Impact of Medicaid Institution for Mental Diseases Exclusion on Serious Mental Illness Outcomes
Medicaid’s Institution for Mental Diseases (IMD) rule bars federal funding for psychiatric facilities with more than 16 beds, but findings indicate that state waivers allowing treatment of serious mental illness in IMDs do not increase overall psychiatric hospitalizations.
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Linking Insured Adults to Behavioral Health Care: A Cost-Saving Solution
Connecting primary care providers and commercially insured adults to outpatient behavioral health services via a digital platform improved health outcomes and reduced medical costs.
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Mental Health Care Use After Leaving Medicare Advantage for Traditional Medicare
December 1st 2025Medicare Advantage beneficiaries with mental health diagnoses see more nurse practitioners and fewer internal medicine and emergency medicine specialists after switching to traditional Medicare.
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Clinical Setting of Initial Psychotic Spectrum Disorder Diagnoses in an Integrated Health System
This study examines the clinical settings of first-time psychotic spectrum disorder diagnoses in an integrated health system.
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ACA Network Regulatory Filings Are Inaccurate, Poorly Match Provider Directories
September 16th 2025A secret shopper survey (N = 8306) in Pennsylvania’s Affordable Care Act (ACA) Marketplace found inconsistencies between carrier regulatory filings and provider directories, frequent inaccuracies in regulatory filings, and challenges in securing timely appointments.
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