Parity and the use of out-of-network mental health benefits in the FEHB program.
Health Aff (Millwood)
; 27(1): w70-83, 2008.
Article
em En
| MEDLINE
| ID: mdl-18089614
ABSTRACT
Two current congressional bills mandate parity for benefits for mental disorders with benefits for medical/surgical conditions in private insurance when mental health benefits are provided; the bills differ in regard to benefit levels and access to out-of-network coverage. This study assessed clinicians' and beneficiaries' participation in managed care networks in the national capital area under the Federal Employees Health Benefits (FEHB) parity program. Approximately one-third of the clinicians studied participated in FEHB networks, and only 44 percent of FEHB patients received care from network clinicians. Out-of-network mental health benefits are an important policy consideration to ensure access to mental health treatment under parity proposals.
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Base de dados:
MEDLINE
Assunto principal:
Programas de Assistência Gerenciada
/
Planos de Assistência de Saúde para Empregados
/
Seguro Psiquiátrico
/
Transtornos Mentais
/
Serviços de Saúde Mental
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
/
Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article