Evidence map›Paper›PMID 35787079›Full record

ArticleHealth affairs (Project Hope)2022

Phantom Networks: Discrepancies Between Reported And Realized Mental Health Care Access In Oregon Medicaid.

Jane M Zhu, Christina J Charlesworth, Daniel Polsky, K John McConnell

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

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  19. Rural and frontier access to mental health prescribers and nonprescribers: A geospatial analysis in Oregon Medicaid.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Jane M ZhuJane M. Zhu (zhujan@ohsu.edu), Oregon Health & Science University, Portland, Oregon.
Christina J CharlesworthChristina J. Charlesworth, Oregon Health & Science University.
Daniel PolskyDaniel Polsky, Johns Hopkins University, Baltimore, Maryland.
K John McConnellK. John McConnell, Oregon Health & Science University.

Funding

Mental Health Provider Networks in Medicaid and Implications for Care Utilization and Health OutcomesK08MH123624 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI ZHU, JANE MINGJIA · 2020 to 2023
$756k
NIMH NIH HHS K08 MH123624
6 · The paper itself

Abstract

Understanding the extent to which beneficiaries can "realize" access to reported provider networks is imperative in mental health care, where there are significant unmet needs. We compared listings of providers in network directories against provider networks empirically constructed from administrative claims among members who were ages sixty-four and younger and enrolled in Oregon's Medicaid managed care organizations between January 1 and December 31, 2018. "In-network" providers were those with any medical claims filed for at least five unique Medicaid beneficiaries enrolled in a given health plan. They included primary care providers, specialty mental health prescribers, and nonprescribing mental health clinicians. Overall, 58.2 percent of network directory listings were "phantom" providers who did not see Medicaid patients, including 67.4 percent of mental health prescribers, 59.0 percent of mental health nonprescribers, and 54.0 percent of primary care providers. Significant discrepancies between the providers listed in directories and those whom enrollees can access suggest that provider network monitoring and enforcement may fall short if based on directory information.

Indexed as

Health Services AccessibilityMedicaidHealth PlanningHumansMental HealthOregonUnited States

Identifiers

PMID35787079
PMCPMC9876384

What OpenQuestion holds

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Registered trials

None linked

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.