Evidence map›Paper›PMID 37011308›Full record

ArticleHealth affairs (Project Hope)2023

Medicaid Reimbursement For Psychiatric Services: Comparisons Across States And With Medicare.

Jane M Zhu, Stephanie Renfro, Kelsey Watson, Ashmira Deshmukh, K John McConnell

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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  12. Pediatric Mental Health Boarding in US Emergency Departments, 2018-2022.Journal of the American College of Emergency Physicians open · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jane M ZhuJane M. Zhu (zhujan@ohsu.edu), Oregon Health & Science University, Portland, Oregon.
Stephanie RenfroStephanie Renfro, Oregon Health & Science University.
Kelsey WatsonKelsey Watson, Oregon Health & Science University.
Ashmira DeshmukhAshmira Deshmukh, OHSU-PSU School of Public Health, Portland, Oregon.
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

Medicaid is characterized by low rates of provider participation, often attributed to reimbursement rates below those of commercial insurance or Medicare. Understanding the extent to which Medicaid reimbursement for mental health services varies across states may help illuminate one lever for increasing Medicaid participation among psychiatrists. We used publicly available Medicaid fee-for-service schedules from state Medicaid agency websites in 2022 to construct two indices for a common set of mental health services provided by psychiatrists: a Medicaid-to-Medicare index to benchmark each state's Medicaid reimbursement with that of Medicare for the same set of services, and a state-to-national Medicaid index comparing each state's Medicaid reimbursement with an enrollment-weighted national average. On average, Medicaid paid psychiatrists at 81.0 percent of Medicare rates, and a majority of states had a Medicaid-to-Medicare index that was less than 1.0 (median, 0.76). State-to-national Medicaid indices for psychiatrists' mental health services ranged from 0.46 (Pennsylvania) to 2.34 (Nebraska) but did not correlate with the supply of Medicaid-participating psychiatrists. As policy makers look to reimbursement rates as one strategy to address ongoing mental health workforce shortages, comparing Medicaid payment across states may help benchmark ongoing state and federal proposals.

Indexed as

Mental Health ServicesPsychiatryAgedHumansMedicaidMedicarePennsylvaniaUnited States

Identifiers

PMID37011308
PMCPMC10125036

What OpenQuestion holds

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Registered trials

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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.