On September 9, 2024, the Biden administration issuedmuch-anticipated final regulationsunder the Mental Health Parity and Addiction Equity Act (MHPAEA). The rules implement a host of complicated new compliance requirements for sponsors and issuers of health plans, instituting new obligations to collect...
September 13, 2024 Significantly revised Mental Health Parity and Addiction Equity Act rules may require employer action before Jan. 1, 2025. Most content requirements for the comparative analysis of nonquantitative treatment limitations (NQTLs) — including certification by a plan fiduciary ...
Aims of the Study: We seek to understand the impact that mental health parity would have on the out-of-pocket burden that families would face in the event of mental illness. We focus in particular on variations in coverage across the privately insured population. Methods: We compare out-of-...
by Nicholas Pappas & Andrew Holly · June 5, 2024 The Dorsey Health Law blog team keeps readers up-to-date on relevant topics in the health care industry. In order to do so, the members of the blog team communicate regularly with other practice groups within the firm for appl...
The House of Representatives has followed the Senate in passing long-awaited mental health parity legislation. The House of Representatives passed a version of the bill passed unanimously in September, and members of Congress will have to meet to reconcile the differences between the two bills. ...
Mental health parity compliance We test health plan compliance with the quantitative requirements of MHPAEA. Quantitative testing checks that financial requirements and quantitative treatment limits for mental health/substance use disorder benefits are no more restrictive than predominant levels for medical/su...
Patrick J. Kennedy:As the author of the MHPAEA [Mental Health Parity and Addiction Equity Act],3we don’t talk about mental health as just a universal right; we liken it to a medical civil right because historically mental health has been treated separately and unequally from overall health...
Milliman assists healthcare plans and insurance companies in navigating the ins and outs of mental health coverage.
Our previous post, Mental Health Parity Is Not a Panacea: Lessons to Date, examined the success (or lack thereof) of parity laws to date. While a few outcomes, primarily out-of-pocket costs, were improved, there was little evidence that legislated parity increased ove...
Efforts to mandate equal mental health insurance coverage date to the Kennedy administration. Evaluation of the success of efforts to mandate parity look at both quantitative and qualitative variables. A reduction in patients' out-of-pocket costs is a consistent finding, but utiliza...