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The impact of the Mental Health Parity and Addiction Equity Act on inpatient admissions

Series Title(s):
Issue brief (Health Care Cost Institute)
Author(s):
Herrera, Carolina-Nicole, author
Contributor(s):
Health Care Cost Institute, issuing body.
Publication:
Washington, D.C., : Health Care Cost Institute, February 2013
Language(s):
English
Format:
Text
Subject(s):
Insurance Benefits -- legislation & jurisprudence
Insurance Coverage -- legislation & jurisprudence
Insurance, Health -- legislation & jurisprudence
Mental Health Services -- legislation & jurisprudence
Patient Admission -- legislation & jurisprudence
Patient Admission -- trends
Substance-Related Disorders -- therapy
Fees, Medical
Forecasting
Health Benefit Plans, Employee -- economics
Health Benefit Plans, Employee -- legislation & jurisprudence
Health Benefit Plans, Employee -- trends
Health Care Costs
Health Services Accessibility
Insurance Benefits -- economics
Insurance Coverage -- economics
Insurance, Health -- economics
Mental Health Services -- economics
Mental Health Services -- utilization
Patient Admission -- economics
Substance-Related Disorders -- economics
Humans
United States
Genre(s):
Technical Report
Abstract:
(1) 11.7% increase in per capita spending on mental health inpatient admissions (2010-2011). (2) 5.9% increase in mental health inpatient admissions (2010-2011). (3) 11.5% increase in out-of-pocket spending per capita for mental health inpatient admissions (2010-2011). (4) 28.9% increase in per capita spending on substance use inpatient admissions (2010-2011). (5) 19.5% increase in substance use inpatient admissions (2010-2011). (6) 32.2% increase in out-of-pocket spending per capita for substance use inpatient admissions (2010-2011). The 2008 Mental Health Parity and Addiction Equity Act (MHPAEA) sought to improve access to mental health and substance use services. The Health Care Cost Institute, Inc. (HCCI) analyzed mental health, substance use, and medical/surgical inpatient per capita spending, utilization, prices, and out-of-pocket payments for individuals younger than age 65 and covered by employer-sponsored health insurance (ESI) for 2007 through 2011. During the study period, ESI per capita spending nearly doubled for behavioral health admissions and grew to 3.2 percent of in-patient spending. In 2011, mental health admissions grew by 5.9 percent, and substance use admissions grew by 19.5 percent. After 2009, out-of-pocket payments per admission were nearly equivalent for mental health and medical/surgical stays. In all years, out-of-pocket payments per substance use stay remained greater than out-of-pocket payments per mental health or medical/surgical admission. In this initial examination, the role MHPAEA played in the changes observed in 2011 remains unclear.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (10 pages)) : illustrations.
Illustrations:
Illustrations
NLM Unique ID:
101654711 (See catalog record)
Series Title(s):
Issue brief (Health Care Cost Institute)
Author(s):
Herrera, Carolina-Nicole, author
Contributor(s):
Health Care Cost Institute, issuing body.
Publication:
Washington, D.C., : Health Care Cost Institute, February 2013
Language(s):
English
Format:
Text
Subject(s):
Insurance Benefits -- legislation & jurisprudence
Insurance Coverage -- legislation & jurisprudence
Insurance, Health -- legislation & jurisprudence
Mental Health Services -- legislation & jurisprudence
Patient Admission -- legislation & jurisprudence
Patient Admission -- trends
Substance-Related Disorders -- therapy
Fees, Medical
Forecasting
Health Benefit Plans, Employee -- economics
Health Benefit Plans, Employee -- legislation & jurisprudence
Health Benefit Plans, Employee -- trends
Health Care Costs
Health Services Accessibility
Insurance Benefits -- economics
Insurance Coverage -- economics
Insurance, Health -- economics
Mental Health Services -- economics
Mental Health Services -- utilization
Patient Admission -- economics
Substance-Related Disorders -- economics
Humans
United States
Genre(s):
Technical Report
Abstract:
(1) 11.7% increase in per capita spending on mental health inpatient admissions (2010-2011). (2) 5.9% increase in mental health inpatient admissions (2010-2011). (3) 11.5% increase in out-of-pocket spending per capita for mental health inpatient admissions (2010-2011). (4) 28.9% increase in per capita spending on substance use inpatient admissions (2010-2011). (5) 19.5% increase in substance use inpatient admissions (2010-2011). (6) 32.2% increase in out-of-pocket spending per capita for substance use inpatient admissions (2010-2011). The 2008 Mental Health Parity and Addiction Equity Act (MHPAEA) sought to improve access to mental health and substance use services. The Health Care Cost Institute, Inc. (HCCI) analyzed mental health, substance use, and medical/surgical inpatient per capita spending, utilization, prices, and out-of-pocket payments for individuals younger than age 65 and covered by employer-sponsored health insurance (ESI) for 2007 through 2011. During the study period, ESI per capita spending nearly doubled for behavioral health admissions and grew to 3.2 percent of in-patient spending. In 2011, mental health admissions grew by 5.9 percent, and substance use admissions grew by 19.5 percent. After 2009, out-of-pocket payments per admission were nearly equivalent for mental health and medical/surgical stays. In all years, out-of-pocket payments per substance use stay remained greater than out-of-pocket payments per mental health or medical/surgical admission. In this initial examination, the role MHPAEA played in the changes observed in 2011 remains unclear.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (10 pages)) : illustrations.
Illustrations:
Illustrations
NLM Unique ID:
101654711 (See catalog record)