Effects of Parity Legislation on Substance Abuse Treatme

试点--平等立法对药物滥用治疗的影响 最近，州政府和联邦政府两级都就药物滥用治疗服务的平等覆盖率进行了辩论。传统上，在私人保险甚至许多医疗补助计划下，治疗成瘾障碍的保险覆盖范围一直受到严格限制。反对将药物滥用服务的覆盖范围与医疗服务同等，通常集中在政策的成本上。最近，美国国会审议了一项立法，要求在私人医疗保险下对药物滥用护理进行“平等”的覆盖。成本一直是一个核心问题。加利福尼亚州于2000年7月实施了心理健康平等法。该法律没有涉及药物滥用治疗的覆盖范围。2001年1月，FEBHP在管理性保健网络内对精神健康和药物滥用服务或所有赔偿福利实行了平等。从2001年1月开始，加州的经验为我们提供了研究在私人医疗保险中增加药物滥用治疗的平等福利的增量影响的机会。这项试点是布兰代斯-哈佛中心与联合行为医疗集团(UBH)之间的合作，联合行为医疗是一家大型的全国性管理型行为医疗保健分拆供应商，是联合医疗集团的子公司。UBH管理精神健康和物质 北加州蓝盾组织的虐待服务。这项先导研究的具体目的是：(1)研究药物滥用治疗的平价对卫生保健、药物滥用护理和精神健康护理的网络内成本的影响；(2)检查对精神健康服务而不是药物滥用护理实施平价对网络内药物滥用和精神健康治疗模式的影响；以及(3)估计平价的影响 根据药物滥用治疗质量的指标进行药物滥用治疗。

Pilot - The Effect of Parity Legislation on Substance Abuse Treatment Parity coverage for substance abuse treatment services has been debated recently at both the state and federal levels of government. Traditionally, insurance coverage for treatment of addictive disorders has been strictly limited under private insurance and even many Medicaid programs. Objections to parity of coverage for substance abuse services at the same level as medical services typically focus on the cost of the policy. Recently the U.S. Congress has considered legislation that would mandate "parity" for coverage of substance abuse care under private health insurance. Cost has been a central issue. The State of California implemented its mental health parity legislation in July of 2000. That law does not address coverage for substance abuse treatment. In January of 2001, the FEBHP implemented parity for both mental health and substance abuse services within a managed care network or for all indemnity benefits. Beginning in January 2001, the California experience offers us the opportunity to study the incremental impact of adding a parity benefit for substance abuse treatment to private health insurance. This pilot represents a collaboration between the Brandeis-Harvard Center and United Behavioral Healthcare (UBH), a large national managed behavioral health care carve-out vendor that is a subsidiary of the United Health Care Group. UBH manages mental health and substance abuse services for Blue Shield of Northern California. The specific aims of this pilot research are: (1) To examine the impact of parity for substance abuse treatment on the in-network cost of health care, substance abuse care and mental health care; (2) To examine the impacts on in-network patterns of substance abuse and mental health treatment of implementing parity for mental health services but not substance abuse care; and (3) To estimate the impact of parity for substance abuse treatment on indicators of the quality of substance abuse treatment.