ArticleHealth services research2018
The Mental Health Parity and Addiction Equity Act Evaluation Study: Impact on Mental Health Financial Requirements among Commercial "Carve-In" Plans.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 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
20 citing papers in PubMed, 30 citations in OpenAlex.
- How policymakers innovate around behavioral health: adoption of the New Mexico "No Behavioral Health Cost-Sharing" law.Health affairs scholar · 2024Article
- Audiologists' attitudes and practice toward referring for psychosocial intervention with cochlear implant patients.Frontiers in rehabilitation sciences · 2023Article
- Quantifying Balance Billing for Out-of-Network Behavioral Health Care in Employer-Sponsored Insurance.Psychiatric services (Washington, D.C.) · 2022Article
- Investigating the Links Between Performers' Self-Compassion, Mental Toughness and Their Social Environment: A Semi-Systematic Review.Frontiers in psychology · 2022Review
- Use of behavioral health care in Medicaid managed care carve-out versus carve-in arrangements.Health services research · 2021Article
- 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
- The Role of Psychiatry in Treating Burnout Among Nurses During the Covid-19 Pandemic.Journal of radiology nursing · 2020Review
- Prices And Cost Sharing For Psychotherapy In Network Versus Out Of Network In The United States.Health affairs (Project Hope) · 2020Article
- Effects of cost-benefit analysis under back propagation neural network on financial benefit evaluation of investment projects.PloS one · 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
- The Penrose Effect and its acceleration by the war on drugs: a crisis of untranslated neuroscience and untreated addiction and mental illness.Translational psychiatry · 2019Review
- 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
- Association of Federal Mental Health Parity Legislation With Health Care Use and Spending Among High Utilizers of Services.Medical care · 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
- 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
- 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
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveDid mental health cost-sharing decrease following implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA)? DATA SOURCE: Specialty mental health copayments, coinsurance, and deductibles, 2008-2013, were obtained from benefits databases for "carve-in" plans from a national commercial managed behavioral health organization. STUDY
designBivariate and regression-adjusted analyses compare the probability of use and (conditional) level of cost-sharing pre- and postparity. An interaction term is added to compare differential levels of pre- and postparity cost-sharing changes for plans that were and were not already at parity pre-MHPAEA.
findingsControlling for employer/plan characteristics, MHPAEA is associated with higher intermediate care copayments ($15.9) but lower outpatient ($2.6) copayments among in-network-only plans. Among plans with in- and out-of-network benefits, MHPAEA is associated with lower inpatient ($23.2) and outpatient ($2.5) copayments, but increases in inpatient and intermediate in-network and out-of-network coinsurance (about 1 percentage point). Among the few plans not at parity pre-MHPAEA, changes in use and level of cost-sharing associated with MHPAEA were more dramatic.
conclusionMixed evidence that MHPAEA led to more generous mental health benefits may stem from the finding that many plans were already at parity pre-MHPAEA. Future policy focus in mental health may shift to slowing growth in cost-sharing for all health services.
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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.