectional study.AIMS public health · 2024Article
- What is a star worth to Medicare beneficiaries? A discrete choice experiment of hospital quality ratings.Health affairs scholar · 2024Article
- "Pick a Plan and Roll the Dice": A qualitative study of consumer experiences selecting a health plan in the non-group market.Health policy OPEN · 2023Article
- Psychiatrist Networks In Medicare Advantage Plans Are Substantially Narrower Than In Medicaid And ACA Markets.Health affairs (Project Hope) · 2023Article
- Rapid Review of "No Surprise" Medical Billing in the United States: Stakeholder Perceptions and Challenges.Healthcare (Basel, Switzerland) · 2023Review
- The Impact of a Workforce Mental Health Program on Employer Medical Plan Spend: An Application of Cost Efficiency Measurement for Mental Health Care.Population health management · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
Mental health services are up to six times more likely than general medical services to be delivered by an out-of-network provider, in part because many psychiatrists do not accept commercial insurance. Provider directories help patients identify in-network providers, although directory information is often not accurate. We conducted a national survey of privately insured patients who received specialty mental health treatment. We found that 44 percent had used a mental health provider directory and that 53 percent of these patients had encountered directory inaccuracies. Those who encountered inaccuracies were more likely (40 percent versus 20 percent) to be treated by an out-of-network provider and four times more likely (16 percent versus 4 percent) to receive a surprise outpatient out-of-network bill (that is, they did not initially know that a provider was out of network). A federal standard for directory accuracy, stronger enforcement of existing laws with insurers liable for directory errors, and additional monitoring by regulators may be needed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.