Evidence map›Paper›PMID 26240247›Full record

ArticleHealth affairs (Project Hope)2015

Federal parity law associated with increased probability of using out-of-network substance use disorder treatment services.

Emma E McGinty, Susan H Busch, Elizabeth A Stuart, Haiden A Huskamp, Teresa B Gibson, Howard H Goldman, Colleen L Barry

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 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

7 authors.

Emma E McGintyEmma E. McGinty (bmcginty@jhu.edu) is an assistant professor of health policy and management and of mental health at the Johns Hopkins Bloomberg School of Public Health, in Baltimore, Maryland.
Susan H BuschSusan H. Busch is a professor of health policy at Yale School of Public Health, in New Haven, Connecticut.
Elizabeth A StuartElizabeth A. Stuart is a professor of mental health, biostatistics, and health policy and management at the Johns Hopkins Bloomberg School of Public Health.
Haiden A HuskampHaiden A. Huskamp is a professor of health care policy at Harvard Medical School, in Boston, Massachusetts.
Teresa B GibsonTeresa B. Gibson is a faculty research associate of health care policy at Harvard Medical School and a senior research scientist at the Arbor Research Collaborative for Health, in Ann Arbor, Michigan.
Howard H GoldmanHoward H. Goldman is a professor of psychiatry at the University of Maryland School of Medicine, in Baltimore.
Colleen L BarryColleen L. Barry is an associate professor of health policy and management and of mental health at the Johns Hopkins Bloomberg School of Public Health.

Funding

Expanding Treatment of Opioid Dependence Among the Privately InsuredR01DA026414 · NIDA · YALE UNIVERSITY · PI BUSCH, SUSAN H · 2009 to 2012
$1.7M
Implementation of Federal Mental Health ParityR01MH093414 · NIMH · JOHNS HOPKINS UNIVERSITY · PI BARRY, COLLEEN L · 2012 to 2014
$1.6M
NIDA NIH HHS R01 DA026414NIDA NIH HHS R01DA026414NIMH NIH HHS R01 MH093414NIMH NIH HHS R01MH093414
6 · The paper itself

Abstract

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.

Indexed as

Health PolicyHealthcare DisparitiesHumansInsurance BenefitsInsurance CoverageInsurance, HealthMental Health ServicesOutcome Assessment, Health CareSubstance-Related DisordersUnited StatesMental Health/Substance Abuse

Identifiers

PMID26240247
PMCPMC4607035

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.