ArticlePediatrics2018
Federal Parity and Spending for Mental Illness.
Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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Who cites it
15 citing papers in PubMed.
- Long-term growth in child mental health expenditures, 2004-2023.Health affairs scholar · 2026Article
- Estimating the magnitude and scope of disability-related direct costs: a systematised review.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Implementation Of New Mexico's 'No Behavioral Health Cost Sharing' Law: A Qualitative Study.Health affairs (Project Hope) · 2024Article
- Comprehensiveness of State Insurance Laws and Perceived Access to Pediatric Mental Health Care.JAMA network open · 2024Article
- Unmet need for mental health care is common across insurance market segments in the United States.Health affairs scholar · 2024Article
- How policymakers innovate around behavioral health: adoption of the New Mexico "No Behavioral Health Cost-Sharing" law.Health affairs scholar · 2024Article
- Article
- 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
- State Policies that Impact the Design of Children's Mental Health Services: A Modified Delphi Study.Administration and policy in mental health · 2022Article
- Developing a Structure of Essential Services for a Child and Adolescent Mental Health System.The Milbank quarterly · 2021Article
- Parent Perspectives on Addressing Emotional Health for Children and Young Adults With Juvenile Myositis.Arthritis care & research · 2021Article
- Health Care Spending by Enrollees With Substance Use and Mental Health Disorders in High-Deductible Health Plans vs Traditional Plans.JAMA psychiatry · 2020Article
- Addressing the Problem of Severe Underinvestment in Mental Health and Well-Being from a Human Rights Perspective.Health and human rights · 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
- Mental Health Service Use Before and After a Suicidal Crisis Among Children and Adolescents in a United States National Medicaid Sample.Academic pediatricsArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundFamilies of children with mental health conditions face heavy economic burdens. One of the objectives of the Mental Health Parity and Addiction Equity Act (MHPAEA) is to reduce the financial burden for those with intensive mental health service needs. Few researchers to date have examined MHPAEA's effects on children with mental health conditions and those with particularly high mental health expenditures.
methodsA difference-in-differences approach was used to compare commercially insured children ages 3 to 18 years (in 2008) who were continuously enrolled in plans newly subject to parity under MHPAEA to children continuously enrolled in plans never subject to parity. Data included inpatient, outpatient, and pharmaceutical claims for 2008-2012 from 3 national commercial insurers. We examined annual mental health service use and spending outcomes.
resultsAmong children with mental health conditions who were enrolled in plans subject to parity, parity was associated with $140 (95% confidence interval: -$196 to -$84) lower average annual out-of-pocket (OOP) mental health spending than expected given changes in the comparison group. Among children who were ≥85th percentile in total mental health spending, parity was associated with $234 (-$391 to -$76) lower average annual OOP mental health spending.
conclusionsMHPAEA was associated with increased financial protection on average for children with mental health conditions and among those at the higher end of the spending distribution. However, estimated reductions in OOP spending were likely too modest to have substantially reduced financial burden on families of children with particularly high mental health expenditures.
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