Evidence map›Paper›PMID 23557191›Full record

ArticleHealth services research2013

The effect of parity on expenditures for individuals with severe mental illness.

K John McConnell

Abstract read
In one paragraph

Article in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

K John McConnellDepartment of Emergency Medicine, Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR.

Funding

Oregon's Parity Law: Comprehensive Parity in Today's Healthcare EnvironmentR01DA024024 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCCONNELL, KENNETH JOHN · 2007 to 2009
$966k
NIDA NIH HHS R01 DA024024NIDA NIH HHS R01DA024024
6 · The paper itself

Abstract

objectiveTo determine whether comprehensive behavioral health parity leads to changes in expenditures for individuals with severe mental illness (SMI), who are likely to be in greatest need for services that could be outside of health plans' traditional limitations on behavioral health care. DATA SOURCES/STUDY

settingWe studied the effects of a comprehensive parity law enacted by Oregon in 2007. Using claims data, we compared expenditures for individuals in four Oregon commercial plans from 2005 through 2008 to a group of commercially insured individuals in Oregon who were exempt from parity. STUDY

designWe used difference-in-differences and difference-in-difference-in-differences analyses to estimate changes in spending, and quantile regression methods to assess changes in the distribution of expenditures associated with parity. PRINCIPAL

findingsAmong 2,195 individuals with SMI, parity was associated with increased expenditures for behavioral health services of $333 (95 percent CI $67, $615), without corresponding increases in out-of-pocket spending. The increase in expenditures was primarily attributable to shifts in the right tail of the distribution.

conclusionsOregon's parity law led to higher average expenditures for individuals with SMI. Parity may allow individuals with high mental health needs to receive services that may have been limited without parity regulations.

Indexed as

Health Services Needs and DemandAdultFemaleHealth ExpendituresHumansInsurance CoverageMaleMental DisordersMental Health ServicesMiddle AgedOregonUnited Stateshealth care costshealth care financing/insurance/premiumsHealth economicsmental healthsubstance abuse: alcohol dependency/tobacco

Identifiers

PMID23557191
PMCPMC3720714

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.