Behavioral Health Inequities Have Cost the US Health Care System Over $278B

Statistic Info

Behavioral health disparities are the differences in access to mental health and substance use disorder services among certain populations. These differences are largely due to socioeconomic factors such as poverty, lack of insurance, and minorities.

Author: Behaviorial Health Business

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Mental & Behavioral Health

50% of a psychologist’s salary is covered through fee-for-service revenue because psych CPT codes do not reimburse at the same level as medical

The prevalence of mental illness is about equal among beneficiaries enrolled in traditional Medicare (31%) and those in Medicare Advantage plans (28%)

77% of executives are concerned with the lack of funding for addressing behavioral health and addiction issues

Over 70 % of state Medicaid programs reported at least one strategy to incentivize provider participation in Medicaid, helping to alleviate the behavioral health workforce shortage

Having one or more Outpatient Behavioral Health Treatment visits was associated with lower medical & pharmacy costs during 15 & 27-month follow-up periods

Behavioral Health Inequities Have Cost the US Health Care System Over $278B

67% of U.S. employers plan to make employee mental health & emotional well-being programs & solutions one of their top three health priorities

19.86% of adults are experiencing a mental illness

The American Rescue Plan Act, introduced in January 2021, put $12 billion toward mental healthcare & substance abuse care in Medicaid home & community-based services (HCBS).

Mental health visits are five times more likely to be out of network than primary or specialty care

More 2022 Stats

In 2022, 31.2% of physicians reported they had been sued at some point in their careers. An average of 61 claims had been filed per 100 physicians

Physicians spend nearly 2 hours daily dealing with EHRs outside of working hours

Telehealth utilization rose 5.5% in December, up slightly from November, according to Fair Health’s national monthly tracker

52% of U.S. patients said healthcare providers dismiss their described symptoms

Researchers found that 8.3 million Medicare beneficiaries participated in a telehealth visit, & of these, 5% had one or more out-of-state telehealth visits

Telehealth, physician payment, training more doctors & pandemic preparedness are among the health care provisions in the federal government’s $1.7 trillion budget for 2023

The federal budget will extend incentive payments for alternative payment models for an additional year, through 2025. However, the incentive payments will be at 3.5% instead of 5%

Although specialty medications total roughly 2% of prescribed drugs, they account for more than 52% of all pharmacy spending

Nearly 40% of Americans are confused by medical bills

Federally-facilitated Exchange Improper Payment Rate Less Than 1% in Initial Data Release