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NETWORK ADEQUACY

The resources below relate to network adequacy, i.e., ensuring access to in-network MH/SU providers:

  • Insurance Claims Data Analyses of Disparities: 
 
Press Release – New Study Finds Continuing Pervasive Disparities in Access to In-Network Mental Health and Substance Use Disorder Treatment
List of Supporting Organizations and Quotes
RTI International Website

  • 2023 Model Data Request Form (MDRF) (Updated) – Quantitative data templates used by employers, employer coalitions, regulators and other stakeholders in requesting targeted, quantitative data from third party administrators and insurers for assessment of access to in-network behavioral health services. The MDRF has been used as a source and template by multiple regulators. Note: Clicking this link will download a Word document to your computer, which contains embedded Excel files.

  • Data from Surveys Regarding Access to MH/SU Care:

  • Surveys of Patients and Providers:

  • 2023 Survey conducted by NORC – Equitable Access to Mental Health and Substance Use Care: An Urgent Need: Patient-experience survey conducted by NORC shows stark access barriers for mental health versus physical health and reviews several related studies by others

Press Release – New Patient Survey Shows Pervasive Disparities in Access Between Mental Health and Substance Use Versus Physical Health Care: Leading mental health and employer groups come together around health system solutions for the nation's "staggering public health challenge" in mental health

  • Surveys of Employers:

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