Health insurers reject claims of restricted mental health access

The Biden Administration has accused health insurance companies of imposing barriers that restrict patient access to mental health services. However, industry groups argue they are committed to expanding mental health benefits and increasing treatment access.

In a recent statement, Matt Eyles, president and CEO of America’s Health Insurance Plans (AHIP), believes insurers are actively working to improve mental health coverage despite challenges like provider shortages.

“We reject the notion that insurance providers lack commitment to mental health support,” Eyles said. “Good mental health is good health, period.”

Eyles pointed to concrete steps insurers are taking, including widening provider networks, boosting telehealth appointments, integrating mental health into primary care, and creating programs to increase the number of practicing mental health professionals.

“We’re making progress – more people are getting the treatment they need – but with far more Americans seeking support, more needs to be done,” he noted.

Core Obstacle: Mental health workforce shortages

Eyles stressed that the shortage of mental health clinicians remains one of the biggest roadblocks to access. Currently, more than 130 million Americans live in areas with fewer than one mental health provider per 30,000 residents.

While insurers have developed innovative programs to expand capacity, it will take time for more mental health professionals to enter the workforce. Building the provider pipeline is an urgent priority, Eyles emphasized.

Survey: Patients are accessing care

Eyles also cited survey findings indicating most insured patients are obtaining mental health services when needed. While the survey was conducted by Eyles’ organization, three-quarters of respondents said it was easy to access care, and 90% were satisfied with their treatment.

Additional polls of employees echoed strong (88%) satisfaction with mental health benefits offered through workplace plans.

“This can work,” Eyles stated, while acknowledging that gaps remain in ensuring comprehensive access.

The leading association for insurers, AHIP, says insurance providers will continue collaborating with policymakers to enhance mental health coverage and make services more affordable and effective for all Americans. However, rapidly addressing provider shortages will be critical to creating a more robust mental healthcare system, according to Eyles.