Mental Health Parity

Creating Care Delivery Equity | 8/18/2020

Finding Treatment and Treatment-Seeking Balance Between Physical and Behavioral Health Conditions In 2008, Congress passed the Mental Health Parity And Addiction Equity Act. While this was a big step in receiving coverage for treating mental health disorders, there is still work to do. It’s been over a decade since the act was passed and plans are now required to cover care for mental health disorders. However, in order for …

Court Permits Fiduciary Breach and Mental Health Parity Claims Against Third Party Administrator | 8/14/2020

… and violated the federal Parity Act. UMR filed a motion to dismiss, arguing that the third party administrator was an improper party to the suit and that the facts were insufficient to seek a mental health parity claim. Court Decision In general, monetary judgments are enforceable only against a plan under ERISA, not third party administrators. UMR asserted that under ERISA, it could not be held liable for a monetary …

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Treat mental illness as the physical issue it is | 8/14/2020

… means substance abuse and mental illness needs to be treated equally as physical health. 90% of those with substance use disorders, and almost 60% of mentally ill adults go untreated. California’s 21-year old Mental Health Parity Act increased access to treatment by requiring insurers to cover medically necessary services. Though the Act was a big step forward, the law has become inadequate, loopholes exist, and an update is necessary …

Election 2020: What Exactly Is Joe Biden’s Healthcare Plan? | Medscape | 8/12/2020

… action would reverse a Trump administration rule. Boost Community Health Centers Biden promises to double federal funding for community health centers, such as federally qualified health centers, that provide care to underserved populations. Support Mental Health Parity Biden says he supports mental health parity and would enforce the federal mental health parity law and expand funding for mental health services. Part 2: Physicians’ Opinions on Biden’s Healthcare Plans: Pro and …

Amid COVID Chaos, California Legislators Fight for Major Health Care Bills | Kaiser Health News | 8/11/2020

Amid COVID Chaos, California Legislators Fight for Major Health Care Bills By Rachel Bluth August 11, 2020 h1 Amid COVID Chaos, California Legislators Fight for Major Health Care Bills /h1 span class=”byline” Rachel Bluth, Kaiser Health News /span p California lawmakers are barreling toward an end-of-month deadline to pass or kill bills amid the biggest public health crisis the state has faced in a century. /p p …

Ghazarian v. Magellan Health | 8/8/2020

… claim because plaintiffs have failed to show any contract with which defendants interfered. We reverse the judgments and remand the case to the trial court as directed. I FACTS A. Background Law Under the Mental Health Parity Act enacted in 1999 (section 1374.72), “every health plan providing hospital, medical or surgical coverage must also ‘provide coverage for the diagnosis and medically necessary treatment of severe mental illnesses of a person …

Venture Capital And Private Equity Investors Take Note: Primary Care May Be The Next Behavioral Health | 8/7/2020

… behavioral health was brought about by the success of industry groups that advocated for parity in payor coverage for medical services and behavioral health services. Beginning in 2008, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (the “Parity Act”) established federal law that generally prevents group health plans and health insurance issuers (The Parity Act was extended to individual health insurance policies in 2010 under …

Kelda Roys: The 26th District needs a proven changemaker with a progressive track record | 8/7/2020

… worked on as an advocate and lawmaker. Health care is a right — we need BadgerCare for All. As vice-chair of the Assembly Health Committee, I helped expand BadgerCare to 80,000 Wisconsinites and enact mental health parity laws. Now, with hundreds of thousands newly unemployed, we need to accept federal Medicaid expansion dollars and make BadgerCare a public option immediately. To build a strong economy , we need to support workers …

[GAINPOWER.org: Jobs That Are Left] National Union of Healthcare Workers: Digital Organizer – Emeryville or Glendale | 8/6/2020

… raise living standards, and hold healthcare corporations accountable to their employees and the communities they serve. And NUHW-represented mental health clinicians are powerful advocates for ending the stigma surrounding mental illness and enforcing mental health parity rules so that patients get the treatment they need when they need it. To learn more about NUHW and its values, see the video at NUHW.org/about/ . COMMUNICATIONS DEPARTMENT Our growing communications team …

Chicanery for Your Health. What Doesn’t Kill You Now Will Later. | 8/2/2020

… sessions or less if purely born out of managed cared and insurance(than by measurable data) driven policy to make therapy as brief as possible at the cost of quality of care and accurateness. Mental Health parity laws stopped some of this nonsense when it made health insurance make mental health treatment equal to any other medical care. Until that point, Mental Health patients were paying more for having a …

Study calls for better access to mental health services | 7/22/2020

… the cost and scope of insurance, and disregard of federal law requiring equal coverage for mental and physical healthcare — parity, as it’s known. Those are among the findings of a new study by the Mental Health Parity Initiative, a project of the Mental Health Association of Rhode Island, that was released on Tuesday. The study draws on the experiences that patients, family members and community health workers shared in focus …

Kanye West’s outlandish statements may be a problem. Mental health stigma is a bigger one | 7/22/2020

… as well—one in five Americans suffers from a mental illness, according to the National Institutes of Health (NIH) . It took until 2008 for the U.S. to pass the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act , which was the first time that federal law made it illegal to treat mental health and physical health benefits by different standards. (Enforcement, however, has still been inconsistent, and …

My Insurance Company Owed Me Almost $1,500 for Out-of-Pocket Therapy. Why Wouldn’t It Pay? | MSN | 7/21/2020

… for mental health care too. Patients and therapists: Help me report this story! You can share your experiences by taking a 10-minute survey here or send me an email: [email protected] . Take the mental health parity survey here . Renée Fabian wrote this story while participating in the USC Center for Health Journalism ‘s 2020 California Fellowship. Gallery: 10 Things HR People Won’t Tell You About Salaries and Raises (Reader’s …

Study calls for better access to mental health services – News – providencejournal.com | 7/21/2020

… the cost and scope of insurance, and disregard of federal law requiring equal coverage for mental and physical healthcare — parity, as it’s known. Those are among the findings of a new study by the Mental Health Parity Initiative, a project of the Mental Health Association of Rhode Island, that was released on Tuesday. The study draws on the experiences that patients, family members and community health workers shared in focus …

Pritzker administration announces over $2 million in fines for major health insurance companies violating Illinois Mental Health Parity Laws | 7/20/2020

CHICAGO – The Illinois Department of Insurance (IDOI) has announced fines totaling over $2 million for five major health insurance companies found to be in violation of the Mental Health Parity and Addiction Equity Act (MHPAEA). The Act is a federal law mandating that health insurance plans must have equivalent levels of coverage for mental health and substance use disorder care as for medical or surgical care; Illinois law further expanded …

COVID-19 FAQs Address Wellness, Mental Health Parity, Grandfathered Status & More | 7/20/2020

… annual and lifetime limits Preventive services mandate The following group market reforms continue to apply to telehealth coverage: Prohibition on pre-existing condition exclusions Discrimination based on health status Prohibition on rescissions Application of mental health parity requirements Grandfathered Status Q/A 15 – Grandfathered Status . Q: If a grandfathered Plan makes changes to the Plan related to COVID-19 or telehealth, will the plan lose its grandfathered status solely because …

Hearing on “High Anxiety and Stress: Legislation to Improve Mental Health During Crisis” | 6/30/2020

H.R. 884 , the “Medicare Mental Health Access Act” H.R. 945 , the “Mental Health Access Improvement Act of 2019” H.R. 1109 , the “Mental Health Services for Students Act of 2019” H.R. 1646 , the “Helping Emergency Responders Overcome Act of 2019” or the “HERO Act of 2019” H.R. 2519 , the “Improving Mental Health Access from the Emergency Department Act of 2019” H.R. 2874 , the “Behavioral Health Coverage Transparency Act” H.R. 3165 , the …

COVID-19 drives up demand for mental healthcare | 6/27/2020

… No follow-through Demand for mental healthcare services has long exceeded the supply of clinicians. And stakeholders say many patients still face challenges accessing care more than a decade after enactment of the landmark Mental Health Parity and Addiction Equity Act of 2008, which was meant to address that issue. The law was instrumental in ending many restrictions imposed on mental health and addiction treatment, such as stricter limits on …

Limitation To Restorative Speech Therapy Does Not Violate MHPAEA | 6/26/2020

A federal district court in Massachusetts concluded that a health insurance plan did not violate the Mental Health Parity and Addiction Equity Act by denying coverage for speech therapy to a plan beneficiary who required speech therapy in connection with autism spectrum disorder. The plan denied coverage because the speech therapy sought was for non-restorative speech therapy, and the plan only covered restorative speech therapy. The district court concluded …

FAQs: COVID-19 – Employee Benefits Updates (Updated #5) | 6/26/2020

… of many of the group health plan requirements under the Internal Revenue Code, ERISA and the Public Health Service Act. However, this type of arrangement still would be subject to nondiscrimination, anti-rescission and mental health parity provisions. Any employer wishing to provide this kind of arrangement to employees is strongly urged to consult with legal counsel before doing so for a better understanding of which group health plan requirements …

The LHD/ERISA Advisor: New York Court Rejects Claim that Health Insurer Violated the Parity Act | 6/15/2020

… a health insurer improperly imposed stricter medical necessity requirements for treatment at residential mental health centers than for stays at inpatient skilled nursing facilities. The case arose under the Paul Wellstone and Pete Domenici Mental Health Parity and Addition Equity Act (the “Parity Act”) (29 U.S. C. § 1185a), which seeks to eliminate disparities in health insurance coverage for mental health as compared to other medical or surgical conditions. The Parity …

What They’re Watching: Vincent Atchity | 6/11/2020

Click to share on Tumblr (Opens in new window) Vincent Atchity is the President and CEO at Mental Health Colorado and the former Executive Director of the Equitas Project. Ahead of the 2020 legislative session in Colorado, Atchity joined us as a “ What They’re Watching ” guest to discuss mental health parity , decriminalizing mental health and reforming first responder systems of care. While State of Reform spoke with Atchity back in …

4 Payer Data Points That Demonstrate Behavioral, Mental Care Parity | 6/11/2020

… behavioral healthcare parity to be at the forefront of health plan agendas and to be more transparent about member access to behavioral and mental healthcare services. READ MORE: How Payers Can Help Reform Behavioral, Mental Health Parity “We would like to see more health plans monitoring their own networks—like the Milliman data, plans should do those studies themselves. Employers are asking for that,” Harbin told HealthPayerIntelligence . Health plans do …

FAQs: COVID-19 Employee Benefits Updates | 6/5/2020

… of many of the group health plan requirements under the Internal Revenue Code, ERISA and the Public Health Service Act. However, this type of arrangement still would be subject to nondiscrimination, anti-rescission and mental health parity provisions. Any employer wishing to provide this kind of arrangement to employees is strongly urged to consult with legal counsel before doing so for a better understanding of which group health plan requirements …

Addiction Legislation | 6/4/2020

… of how slow processes often move. I think that one of the things that the piece of work that my team and I are best-known for is passage of a bill called the Mental Health Parity and Addiction Equity Act or people will call it the Parity Law. That was really formed out of my own frustration that I had great insurance. I was one of those working people …

Behavioral Health

Lawmaker Pushing Mental Health Reform: It’s ‘More Needed Than Ever’ | Kaiser Health News | 4/28/2020

… to take an unpopular stand because it’s the right thing to do,” said Michelle Cabrera, executive director of the County Behavioral Health Directors Association of California. “We are in a precarious moment right now.” /p … it gets worse and worse. /p p So I believe mental health parity is very important because of that. And I have a philosophical belief that unless we require parity, it won’t happen. /p p …

ACA

How Payers Can Help Reform Behavioral, Mental Health Parity | HealthPayer Intelligence | 1/16/2020

Value-Based Care News How Payers Can Help Reform Behavioral, Mental Health Parity Experts from the Bowman Family Foundation and the National Alliance of Healthcare Purchaser Coalitions explain how payers can assist with behavioral and … expanded to a five-year timeframe. “We thought with the ACA having expanded access to behavioral benefits and with what many employers and health plans and others were saying they were trying to do, we …

Telehealth

How Payers Can Help Reform Behavioral, Mental Health Parity | HealthPayer Intelligence | 1/16/2020

Value-Based Care News How Payers Can Help Reform Behavioral, Mental Health Parity Experts from the Bowman Family Foundation and the National Alliance of Healthcare Purchaser Coalitions explain how payers can assist with behavioral and … through collaborative care Improve quality measurement in behavioral care Use telehealth more effectively to produce telebehavioral solutions Ensure mental healthcare parity laws are recognized and pursued The approach hinges on mobilizing all relevant stakeholders—from …

CHQI

URAC to Purchase CHQI Programs | PR Newswire | 1/6/2020

… WASHINGTON URAC announced today that it has entered into a definitive agreement to purchase the programs of ClearHealth Quality Institute (CHQI), a health care accreditation organization based in Annapolis, MD . “This is the union of … and provider systems of care. CHQI’s Telemedicine Accreditation Program and Mental Health Parity/Substance Use Disorder Accreditation Program collectively accredit the nation’s leading health plans, health systems, and telemedicine organizations. Media Contact: Laura Wood 202-326-3968 …

Behavioral Healthcare

Insurance Coverage Parity for Mental Health Concerns Is Getting Worse | 12/3/2019

… the ineffectiveness of laws when not rigorously enforced (hello, speed limit, I’m looking at you!), the lack of enforcement on mental health parity has been devastating. Mental health parity means that insurance companies are required … in some cases, most — of the professionals listed for many behavioral healthcare specialties (such as psychiatry) don’t actually take new patients. That means it is virtually impossible to actually get an appointment with a professional …

Substance Abuse

Insurance Coverage Parity for Mental Health Concerns Is Getting Worse | 12/3/2019

mental health parity has been devastating. Mental health parity means that insurance companies are required, by law, to offer the same coverage and benefits for mental disorders as they do for physical conditions. When an American seeks treatment for a mental health or substance abuse problem, chances are they are going to face some pretty steep hurdles. And those hurdles are only getting worse before they get better, according to …

Medicare

4-Day Certificate in Employee Benefits Law Seminar (Atlanta, Georgia, USA - April 20-24, 2020) | PR Newswire | 12/2/2019

Mental Health Parity Medicare Secondary Cancer Rights Act Cafeteria Plan Issues Cafeteria plan basics Which benefits can be pre-taxed Who can participate The irrevocable election rule and change in status exceptions Health and Dependent Care FSAs Which expenses qualify Claim substantiation rules Transit/Parking Plans Introduction to Private Exchanges and Consumer Driven Health Care Health Savings Accounts (HSAs) Introduction to HRA rollover accounts What’s a Private Exchange and Why …

HIPAA

4-Day Certificate in Employee Benefits Law Seminar (Atlanta, Georgia, USA - April 20-24, 2020) | PR Newswire | 12/2/2019

… Overview of the Statutes and Regulatory Agencies Governing Retirement Plans The Alphabet of Laws (ERISA, ADA, COBRA, FMLA, GATT, USERRA, HIPAA and EGTRRA) and agencies (IRS, DOL, EBSA, PBGC, EEOC, SEC and HCFA) ERISA Title … Leave Act (FMLA) Military leave (USERRA) QMCSOs Health plan mandates Mental Health Parity Medicare Secondary Cancer Rights Act Cafeteria Plan Issues Cafeteria plan basics Which benefits can be pre-taxed Who can participate The irrevocable …

Mental Health Services

10 updates on UnitedHealth Group | Becker’s Hospital Review | 11/27/2019

… mental health services.6. UnitedHealth appointed Patricia Lewis as its chief human resources officer.7. Pennsylvania insurance regulators fined UnitedHealthcare after an investigation found the health insurer violated mental health parity laws.8. UnitedHealth plans to expand its housing program for homeless Medicaid recipients.9. UnitedHealthcare rolled out a new benefit aimed at lowering the use of imaging tests, surgeries and opioids for members with acute lower back pain. 10 …

Medicaid

10 updates on UnitedHealth Group | Becker’s Hospital Review | 11/27/2019

mental health parity laws.8. UnitedHealth plans to expand its housing program for homeless Medicaid recipients.9. UnitedHealthcare rolled out a new benefit aimed at lowering the use of imaging tests, surgeries and opioids for members with acute lower back pain. 10. UnitedHealth and its health services subsidiary Optum said they’re undertaking a new effort to combine health insurance and medical care. More articles on payers …

Addiction Treatment

New Milliman Report Highlights Continuing Barriers to Mental Health and Substance Use Disorder Treatment | PRWeb | 11/21/2019

… providers – and the degree of disparity has grown substantially in recent years, despite state and federal efforts to promote the Mental Health Parity and Addiction Equity Act (MHPAEA). The study also documented much lower reimbursement … Marvin Ventrell, President and CEO of the National Association for Addiction Treatment Providers, said that these findings are particularly alarming amid the twin epidemics of suicide and opioid overdoses. Ventrell stated, “Unfortunately, this study shows …

Patient Safety

Teladoc Health Earns Multiple Telehealth Accreditations from ClearHealth Quality Institute | Globe Newswire | 11/14/2019

… care in the industry, as evidenced by Teladoc Health’s other market-leading initiatives such as establishing the first and only Patient Safety Organization (PSO) for virtual care and research into antibiotic stewardship with USC . “As … and provider systems of care. CHQI’s Telemedicine Accreditation Program and Mental Health Parity/Substance Use Disorder Accreditation Program collectively accredit the nation’s leading health plans, health systems, and telemedicine organizations. CHQI is governed by an …

Telepsychiatry

Majority of counties in the US have no child psychiatrists | 11/4/2019

… the care they need from a mental health professional. As supply of care has gone up, so has demand. Establishing mental health parity laws, insurance mandates and the like aren’t useful to families if no … child psychiatry telephone consultation access programs, and new models of telepsychiatry,” the researchers wrote. In a related editorial, David Axelson, MD, of the department of psychiatry and behavioral health at Nationwide Children’s Hospital and The …

21st Century Cures Act

Rep. Gus Bilirakis: Too many who need mental healthcare can’t access it | Modern Healthcare | 9/21/2019

… with a mental health condition each year. We have made substantial progress in recent years with the passage of the 21st Century Cures Act, the Comprehensive Addiction and Recovery Act, and the Support for Patients … mental healthcare services—which happens to be the law. The Mental Health Parity and Addiction Equity Act was signed into law in 2008, but more than a decade later, some health plans and insurers are …

AMA

AMA: 6 ways states can combat the opioid epidemic | Becker’s Hospital Review | 9/10/2019

AMA: 6 ways states can combat the opioid epidemic Gabrielle Masson - Print Email The American Medical Association on Sept.9 released a report to guide policymakers and states in responding to the opioid epidemic, detailing … barrier that must be removed, according to AMA. 2. Increase mental health parity enforcement. States must expand oversight and enforcement of mental health parity laws, AMA said. For example, Colorado formed an ombudsman office to …

American Medical Association

AMA: 6 ways states can combat the opioid epidemic | Becker’s Hospital Review | 9/10/2019

AMA: 6 ways states can combat the opioid epidemic Gabrielle Masson - Print Email The American Medical Association on Sept.9 released a report to guide policymakers and states in responding to the opioid epidemic, detailing … barrier that must be removed, according to AMA. 2. Increase mental health parity enforcement. States must expand oversight and enforcement of mental health parity laws, AMA said. For example, Colorado formed an ombudsman office to …

Cognitive Behavioral Therapy

AMA: 6 ways states can combat the opioid epidemic | Becker’s Hospital Review | 9/10/2019

… use disorder treatments such as methadone or buprenorphine is a barrier that must be removed, according to AMA. 2. Increase mental health parity enforcement. States must expand oversight and enforcement of mental health parity laws … Medicaid program includes local anesthetics, physical and occupational therapy, and cognitive behavioral therapy. 5. Improve naloxone’s availability. Patients must have direct access to naloxone without a patient-specific prescription, AMA said. North Carolina purchased 40,000 …

Pain Management

AMA: 6 ways states can combat the opioid epidemic | Becker’s Hospital Review | 9/10/2019

… use disorder treatments such as methadone or buprenorphine is a barrier that must be removed, according to AMA. 2. Increase mental health parity enforcement. States must expand oversight and enforcement of mental health parity laws … support comprehensive, multidisciplinary pain care to expand access to nonopioid pain management strategies, according to AMA. Colorado’s Medicaid program includes local anesthetics, physical and occupational therapy, and cognitive behavioral therapy. 5. Improve naloxone’s availability. Patients …

Community Health

AMA Opioid Policy Paper Calls for Patient Access to Care, MAT | Patient Engagement HIT | 9/9/2019

… prior authorization. State attorneys general and legislators may also enact similar policies to remove administrative barriers to MAT. Creating, enforcing mental health parity Patient access to mental and behavioral health is equally important to the … nasal naloxone and training to administer it more pervasive. Tapping community health workers, especially those with shared experiences, to connect with those admitted to the ED for opioid overdose will also be an essential aspect …

ACO

Health Insurance Coverage For Mental Health Problems Still Lags : Shots - Health News : NPR | 6/7/2019

… still have trouble getting their health insurers to cover needed mental health treatment. Gary Waters/Ikon Images/Getty Images Amanda Bacon’s eating disorder was growing worse. She had lost 60% of her body weight and … and a legal case suggest serious disparities remain. The 2008 Mental Health Parity and Addiction Equity Act required large group health plans that provide benefits for mental health problems to put that coverage on an …

Health Management

First Edition: April 15, 2019 | Kaiser Health News | 4/15/2019

… Kennedy Pressuring Insurers To Boost Mental Healthcare Patrick Kennedy, son of the late Sen. Ted Kennedy, co-sponsored the 2008 Mental Health Parity and Addiction Equity Act while serving as a Democratic congressman from Rhode … to everyone with a period. People who care about ­menstrual health management want to change that. And the International Menstrual Health Entrepreneurship Roundup ­(IMHER) is tracking their efforts. (Blakemore, 4/13) NPR: High Stress Can Lead …

UnitedHealth

10 updates on UnitedHealth Group | Becker’s Hospital Review | 11/27/2019

Here are 10 updates on UnitedHealth Group’s business transactions, leadership and legal dealings reported by Becker’s Hospital Review since October. 1. Under a multiyear agreement, UnitedHealthcare will open 14 Medicare service centers in Walgreens stores … fined UnitedHealthcare after an investigation found the health insurer violated mental health parity laws.8. UnitedHealth plans to expand its housing program for homeless Medicaid recipients.9. UnitedHealthcare rolled out a new benefit aimed at …

UnitedHealth Sued Over Autism Treatment Denials | 11/7/2019

The mother of a 13-year-old slapped United Behavioral Health with a class action in California federal court Thursday, saying the UnitedHealth Group subsidiary’s refusal to greenlight payments for an autism treatment violates the Mental Health Parity and Addiction Equity Act and the Employee Retirement Income Security Act. The suit accuses UBH of wrongfully enforcing certain employee benefit plans’ bans on covering applied behavior analysis, an autism treatment that …

UnitedHealth Group

10 updates on UnitedHealth Group | Becker’s Hospital Review | 11/27/2019

Here are 10 updates on UnitedHealth Group’s business transactions, leadership and legal dealings reported by Becker’s Hospital Review since October. 1. Under a multiyear agreement, UnitedHealthcare will open 14 Medicare service centers in Walgreens stores … fined UnitedHealthcare after an investigation found the health insurer violated mental health parity laws.8. UnitedHealth plans to expand its housing program for homeless Medicaid recipients.9. UnitedHealthcare rolled out a new benefit aimed at …

UnitedHealth Sued Over Autism Treatment Denials | 11/7/2019

The mother of a 13-year-old slapped United Behavioral Health with a class action in California federal court Thursday, saying the UnitedHealth Group subsidiary’s refusal to greenlight payments for an autism treatment violates the Mental Health Parity and Addiction Equity Act and the Employee Retirement Income Security Act. The suit accuses UBH of wrongfully enforcing certain employee benefit plans’ bans on covering applied behavior analysis, an autism treatment that …

Manatt Health

AMA: 6 ways states can combat the opioid epidemic | Becker’s Hospital Review | 9/10/2019

Manatt Health Strategies. The report outlines the following six actions states can take to address the opioid epidemic: 1. Remove barriers to medication-assisted treatment. MAT must be affordable. Requiring prior authorization for FDA-approved substance use disorder treatments such as methadone or buprenorphine is a barrier that must be removed, according to AMA. 2. Increase mental health parity enforcement. States must expand oversight and enforcement of mental health parity

AMA urges states to improve opioid abuse treatment access | Modern Healthcare | 9/9/2019

The American Medical Association and Manatt Health urged states on Monday to step up their game to ensure residents have adequate access to opioid use disorder treatments. In a new report , the two organizations zeroed … service benefits took effect in 2008, the report notes actual mental health parity is still a work in progress . States can play a role, however, by stepping up their active oversight and market conduct examinations …

Kaiser Permanente

Kaiser Permanente partners with The Kennedy Forum, advocates to elevate mental health in election discourse | PR Newswire | 6/10/2019

OAKLAND, Calif. , June 10, Kaiser Permanente is partnering with The Kennedy Forum and a coalition of prominent mental health and addiction organizations in the launch of Mental Health for US, a national initiative designed to … this initiative,” said Kennedy, who was lead sponsor of the Mental Health Parity and Addiction Equity Act of 2008. The launch of the initiative is the first of many forums where industry leaders will join …

Health Insurance Coverage For Mental Health Problems Still Lags : Shots - Health News : NPR | 6/7/2019

… parity between mental and physical health care coverage. Recent studies and a legal case suggest serious disparities remain. The 2008 Mental Health Parity and Addiction Equity Act required large group health plans that provide benefits … group funded by the insurance companies Aetna, Humana, UnitedHealthcare and Kaiser Permanente. (Kaiser Health News is not affiliated with Kaiser Permanente.) Shots - Health News Federal Panel Calls For Stricter Enforcement Of Mental Health Care Parity …

UnitedHealthcare

10 updates on UnitedHealth Group | Becker’s Hospital Review | 11/27/2019

… UnitedHealth Group’s business transactions, leadership and legal dealings reported by Becker’s Hospital Review since October. 1. Under a multiyear agreement, UnitedHealthcare will open 14 Medicare service centers in Walgreens stores across the U.S.2. Walmart … fined UnitedHealthcare after an investigation found the health insurer violated mental health parity laws.8. UnitedHealth plans to expand its housing program for homeless Medicaid recipients.9. UnitedHealthcare rolled out a new benefit aimed at …

Pennsylvania Penalizes United Healthcare | 11/11/2019

A November 4 release from the Pennsylvania Insurance Department: Insurance Commissioner Jessica Altman today released a market conduct examination report on the practices and procedures of UnitedHealthcare Insurance Company . Based on violations of the Mental Health Parity and Addiction Equity Act (MHPAEA) and other violations contained in the report, UnitedHealthcare has agreed to develop an $800,000 public outreach campaign to educate consumers about their mental health and substance use disorder …

Magellan Health

Payers Do Not Enforce Behavioral Healthcare Payment Parity | HealthPayer Intelligence | 11/22/2019

Magellan Health Services, and advisor to The Bowman Family Foundation. “With the extensive efforts by multiple stakeholders, over the last several years, we were expecting to see significant improvements. Instead, we are going backwards.” Dig Deeper How the Affordable Care Act Strengthened Mental Health Parity The healthcare industry has been working to address payment parity between behavioral health and other areas of healthcare in an effort to promote the importance …

Health Insurance Still Skimps On Mental Health Coverage, Study Finds : Shots - Health News : NPR | 11/30/2017

… state agencies and employers to conduct random audits of insurers to make sure they are in compliance with the federal Mental Health Parity and Addiction Equity Act of 2008. Roy Scott/Getty Images/Ikon Images … would have done better,” says Henry Harbin, former CEO of Magellan Health, a managed behavioral health care company. “This is a wake-up call for employers, regulators and the plans themselves,” Harbin says, “that whatever …

Independent Health

ClearHealth Quality Institute Launches Accreditation for Telemedicine Outcomes Programs | PRWeb | 11/12/2019

… Jason Goldwater, MPA, MA, PMP, Senior Principal, Atlas Research, & Chair, CHQI Outcomes Workgroup. ANNAPOLIS, Md. ClearHealth Quality Institute (CHQI), an independent health care accrediting body, announced today the launch of a new addition to its … and provider systems of care. CHQI’s Telemedicine Accreditation Program and Mental Health Parity/Substance Use Disorder Accreditation Program collectively accredit the nation’s leading health plans, health systems, and telemedicine organizations. CHQI is governed by an …

ClearHealth Quality Institute Releases RPM Accreditation Standards for Public Comment | PRWeb | 11/5/2019

… Nation’s First to Assess Quality and Effectiveness of Remote Patient Monitoring (RPM) Programs ANNAPOLIS, Md. ClearHealth Quality Institute™ (CHQI), an independent health care accrediting body, today released draft standards for the country’s first accreditation program … and provider systems of care. CHQI’s Telemedicine Accreditation Program and Mental Health Parity/Substance Use Disorder Accreditation Program collectively accredit the nation’s leading health plans, health systems, and telemedicine organizations. CHQI is governed by an …

Aetna

UnitedHealthcare faces $1 million penalty for claims payment violations - The Morning Call | Chicago Tribune | 11/5/2019

… Her department’s report covered the period from January 2015 through March 2016 and found what it called “extensive noncompliance with mental health parity and prompt pay laws.” UnitedHealthcare said in a statement that the company … in the state issued a $190,000 penalty against Connecticut-based Aetna; a report last year prompted Blue Cross of Northeast Pennsylvania to pay $90,000 in a settlement. The latest state report lists dozens of examples …

Health Insurance Coverage For Mental Health Problems Still Lags : Shots - Health News : NPR | 6/7/2019

… parity between mental and physical health care coverage. Recent studies and a legal case suggest serious disparities remain. The 2008 Mental Health Parity and Addiction Equity Act required large group health plans that provide benefits … Cost Institute , a research group funded by the insurance companies Aetna, Humana, UnitedHealthcare and Kaiser Permanente. (Kaiser Health News is not affiliated with Kaiser Permanente.) Shots - Health News Federal Panel Calls For Stricter Enforcement Of …

Cigna

Why is it so hard to get mental health treatment covered by insurance? Patients face this catch-22. | 12/15/2017

… visits. None of these scenarios are hypothetical. In 2014, New York Attorney General Eric Schneiderman came to a settlement with Cigna Corporation on behalf of plaintiffs with mental health conditions — mostly eating disorders — who claimed … care. That’s not what the law has intended. The landmark Mental Health Parity and Addiction Equity Act of 2008 mandated that mental health and substance abuse claims be fundamentally covered on par with medical or …

Why is it so hard to get mental health treatment covered by insurance? Patients face this catch-22. | 12/14/2017

… visits. None of these scenarios are hypothetical. In 2014, New York Attorney General Eric Schneiderman came to a settlement with Cigna Corporation on behalf of plaintiffs with mental health conditions — mostly eating disorders — who claimed … care. That’s not what the law has intended. The landmark Mental Health Parity and Addiction Equity Act of 2008 mandated that mental health and substance abuse claims be fundamentally covered on par with medical or …

Patrick Kennedy

Patrick J. Kennedy Joins Kaden Health as a Board Observer | PRWeb | 3/18/2020

… in the U.S. House of Representatives, Mr. Kennedy fought to end discrimination against those with mental illness, addiction, and other brain diseases. He is best known as the lead sponsor of the groundbreaking Mental Health Parity and Addiction Equity Act of 2008 (Federal Parity Law), which requires insurers to cover treatment for mental health and substance use disorders no more restrictively than treatment for illnesses of the body, such as …

Patrick J. Kennedy

Patrick J. Kennedy Joins Kaden Health as a Board Observer | Markets Insider | 3/18/2020

… PRWeb/ – Kaden Health, the digital behavioral health company dedicated to combatting the opioid crisis, is pleased to announce today that Patrick J. Kennedy , Rhode Island’s eight-term First Congressional District Representative and longtime mental health … is best known as the lead sponsor of the groundbreaking Mental Health Parity and Addiction Equity Act of 2008 (Federal Parity Law), which requires insurers to cover treatment for mental health and substance use disorders …

Gavin Newsom

State Highlights: Contraband Phones Allowed Inmates To Reveal Mold, Rats In Troubled Mississippi Jails; New York Murder Trial Uncovers Failure Of Child Welfare System | Kaiser Health News | 1/16/2020

Mental Health Parity Leaders of the National Union of Healthcare Workers applauded Gov. Gavin Newsom on Tuesday for committing to crack down on health care companies that fail to provide patients with mental health care comparable with that they provide for physical illnesses. During his budget address Friday, Newsom said the state’s Department of Managed Health Care was “getting in the business of real enforcement, not tacit enforcement.” He added …

Laura Wood

URAC to Purchase CHQI Programs | PR Newswire | 1/6/2020

… Mental Health Parity/Substance Use Disorder Accreditation Program collectively accredit the nation’s leading health plans, health systems, and telemedicine organizations. Media Contact: Laura Wood 202-326-3968 [email protected] Related Images urac-logo.jpg URAC logo URAC celebrates 30 years of setting the standard in health care SOURCE URAC …

Ned Lamont

New state laws for new year include tax on parking, laundry | 1/1/2020

… revelers ring in the new year, a host of new laws will take effect in Connecticut, including expanded sales taxes, mental health parity requirements for insurers, an effort to help rehabilitate more blighted properties, and … for individuals will also become taxable in 2020. Democratic Gov. Ned Lamont originally unveiled plans in early 2019 to create a level playing field and expand Connecticut’s sales tax base by repealing various exemptions and …

George W. Bush

Seg. 1: Mental Health Parity | Seg. 2: In Defense Of Language | 12/23/2019

By Steve Kraske & Danie Alexander • 11 hours ago Listen / Segment 1: Missouri does not enforce a 2008 federal law on mental health parity. When President George W. Bush signed the Paul Wellstone and Pete Domenici Mental Health Parity and Addictions Equity Act in 2008, it established that health insurers must cover mental health the same as other medical conditions. Missouri remains one of only two states to not enforce that …

Pete Domenici

District 4 candidates have different approaches to city policy | 11/30/2019

Mental Health Parity (sponsored by Sen. Pete Domenici and Congressman Patrick Kennedy) (2005). MAJOR PROFESSIONAL ACCOMPLISHMENT: Having led the work that established the formal designation of May as National Mental Health Awareness Month, declared under President Obama, and recognized across all 50 states in 2012. MAJOR PERSONAL ACCOMPLISHMENT: Working directly with General Peter Chiarelli, 32nd Vice Chief of Staff of the US Army, on efforts to address suicide rates among …

Mark Covall

New Milliman Report Highlights Continuing Barriers to Mental Health and Substance Use Disorder Treatment | PRWeb | 11/21/2019

Mental Health Parity and Addiction Equity Act (MHPAEA). The study also documented much lower reimbursement rates paid by insurers to behavioral providers for “in-network” services, with the gap between behavioral versus medical/surgical providers widening. “These access problems are about more than just reimbursements,” said Mark Covall, president and CEO of the National Association for Behavioral Healthcare (NABH) and Parity Implementation Coalition Co-Chair. “Our evidence shows that health …

Mark Cova

New Milliman Report Highlights Continuing Barriers to Mental Health and Substance Use Disorder Treatment | PRWeb | 11/21/2019

Mental Health Parity and Addiction Equity Act (MHPAEA). The study also documented much lower reimbursement rates paid by insurers to behavioral providers for “in-network” services, with the gap between behavioral versus medical/surgical providers widening. “These access problems are about more than just reimbursements,” said Mark Covall, president and CEO of the National Association for Behavioral Healthcare (NABH) and Parity Implementation Coalition Co-Chair. “Our evidence shows that health …

Michael Thompson

New Report Reveals Worsening Disparities in Access to Behavioral Healthcare for Employer-Sponsored Health Plans | Globe Newswire | 11/20/2019

… care spending in 2017. “This analysis confirms that the U.S. mental health system is only getting worse, not better,” said Michael Thompson, president and CEO, National Alliance of Healthcare Purchaser Coalitions. “It will not fix … to improve quality and outcomes Expand tele-behavioral health Ensure mental health parity compliance Federal and state parity regulators should increase their oversight in several key areas: (a) require health plans to provide comparative quantitative …

Michael Gomes

Teladoc Health Earns Multiple Telehealth Accreditations from ClearHealth Quality Institute | Globe Newswire | 11/14/2019

… employers, and insurers alike generally feel more comfortable and more confident relying on healthcare entities that have secured accreditation,” said Michael Gomes, CEO, CHQI. “By becoming a CHQI-accredited organization for telemedicine in two areas … and provider systems of care. CHQI’s Telemedicine Accreditation Program and Mental Health Parity/Substance Use Disorder Accreditation Program collectively accredit the nation’s leading health plans, health systems, and telemedicine organizations. CHQI is governed by an …

Pete Buttigieg

2020 election: Democratic presidential candidate Pete Buttigieg shares his views on current issues | 11/12/2019

2020 election: Democratic presidential candidate Pete Buttigieg shares his views on current issues We asked presidential candidates questions about a variety of issues facing the country. Their answers will be published over the coming weeks … programs around prevention, care integration, and community. We will establish mental health parity for Medicare, Medicaid, and private insurance, so they cover mental illness in the same way they cover chronic conditions like diabetes; increase …

Joe Biden

2020 election: Democratic presidential candidate Joe Biden shares his views on current issues | 11/11/2019

2020 election: Democratic presidential candidate Joe Biden shares his views on current issues We asked presidential candidates questions about a variety of issues facing the country. Their answers will be published over the coming weeks … is health care. As president, I will ensure enforcement of mental health parity laws and expand funding for mental health services. I will also double the number of psychologists, guidance counselors, nurses, social workers, and …

Amy Klobuchar

2020 election: Democratic presidential candidate Amy Klobuchar shares her views on current issues | 11/11/2019

Amy Klobuchar had to say about health care. Is more funding needed for mental health care in America? If yes, what amount and how should it be allocated? Where should that money come from? Senator Klobuchar released a $100 billion plan to combat substance use disorders and prioritize mental health, including expanding access to treatment, launching new suicide prevention initiatives, and enforcing mental health parity laws. To pay for her …

Jessica Altman

UnitedHealthcare faces $1 million penalty for claims payment violations - The Morning Call | Chicago Tribune | 11/5/2019

… Jessica Altman, the state’s insurance commissioner, in a statement. Her department’s report covered the period from January 2015 through March 2016 and found what it called “extensive noncompliance with mental health parity and prompt pay laws.” UnitedHealthcare said in a statement that the company worked closely with insurance regulators in Pennsylvania to address their concerns. “While we have already made changes, we will continue to make improvements to help individuals …

Eric Schneiderman

Why is it so hard to get mental health treatment covered by insurance? Patients face this catch-22. | 12/15/2017

… your insurer won’t cover weekly social work visits. None of these scenarios are hypothetical. In 2014, New York Attorney General Eric Schneiderman came to a settlement with Cigna Corporation on behalf of plaintiffs with mental … care. That’s not what the law has intended. The landmark Mental Health Parity and Addiction Equity Act of 2008 mandated that mental health and substance abuse claims be fundamentally covered on par with medical or …

Phyllis Foxworth

Why is it so hard to get mental health treatment covered by insurance? Patients face this catch-22. | 12/15/2017

… 22: Either skip treatment, or pay out of pocket for care. That’s not what the law has intended. The landmark Mental Health Parity and Addiction Equity Act of 2008 mandated that mental health and substance … a heart attack, this is what the protocol is,” said Phyllis Foxworth, vice president of advocacy for the Depression and Bipolar Support Alliance , a nonprofit that provides support, education and resources for those with mood …