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The Costs Of Mental Health Parity: Still An Impediment?
Colleen L. Barry,
Richard G. Frank and
Thomas G. McGuire
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.
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C. L. Barry, H. H. Goldman, R. G. Frank, and H. A. Huskamp
Lessons for Healthcare Reform From the Hard-Won Success of Behavioral Health Insurance Parity
Am J Psychiatry,
September 1, 2009;
166(9):
969 - 971.
[Full Text]
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P. J. Cunningham
Beyond Parity: Primary Care Physicians' Perspectives On Access To Mental Health Care
Health Aff.,
May 1, 2009;
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w490 - w501.
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R. G. Frank and S. A. Glied
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Health Aff.,
November 1, 2007;
26(6):
1539 - 1541.
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H. H. Goldman and G. N. Grob
Defining 'mental illness' in mental health policy.
Health Aff.,
May 1, 2006;
25(3):
737 - 749.
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