Parity and the use of out-of-network mental health benefits in the FEHB program

Darrel A. Regier, Lynn F. Bufka, Tracy Whitaker, Farifteh F. Duffy, William E. Narrow, Donald S. Rae, Geoffrey M. Reed, Omar F. Rehman, Maritza Rubio-Stipec, Toby Weismiller, Joshua E. Wilk, Joyce C. West

Research output: Contribution to journalArticlepeer-review

Abstract

Two current congressional bills mandate parity for benefits for mental disorders with benefits for medical/surgical conditions in private insurance when mental health benefits are provided; the bills differ in regard to benefit levels and access to out-of-network coverage. This study assessed clinicians' and beneficiaries' participation in managed care networks in the national capital area under the Federal Employees Health Benefits (FEHB) parity program. Approximately one-third of the clinicians studied participated in FEHB networks, and only 44 percent of FEHB patients received care from network clinicians. Out-of network mental health benefits are an important policy consideration to ensure access to mental health treatment under parity proposals.

Original languageEnglish (US)
Pages (from-to)w70-w83
JournalHealth Affairs
Volume27
Issue number1
DOIs
StatePublished - Jan 2008

ASJC Scopus subject areas

  • Health Policy

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