Federal Parity In The Evolving Mental Health And Addiction Care Landscape

被引：25

作者：

Barry, Colleen L. ^{[1
,2
,3
]}

Goldman, Howard H. ^{[4
]}

Huskamp, Haiden A. ^{[5
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD 21205 USA

[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD 21205 USA

[3] Johns Hopkins Ctr Mental Hlth & Addict Policy Res, Baltimore, MD 21205 USA

[4] Univ Maryland, Sch Med, Psychiat, Baltimore, MD 21201 USA

[5] Harvard Univ, Sch Med, Hlth Care Policy, Boston, MA USA

来源：

HEALTH AFFAIRS | 2016年 / 35卷 / 06期

关键词：

STILL; COVERAGE; BENEFITS;

D O I：

10.1377/hlthaff.2015.1653

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The intent of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 is to eliminate differences between health insurance coverage of mental health and substance use disorder benefits and coverage of medical or surgical benefits. The Affordable Care Act significantly extended the reach of the Wellstone-Domenici law by applying it to new insurance markets. We summarize the evolution of legislative and regulatory actions to bring about federal insurance parity. We also summarize available evidence on how the Wellstone-Domenici law has contributed to addressing insurance discrimination; rectifying market inefficiencies due to adverse selection; and altering utilization, spending, and health outcomes for people with mental health and substance use disorders. In addition, we highlight important gaps in knowledge about how parity has been implemented, describe the groups still lacking parity-level coverage, and make recommendations on steps to improve the likelihood that the Wellstone-Domenici law will fulfill the aims of its architects.

引用

页码：1009 / 1016

页数：8

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