The effect of comprehensive behavioral health parity on choice of provider.

Medical Care
K John McConnellBentson H McFarland

Abstract

"Parity" laws remove treatment limitations for mental health and substance-abuse services covered by commercial health plans. A number of studies of parity implementations have suggested that parity does not lead to large increases in utilization or expenditures for behavioral health services. However, less is known about how parity might affect changes in patients' choice of providers for behavioral health treatment. We compared initiation and provider choice among 46,470 Oregonians who were affected by Oregon's 2007 parity law. Oregon is the only state to have enacted a parity law that places restrictions on how plans manage behavioral health services. This approach has been adopted federally in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act. In 1 set of analyses, we assess initiation and provider choice using a difference-in-difference approach, with a matched group of commercially insured Oregonians who were exempt from parity. In a second set of analyses, we assess the impact of distance on provider choice. Overall, parity in Oregon was associated with a slight increase (0.5% to 0.8%) in initiations with masters-level specialists, and relatively little changes for generalist physicians, ...Continue Reading

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Citations

May 17, 2014·The Journal of Behavioral Health Services & Research·Kirsten BeronioRichard Frank
Jul 25, 2013·Current Psychiatry Reports·David E GoodrichMark S Bauer
May 4, 2017·BMC Health Services Research·Susan H BuschColleen L Barry
Nov 7, 2019·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Vaiva GerasimaviciuteBenjamin C Amick Iii

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