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Impact of full mental health and substance abuse parity for children in the Federal Employees Health Benefits Program.

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Title: Impact of full mental health and substance abuse parity for children in the Federal Employees Health Benefits Program.
Authors: Azrin ST (AUTHOR), Huskamp HA (AUTHOR), Azzone V (AUTHOR), Goldman HH (AUTHOR), Frank RG (AUTHOR), Burnam MA (AUTHOR), Normand ST (AUTHOR), Ridgely MS (AUTHOR), Young AS (AUTHOR), Barry CL (AUTHOR), Busch AB (AUTHOR), Moran G (AUTHOR)
Source: Pediatrics. Feb2007, Vol. 119 Issue 2, pe452-9. 1p.
Abstract: OBJECTIVE: The Federal Employees Health Benefits Program implemented full mental health and substance abuse parity in January 2001. Evaluation of this policy revealed that parity increased adult beneficiaries' financial protection by lowering mental health and substance abuse out-of-pocket costs for service users in most plans studied but did not increase rates of service use or spending among adult service users. This study examined the effects of full mental health and substance abuse parity for children. METHODS: Employing a quasiexperimental design, we compared children in 7 Federal Employees Health Benefits plans from 1999 to 2002 with children in a matched set of plans that did not have a comparable change in mental health and substance abuse coverage. Using a difference-in-differences analysis, we examined the likelihood of child mental health and substance abuse service use, total spending among child service users, and out-of-pocket spending. RESULTS: The apparent increase in the rate of children's mental health and substance abuse service use after implementation of parity was almost entirely due to secular trends of increased service utilization. Estimates for children's mental health and substance abuse spending conditional on this service use showed significant decreases in spending per user attributable to parity for 2 plans; spending estimates for the other plans were not statistically significant. Children using these services in 3 of 7 plans experienced statistically significant reductions in out-of-pocket spending attributable to the parity policy, and the average dollar savings was sizeable for users in those 3 plans. In the remaining 4 plans, out-of-pocket spending also decreased, but these decreases were not statistically significant. CONCLUSIONS: Full mental health and substance abuse parity for children, within the context of managed care, can achieve equivalence of benefits in health insurance coverage and improve financial protection without adversely affecting health care costs but may not expand access for children who need these services. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Impact of full mental health and substance abuse parity for children in the Federal Employees Health Benefits Program.
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  Data: <searchLink fieldCode="AR" term="%22Azrin+ST%22">Azrin ST</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huskamp+HA%22">Huskamp HA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Azzone+V%22">Azzone V</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Goldman+HH%22">Goldman HH</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Frank+RG%22">Frank RG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burnam+MA%22">Burnam MA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Normand+ST%22">Normand ST</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ridgely+MS%22">Ridgely MS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Young+AS%22">Young AS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barry+CL%22">Barry CL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Busch+AB%22">Busch AB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moran+G%22">Moran G</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Feb2007, Vol. 119 Issue 2, pe452-9. 1p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVE: The Federal Employees Health Benefits Program implemented full mental health and substance abuse parity in January 2001. Evaluation of this policy revealed that parity increased adult beneficiaries' financial protection by lowering mental health and substance abuse out-of-pocket costs for service users in most plans studied but did not increase rates of service use or spending among adult service users. This study examined the effects of full mental health and substance abuse parity for children. METHODS: Employing a quasiexperimental design, we compared children in 7 Federal Employees Health Benefits plans from 1999 to 2002 with children in a matched set of plans that did not have a comparable change in mental health and substance abuse coverage. Using a difference-in-differences analysis, we examined the likelihood of child mental health and substance abuse service use, total spending among child service users, and out-of-pocket spending. RESULTS: The apparent increase in the rate of children's mental health and substance abuse service use after implementation of parity was almost entirely due to secular trends of increased service utilization. Estimates for children's mental health and substance abuse spending conditional on this service use showed significant decreases in spending per user attributable to parity for 2 plans; spending estimates for the other plans were not statistically significant. Children using these services in 3 of 7 plans experienced statistically significant reductions in out-of-pocket spending attributable to the parity policy, and the average dollar savings was sizeable for users in those 3 plans. In the remaining 4 plans, out-of-pocket spending also decreased, but these decreases were not statistically significant. CONCLUSIONS: Full mental health and substance abuse parity for children, within the context of managed care, can achieve equivalence of benefits in health insurance coverage and improve financial protection without adversely affecting health care costs but may not expand access for children who need these services. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Feb2007
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