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Effects of the Vermont Mental Health and Substance Abuse Parity Law
Margo Rosenbach
Tim Lake
Cheryl Young
Wendy Conroy
Brian Quinn
Julie Ingels
Brenda Cox
Anne Peterson
Lindsay Crozier
U. S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
Center for Substance Abuse Treatment
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Table of Contents
Exhibits
Figures
Tables
| III.1: |
Overview of Mental Health/Substance Abuse Benefits
Offered by Two Vermont Health Plans: 1997 Pre-Parity Baseline (Most Prevalent
Plans by Line of Business) |
| III.2: |
Access to and Use of Mental Health Services by
Members of Two Vermont Health Plans: 1996-1999 |
| III.3: |
Annual Level of Mental Health Utilization by Members
of Two Vermont Health Plans: 1996-1999 |
| III.4: |
Access to and Use of Substance Abuse Services
by Members of Two Vermont Health Plans: 1996-1999 |
| III.5: |
Annual Level of Substance Abuse Utilization by
Members of Two Vermont Health Plans: 1996-1999 |
| III.6: |
Spending For Mental Health and Substance Abuse
Services: Blue Cross Blue Shield of Vermont, 1996-1999 |
| III.7: |
Annual Level of Health Plan Payments for Mental
Health and Substance Abuse Services: Blue Cross Blue Shield of Vermont,
1996-1999 |
| III.8: |
Mental Health and Substance Abuse Spending as
a Percentage of Total Spending: Blue Cross Blue Shield of Vermont, 1996-1999
|
| III.9: |
Median Out-of-Pocket Payments as a Percent of
Total Mental Health Charges Among Members With a Serious Mental Condition,
by Level of Mental Health Charges: Blue Cross Blue Shield of Vermont, 1996
and 1999 |
| IV.1: |
Knowledge of the Vermont Parity Law, by Firm Size
|
| IV.2: |
Sources of Information About Parity |
| IV.3: |
Approaches Used by Employers to Notify Employees
About the Parity Law |
| IV.4: |
Recent Changes in the Characteristics of Employer-Sponsored
Health Insurance as Reported by Vermont Employers and the Extent to Which
Parity Was a Factor in the Change |
| IV.5: |
Vermont Employers' Assessment of Factors Contributing
to Premium Increases, by Firm Size |
| IV.6: |
Level of Concern About the Effects of Parity on
Health Insurance Costs in the Future, by Firm Size |
| IV.7: |
Overall Satisfaction With the Vermont Parity Law,
by Firm Size |
| IV.8: |
Employer Satisfaction With Selected Aspects of
the Vermont Parity Law, by Firm Size |
| B.1: |
Market Share of the Five Largest Health Plans
in Vermont, 1998 and 2000 |
| C.1: |
Determinants of the Probability of Mental Health
Service Use: Kaiser/CHP, 1996-1999 |
| C.2: |
Determinants of the Probability of Mental Health
Service Use: Blue Cross Blue Shield of Vermont, 1996-1999 |
| C.3: |
Determinants of the Level of Mental Health Service
Use: Kaiser/CHP, 1996-1999 |
| C.4: |
Determinants of the Level of Mental Health Service
Use: Blue Cross Blue Shield of Vermont, 1996-1999 |
| C.5: |
Determinants of the Probability of Substance Abuse
Service Use: Kaiser/CHP, 1996-1999 |
| C.6: |
Determinants of the Probability of Substance Abuse
Service Use: Blue Cross Blue Shield of Vermont, 1996-1999 |
| C.7: |
Determinants of the Level of Substance Abuse Service
Use: Kaiser/CHP, 1996-1999 |
| C.8: |
Determinants of the Level of Substance Abuse Service
Use: Blue Cross Blue Shield of Vermont, 1996-1999 |
| C.9: |
Determinants of Average Health Plan Payments on
Mental Health and Substance Abuse Services per User per Quarter: Blue Cross
Blue Shield of Vermont, 1996-1999 |
| D.1: |
Completed Cases and Response Rates |
| D.2: |
Unweighted and Weighted Sample Sizes, by Stratum
|
| D.3: |
Characteristics of Vermont Employers, by Firm
Size |
| D.4: |
Characteristics of Employer-Sponsored Health Insurance
Coverage in Vermont, by Firm Size |
| D.5: |
Health Plan Choices Offered to Employees in Vermont,
by Firm Size |
| D.6: |
Distribution of Vermont Employees With Employer-Sponsored
Health Insurance Coverage, by Type of Plan Funding |
| D.7: |
Variation in Health Care Costs and Cost-Monitoring
Activities, by Firm Size |
Appendixes
SMA03-3822
09/2003
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