The Mental Health Parity and Addiction Equity Act Evaluation Study: Impact on Nonquantitative Treatment Limits for Specialty Behavioral Health Care.

Détails

ID Serval
serval:BIB_C3F0301FE628
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 Nonquantitative Treatment Limits for Specialty Behavioral Health Care.
Périodique
Health services research
Auteur(s)
Thalmayer A.G., Harwood J.M., Friedman S., Azocar F., Watson L.A., Xu H., Ettner S.L.
ISSN
1475-6773 (Electronic)
ISSN-L
0017-9124
Statut éditorial
Publié
Date de publication
12/2018
Peer-reviewed
Oui
Volume
53
Numéro
6
Pages
4584-4608
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To assess frequency, type, and extent of behavioral health (BH) nonquantitative treatment limits (NQTLs) before and after implementation of the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA).
Secondary administrative data for Optum carve-out and carve-in plans.
Cross-tabulations and "two-part" regression models were estimated to assess associations of parity period with NQTLs.
Optum provided four proprietary BH databases, including 2008-2013 data for 40 carve-out and 385 carve-in employers from Optum's claims processing databases and 2010 data from interviews conducted by Optum's parity compliance team with 49 carve-out employers.
Preparity, carve-out plans required preauthorization for in-network inpatient/intermediate care; otherwise coverage was denied. Postparity, 73 percent would review later by request and half charged no penalty for late authorization. Outpatient visit authorization requirements virtually disappeared. For carve-out out-of-network inpatient/intermediate care, and for carve-ins, plans changed penalties to match medical service policies, but this did not necessarily lead to fewer requirements or lower penalties.
After 2011, MHPAEA was associated with the transformation of BH care management, including much less restrictive preauthorization requirements, especially for in-network care provided by carve-out plans.
Mots-clé
Managed care, insurance, mental health parity
Pubmed
Création de la notice
12/05/2018 8:48
Dernière modification de la notice
20/08/2019 15:39
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