The Mental Health Parity and Addiction Equity Act Evaluation Study: Impact on Mental Health Financial Requirements among Commercial “Carve-In” Plans

Détails

Ressource 1Télécharger: MHPAEA_CI_FinReq_FinalText.pdf (281.30 [Ko])
Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_54E0612C6D40
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The Mental Health Parity and Addiction Equity Act Evaluation Study: Impact on Mental Health Financial Requirements among Commercial “Carve-In” Plans
Périodique
Health Services Research
Auteur(s)
Friedman Sarah A., Thalmayer Amber G., Azocar Francisca, Xu Haiyong, Harwood Jessica M., Ong Michael K., Johnson Laura Lambert, Ettner Susan L.
ISSN
0017-9124
Statut éditorial
Publié
Date de publication
12/2016
Langue
anglais
Résumé
Objective: Did mental health cost-sharing decrease following implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA)?
Data source: Specialty mental health copayments, coinsurance, and deductibles, 2008-2013, were obtained from benefits databases for “carve-in” plans from a national commercial managed behavioral health organization.
Study design: Bivariate and regression-adjusted analyses compare the probability of use and (conditional) level of cost-sharing pre- and post-parity. An interaction term is added to compare differential levels of pre- and post-parity cost-sharing changes for plans that were and were not already at parity pre-MHPAEA.
Findings: Controlling for employer/plan characteristics, MHPAEA is associated with higher intermediate care copayments ($15.9) but lower outpatient ($2.6) copayments among in- network-only plans. Among plans with in- and out-of-network benefits, MHPAEA is associated with lower inpatient ($23.2) and outpatient ($2.5) copayments, but increases in inpatient and intermediate in-network and out-of-network coinsurance (about 1 percentage point). Among the few plans not at parity pre-MHPAEA, changes in use and level of cost-sharing associated with MHPAEA were more dramatic.
Conclusion: Mixed evidence that MHPAEA led to more generous mental health benefits may stem from the finding that many plans were already at parity pre-MHPAEA. Future policy focus in mental health may shift to slowing growth in cost-sharing for all health services.
Mots-clé
Health Policy, Mental health, commercial insurance, parity
Création de la notice
23/12/2016 13:44
Dernière modification de la notice
20/08/2019 14:09
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