Privately insured people suffering from drug and alcohol addiction or mental health conditions pay more out-of-pocket for care and are more likely to see out-of-network providers than people with chronic physical health conditions, according to a new study in JAMA Network Open.

Between the lines: These costs prevent people from receiving care. The study used data from 2012–2017, a time frame during which the opioid epidemic was ravaging communities across the country.

By the numbers: Patients with mental health conditions spent $341 more on cost-sharing for out-of-network care than people with diabetes did.

  • People with drug use disorders spent $1,242 more, and those with alcohol use disorders spent $1,138 more.

This disparity is partially a result of how infrequently behavioral health providers participate in insurance networks.

  • "Combined with high demand and low rates of reimbursement, the workforce scarcity of behavioral health clinicians can represent the weakest component of health plan networks," the authors write.

Go deeper:

Go deeper

Caitlin Owens, author of Vitals
19 mins ago - Health

The coronavirus is starting to crush some hospitals

Illustration: Aïda Amer/Axios

Some states are seeing dangerous levels of coronavirus hospitalizations, with hospitals warning that they could soon become overwhelmed if no action is taken to slow the spread.

Why it matters: Patients can only receive good care if there's enough care to go around — which is one reason why the death rate was so much higher in the spring, some experts say.

Scoop: The Lincoln Project is becoming a media business

Illustration: Eniola Odetunde/Axios

The Lincoln Project is looking to beef up its media business after the election, sources tell Axios.

Driving the news: The group recently signed with the United Talent Agency (UTA) to help build out Lincoln Media and is weighing offers from different television studios, podcast networks and book publishers.

Trump, Biden strategies revealed in final ad push

Data: Bully Pulpit Interactive; Chart: Danielle Alberti/Axios

President Trump is pouring hundreds of thousands of dollars into Facebook ads on the Supreme Court and conservative judges in the final stretch of his campaign, while Joe Biden is spending over a million on voter mobilization, according to an analysis by Axios using data from Bully Pulpit Interactive.

The big picture: Trump's Facebook ad messaging has fluctuated dramatically in conjunction with the news cycle throughout his campaign, while Biden's messaging has been much more consistent, focusing primarily on health care and the economy.