Who Provides Outpatient Clinical Care for Adults With ADHD? Analysis of Healthcare Claims by Types of Providers Among Private Insurance and Medicaid Enrollees, 2021

Objective: To characterize provider types delivering outpatient care overall and through telehealth to U.S. adults with ADHD. Method: Using employer-sponsored insurance (ESI) and Medicaid claims, we identified enrollees aged 18 to 64 years who received outpatient care for ADHD in 2021. Billing provi...

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Bibliographic Details
Published in:Journal of attention disorders 2024-06, Vol.28 (8), p.1225-1235
Main Authors: Danielson, Melissa L., Claussen, Angelika H., Arifkhanova, Aziza, Gonzalez, Maria G., Surman, Craig
Format: Article
Language:English
Subjects:
Adolescent
Adult
Ambulatory Care - statistics & numerical data
Attention Deficit Disorder with Hyperactivity - therapy
Female
Health Benefit Plans, Employee - statistics & numerical data
Humans
Insurance Claim Review - statistics & numerical data
Insurance, Health - statistics & numerical data
Male
Medicaid - statistics & numerical data
Middle Aged
Telemedicine - statistics & numerical data
United States
Young Adult
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Description
Summary:Objective: To characterize provider types delivering outpatient care overall and through telehealth to U.S. adults with ADHD. Method: Using employer-sponsored insurance (ESI) and Medicaid claims, we identified enrollees aged 18 to 64 years who received outpatient care for ADHD in 2021. Billing provider codes were used to tabulate the percentage of enrollees receiving ADHD care from 10 provider types overall and through telehealth. Results: Family practice physicians, psychiatrists, and nurse practitioners/psychiatric nurses were the most common providers for adults with ESI, although the distribution of provider types varied across states. Lower percentages of adults with Medicaid received ADHD care from physicians. Approximately half of adults receiving outpatient ADHD care received ADHD care by telehealth. Conclusion: Results may inform the development of clinical guidelines for adult ADHD and identify audiences for guideline dissemination and education planning.
ISSN:1087-0547
1557-1246
DOI:10.1177/10870547241238899