ArticleThe American journal of psychiatry2012
Behavioral health insurance parity: does Oregon's experience presage the national experience with the Mental Health Parity and Addiction Equity Act?
Article in The American journal of psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Policy Levers to Promote Access to and Utilization of Children's Mental Health Services: A Systematic Review.Administration and policy in mental health · 2019Pooled it
- Effects of mental health benefits legislation: a community guide systematic review.American journal of preventive medicine · 2015Pooled it
- The dynamics of mental health policy in Iran over the last century.BMC psychology · 2025Article
- Coverage Parity And Racial And Ethnic Disparities In Mental Health And Substance Use Care Among Medicare Beneficiaries.Health affairs (Project Hope) · 2023Article
- Implementing parity for mental health and substance use treatment in Medicaid.Health services research · 2020Article
- Association of Federal Mental Health Parity Legislation With Health Care Use and Spending Among High Utilizers of Services.Medical care · 2019Article
- Federal Parity and Access to Behavioral Health Care in Private Health Plans.Psychiatric services (Washington, D.C.) · 2018Article
- Promoting Adoption of Medication for Opioid and Alcohol Use Disorders Through System Change.Journal of studies on alcohol and drugs · 2017Article
- Effects of accountable care and payment reform on substance use disorder treatment: evidence from the initial 3 years of the alternative quality contract.Addiction (Abingdon, England) · 2017Article
- The Mental Health Parity and Addiction Equity Act evaluation study: Impact on specialty behavioral health utilization and expenditures among "carve-out" enrollees.Journal of health economics · 2016Article
- Effects of Global Payment and Accountable Care on Tobacco Cessation Service Use: An Observational Study.Journal of general internal medicine · 2016Observational
- Health Plans' Early Response to Federal Parity Legislation for Mental Health and Addiction Services.Psychiatric services (Washington, D.C.) · 2016Article
- The Early Impact Of The 'Alternative Quality Contract' On Mental Health Service Use And Spending In Massachusetts.Health affairs (Project Hope) · 2015Article
- Schizophrenia in a Primary Care Setting.Current psychiatry reports · 2015Review
- Legislations and policies to expand mental health and substance abuse benefits in health insurance plans: a community guide systematic economic review.The journal of mental health policy and economics · 2015Review
- How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care.The journal of behavioral health services & research · 2014Article
- The effects of federal parity on substance use disorder treatment.The American journal of managed care · 2014Article
- State parity laws and access to treatment for substance use disorder in the United States: implications for federal parity legislation.JAMA psychiatry · 2013Article
- The effect of parity on expenditures for individuals with severe mental illness.Health services research · 2013Article
- Mental health collaborative care and its role in primary care settings.Current psychiatry reports · 2013Review
Corrections and comments
- Commented on by
- Commented on by
- Erratum issued
Authors and funding
8 authors.
Funding
Abstract
objectiveThe Mental Health Parity and Addiction Equity Act of 2008 prohibits commercial group health plans from imposing spending and visit limitations for mental health and substance abuse services that are not imposed on medical-surgical services. The act also restricts the use of managed care tools that apply to behavioral health benefits in ways that differ from how they apply to medical-surgical benefits. The only precedent for this approach is Oregon's state parity law, which was implemented in 2007. The goal of this study was to estimate the effect of Oregon's parity law on expenditures for mental health and substance abuse treatment services.
methodThe authors compared expenditures for commercially insured individuals in four Oregon health plans from 2005 through 2008 and a matched group of commercially insured individuals in Oregon who were exempt from parity. Using a difference-in-differences analysis, the authors analyzed the effect of comprehensive parity on spending for mental health and substance abuse services.
resultsIncreases in spending on mental health and substance abuse services after implementation of Oregon's parity law were almost entirely the result of a general trend observed among individuals with and without parity. Expenditures per enrollee for mental health and substance abuse services attributable to parity were positive, but they did not differ significantly from zero in any of the four plans.
conclusionsBehavioral health insurance parity rules that place restrictions on how plans manage mental health and substance abuse services can improve insurance protections without substantial increases in total costs.
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Registered trials
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