ArticlePsychiatric services (Washington, D.C.)2020
Psychiatrist Participation in Private Health Insurance Markets: Paucity in the Land of Plenty.
Article in Psychiatric services (Washington, D.C.), 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
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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.
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Who cites it
16 citing papers in PubMed, 24 citations in OpenAlex.
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- Estimating Medicaid Reimbursement For Psychological Services.Health affairs (Project Hope) · 2025Article
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- Medicaid Costs and Outcomes for Patients Treated in an Outpatient Telepsychiatry Clinic.JAMA network open · 2025Article
- Medicaid managed care organizations' experiences with network adequacy.Health affairs scholar · 2025Article
- Genetic and Genomic Literacy of Healthcare Providers Treating Anorexia Nervosa in the United States: A Mixed Methods, Cross-Sectional Study.Brain and behavior · 2025Article
- Trends in Psychiatrist-Led Care for Medicare Part B Enrollees.JAMA network open · 2025Article
- 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
- Who Gets Mental Health Care?-The Role of Burden and Cash-Paying Markets.JAMA health forum · 2024Article
- Psychiatrist and Nonpsychiatrist Physician Network Breadth in Dual Eligible Special Needs Plans.Psychiatric services (Washington, D.C.) · 2023Article
- Psychiatrist Networks In Medicare Advantage Plans Are Substantially Narrower Than In Medicaid And ACA Markets.Health affairs (Project Hope) · 2023Article
- Characteristics of Specialty Mental Health Provider Networks in Oregon Medicaid.Psychiatric services (Washington, D.C.) · 2023Article
- Phantom Networks: Discrepancies Between Reported And Realized Mental Health Care Access In Oregon Medicaid.Health affairs (Project Hope) · 2022Article
- Trends in Participation in Medicare Among Psychiatrists and Psychiatric Mental Health Nurse Practitioners, 2013-2019.JAMA network open · 2022Article
- Structural Barriers Associated with the Intersection of Traumatic Stress and Gun Violence: A Case Example of New Orleans.Healthcare (Basel, Switzerland) · 2021Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveAccess to specialty mental health care may be poor because many psychiatrists do not accept health insurance reimbursement, whereas many patients rely on insurance to help pay for care. The objective of this study was to examine the extent of participation in private insurance by licensed psychiatrists.
methodsUsing 2013 Massachusetts licensing data and the All-Payer Claims Database (APCD), the authors performed a cross-sectional analysis of licensed psychiatrists in Massachusetts. The fraction of psychiatrists who filed insurance claims, number of unique patients with insurance claims per psychiatrist, and physician characteristics associated with insurance participation were evaluated.
resultsIn 2013, Massachusetts had 2,348 licensed psychiatrists. Overall, 79% (N=1,843) had at least one paid claim for an outpatient visit in the APCD, but only 6% (N=151) had claims for at least 300 patients per year (a full caseload). Psychiatrists had a median of 18 patients with claims (mean=73). Compared with psychiatrists 30-39 years since medical school graduation, those within 19 years since graduation were less likely to bill for an outpatient (7-19 years, odds ratio [OR]=0.67, 95% confidence interval [CI]=0.47-0.94) and less likely to have claims for ≥300 patients per year (7-19 years, OR=0.49, 95% CI=0.29-0.83). Participation varied across insurance types (93% for group commercial plans versus 33% for Medicaid managed care plans).
conclusionsAmong Massachusetts psychiatrists, participation in the private insurance market appears to be limited. Older psychiatrists are more likely to participate, and patients' access to psychiatrists who accept insurance could worsen as these psychiatrists retire.
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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.