Mental health parity & insurance mandates

Last week, Congress got a step closer to passing a Mental Health Parity bill after years of debating the issue. The bill would require insurance companies to provide the same coverage for physical and mental ailments.

For more than a decade, both houses have passed different versions of the legislation only to see it fall apart at the end. The biggest hiccup now seems to be that the bill doesn't specify which mental disorders it will include.

The unintended consequences of fully covering services for autism, schizophrenia, bipolar and other mental disorders would be a skyrocket in the price of insurance premiums. That's what critics warn.

Patient advocates argue that mental illness is as real as physical illness. Bipolar disorder is no different than diabetes in terms of its need for chronic, close management. So why should people with a mental disorder be discriminated against and forced to bear a heavier financial burden, which could derail any possibility of them leading a healthy and happy life?

Last week, Harvard Pilgrim CEO Charlie Baker started a great discussion on THCB about mandates with a post on Massachusetts' move to be the first state to mandate all insurance plans to offer prescription drug coverage. He cited a study that showed average premiums would increase up to 30 percent, when the law takes effect in January.

The comments section was filled with provoking comments, including Eric Siegelman's, which said: "I hope we can all agree mandating benefits adds to costs. The question is, when a benefit is mandated is it benefiting the majority."

So does a national mandate to cover mental health care benefit the majority? Is the expected increased cost worth the anticipated benefits?

If you've ever had a loved one suffer from mental illness and need help, this is a no-brainer. If you haven't seen someone struggle to get help for a mental illness either due to a lack of coverage or available services, you're either very blessed or probably don't know your family and friends well enough.

29 September

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