Employer medical claims likely miss 75% of employee mental health issues.

Uncategorized Jul 19, 2022

We've established that the United States experienced a mental health epidemic before the pandemic. Furthermore, more than 75% of employee mental health disorders are likely missed by employer medical claims. Our mental health crisis begins before people reach adulthood.

Before the pandemic, the University of Michigan stated that one in every seven teenagers and children "had at least one curable mental health issue, such as depression, anxiety, or ADHD."

According to a study published in JAMA Pediatrics by the University of Michigan, half of those youngsters went without needing treatment from a mental health professional in 2016. Following the pandemic, a JAMA Network article indicated clinically heightened child and adolescent depression was 25.2 percent, and anxiety was 20.5per cent, according to a "meta-analysis of 29 studies comprising 80,879 kids globally." According to the report, the prevalence of depression and anxiety symptoms increased during COVID-19 compared to pre-pandemic estimations.

Furthermore, it appears that the mental illness epidemic continues throughout maturity. "One in every five US adults lives with a mental disease," according to National Institute of Mental Health data from 2020. (52.9 million in 2020). AMI affected an estimated 51.5 million US people aged 18 and up in 2019, accounting for 20.6 percent of all US adults. Females had a prevalence rate of 24.5 percent, while males had a rate of 16.3 percent.

With that said, our medical claims data from the Health Transformation Alliance (HTA) shows an increase in claims linked to anxiety (+19.6%) and depression (+7.4%) from 2019 to 2021. Furthermore, from 2020 to 2021, anxiety medical claims increased (+7.5%), whereas depression claims increased (+5.4%).

While the HTA is seeing increased mental health claims, the total number of shares is minimal. In 2021, the HTA recorded 43.5 claims per 1,000 individuals, or 4.35 percent, for anxiety and 39.6 claims per 1,000 people, or 3.96 percent, for depression.

Patients who pay for treatments in a doctor's office with cash and employee assistance programs, where reporting is either weak or nonexistent, are examples of unreported claims. According to Sapien Labs' Mental Health Million Project, 45 percent of Americans with clinical-level mental health disorders do not seek treatment. Individuals' reasons for not seeking assistance included:


  • Self-help is preferred (36 percent)
  • A lack of understanding of what kind of assistance to seek or where to find it (34 percent )
  • Fear of being compelled to take medicine or being committed (28%) and lack of confidence in mental health care (included responders who believed it wouldn't help) (13 percent )
  • 22 percent did not seek help due to social shame or fear of others finding out,
  • Seventeen percent did not act due to financial constraints.

Employers can pave the way by ensuring that staff has access, sending out regular reminders, and holding open sessions to encourage them to contact out. To help patients get the care they need, several businesses give unrestricted EAP access. Others are offering specialized programs to address the sources of widespread stress, such as burnout prevention programs, racial stress seminars, and substance abuse/abuse disorder webinars.


Few employees are likely to receive medical treatment for mental health disorders under their employer-sponsored health care programs. Furthermore, research suggests that mental health disorders are still stigmatized and thrown under the rug. Employer medical claims are likely to miss 75% of employee mental health issues is only one example of how mental illness may be epidemic in America.



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