Update On Opt Outs in Medicare

I last reported about specialties opting out of Medicare in November 2023. As of September of that year, 31,603 had opted out, a 7.8% increase over January 2023. Almost 14,000 mental health clinicians had opted out, about 5500 of whom were psychologists, the single largest group opting out. Nurse Practitioners showed the largest increase (~8%) …

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Total costs of psychological services in Medicare

Working on an ezine type post this morning, I was able to do some quick calculations on the total cost of psychological services in Medicare. Here’s a quick look. 2024 Projected Allowed Charges (Millions)¹ 2024 Percent of Medicare Outlays² 2024 Percent of Total Mandatory Outlays Clinical Psychologists $717 .08% .017% Clinical Social Workers $801 .09% .02% …

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Specialties Opting Out Of Medicare As Of January 2025

    Nearly 60% of clinicians who have opted out of Medicare are behavioral health specialists. 1,031 psychologists opted out in 2024, the most ever in a single year, a 34% increase over 2023. Mental Health Counselors (MHC) and Marriage and Family Therapists (MFT) became the third and fourth most numerous of the specialties to …

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