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  • Title: Parity and the use of out-of-network mental health benefits in the FEHB program.
    Author: Regier DA, Bufka LF, Whitaker T, Duffy FF, Narrow WE, Rae DS, Reed GM, Rehman OF, Rubio-Stipec M, Weismiller T, Wilk JE, West JC.
    Journal: Health Aff (Millwood); 2008; 27(1):w70-83. PubMed ID: 18089614.
    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.
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