The outlet spoke to more than 500 behavioral health providers about their decisions to leave insurance networks.
A report from the Research Triangle Institute published in April found patients were 3.5 times more likely to visit an out-of-network behavioral provider than for medical or surgical office visits in 2021.
The average reimbursement for medical and surgical clinician office visits was 21.7% higher than for all behavioral health clinicians in 2021, according to the Research Triangle Institute.
Here are the most commonly-citied reasons providers interviewed by ProPublica left one or more insurers’ networks:
- More than 130 providers said they left networks because of low reimbursement rates.
- More than 100 providers said they left networks after encountering red tape to submit claims and receive payments.
- Around 60 providers said they left networks over delayed payments or clawbacks.
- 44 providers said they left networks after insurers questioned the necessity of patients’ care.
Read ProPublica’s full report here.
