ArticleHealth affairs (Project Hope)2016
Achieving Mental Health Care Parity Might Require Changes In Payments And Competition.
Article in Health affairs (Project Hope), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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
17 citing papers in PubMed.
- The Conceptual Framework for Mental Health Equity.Iranian journal of public health · 2024Article
- Acceptance of Insurance by Psychiatrists and Other Physicians, 2007-2016.Psychiatric services (Washington, D.C.) · 2024Article
- Performance Metrics of Substance Use Disorder Care Among Medicaid Enrollees in New York, New York.JAMA health forum · 2022Article
- Phantom Networks: Discrepancies Between Reported And Realized Mental Health Care Access In Oregon Medicaid.Health affairs (Project Hope) · 2022Article
- Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance.JAMA network open · 2021Article
- Competition Among Mental Health Organizations: Environmental Drivers and Strategic Responses.Administration and policy in mental health · 2021Article
- A Path Forward: Mental Health and the U.S. Pandemic Response.The journal of behavioral health services & research · 2021Article
- Developing a Structure of Essential Services for a Child and Adolescent Mental Health System.The Milbank quarterly · 2021Article
- Intersections of machine learning and epidemiological methods for health services research.International journal of epidemiology · 2021Article
- Incorrect Provider Directories Associated With Out-Of-Network Mental Health Care And Outpatient Surprise Bills.Health affairs (Project Hope) · 2020Article
- Changes in Medicaid Acceptance by Substance Abuse Treatment Facilities After Implementation of Federal Parity.Medical care · 2020Observational
- 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
- Limitations of P-Values and R-squared for Stepwise Regression Building: A Fairness Demonstration in Health Policy Risk Adjustment.The American statistician · 2019Article
- Robust Machine Learning Variable Importance Analyses of Medical Conditions for Health Care Spending.Health services research · 2018Article
- Behavioral Health Coverage Under the Affordable Care Act: What Can We Learn From Marketplace Products?Psychiatric services (Washington, D.C.) · 2018Article
- Health care demand elasticities by type of service.Journal of health economics · 2017Article
- Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
One of the most prominent features of the Affordable Care Act has been the promotion of individual health plans chosen by consumers in the Marketplaces. These plans are subject to regulation and paid by risk-adjusted capitation, a set of policies known as managed competition. Individual health insurance markets, however, are vulnerable to what economists describe as efficiency problems stemming from adverse selection, and Marketplaces are no exception. Health plans have incentives to discriminate against services used by people with certain chronic illnesses, including mental health conditions. Parity regulations, which dictate coverage for mental health benefits on par with medical and surgical benefits, can eliminate discrimination in coverage but redirect discrimination toward hard-to-regulate tactics from managed care such as restrictive network design and provider payment. This article reviews policy options to contend with ongoing selection issues. "Better enforcement" of parity has less chance of success than more fundamental but feasible changes in the way plans are paid or in the way competition among plans is structured.
Indexed as
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What OpenQuestion holds
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.