ArticleHealth affairs (Project Hope)2020
Prices And Cost Sharing For Psychotherapy In Network Versus Out Of Network In The United States.
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 16 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
16 citing papers in PubMed, 27 citations in OpenAlex.
- A Research Agenda for Acute Pediatric Mental and Behavioral Health Emergencies.Annals of emergency medicine · 2026Article
- The Effects of Artificial Intelligence in Quality Assessment of Outpatient Mental Health Services on Human Auditors.Applied clinical informatics · 2026Article
- Private Practice Providers' Experiences and Perceptions of Working in Public Mental Health Settings: A Mixed-Methods Study.Psychiatric services (Washington, D.C.) · 2026Article
- Manual Content Analysis of Online Customer Reviews on Wearable Technologies for the Treatment of Body-Focused Repetitive Behaviours.Archives of psychiatry research · 2025Article
- High Out-of-Pocket Cost Burden of Mental Health Care for Adult Outpatients in the United States.Psychiatric services (Washington, D.C.) · 2025Article
- Assessing TDApp: An AI-based clinical decision support system for ADHD treatment recommendations.Frontiers in psychiatry · 2025Article
- Self-Pay Outpatient Mental Health Care for Children and Adolescents, by Socioeconomic Status.Psychiatric services (Washington, D.C.) · 2024Article
- Policy Recommendations for Coordinated and Sustainable Growth of the Behavioral Health Workforce.The Milbank quarterly · 2024Article
- Insurance acceptance and cash pay rates for psychotherapy in the US.Health affairs scholar · 2024Article
- Timing of treatment for opioid use disorder among birthing people.Journal of substance use and addiction treatment · 2024Article
- Who Gets Mental Health Care?-The Role of Burden and Cash-Paying Markets.JAMA health forum · 2024Article
- Growth In Patient Cost Sharing For Hospitalizations With And Without Intensive Care Among Commercially Insured Patients.Health affairs (Project Hope) · 2023Article
- 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
- Quantifying Balance Billing for Out-of-Network Behavioral Health Care in Employer-Sponsored Insurance.Psychiatric services (Washington, D.C.) · 2022Article
- Component analysis of a synchronous and asynchronous blended care CBT intervention for symptoms of depression and anxiety: Pragmatic retrospective study.Internet interventions · 2022Article
- Cost-benefit Analysis of the Coping and Promoting Strength Program.Prevention science : the official journal of the Society for Prevention Research · 2021Article
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 1 institution in 1 country.
Funding
Abstract
Patients in the US are more likely to receive out-of-network behavioral health care, including treatment for mental health or substance use disorders, than they are to receive other medical and surgical services out of network. To date, out-of-network and in-network trends in the prices and use of ambulatory behavioral health care have been seldom described. Here we compare levels and growth of insurer-negotiated prices (allowed amounts), patient cost sharing, and use of psychotherapy services in network and out of network in a large, commercially insured US population during 2007-17. For both adult and child psychotherapy, prices and cost sharing were substantially higher out of network than they were in network. These gaps widened during the eleven-year period. Prices and cost sharing for in-network psychotherapy decreased during this period, whereas prices and cost sharing for out-of-network psychotherapy increased. Use of adult and child psychotherapy increased during this period, driven by growth of in-network rather than out-of-network use. The increasing gap in prices and cost sharing between out-of-network and in-network psychotherapy, viewed in the context of a shortage of behavioral health providers who accept insurance, may limit access to ambulatory behavioral health care.
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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.