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Research Letter
July 15, 2020

Trends in Self-Payment for Outpatient Psychiatrist Visits

Author Affiliations
  • 1University of Maryland School of Public Health, College Park
JAMA Psychiatry. Published online July 15, 2020. doi:10.1001/jamapsychiatry.2020.2072

Even though insurance coverage for mental health has greatly improved over the last 10 years in the US,1,2 many patients continue to struggle to find psychiatrists willing to accept their insurance and need to pay upfront for their psychiatrist visits.3 This is a hurdle that many patients cannot surmount, even if a portion of that payment is eventually paid by insurance. This study aimed to explore patterns in self-payment for office-based psychiatric services and changes over time, particularly with the passage of the Mental Health Parity and Addiction Equity Act and the Affordable Care Act.4,5

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