Mental Health Insurance Parity: How Full Is the Glass?

Huskamp, Haiden A.

doi:10.1007/978-3-030-11908-9_13

Cited by 3 publications

(6 citation statements)

References 43 publications

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“… 26 With the increase of private health insurance coverage, mental health and substance use–related benefits became more limited compared with other services, including caps on the number of covered inpatient days for mental illness and outpatient visits as well as higher copayments for mental health services than for other services. 29 The ACA aimed to improve access to mental health services by expanding requirements for employer-sponsored health plans and Medicaid-managed care plans to have mental health coverage comparable to medical coverage in terms of financial requirements and treatment limits. 30 , 31 , 32 , 33 Approximately 30% of individuals who gained coverage through Medicaid expansion had a mental or substance use disorder.…”

Section: Discussionmentioning

confidence: 99%

Association of State Medicaid Expansion Status With Rates of Suicide Among US Adults

et al. 2022

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Key Points Question What is the association of Medicaid expansion under the Patient Protection and Affordable Care Act with suicide rates? Findings Although suicide rates increased from 2000 to 2018 across all states in this cross-sectional study, a statistically significant attenuation of −0.40 suicides per 100 000 people was found in Medicaid expansion states compared with nonexpansion states, translating to 1818 fewer suicides from 2015 to 2018. Meaning These findings suggest that Medicaid expansion, which increases mental health coverage, is associated with a decrease in suicide mortality.

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Section: Discussionmentioning

confidence: 99%

Association of State Medicaid Expansion Status With Rates of Suicide Among US Adults

et al. 2022

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“…The results underscore the importance of renewed efforts to preserve and build on the essential health benefit’s mandate requiring drug treatment benefits under private health insurance plans and the potential threat posed by counter initiatives aimed at undermining this essential requirement of the ACA [ 40 ]. While expansion of insurance coverage would be expected to increase service use, low treatment rates among insured individuals underscore the presence of other barriers to service use among covered individuals, such as narrower provider networks [ 37 – 39 ] and NQLTs imposed by some plans [ 6 , 35 , 36 ]. These provider-side barriers blunt the effect of insurance coverage expansion and parity laws and call for further policy reforms to ensure adequate access to services for individuals in need of drug use treatments.…”

Section: Discussionmentioning

confidence: 99%

“…Yet despite their remarkable progress, they may not have been fully successful in removing financial barriers to these services [35]. A recent commentator compared the accomplishment of MHPAEA and ACA to a glass that is "partially empty" [35]. Many of the participants without drug use treatment coverage in this study may have been covered by grandfathered plans that were exempted from the essential health benefits requirement of ACA.…”

Section: Plos Onementioning

confidence: 96%

“…MHPAEA and ACA both attempted to improve coverage of substance use treatments under private insurance plans by requiring parity in coverage of these services. Yet despite their remarkable progress, they may not have been fully successful in removing financial barriers to these services [35]. A recent commentator compared the accomplishment of MHPAEA and ACA to a glass that is "partially empty" [35].…”

Section: Plos Onementioning

confidence: 99%

“…Another challenge on the way to full implementation of parity is the difficulty in monitoring non-quantitative limits on treatments (NQLTs) imposed by some plans, including preauthorization requirements and other utilization management processes as well as formulary designs [6,35,36]. It is conceivable that some of the participants in this study may have reported not having insurance coverage of drug use treatment because treatments they received were not covered as a result of these NQLTs.…”

Section: Plos Onementioning

confidence: 99%

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Private health insurance coverage of drug use disorder treatment: 2005–2018

et al. 2020

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Many privately insured adults with drug use disorders in the United States do not have health care coverage for drug use treatment. The Affordable Care Act sought to redress this gap by including substance use treatments as essential health benefits under new plans offered. This study used data from 11,732 privately insured adult participants of the 2005-2018 National Survey on Drug Use and Health with drug use disorders to examine trends in drug use treatment coverage and the association of coverage with receiving treatment. 37.6% of the participants with drug use disorders did not know whether their plan covered drug use treatment, with little change over time. Among those who knew, coverage increased modestly between the 2005-2013 and 2014-2018 periods (73.5% vs. 77.5%, respectively, p = .015). Coverage was associated with receiving drug use treatment (adjusted odds ratio = 2.09, 95% confidence interval = 1.61-2.72, p < .001). However, even among participants with coverage, only 13.4% received treatment. Broader coverage of drug use treatment could potentially improve treatment rates.

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Social workers in integrated care beyond primary care: a scoping review

Milano

Petruzzi

Covington

et al. 2022

Translational Behavioral Medicine

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Social workers are key members of integrated care (IC) teams, yet there is limited research on the presence and roles of social workers on IC teams. Research literature from 2014 to 2021 was identified using the following search engines: Academic Search Complete, PsycINFO, CINAHL Plus, SocINDEX and MEDLINE. An exploratory search was conducted in January 2021 and an updated search was conducted in August 2021. This search resulted in 802 references, 50 of which met criteria for full-text review. Nine articles were identified through supplemental searching. 20 articles were included in the final review. Of the 20 studies included, most were randomized control trials (45%; n = 9). Studies varied across settings including specialty care (40%; n = 8), community-based practices (35%; n = 7), and primary care (25%; n = 5). Social workers engaged in a variety of roles including behavioral interventions, care coordination, and intake assessment. Social workers are engaged in IC in a variety of roles across healthcare settings. Findings suggest that patients’ mental health outcomes improve in IC settings which include social workers. Future research is needed to isolate the impact that social workers have in IC. Social workers are key members of integrated care teams, yet there is a need to explore their roles on these teams. Using a methodological approach, research literature from 2014 to 2021 was explored to establish the roles, responsibilities, and settings of social workers on integrated care teams. Of the 20 articles included in the review, social workers held various roles including intake assessment, care coordination, and behavioral interventions, such as psychotherapy or cognitive behavioral therapy. Findings suggest that social workers are on integrated care teams in a variety of roles across various healthcare settings and that patients’ mental health outcomes improve in integrated care settings that include social workers.

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Mental Health Insurance Parity: How Full Is the Glass?

Cited by 3 publications

References 43 publications

Association of State Medicaid Expansion Status With Rates of Suicide Among US Adults

Association of State Medicaid Expansion Status With Rates of Suicide Among US Adults

Private health insurance coverage of drug use disorder treatment: 2005–2018

Social workers in integrated care beyond primary care: a scoping review

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