Despite a flattening of reimbursement rates and other concerns about mental health care in Medicare, not only is the feared and/or believed flight of mental health clinicians from Medicare not occurring, but the the actual trend is clearly in the opposite direction. The number of mental health clinicians opting out of Medicare has reached its peak, and is now decreasing.
As of this writing, a total of 8,661 psychiatrists, psychologists, and clinical social workers have opted out.
It is worth asking, even in the context of flat rates and other perceived and actual risks, why is it that any loss of mental health clinicians in Medicare seems to have been stemmed? Could this be reproduced in other systems of care? Speculations and comments are welcome! In the mean time, Medicare beneficiaries ought to take heart. You’re able to have considerable freedom of choice to see a local mental health specialist for about an $18 co-insurance payment for almost an hour of therapy (less if you have a secondary insurance)!