Behavioral health underpayments are among the highest across hospital services, highlighting the financial drag health systems face when providing these services. Across all payers, inpatient behavioral health services are reimbursed at an average of 34.3% less than the cost to provide them. Behavioral health services effectively tie inpatient nephrology in terms of underpayment. On average, those services have a net loss of 34.1%, according to a new report by the American Hospital Association (AHA). On the outpatient side, hospital behavioral health services are reimbursed an average of 31.7% of cost across all payers. Medicare, on average, reimburses outpatient behavioral health services at 28.9%, the report states.
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Source: https://bhbusiness.com/2024/05/31/payers-reimburse-behavioral-health-hospital-services-at-34-below-costs