Mental Health Parity

Letter to the Editor, Oct. 22, 2020: Insurers must put people before profits | 10/22/2020

… and Roslyn Dance. I worked for more than 25 years to pass, implement and enforce federal law requiring insurers to cover mental health and substance use disorder (MH/SUD) like other medical conditions. The Mental Health Parity and Addiction Equity Act (MHPAEA) is not a mandate for this coverage. It simply prohibits health plans from imposing discriminatory barriers on accessing benefits not placed on other medical conditions. Despite passage of …

New Laws Keep Pandemic-Weary California at Forefront of Health Policy Innovation | 10/1/2020

… into law this year. Most will take effect on Jan. 1. /p p strong Behavioral Health /strong /p p Lawmakers made significant changes to mental health coverage, and perhaps the most consequential is a mental health parity bill. a href=”https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB855” SB-855 /a requires state-regulated health insurers in California to cover all treatment deemed medically necessary for mental health and substance abuse …

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CA Approves New Parity Law Expanding Coverage Obligations for Mental Health and SUD Treatment | 9/30/2020

… Health & Safety Code (which governs healthcare service plans in California) and the Insurance Code (which governs health insurers in California). Among other changes, SB 855: Expands the scope of coverage mandates in the California Mental Health Parity Act; Mandates a new, uniform definition of “medically necessary treatment of a mental health or substance use disorder”; Prohibits “discretionary clauses” in health plan contracts; Establishes new obligations for payors to arrange for …

Therapists Want to Provide Affordable Mental Health Care. Here’s What’s Stopping Them | 9/24/2020

… get their claims approved and paid.” /p p Federal law requires insurance companies to offer the same benefits for behavioral health care as they do physical health, a concept known as parity. A federal mental health parity act passed in 2008 and was expanded in 2010 after the Affordable Care Act named mental health and substance use treatment an essential health benefit. With few exceptions, insurance plans are supposed to …

Make mental health care via telehealth a right for all Americans - STAT | 9/23/2020

… the country. Health providers may also need the certainty of a permanent extension of these benefits to begin to adopt the technology in the first place. A decade ago, Congress passed a law establishing mental health parity , stipulating that insurance companies must cover mental health services at levels similar to physical health services. In the Wyden household, the passage of this law was greeted with huge cheers. We hoped it …

Concerns Raised by ‘Georgia Access’ 1332 Waiver Application | 9/21/2020

… would allow private insurers to sell Qualified Health Plans (QHP) alongside non-QHPs. QHPs must provide essential health benefits, such as mental health and substance use disorder services. QHPs also must comply with the Mental Health Parity and Addiction Equity Act (MHPAEA) passed in 2008, which requires plans to cover mental health and substance abuse treatment at the same level as physical health treatment. Georgia thus requests waiver of Section …

Health & Welfare Plans Newsletter for September 18, 2020 | 9/18/2020

… need for clarification…. [2] Check vendor claims processing and assist employees…. [3] Steer employees to providers with transparent costs…. [4] Return-to-the-workplace considerations…. [5] Review compliance requirements for stand-alone telehealth…. [6] Mental health parity considerations.” Mercer Supplemental Paid Sick Leave for All Coming to California “When do I have to give employees leave under the new law? … How do I have to pay for the new COVID …

Opinion: Gov. Newsom should veto flawed attempt to expand mental health coverage - SFChronicle.com | SF Chronicle | 9/10/2020

… and it will take continued collaborative efforts by all involved to ensure everyone in need of care has access to care. Senate Bill 855, recently passed by the California Legislature, is purported to address mental health parity . Unfortunately, it will not provide expanded access to the clinically meaningful mental health and substance use disorder care it claims. California’s health plans already provide comprehensive coverage for mental health and substance use …

CA Legislature Expands Behavioral, Mental Healthcare Parity Law | HealthPayer Intelligence | 9/8/2020

… bill from the California state legislature, California health plans will have to cover mental health conditions to the same extent they do medical services in an effort to achieve mental healthcare parity. The California Mental Health Parity Act —passed in 1999—already required health plans and disability insurers that offer hospital, medical, or surgical coverage to also cover serious mental illness diagnosis and treatment, including prescription drugs. The reformed bill’s …

Technology Is Just Part of Mental Health Management | 9/3/2020

… should look for vendors that provide a holistic solution—not just technology—to address employees’ many needs, advised Patrick Kennedy, a mental health advocate and former congressional representative. Kennedy, who co-sponsored the 2008 Mental Health Parity and Addiction Equity Act while serving as a Democratic representative from Rhode Island, believes the coronavirus pandemic will lead to more awareness of the best ways to support good mental health. “You need …

California Poised To Strengthen Mental Health Insurance Laws | 9/2/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

California Poised To Strengthen Mental Health Insurance Laws | 9/2/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

Wednesday, September 2, 2020 | 9/2/2020

… reached a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois, have been strengthening their regulation and enforcement.This week, California’s legislature passed one of the nation’s strictest mental health parity bills. It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. (Noguchi, 9/1) Modern Healthcare: California PPE Bills …

Mental Health Bill Passed In California Would Cover Many More Conditions | Kaiser Health News | 9/2/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois, have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills. It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. (Noguchi, 9/1) WBUR: California Poised To Strengthen …

Health & Welfare Plans Newsletter for September 2, 2020 | 9/2/2020

Mental Health Parity – Why Is Something So Important So Hard? “The federal Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 is the law that most people think of when it comes to parity. However, that’s only ONE of the many state and federal laws that address health insurance coverage of mental health and substance use disorder (MH/SUD) treatment services.” (Part 1 of 2.) MZQ Consulting, LLC New …

Carve‐out plan financial requirements associated with national behavioral health parity | 9/2/2020

Abstract Objectives To examine changes in carve‐out financial requirements (copayments, coinsurance, use of deductibles, and out‐of‐pocket maxima) following the Mental Health Parity and Addiction Equity Act (MHPAEA). Data Source/Study Setting Specialty mental health benefit design information for employer‐sponsored carve‐out plans from a national managed behavioral health organization’s claims processing engine (2008‐2013). Study Design This pre‐post study reports linear and logistic regression as the …

California Legislature Passes Mental Health Parity Law : NPR | 9/1/2020

California lawmakers cleared a bill for one of the country’s strongest mental health parity laws. If signed, it would improve insurance coverage for substance use disorders and addiction. SACHA PFEIFFER, HOST: Federal and state laws require insurance companies to cover mental health just as they would medical care, but actually getting insurance for mental health treatment can be tricky. In California, the Legislature is trying to make that promise real …

Californa’s Stronger ‘Mental Health Parity’ Bill Awaits Governor’s Signature : Shots - Health News : NPR | 9/1/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

California Poised To Strengthen Mental Health Insurance Laws | 9/1/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

California Poised To Strengthen Mental Health Insurance Laws | 9/1/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

California Poised To Strengthen Mental Health Insurance Laws | 9/1/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

California Poised To Strengthen Mental Health Insurance Laws | 9/1/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

California Poised To Strengthen Mental Health Insurance Laws | 9/1/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

California Poised To Strengthen Mental Health Insurance Laws | 9/1/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

California Poised To Strengthen Mental Health Insurance Laws | 9/1/2020

… a late-stage crisis, or let companies deny coverage outright. So states, including New York and Illinois , have been strengthening their regulation and enforcement. This week, California’s legislature passed one of the nation’s strictest mental health parity bills . It aims to increase mental health insurance coverage to include far more conditions — including, notably, addiction — as well as redefining the criteria for insurance denials. Monica Vera-Schubert says such rules would …

Behavioral Health

New Laws Keep Pandemic-Weary California at Forefront of Health Policy Innovation | 10/1/2020

Behavioral Health /strong /p p Lawmakers made significant changes to mental health coverage, and perhaps the most consequential is a mental health parity bill. a href=”https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB855” SB-855 /a requires state-regulated health insurers in California to cover all treatment deemed medically necessary for mental health and substance abuse disorders, from depression to opioid addiction. Health insurers opposed the bill, arguing it would …

Medicaid

New Laws Keep Pandemic-Weary California at Forefront of Health Policy Innovation | 10/1/2020

… https://californiahealthline.org/news/california-ag-seeks-more-power-to-battle-merger-hungry-health-care-chains/” consolidations /a , expanded the state’s Medicaid program, called Medi-Cal, to a href=”http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB29 … mental health coverage, and perhaps the most consequential is a mental health parity bill. a href=”https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB855” SB-855 /a requires state-regulated health insurers in California to cover …

Substance Abuse

New Laws Keep Pandemic-Weary California at Forefront of Health Policy Innovation | 10/1/2020

mental health parity bill. a href=”https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB855” SB-855 /a requires state-regulated health insurers in California to cover all treatment deemed medically necessary for mental health and substance abuse disorders, from depression to opioid addiction. Health insurers opposed the bill, arguing it would drive up health care spending. /p p Mental health parity is already enshrined in state and federal law, but advocates …

ACA

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

… the proposals on the basis of comments by doctors from across the political spectrum. Biden Says We Should Restore the ACA At a debate of the Democrat presidential candidates in June 2019, Biden argued that … 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 …

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 …

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 …

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 …

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 …

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 …

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 …

Gavin Newsom

New Laws Keep Pandemic-Weary California at Forefront of Health Policy Innovation | 10/1/2020

… new laws intended to lower consumer health care spending and expand access to health coverage. /p p When Democratic Gov. Gavin Newsom concluded the chaotic legislative year Wednesday — his deadline to sign or veto bills … mental health coverage, and perhaps the most consequential is a mental health parity bill. a href=”https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB855” SB-855 /a requires state-regulated health insurers in California to cover …

Joe Biden

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

Election 2020: What Exactly Is Joe Biden’s Healthcare Plan? Leigh Page August 12, 2020 Physicians — like all Americans — are trying to size up Joe Biden’s healthcare agenda, which the Democratic presidential nominee has outlined in … 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 …

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 …

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 …

Jessica Altman

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 …

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 …

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 …