Federal parity law associated with increased probability of using out-of-network substance use disorder treatment services.
Federal parity law associated with increased probability of using out-of-network substance use disorder treatment services.
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DOI：
10.1377/hlthaff.2014.1384
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发表时间：
2015-08
期刊：
影响因子：
--
通讯作者：
Barry CL
中科院分区：
文献类型：
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作者：
McGinty EE;Busch SH;Stuart EA;Huskamp HA;Gibson TB;Goldman HH;Barry CL
2008年的保罗·威尔斯通和皮特·多梅尼奇精神健康平等和成瘾平等法要求为药物使用障碍服务提供团体保险的商业保险公司为这些服务提供与医疗或手术福利相同的福利。与之前针对联邦雇员和个别州制定的平等政策不同，该法律将平等扩大到网络外的服务。我们使用大型自我保险雇主的保险索赔进行了中断的时间序列分析，以评估联邦平价是否与525,620名物质使用障碍服务使用者的网络外治疗变化有关。联邦平价与使用网络外服务的概率增加、网络外门诊平均就诊次数增加以及这些服务用户在网络外服务上的平均总支出增加相关。我们的发现与联邦平等支持者的观点大体一致，即将平等扩大到网络外的服务将扩大获得计划网络以外的物质使用障碍护理的机会。
The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 requires commercial insurers providing group coverage for substance use disorder services to offer benefits for those services at a level equal to those for medical or surgical benefits. Unlike previous parity policies instituted for federal employees and in individual states, the law extends parity to out-of-network services. We conducted an interrupted time-series analysis using insurance claims from large self-insured employers to evaluate whether federal parity was associated with changes in out-of-network treatment for 525,620 users of substance use disorder services. Federal parity was associated with an increased probability of using out-of-network services, an increased average number of out-of-network outpatient visits, and increased average total spending on out-of-network services among users of those services. Our findings were broadly consistent with the contention of federal parity proponents that extending parity to out-of-network services would broaden access to substance use disorder care obtained outside of plan networks.