Achieving Parity for Mental Health Treatment: Hearing of the Committee on Health, Education, Labor, and Pensions, United States Senate, One Hundred Seventh Congress, First Session on Examining Mental Health and Our Ongoing Battle to See that Those Suffering from Mental Illnesses Receive the Services They Need and to Provide Parity in Coverage of Mental Health Services, July 11, 2001, Volume 4U.S. Government Printing Office, 2001 - 73 pages |
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Page 20
... managed behavioral health care networks are shielded from excessive premium in- creases . I think that that has been documented in the past and I want to be able to focus on that . I want to make sure we don't sacrifice , as we achieve ...
... managed behavioral health care networks are shielded from excessive premium in- creases . I think that that has been documented in the past and I want to be able to focus on that . I want to make sure we don't sacrifice , as we achieve ...
Page 21
... managed behavioral health care networks are shielded from excessive pre- mium increases . In addition , I want to make sure that in our efforts to increase parity , we do not sacrifice quality in the name of equality . I believe we need ...
... managed behavioral health care networks are shielded from excessive pre- mium increases . In addition , I want to make sure that in our efforts to increase parity , we do not sacrifice quality in the name of equality . I believe we need ...
Page 26
... managed effectively . Even more telling were studies by the National Advisory Mental Health Council demonstrating cost savings from the introduction of managed care techniques and average premium increases in the range of 1.5 percent ...
... managed effectively . Even more telling were studies by the National Advisory Mental Health Council demonstrating cost savings from the introduction of managed care techniques and average premium increases in the range of 1.5 percent ...
Page 29
... managed care that you have seen in the broader area of physical medicine will apply in this area as well . So I guess I would say , Senator Jeffords , that many of the les- sons learned from the introduction of managed care in physical ...
... managed care that you have seen in the broader area of physical medicine will apply in this area as well . So I guess I would say , Senator Jeffords , that many of the les- sons learned from the introduction of managed care in physical ...
Page 34
... managed behavioral health care organizations and to provide that benefits through those organizations . We have seen health plans contract with a managed behavioral health care organization , but use the plan's existing networks of ...
... managed behavioral health care organizations and to provide that benefits through those organizations . We have seen health plans contract with a managed behavioral health care organization , but use the plan's existing networks of ...
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areas bill bipolar disorder brain Chairman children and adolescents clinical depression committee copayments cosponsor coverage for mental depression diagnoses disability discrimination Employees Health Benefits enacted Equitable Treatment Act ERISA families Federal Employees Health FEHBP FLYNN full parity HARBIN health and substance Health Benefits Program Health Equitable Treatment health insurance Health Parity Act health plans hearing hospital impact implementation increase inpatient Institute of Mental insurance company issue Magellan Magellan Health Services managed behavioral health managed care ment mental disorders mental health benefits mental health coverage Mental Health Equitable mental health parity mental health services mental health treatment mental illness MHPA networks parity for mental parity laws parity legislation patients Paul Wellstone percent Pete Domenici physical illness premium prepared statement provide parity psychiatric psychiatrist schizophrenia Senator Domenici Senator Frist Senator Wellstone STATEMENT OF SENATOR stigma substance abuse suicide Thank treat
Fréquemment cités
Page 59 - Now over 7,600 members strong, the AACAP is the leading national medical association dedicated to treating and improving the quality of life for the estimated 7-12 million American youth under 18 years of age who are affected by emotional, behavioral, developmental and mental disorders. AACAP supports research, continuing medical education and access to quality care. Child and adolescent psychiatrists are the only medical specialists fully trained in the treatment of mental illness in children and...
Page 25 - I would be happy to try and answer any questions you may have. The CHAIRMAN. Thank you very much, Mr.
Page 60 - Coverage, with parity, should include a full continuum of treatment — including, but not limited to, preventive interventions, early identification, assessment and diagnosis, case management, outpatient treatment, partial hospitalization, homebased services, detoxification and inpatient treatment. Treatment for children and adolescents requires that services involve the child or adolescent and family as well as appropriate collaboration with other significant caregivers, teachers, physicians or...
Page 61 - Range of Services 2) Services provided should include a wide range of treatment options — including but not limited to preventive interventions, early identification, assessment and diagnosis, case management, outpatient treatment, partial hospitalization, homebased services, detoxification and inpatient treatment. Treatment for children requires that services involve both the child or adolescent and family as well as appropriate collaboration with other significant care givers, teachers, physicians...
Page 63 - Carolina has been diagnosed with major depression since 1979. Even though she has worked for the same company for more than 25 years, she is on the verge of losing her job because she cannot afford to pay for the treatment she needs on her own. Her employer qualifies for the small business exemption under the MHPA South Carolina's parity law is of little benefit to Bonnie because it still allows her health plan to strictly limit coverage for outpatient medication and therapy - limits she long ago...
Page 62 - ... children. Mr. Chairman, for too long, severe mental illness has been shrouded in stigma and discrimination. These illnesses have been misunderstood, feared, hidden, and often ignored by science. Only in the last decade have we seen the first real hope for people with these brain disorders through pioneering research that has uncovered both a biological basis for these brain disorders and treatments that work.
Page 9 - I just always remember her words — "the gap between what we know and what we do is lethal".
Page 62 - ... this stigma. DISCRIMINATION IS WRONG Discrimination in health insurance takes many forms, The most common techniques that apply only to mental illness treatment are: higher cost sharing requirements for outpatient visits and prescriptions, lower treatment limits on inpatient days and outpatient visits and lower annual and lifetime dollar limits. The use of these discriminatory limits and conditions has been well documented. Numerous studies compiled prior to the enactment of parity laws (including...
Page 67 - Specifically, the bill requires parity for outpatient visit and inpatient day limits, copayments, deductibles, and maximum outof-pocket requirements, in addition to parity for annual and lifetime dollar limits as currently required by the 1996 Parity Act. An employee's mental health coverage, when offered, would have to be at parity in every respect to the employee's medical/ surgical coverage.