In order to fix the access gap, all stakeholders have to work together.
About 44 million American adults have a mental health issue every year, but 56% don't get access to the needed care. This lack of access is not only bad for people. It also drives up costs for payors and creates a host of problems for medical providers. Untreated mental health conditions cost America about $150 billion to $200 billion a year in increased medical costs and lost productivity. Any real solution requires real collaboration.
MENTAL HEALTHCARE PROVIDERS
Specialized mental healthcare providers face an unfortunate conundrum. Often those who need care cannot access it. Costs are either prohibitively high as many cannot afford out-of-network rates, and in-network reimbursement can be unsustainably low for providers. Shortages of psychiatrists and other specialized mental health professionals in many communities creates geographic barriers for others who need care. Most mental healthcare providers care deeply about reaching those without access, but don’t have meaningful ways to bridge these gaps.
MEDICAL HEALTH PROVIDERS
Medical providers know that mental health and physical health are interconnected and that poor mental health results in poor outcomes for disease management. However, patients rarely follow through on getting mental health treatment due to cost, stigma and the lack of local mental health providers that meet their needs.
About 15% of the population suffers from comorbid medical and behavioral conditions. These beneficiaries drive about 30% of total health care spend. Payers end up paying 2x to 3x in claims payments for this population when the mental health disorder is left untreated.