Key Data Points from Milliman Report
Inpatient MH/SUD* treatment occurs out-of-network 4 times more often than inpatient medical care.
Outpatient MH/SUD treatment is more than 5 times as likely to be out-of-network than outpatient medical care.
New Hampshire(one of the highest drug overdose rates)
Utah(suicide rate far above the national average)
Commercial Insurer Reimbursement Rates Vs. Medicare Reimbursement Rates
- Medical providers: paid between 11-15% more than what medicare pays.
- MH/SUD treatment providers: paid almost 5% less than what Medicare pays.
- Primary care services for medical care: paid 21% more than MH/SUD treatment services.