The costs of mental health parity: Still an impediment?
The costs of mental health parity: Still an impediment?
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DOI：
10.1377/hlthaff.25.3.623
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发表时间：
2006-05-01
期刊：
影响因子：
9.7
通讯作者：
McGuire, TG
中科院分区：
文献类型：
--
作者：
Barry, CL;Frank, RG;McGuire, TG
精神健康福利的均等纠正了医疗保险覆盖范围的不公平，并降低了精神病患者的财务风险。然而，精神疾病覆盖面的扩大被认为造成了效率低下，增加了总支出，这主要是基于20世纪70年代进行的兰德健康保险试验的结果。更新的证据表明，与管理医疗相关的成本控制技术为医疗计划提供了替代方案，以取代歧视性的覆盖范围，以控制成本。我们回顾了两个时代关于精神健康保险的研究，并得出结论，在管理医疗背景下实施的全面平等对总支出几乎没有影响。
Parity in mental health benefits rectifies unfairness in health insurance coverage and reduces financial risk for those with mental illness. However, increased coverage for mental illness has been seen as creating inefficiencies and increasing total spending, based largely on results from the RAND Health Insurance Experiment conducted in the 1970s. Newer evidence suggests that cost control techniques associated with managed care give health plans alternatives to discriminatory coverage for containing costs. We review both eras of research on mental health insurance and conclude that comprehensive parity implemented in the context of managed care would have little impact on total spending.