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Something We Don’t See Very Often: A Health Affairs Study That is Critical of Medicaid

Posted on May 5, 2025May 5, 2025 by John C. Goodman

Medicaid is the single largest payer for behavioral health services (ie, mental health and substance use disorder treatment) in the United States. More than 3 in every 10 enrollees have a diagnosed mental health condition, and many enrollees report inadequate access to care. For example, as of 2018, half of Medicaid enrollees with serious mental illnesses like psychosis or affective disorders reported unmet mental health care needs…. Nearly 80% of Medicaid enrollees are now covered by managed care organizations (MCOs), which are responsible for constructing networks of providers and facilities to deliver care to their enrollees.

Source:Medicaid Managed Care Organizations’ Experiences with Network Adequacy

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

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