ArticleHealth affairs (Project Hope)2023
Psychiatrist Networks In Medicare Advantage Plans Are Substantially Narrower Than In Medicaid And ACA Markets.
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 27 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
27 citing papers in PubMed, 36 citations in OpenAlex.
- Mental Health Utilization Gap by Insurance Type Among US Adults With Chronic Pain.JAMA health forum · 2026Article
- Prior Authorization Requirements in Medicare Advantage and County Social Vulnerability.The American journal of managed care · 2026Article
- Access to Specialty Cancer Care and Plan Disenrollment Among Medicare Beneficiaries.JAMA network open · 2026Article
- Cross-sectional analysis of accuracy versus interpretability in Medicare Advantage risk adjustment.Health policy OPEN · 2026Article
- Risk Adjustment for Alzheimer Disease and Related Dementias in Medicare Advantage and Health Care Experiences.JAMA network open · 2026Article
- Mental health care use after leaving Medicare Advantage for traditional Medicare.The American journal of managed care · 2025Article
- Benefit Design and Potential Trade-offs of Medicare Advantage Affinity Plans for Asian Beneficiaries.JAMA network open · 2025Article
- Reported Strategies by Medicaid Managed Care Organizations to Improve Access to Behavioral Health Services.The Milbank quarterly · 2025Article
- Zero-premium Medicare Advantage plans: trends in areas with socioeconomic vulnerability and health needs.Health affairs scholar · 2025Article
- Association of Medicare Advantage vs Traditional Medicare with Clinical Outcomes Among Patients Hospitalized for Substance Use Disorders.Journal of general internal medicine · 2025Article
- Medicare Eligibility and Health Care Use Among Adults With Psychological Distress.JAMA health forum · 2025Article
- Out-Of-Network Utilization and Plan Selection Among Medicare Advantage Cost Plan Enrollees.Health services research · 2025Article
- Radiotherapy Utilization in Traditional Medicare and Medicare Advantage.JAMA network open · 2025Article
- Association of Medicaid Accountable Care Organizations and postpartum mental health care utilization.Health services research · 2025Article
- Medicaid managed care organizations' experiences with network adequacy.Health affairs scholar · 2025Article
- Enrollment in Medicare is associated with fewer outpatient mental healthcare visits among those with mental health symptoms.Health services research · 2025Article
- How Specialized Are Special Needs Plans? Evidence From Provider Networks.Medical care research and review : MCRR · 2025Article
- Use and Costs of Supplemental Benefits in Medicare Advantage, 2017-2021.JAMA network open · 2025Article
- Collaborative Care Cost-Sharing and Referral Rates in Colorado.Medical care · 2024Observational
- Insurance acceptance and cash pay rates for psychotherapy in the US.Health affairs scholar · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
Medicare Advantage now covers twenty-eight million older adults, many of whom have mental health needs. Enrollees are often restricted to providers who participate in a health plan's network, which may present a barrier to care. We used a novel data set linking network service areas, plans, and providers to compare psychiatrist network breadth-the percentage of providers in a given area that are considered "in network" for a plan-across Medicare Advantage, Medicaid managed care, and Affordable Care Act plan markets. We found that nearly two-thirds of psychiatrist networks in Medicare Advantage were narrow (that is, they contained fewer than 25 percent of providers in a network's service area) compared with approximately 40 percent in Medicaid managed care and Affordable Care Act plan markets. We did not observe similar differences in network breadth for primary care physicians or other physician specialists across markets. Amid efforts to strengthen network adequacy, our findings suggest that psychiatrist networks in Medicare Advantage are particularly narrow, which may disadvantage enrollees as they attempt to obtain mental health services.
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.