The Politics and Economics of Mental Health 'Parity' Laws

Health Affairs

Volumn 16, Issue 4, 1997, Pages 108-119

  Frank, Richard G ^a   Koyanagi, Chris ^a   McGuire, Thomas G ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ECONOMICS; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH INSURANCE; HUMAN; INSURANCE; LEGAL ASPECT; MENTAL HEALTH SERVICE; POLITICS; SOCIAL WELFARE; SOCIOECONOMICS; UNITED STATES;

HEALTH SERVICES ACCESSIBILITY; HUMANS; INSURANCE COVERAGE; INSURANCE SELECTION BIAS; INSURANCE, PSYCHIATRIC; MANAGED CARE PROGRAMS; MEDICAL INDIGENCY; MENTAL HEALTH SERVICES; POLITICS; SOCIAL WELFARE; STATE HEALTH PLANS; UNITED STATES;

EID: 0346158694     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.16.4.108     Document Type: Article

References (26)

1. "Kassebaum-Kennedy" is the popular name for the Health Insurance Portability and Accountability Act of 1996, Public Law 104-102.
2. R.G. Frank and T.G. McGuire, "Health Reform and Financing of Mental Health Services: Distributional Consequences," in Mental Health, United States, 1994, DHHS Pub. no. (SMA)94-3000, ed. R.W. Manderscheid and M.A. Sonnenschein (Washington: U.S. Government Printing Office, 1994).
3. J.P. Newhouse and the Insurance Experiment Group, Free/or All? Lessons from the RAND Health Insurance Experiment (Cambridge, Mass.: Harvard University Press, 1993).
4. R. Sturm, "How Expensive Is Unlimited Mental Health Care Coverage under Managed Care?," Working Paper 107 (Santa Monica, Calif.: Research Center on Managed Care for Psychiatric Disorders, University of California, Los Angeles/RAND, January 1997).
5. T.G. McGuire, Financing Psychotherapy (Cambridge, Mass.: Ballinger, 1981).
6. Research continues to turn up evidence of selection in insurance for mental health. For a summary, see R.G. Frank et al., "Carve-Outs, Risk Adjustment, and Risk Sharing as Solutions for Adverse Selection in Behavioral Health Care" (forthcoming).
7. Metropolitan Life v Massachusetts, U.S. 84-325 (1985).
8. B.S. Arons et al., "Mental Health and Substance Abuse Coverage under Health Reform," Health Affairs (Spring I 1994): 192-205.
9. Findings from a nationwide poll for the Bazelon Center for Mental Health Law (Washington: Mellman-Lazarus-Lake, Inc., March 1994).
10. "Public Attitudes toward People with Chronic Mental Illness" (Prepared for The Robert Wood Johnson Foundation Program on Chronic Mental Illness by DYG, Inc., Elmsford, New York, April 1990).
11. The private estimates were by Coopers and Lybrand, Price Waterhouse, Milliman and Robertson (twice), and Wyatt Worldwide.
12. R.G. Frank and T.G. McGuire, "Estimating Costs of Mental Health and Substance Abuse Coverage," Health Affairs (Fall 1995): 102-115.
13. C. Koyanagi, Pacing for Parity (Washington: Bazelon Center for Mental Health Law, May 1996).
14. In those two states, "parity" legislation only applies to the insurance plan for state employees.
15. K.D. Hennessy and S. Stephens, "Economic Grand Rounds: Mental Health Parity: Clarifying Our Objectives," Psychiatric Services (February 1997): 161-164.
16. D. Mechanic, M. Schlesinger, and D.D. McAlpine, "Management of Mental Health and Substance Abuse Services: State of the Art and Early Results," The Milbank Quarterly 73, no. 1 (1995): 19-56.
17. J.J. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience," Health Affairs (Fall 1995): 173-184; R.G. Frank and T.G. McGuire, "Savings from a Carve-Out Program for Mental Health and Substance Abuse in Massachusetts Medicaid" (forthcoming); W. Goldman, J. McCulloch, and R. Sturm, "Costs and Utilization of Mental Health Services before and after Managed Care," Working Paper no. 108 (Los Angeles: University of California, Research Center on Managed Care for Psychiatric Disorders, 1997); C.A. Ma and T.G. McGuire, "Costs and Incentives in a Mental Health Carve-Out" (Unpublished manuscript, Boston University, April 1997); and H. Huskamp, "Episodes of Mental Health and Substance Abuse Treatment under a Managed Behavioral Health Care Benefit Carve-Out" (Unpublished manuscript, Harvard University, May 1997).
18. J.J. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience," Health Affairs (Fall 1995): 173-184; R.G. Frank and T.G. McGuire, "Savings from a Carve-Out Program for Mental Health and Substance Abuse in Massachusetts Medicaid" (forthcoming); W. Goldman, J. McCulloch, and R. Sturm, "Costs and Utilization of Mental Health Services before and after Managed Care," Working Paper no. 108 (Los Angeles: University of California, Research Center on Managed Care for Psychiatric Disorders, 1997); C.A. Ma and T.G. McGuire, "Costs and Incentives in a Mental Health Carve-Out" (Unpublished manuscript, Boston University, April 1997); and H. Huskamp, "Episodes of Mental Health and Substance Abuse Treatment under a Managed Behavioral Health Care Benefit Carve-Out" (Unpublished manuscript, Harvard University, May 1997).
19. J.J. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience," Health Affairs (Fall 1995): 173-184; R.G. Frank and T.G. McGuire, "Savings from a Carve-Out Program for Mental Health and Substance Abuse in Massachusetts Medicaid" (forthcoming); W. Goldman, J. McCulloch, and R. Sturm, "Costs and Utilization of Mental Health Services before and after Managed Care," Working Paper no. 108 (Los Angeles: University of California, Research Center on Managed Care for Psychiatric Disorders, 1997); C.A. Ma and T.G. McGuire, "Costs and Incentives in a Mental Health Carve-Out" (Unpublished manuscript, Boston University, April 1997); and H. Huskamp, "Episodes of Mental Health and Substance Abuse Treatment under a Managed Behavioral Health Care Benefit Carve-Out" (Unpublished manuscript, Harvard University, May 1997).
20. J.J. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience," Health Affairs (Fall 1995): 173-184; R.G. Frank and T.G. McGuire, "Savings from a Carve-Out Program for Mental Health and Substance Abuse in Massachusetts Medicaid" (forthcoming); W. Goldman, J. McCulloch, and R. Sturm, "Costs and Utilization of Mental Health Services before and after Managed Care," Working Paper no. 108 (Los Angeles: University of California, Research Center on Managed Care for Psychiatric Disorders, 1997); C.A. Ma and T.G. McGuire, "Costs and Incentives in a Mental Health Carve-Out" (Unpublished manuscript, Boston University, April 1997); and H. Huskamp, "Episodes of Mental Health and Substance Abuse Treatment under a Managed Behavioral Health Care Benefit Carve-Out" (Unpublished manuscript, Harvard University, May 1997).
21. J.J. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience," Health Affairs (Fall 1995): 173-184; R.G. Frank and T.G. McGuire, "Savings from a Carve-Out Program for Mental Health and Substance Abuse in Massachusetts Medicaid" (forthcoming); W. Goldman, J. McCulloch, and R. Sturm, "Costs and Utilization of Mental Health Services before and after Managed Care," Working Paper no. 108 (Los Angeles: University of California, Research Center on Managed Care for Psychiatric Disorders, 1997); C.A. Ma and T.G. McGuire, "Costs and Incentives in a Mental Health Carve-Out" (Unpublished manuscript, Boston University, April 1997); and H. Huskamp, "Episodes of Mental Health and Substance Abuse Treatment under a Managed Behavioral Health Care Benefit Carve-Out" (Unpublished manuscript, Harvard University, May 1997).
22. R.G. Frank et al., "Development in Medicaid Managed Behavioral Health Care," in Mental Health, United States, 1996, DHHS Pub. no. (SMA)96-3098, ed. R.W. Manderscheid and M.A. Sonnenschein (Washington: U.S. Government Printing Office, 1996); and Huskamp, "Episodes of Mental Health and Substance Abuse Treatment."
23. R.G. Frank et al., "Development in Medicaid Managed Behavioral Health Care," in Mental Health, United States, 1996, DHHS Pub. no. (SMA)96-3098, ed. R.W. Manderscheid and M.A. Sonnenschein (Washington: U.S. Government Printing Office, 1996); and Huskamp, "Episodes of Mental Health and Substance Abuse Treatment."
24. D. Mechanic, "Key Policy Considerations for Mental Health in the Managed Care Era," in Mental Health, United States, 1996.
25. Goldman et al., "Costs and Utilization of Mental Health Services before and after Managed Care;" and Frank et al., "Development in Medicaid Managed Behavioral Health Care," in Mental Health, United States, 1996.
26. Goldman et al., "Costs and Utilization of Mental Health Services before and after Managed Care;" and Frank et al., "Development in Medicaid Managed Behavioral Health Care," in Mental Health, United States, 1996.