The intersection of social risk and race and ethnicity on mental health care utilization is understudied. This study examined disparities in health care treatment, adjusting for clinical need, among 25,780 Medicare Advantage beneficiaries with a diagnosis of a psychiatric disorder. We assessed contributions to disparities from racial and ethnic differences in the composition and returns of social risk variables. Black and Hispanic beneficiaries had lower rates of mental health outpatient visits than Whites. Assessing composition, Black and Hispanic beneficiaries experienced greater financial, food, and housing insecurity than White beneficiaries, factors associated with greater mental health treatment. Assessing returns, food insecurity was associated with an exacerbation of Hispanic-White disparities. Health care systems need to address the financial, food and housing insecurity of racial and ethnic minority groups with psychiatric disorder. Accounting for racial and ethnic differences in social risk adjustment-based payment reforms has significant implications for provider reimbursement and outcomes.

中文翻译：

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患有精神疾病的医疗保险优惠受益人的社会风险因素以及医疗保健资源利用中的种族和民族差异

社会风险与种族和民族对精神卫生保健利用的交叉点尚未得到充分研究。这项研究调查了 25,780 名被诊断患有精神疾病的 Medicare Advantage 受益人在医疗保健治疗方面的差异，并根据临床需求进行了调整。我们评估了社会风险变量的构成和回报中种族和民族差异对差异的贡献。黑人和西班牙裔受益人的心理健康门诊就诊率低于白人。评估构成时，黑人和西班牙裔受益人比白人受益人经历了更大的财务、食品和住房不安全感，这些因素与更多的心理健康治疗有关。评估回报时发现，粮食不安全与拉美裔白人差距的加剧有关。医疗保健系统需要解决患有精神疾病的少数种族和族裔群体的财务、食品和住房不安全问题。在基于社会风险调整的支付改革中考虑种族和民族差异对提供者报销和结果具有重大影响。