The Mental Health Parity and Addiction Equity Act evaluation study : Impact on specialty behavioral health utilization and expenditures among “carve-out” enrollees

Détails

Ressource 1Télécharger: MHPAEA_CO_Utilization_FinalText.pdf (696.54 [Ko])
Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_F16A773A063F
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 specialty behavioral health utilization and expenditures among “carve-out” enrollees
Périodique
Journal of Health Economics
Auteur(s)
Ettner Susan L., M. Harwood Jessica, Thalmayer Amber, Ong Michael K., Xu Haiyong, Bresolin Michael J., Wells Kenneth B., Tseng Chi-Hong, Azocar Francisca
ISSN
0167-6296
Statut éditorial
Publié
Date de publication
12/2016
Volume
50
Pages
131-143
Langue
anglais
Résumé
Interrupted time series with and without controls was used to evaluate whether the federal Mental Health Parity and Addiction Equity Act (MHPAEA) and its Interim Final Rule increased the probability of specialty behavioral health treatment and levels of utilization and expenditures among patients receiving treatment. Linked insurance claims, eligibility, plan and employer data from 2008-13 were used to estimate segmented regression analyses, allowing for level and slope changes during the transition (2010) and post-MHPAEA (2011-13) periods. The sample included 1,812,541 individuals ages 27-64 (49,968,367 person-months) in 10,010 Optum “carve-out” plans. Two-part regression models with Generalized Estimating Equations were used to estimate expenditures by payer and outpatient, intermediate and inpatient service use. We found little evidence that MHPAEA increased utilization significantly, but somewhat more robust evidence that costs shifted from patients to plans. Thus the primary impact of MHPAEA among carve-out enrollees may have been a reduction in patient financial burden.
Mots-clé
Public Health, Health Policy, Behavioral health, parity, utilization, expenditures, insurance benefits
Création de la notice
23/12/2016 13:46
Dernière modification de la notice
20/08/2019 16:18
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