Psychiatric Services · 2024 · 10 citations · 10 references
Public AffairsInsurancePsychiatryHealth InsuranceMental Health CareSubstance Use DisordersHealth Care CostsHealth Care Expenditure AnalysisHealthcare Cost AnalysisMental HealthOut-of-pocket SpendingOutpatient Resource UtilizationBurdenCost Burden MeasurementMental Health BurdenMental Health Care Out-of-pocket CostsOut-of-pocket Expenditure AnalysisOut-of-pocket Health ExpendituresOut-of-pocket Payment BurdenOutpatient Out-of-pocket Costs
OBJECTIVE: This report describes characteristics of patients who had high out-of-pocket (OOP) spending on mental health care relative to income. METHODS: A sample of 8,923 U.S. adults with outpatient mental health visits was drawn from the 2018-2021 Medical Expenditure Panel Survey. Respondents who spent ≥10% of their disposable family incomes on OOP mental health visits were defined as having a high OOP cost burden. RESULTS: Using weighted percentages, the authors found that 2.4% of psychiatric outpatients had a high OOP burden; among those below the federal poverty level, 12.8% had a high OOP burden. Patients with a high (vs. low) OOP burden were statistically significantly more likely to be uninsured (7.5% vs. 2.4%) or diagnosed as having a substance use disorder (8.7% vs. 2.8%) or bipolar disorder (14.5% vs. 8.0%). CONCLUSIONS: Despite federal policies extending the availability of insurance for mental health care, many low-income psychiatric outpatients experience high OOP cost burden.
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Comorbidity Measures for Use with Administrative Data
Anne Elixhauser, Claudia Steiner, D.R. Harris et al. · Medical Care · 1998 · 9.9K citations
Education, Health Services Administration, Health Assessment +16
Screening for Serious Mental Illness in the General Population
Ronald C. Kessler, Peggy R. Barker, Lisa J. Colpe et al. · Archives of General Psychiatry · 2003 · 5.7K citations