Mental Health

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. III. Summary of Selected State Programs

Within the specific context of their service systems and needs of their communities, each state is implementing very different strategies to improve the coordination of care. This chapter presents a brief synopsis of each state program (detailed information about each state is provided in Appendices A-D). Table III.1 summarizes the key features

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. I. Introduction

A. Background and Statement of the Problem

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Executive Summary

Medicaid beneficiaries with mental health and substance use disorders (SUDs) require an array of physical, behavioral health, and other supportive services. Access to preventive health care, housing, and social services is particularly challenging for this population (Perese 2007). In the absence of comprehensive coordinated services, these indivi

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Acronyms

The following acronyms are mentioned in this report and/or appendices.

Short-Term Analysis to Support Mental Health and Substance Use Disorder Parity Implementation

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A Description of Board and Care Facilities, Operators, and Residents. 2.5 Descriptive Measures

The development of instruments to describe residents, homes, operators, and staff and to capture key elements of quality was another major task. We developed three basic types of measures: (1) those used to describe homes and residents, (2) those used as covariates in the analysis of the effect of regulation and licensure on quality, and (3) tho

A Description of Board and Care Facilities, Operators, and Residents. Section 1. Background

A variety of demographic factors and policy initiatives have increased demand for residential facilities that offer supportive services for the aged and disabled. These factors include

Personal Privacy in an Information Society. References

1 1975 data conveyed to staff of the Privacy Protection Study Commission by staff at the National Center for Health Statistics. 2 National Center for Health Statistics, Health: United States 1975, (Rockville, Maryland: Department of Health, Education, and Welfare, 1975), p. 3. 3 Section 5(c)(2)A) of the Privacy Act of 1974 authorized the

Personal Privacy in an Information Society. The Fragility of The Medical-Care Relationship

The physician-patient relationship is an inherently intrusive one in that the patient who wants and needs medical care must grant the doctor virtually unconstrained discretion to delve into the details of his life and his person. As a practical matter, because so much information may be necessary for proper diagnosis and treatment, no area of inqu

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Appendix B: Site Visit Discussion Guide

Site Visits to FEHB Health Plans Conducted through a contract between the Assistant Secretary for Planning and Evaluation of the U.S. Department of Health and Human Services and in conjunction with the U.S. Office of Personnel Management; and subcontracts between ROW Sciences and the University of Maryland School of Medicine, RAND Health, Harvar

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Appendix A: Detailed Model Specification for Plan Exit and Carve-out Analyses

Plan Exit Analysis The Generalized Estimating Equations (GEE) model used to estimate the probability of plan exit and the change in this probability from 2000 to 2001 and 2002 was:

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Notes

Ms. Blasinsky is now at CSR, Inc. Dr. Patton is now at Westat. Dr. Barry is now at Yale University School of Medicine. While at ASPE, Dr. Hennessy initiated the evaluation and served as the initial Government Project Officer. Dr. Hennessy is now at SAMHSA. The PERT term general medical care is used in this paper to dis

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. References

Ai, C., & Norton, E. C. (2003). Interaction Terms in Logit and Probit Models. Economic Letters (80): 123-129. Agency for Health Care Policy and Research. (1993). Depression in primary care: volume 2. Treatment of major depression . Rockville, MD: U.S. Department of Health and Human Services. Agency for Health Care Policy and Research. (

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Introduction

This chapter summarizes the evaluation’s major findings on the implementation and impact of the parity policy on mental health and substance abuse (MH/SA) service utilization, cost, and quality. We first present a brief overview of the evaluation’s key research questions and findings. We then highlight the main findings on implementing the FEH

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Impact on Quality of Care

The PERT studied the effect of parity on quality of care for adults by using established standards of care for treating specific disorders, i.e., depression and substance abuse, to create indicators of quality following the methods developed by several investigators (c.f. Berndt et. al 1997; Lehman and Steinwachs, 1998). The methods described in t

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Impact on Access to Care, Service Use, and Cost

Implementing parity required changing the nominal benefits for coverage of treating mental health and substance abuse (MH/SA) disorders. The dimensions of the nominal benefit that are most often affected when parity policies are implemented are:

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. FEHB Network Providers’ Experience Implementing Parity

Provider focus groups were conducted to assess providers’ awareness and perceptions of the parity benefit implementation. Each focus group was audiotaped and verbatim transcripts prepared from these tapes. The transcripts were then systematically analyzed for key themes. Key Research Questions PERT researchers developed a discussion guide fo

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Implementation Case Studies

Using case study methods, PERT investigators characterized the structure and process employed by OPM and each of the eight selected plans to implement the FEHB Program parity requirement. The case studies focused on effective as well as nominal benefits, and described:

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Structural Changes to Plan Benefits

PERT researchers acquired nominal plan benefits information on the 304 FEHB plans with available benefit design information and participating in the FEHB in 1999, the baseline year of the evaluation. This information was obtained from the OPM website for all four years of the evaluation (1999-2002). To compile information on benefits in each of

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Federal Employees Health Benefits Parity Reporting Requirement for All Plans

As part of the Office of Personnel Management’s (OPM’s) contract with the FEHB plans, each health plan was required to submit to the OPM a report on implementing mental health and substance abuse (MH/SA) parity in the first quarter of 2002 and in the first quarter of 2003. 12 The report, The Parity Reporting Requirement (PRR), designed by P

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