Are psychiatrists ready for health care reform? findings from the study of psychiatric practice under health care reform

Joyce C. West, Diana E. Clarke, Farifteh Firoozmand Duffy, Keila D. Barber, Eve K. Mościcki, Ramin Mojtabai, Kristin Kroeger Ptakowski, Saul Levin

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Objective: This study sought to describe the extent to whic psychiatrists, prior to insurance expansions under the Affordabl Care Act (ACA), reported currently participating o being likely to participate in integrated services deliver models, to assume new roles, to accept new reimbursemen structures, and to use electronic health records (EHRs) Methods: A cross-sectional probability survey of U.S. psychiatrist was fielded from September to December 2013. I total, 2,800 psychiatrists were randomly selected from th AMA Physician Masterfile, and 45% responded. Of these, 93 (N=1,099) reported treating patients, forming the sample Results: Overall, 29% reported practicing in new ACA o integrated models, and 64% reported assuming at least on new role. Forty-Two percent reported currently receivin a salary; other capitated and risk-based reimbursemen was rarely used. Half (53%) reported current use of EHRs fo clinical functions not limited to billing or practice management only 21% reported participating in the Medicare o Medicaid EHR Incentive Program. Those who reporte currently practicing or being very likely to practice in primar care or integrated treatment settings, to assume at least on ACA role, to receive a salary, or to use an EHR were younge and more racially-ethnically diverse and more likely to se Medicaid and public outpatient clinic patient Conclusions: Although substantial proportions of psychiatrist reported current practice in ACA services deliver models and ACA roles, the findings highlight opportunitie for workforce development, training, and technical assistanc to strengthen participation in these activities. Th findings also underscore the need to prepare psychiatrist for merit-based payment reforms and use of EHRs.

Original languageEnglish (US)
Pages (from-to)1292-1299
Number of pages8
JournalPsychiatric Services
Issue number12
StatePublished - Dec 1 2016

ASJC Scopus subject areas

  • Psychiatry and Mental health


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