ArticlePsychiatric services (Washington, D.C.)2016
Health Plans' Early Response to Federal Parity Legislation for Mental Health and Addiction Services.
Article in Psychiatric services (Washington, D.C.), 2016. 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 26 papers.
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
26 citing papers in PubMed.
- Changes in Access to Substance Use Disorder Treatment Associated with the 2008 U.S. Parity Law.The journal of mental health policy and economics · 2025Article
- Factors Affecting State-Level Enforcement of the Federal Mental Health Parity and Addiction Equity Act: A Cross-Case Analysis of Four States.Journal of health politics, policy and law · 2023Article
- Secret Shopper Analysis Shows Getting Psychiatry Appointment in New York City is Well Kept Secret.Community mental health journal · 2023Article
- Insurance expansions and adolescent use of substance use disorder treatment.Health services research · 2021Observational
- Carve-out plan financial requirements associated with national behavioral health parity.Health services research · 2020Article
- Prices And Cost Sharing For Psychotherapy In Network Versus Out Of Network In The United States.Health affairs (Project Hope) · 2020Article
- Does Mental Health Parity Encourage Mental Health Utilization Among Children and Adolescents? Evidence from the 2008 Mental Health Parity and Addiction Equity Act (MHPAEA).The journal of behavioral health services & research · 2020Article
- U.S. alcohol treatment admissions after the Mental Health Parity and Addiction Equity Act: Do state parity laws and race/ethnicity make a difference?Journal of substance abuse treatment · 2019Article
- Mental Health Parity and Addiction Equity Act and the Use of Outpatient Behavioral Health Services in the United States, 2005-2016.American journal of public health · 2019Article
- Patient Characteristics and Treatment Patterns Among Psychiatrists Who Do Not Accept Private Insurance.Psychiatric services (Washington, D.C.) · 2019Article
- The Mental Health Parity and Addiction Equity Act Evaluation Study: Impact on Nonquantitative Treatment Limits for Specialty Behavioral Health Care.Health services research · 2018Article
- The Mental Health Parity and Addiction Equity Act (MHPAEA) evaluation study: Did parity differentially affect substance use disorder and mental health benefits offered by behavioral healthcare carve-out and carve-in plans?Drug and alcohol dependence · 2018Article
- Medicaid Benefits For Addiction Treatment Expanded After Implementation Of The Affordable Care Act.Health affairs (Project Hope) · 2018Article
- Federal Parity and Spending for Mental Illness.Pediatrics · 2018Article
- Inter-Agency Strategies Used by State Mental Health Agencies to Assist with Federal Behavioral Health Parity Implementation.The journal of behavioral health services & research · 2018Article
- Federal Parity and Access to Behavioral Health Care in Private Health Plans.Psychiatric services (Washington, D.C.) · 2018Article
- Mental Health Spending and Intensity of Service Use Among Individuals With Diagnoses of Eating Disorders Following Federal Parity.Psychiatric services (Washington, D.C.) · 2018Article
- The Mental Health Parity and Addiction Equity Act Evaluation Study: Impact on Mental Health Financial Requirements among Commercial "Carve-In" Plans.Health services research · 2018Article
- The Mental Health Parity and Addiction Equity Act evaluation study: Impact on specialty behavioral healthcare utilization and spending among enrollees with substance use disorders.Journal of substance abuse treatment · 2017Article
- Was federal parity associated with changes in Out-of-network mental health care use and spending?BMC health services research · 2017Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
Abstract
objectiveIn 2008, the federal Mental Health Parity and Addiction Equity Act (MHPAEA) passed, prohibiting U.S. health plans from subjecting mental health and substance use disorder (behavioral health) coverage to more restrictive limitations than those applied to general medical care. This require d some health plans to make changes in coverage and management of services. The aim of this study was to examine private health plans' early responses to MHPAEA (after its 2010 implementation), in terms of both intended and unintended effects.
methodsData were from a nationally representative survey of commercial health plans regarding the 2010 benefit year and the preparity 2009 benefit year (weighted N=8,431 products; 89% response rate).
resultsAnnual limits specific to behavioral health care were virtually eliminated between 2009 and 2010. Prevalence of behavioral health coverage was unchanged, and copayments for both behavioral and general medical services increased slightly. Prior authorization requirements for specialty medical and behavioral health outpatient services continued to decline, and the proportion of products reporting strict continuing review requirements increased slightly. Contrary to expectations, plans did not make significant changes in contracting arrangements for behavioral health services, and 80% reported an increase in size of their behavioral health provider network.
conclusionsThe law had the intended effect of eliminating quantitative limitations that applied only to behavioral health care without unintended consequences such as eliminating behavioral health coverage. Plan decisions may also reflect other factors, including anticipation of the 2010 regulations and a continuation of trends away from requiring prior authorization.
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Registered trials
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.