Spending On Mental And Substance Use Disorders Projected To Grow More Slowly Than All Health Spending Through 2020

Mark, Tami L.; Levit, Katharine R.; Yee, Tracy; Chow, Clifton

doi:10.1377/hlthaff.2014.0163

Cited by 41 publications

(41 citation statements)

References 7 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2009, the year before federal parity went into effect, the proportion was 1 percent, according to Tami Mark and coauthors, and it did not change between 2009 and 2014. 23 …”

Section: Discussionmentioning

confidence: 99%

Federal Parity Law Associated With Increased Probability Of Using Out-Of-Network Substance Use Disorder Treatment Services

McGinty

Busch²,

Stuart

et al. 2015

Health Affairs

View full text Add to dashboard Cite

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 requires commercial insurers providing group coverage for substance use disorder services to offer benefits for those services at a level equal to those for medical or surgical benefits. Unlike previous parity policies instituted for federal employees and in individual states, the law extends parity to out-of-network services. We conducted an interrupted time-series analysis using insurance claims from large self-insured employers to evaluate whether federal parity was associated with changes in out-of-network treatment for 525,620 users of substance use disorder services. Federal parity was associated with an increased probability of using out-of-network services, an increased average number of out-of-network outpatient visits, and increased average total spending on out-of-network services among users of those services. Our findings were broadly consistent with the contention of federal parity proponents that extending parity to out-of-network services would broaden access to substance use disorder care obtained outside of plan networks.

show abstract

“…In 2009, the year before federal parity went into effect, the proportion was 1 percent, according to Tami Mark and coauthors, and it did not change between 2009 and 2014. 23 …”

Section: Discussionmentioning

confidence: 99%

Federal Parity Law Associated With Increased Probability Of Using Out-Of-Network Substance Use Disorder Treatment Services

McGinty

Busch²,

Stuart

et al. 2015

Health Affairs

View full text Add to dashboard Cite

show abstract

“…However, these sources of funding are expected to grow at a slower pace than insurance-based forms of payment. 8 …”

mentioning

confidence: 99%

“…8 Medicaid expenditures for addiction treatment are expected to more than double during this period, increasing from $5.2 billion to $11.9 billion and making Medicaid the fastest-growing source of payment for addiction treatment. 8 During the same period, private insurance expenditures for addiction treatment are also projected to rise, from $5.1 billion to $8.5 billion. 8 …”

mentioning

confidence: 99%

See 1 more Smart Citation

Despite Resources From The ACA, Most States Do Little To Help Addiction Treatment Programs Implement Health Care Reform

et al. 2015

View full text Add to dashboard Cite

The Affordable Care Act (ACA) dramatically expands health insurance for addiction treatment and provides unprecedented opportunities for service growth and delivery model reform. Yet most addiction treatment programs lack the staffing and technological capabilities to respond successfully to ACA-driven system change. In light of these challenges, we conducted a national survey to examine how Single State Agencies for addiction treatment—the state governmental organizations charged with overseeing addiction treatment programs—are helping programs respond to new requirements under the ACA. We found that most Single State Agencies provide little assistance to addiction treatment programs. Most agencies are helping programs develop collaborations with other health service programs. However, fewer than half reported providing help in modernizing systems to support insurance participation, and only one in three provided assistance with enrollment outreach. In the absence of technical assistance, it is unlikely that addiction treatment programs will fully realize the ACA’s promise to improve access to and quality of addiction treatment.

show abstract

“…Whereas Medicaid began as a small player in financing services for both types of disorders, it eventually grew to become the dominant source of funding for mental health treatment but has yet to reach that dominance in addiction treatment. 1 …”

mentioning

confidence: 99%

Lessons From Medicaid’s Divergent Paths On Mental Health And Addiction Services

et al. 2015

View full text Add to dashboard Cite

Over the past fifty years Medicaid has taken divergent paths in financing mental health and addiction treatment. In mental health, Medicaid became the dominant source of funding and had a profound impact on the organization and delivery of services. But it played a much more modest role in addiction treatment. This is poised to change, as the Affordable Care Act is expected to dramatically expand Medicaid’s role in financing addiction services. In this article we consider the different paths these two treatment systems have taken since 1965 and identify strategic lessons that the addiction treatment system might take from mental health’s experience under Medicaid. These lessons include leveraging optional coverage categories to tailor Medicaid to the unique needs of the addiction treatment system, providing incentives to addiction treatment programs to create and deliver high-quality alternatives to inpatient treatment, and using targeted Medicaid licensure standards to increase the quality of addiction services.

show abstract

Spending On Mental And Substance Use Disorders Projected To Grow More Slowly Than All Health Spending Through 2020

Cited by 41 publications

References 7 publications

Federal Parity Law Associated With Increased Probability Of Using Out-Of-Network Substance Use Disorder Treatment Services

Federal Parity Law Associated With Increased Probability Of Using Out-Of-Network Substance Use Disorder Treatment Services

Despite Resources From The ACA, Most States Do Little To Help Addiction Treatment Programs Implement Health Care Reform

Lessons From Medicaid’s Divergent Paths On Mental Health And Addiction Services

Contact Info

Product

Resources

About