Health care policy- Research paper.

Health care policy- Research paper.

Running head: HEALTHCARE POLICY RESEARCH OUTLINE 1 The Mental Health Parity and Addiction Equity Act

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developement and incorporation into the United States healthcare system Healthcare Policy Research- Outline HEALTHCARE POLICY RESEARCH OUTLINE 2 Research Question: How was the Mental Health Parity and Addiction Equity Act developed and incorporated into the United States healthcare system? I. Introduction Introduces the research paper and what it is about. A. Introductory brief history 1. Paragraph I: Attention grabbing statistics of before the Acts were created. a) Statistics on the initial costs of healthcare and lack of insurance for Mental health patients and hot it affected them (Rowan, McAlpine, & Blewett, 2013) b) Naming the works that showed how treatment of alcohol and drug dependent patients as an acute illness and how it affected continued prevalence of this condition as a way to push for insured care for these patients (McLellan, Lewis, O’Brien, & Kleber, 2000) 2. Paragraph II: Statistics of after the Acts were created a) The benefits of MHPAEA for Mental health patients in terms of patient care consistencies and increased chances of seeking healthcare after (Rowan, McAlpine, & Blewett, 2013) b) Potential benefits of the act to behavioral health patients in terms of coverage (Beronio, Glied, & Frank, 2014) B. Overview Describes the struggles of Mental Health Patients seeking insurance. 1. Paragraph III: Discussion how lack of insurance affected Americans HEALTHCARE POLICY RESEARCH OUTLINE 3 a) Public Insurance vs Private insurance in terms of costs of mental healthcare and insurance (Rowan, McAlpine, & Blewett, 2013). b) Implications if not having insurance for mental health problems (Rowan, McAlpine, & Blewett, 2013) 2. Paragraph IV: Issues in both types of insurance covers and why insurers were reluctant to cover mental health patients (Heller, 2017). C. Background Information Background information of how the acts were fought for and introduced. 1. Paragraph V: A summary of procedure taken during policy making and legislation and parties involved in the process, the timeline (Frank & Glied, 2008), (Sundararaman, 2009), (National Archives and Records Administration, 2013). 2. Acts description Definition of the acts and what they cover a) Paragraph VI: Mental Health Parity of 1996, History if MHPA and its requirements (National Archives and Records Administration, 2013). b) Paragraph VII:The Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008, definition of it and its additional protections to the Mental Health Parity Act (MHPA) (U.S. Centers for Medicare & Medicaid Services, 2016). D. Paragraph VIII: Thesis Paragraph States the research question, thesis statement and purpose of research. HEALTHCARE POLICY RESEARCH OUTLINE 4 1. Research Question ● How was the Mental Health Parity and Addiction Equity Act developed and incorporated into the United States healthcare system? 2. Thesis Statement ● The struggle and process of the development of the Mental Health Parity and Addiction Equity Act was worth the results that now affected Americans enjoy. 3. Purpose of Research ● The purpose of this research is to evaluate the Mental Health Parity and Addiction Equity Act and discuss how the policy was developed and introduced and became part of the United States healthcare. The research will provide information regarding the parties behind the policy implementation and its outcomes and implications to beneficiaries, insurers and the government. II. Research Methodology Paragraph IX: Describes the methods, tools and materials used to conduct the research. A. Approach used ● The case study approach will be used to research on materials relevant to the development and application of the Mental Health Parity and Addiction Equity Act. B. Materials examined HEALTHCARE POLICY RESEARCH OUTLINE 5 ● Formal examination of scholarly articles, healthcare and insurance journal articles, books, news articles and government legislation and policy publications, case studies and all relevant credible materials related with the acts, their outcome and implications on involved and affected parties. III. Findings 1500 Detailed description of the results of the research about the development of MHPAEA A. Section A: History Describes the initial situation before Mental health funding policy and law 1. Paragraph X a) Mental illness and mental health issues in the United States and why it was such an issue for the government to see mental health insurance as an issue than needed legislative intervention (Sundararaman, 2009). b) History of Mental health care in the United States, leaps and studies and legislations that have moved the nation’s legislature towards MHPAEA (Sundararaman, 2009). 2. Paragraph XI a) Compare and contrasting Public insurance and Private insurance of the time before enactment of MHPAEA (Rowan, McAlpine, & Blewett, 2013) b) Treatment of alcohol and drug dependent patients as an acute illness and how it affected continued prevalence of this condition HEALTHCARE POLICY RESEARCH OUTLINE as a way to push for insured care for these patients (McLellan, Lewis, O’Brien, & Kleber, 2000) B. Section B Describes the contribution of state and federal government in mental health law 1. Paragraph XII a) Government agencies and organizations created and their contributions to the development of mental health debate, awareness and a platform for legislation (Frank & Glied, 2008), (Sundararaman, 2009). 2. Paragraph XIII a) States and state laws that assisted in the development of federal mental health policy on mental healthcare and funding (Frank & Glied, 2008). C. Section C Describes the contributions of the Judiciary in the development of mental law 1. Paragraph XIV a) Judicial cases that lead to the development of Mental health law (Frank & Glied, 2008). 2. Paragraph XV a) Court cases on insurance discrimination against mental health patients that also contributed to the development of mental health law (Heller, 2017). D. Section D 6 HEALTHCARE POLICY RESEARCH OUTLINE 7 Describes the politics and timeline leading to the enactment of MHPAEA 1. Paragraph XVI a) Notable political figures that advocated for mental health law and funding regulations from President Kennedy in 1961 to Paul Wellstone and Pete Domenici (Mental Health America, 2013), (U.S. Library of Congress, 2008). 2. Paragraph XVII a) Proceedings and timelines of the MHPA and MHPAEA and government departments involved (National Archives and Records Administration, 2013). E. Section E The contributions and provisions of MHPAEA and its relationship with other acts 1. Paragraph XVIII a) Politicians recognized as the sponsors and the details of the act as and its relationship with other Acts (U.S. Library of Congress, 2008), (National Archives and Records Administration, 2013). b) Key changes, specifications of the act and the provisions of its regulations by the MHPAEA (U.S. Centers for Medicare & Medicaid Services, 2016). 2. Paragraph XIX a) MHPAEA “connection with the Affordable Care Act’s (ACA’s) essential health benefit” and Public Health Service Act, Employee Retirement and Income Security Act and Protecting Affordable HEALTHCARE POLICY RESEARCH OUTLINE 8 Coverage for Employees Act (U.S. Centers for Medicare & Medicaid Services, 2016). b) Who is covered by the MHPAEA in terms of employment (U.S. Centers for Medicare & Medicaid Services, 2016). IV. Discussion Discussed the effectiveness of MHPAEA in assisting mental health care patients since A. Paragraph XX – The Benefits of the Act 1. Current Benefits a) The legislation helped in the elimination of Quantitative Time Limits (QTLs) (Thalmayer, Friedman, Azocar, Harwood, & Ettner, 2017). 2. Potential Benefits a) Discuss that as an extension of Affordable Care Act, MHPAEA stands to increase behavioral healthcare by proportions never heard of before (Beronio, Glied, & Frank, 2014). B. Paragraph XXI – The shortcomings of the Act 1. Shortcomings a) Exclusion of small-income employees from the mental health insurance cover (Rowan, McAlpine, & Blewett, 2013). b) Situations that are exempted from the requirements of MHPAEA (U.S. Centers for Medicare & Medicaid Services, 2016). C. Paragraph XXII – Implications or issues that have risen after the enactment of MHPAEA HEALTHCARE POLICY RESEARCH OUTLINE 9 1. Current issues needing addressing a) Problems that mental health patients undergo even after MHPAEA that other patients don’t experience during the process of healthcare, such as complication of payment, low payments to providers, limited cover to those likely to suffer from these problem, the low-income earners (Barnett, 2018). 2. Recommendations a) Recommendations that these problems push for as future additions to the MHPAEA (Barnett, 2018). V. Conclusion Paragraph XXIII – Summarizes the whole paper and showcase the completion and effectiveness of the research paper. 1. Paraphrase thesis statement. 2. Summarize main points in findings. 3. Refer to the whole research paper idea for a finishing sentence that ties the whole work together. HEALTHCARE POLICY RESEARCH OUTLINE 10 References Barnett, B. (2018, May 9). Opinion | Insurance Companies Unfairly Discriminate Against Mental Illness. Retrieved from https://www.huffingtonpost.com/entry/opinion-barnett-mentalhealth-insurance_us_5af210b1e4b00a3224ee0d42 Beronio, K., Glied, S., & Frank, R. (2014). How the Affordable Care Act and Mental Health Parity and Addiction Equity Act Greatly Expand Coverage of Behavioral Health Care. The Journal of Behavioral Health Services & Research, 41(4), 410-428. doi:10.1007/s11414-014-9412-0 Frank, R. G., & Glied, S. A. (2008). Better But Not Well: Mental Health Policy in the United States since 1950. Baltimore, MD: JHU Press. Heller, B. D. (2017). Revolutionizing the Mental Health Parity and Addiction Equity Act of 2008. Seton Hall Law Review, 47(569), 569-602. Retrieved from https://scholarship.shu.edu/cgi/viewcontent.cgi?referer=https://www.google.com/&httpsr edir=1&article=1592&context=shlr McLellan, A. T., Lewis, D. C., O’Brien, C. P., & Kleber, H. D. (2000). Drug Dependence, a Chronic Medical Illness. JAMA, 284(13), 1689. doi:10.1001/jama.284.13.1689 Mental Health America. (2013, November 21). Issue Brief: Parity. Retrieved from http://www.mentalhealthamerica.net/issues/issue-brief-parity National Archives and Records Administration. (2013). Federal Register- Rules and Regulations (Vol.78-No.219). Retrieved from Government Publishing Office website: https://www.gpo.gov/fdsys/pkg/FR-2013-11-13/pdf/2013-27086.pdf HEALTHCARE POLICY RESEARCH OUTLINE 11 Rowan, K., McAlpine, D. D., & Blewett, L. A. (2013). Access And Cost Barriers To Mental Health Care, By Insurance Status, 1999–2010. Health Affairs, 32(10), 1723-1730. doi:10.1377/hlthaff.2013.0133 Sundararaman, R. (2009). U. S. Mental Health Delivery System Infrastructure: A Prime. Collingdale, PA: DIANE Publishing. Thalmayer, A. G., Friedman, S. A., Azocar, F., Harwood, J. M., & Ettner, S. L. (2017). The Mental Health Parity and Addiction Equity Act (MHPAEA) Evaluation Study: Impact on Quantitative Treatment Limits. Psychiatric Services, 68(5), 435-442. doi:10.1176/appi.ps.201600110 U.S. Centers for Medicare & Medicaid Services. (2016, October 27). The Mental Health Parity and Addiction Equity Act (MHPAEA). Retrieved from https://www.cms.gov/cciio/programs-and-initiatives/other-insuranceprotections/mhpaea_factsheet.html U.S. Library of Congress. (2008, September 23). H.R.6983 – 110th Congress (2007-2008): Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (H.R.6983). Retrieved from https://www.congress.gov/bill/110th-congress/housebill/6983
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