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Financing Center of Excellence

Welcome!

Welcome to the SAMHSA Financing Center of Excellence (COE) website. The Financing COE website features information about health care financing with a special focus on mental health and substance abuse (M/SU). Using blog-style posts, the SAMHSA Financing COE website offers original COE content as well as news, reports, briefs, scholarly article citations, legislation, and data sets regarding the financing of M/SU treatment and prevention. Stay tuned for site updates coming soon.

Latest Updates


SAMHSA Administrator Charles Curie on Mental Health Parity and the President's New Freedom Commission, 2002

Posted on June 16, 2009 21:25

Topics: Mental Health | Parity | Private Insurance | SAMHSA

Post Type:

This link provides the transcript of web chat held by former SAMHSA Administrator Charles Curie on mental health parity and the President's New Freedom Commission.  The chat was held for National Mental Health Month on May 23, 2002. 

 The full transcript is available from SAMHSA here: http://mentalhealth.samhsa.gov/newsroom/paritychat.asp 


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SAMHSA Employee Cost Briefs

Posted on June 16, 2009 18:33

Topics: Mental Health | Private Insurance | SAMHSA | Substance Use

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This series of briefs presents information on M/SU conditions and treatment for employers, focusing cost-saving strategies and access to care.  The briefs are avail ale from SAMHSA below:

Issue Brief 1: Save Your Company Money By Assuring Access to Substance Abuse Treatment: http://csat.samhsa.gov/IDBSE/employee/SaveMoneybyAssuringAccesstoServices-wpb1.pdf 

Issue Brief 2: What You Need to Know About Older Workers and Substance Abuse: http://csat.samhsa.gov/IDBSE/employee/OlderWorkersandSubstanceAbuse-wpb2.pdf 

Issue Brief 3: What You Need to Know About Younger Workers and Substance Abuse: http://csat.samhsa.gov/IDBSE/employee/YoungerWorkersandSubstanceAbuse-wpb3.pdf

Issue Brief 4: What You Need to Know About Mental and Substance Use Disorders: http://csat.samhsa.gov/IDBSE/employee/MentalandSubstanceUseDisorders-wpb4.pdf 

Issue Brief 5: Save Money by Addressing Employee Alcohol Problems: http://csat.samhsa.gov/IDBSE/employee/AddressingEmployeeAlcoholProblems-wpb5.pdf

Issue Brief 6: Save Money by Addressing Employee Drug Problems: http://csat.samhsa.gov/IDBSE/employee/AddressingEmployeeDrugProblems-wpb6.pdf 

Issue Brief 7: What You Need to Know About the Cost of Substance Abuse: http://csat.samhsa.gov/IDBSE/employee/TheCostofSubstanceAbuse-wpb7.pdf

Issue Brief 8: Save Money By Encouraging Workers to Get Help for Substance Use Problems: http://csat.samhsa.gov/IDBSE/employee/EncourageWorkerstoGetHelpforSubstanceUseProblems-wpb8.pdf

Issue Brief 9: An EAP that Addresses Substance Abuse Can Save You Money: http://csat.samhsa.gov/IDBSE/employee/EAPsthatAddressSubstanceAbuseSaveMoney-wpb9.pdf

Issue Brief 10: How You Can Support Workers in Recovery: http://csat.samhsa.gov/IDBSE/employee/SupportWorkersinRecovery-wpb10.pdf 

Issue Brief 11: Resources Available to Employers: http://csat.samhsa.gov/IDBSE/employee/ResourcesforEmployers-wpb11.pdf

Issue Brief 12: What You Need to Know About Substance Abuse Treatment: http://csat.samhsa.gov/IDBSE/employee/NeedtoKnowAboutSubstanceAbuseTreatment-wpb12.pdf 

Issue Brief 13: Save by Providing Comprehensive Benefits for Substance Abuse Treatment: http://csat.samhsa.gov/IDBSE/employee/SavebyProvidingComprehensiveBenefits-wpb13.pdf 

Issue Brief 14: You Save When Your Health Plans Improve Substance Abuse Screenings: http://csat.samhsa.gov/IDBSE/employee/SavewhenHealthPlansImproveSAScreening-wpb14.pdf 

 


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Changing the Course of Mental Health

Posted on March 26, 2009 14:48

Topics: Health Care Financing | Mental Health | Parity

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From the Center for American Progress:

This brief examines mental health coverage in the United States, looking at the role of parity legislation and the issues inherent in providing coverage for those with mental illness. It also examines gaps in the current system as well as providing a point-counterpoint on the ability of a market-driven system to provide coverage for those with mental health disorders.

Included in the breifing are the following sections:

  • Feature: Improving Mental Health Coverage
  • Background Basics on Mental Illness
  • Point-Counterpoint
  • The Last Word

Full Briefing: Changing the Course of Mental Health


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Issues in Mental Health Care Benefits: The Costs of Mental Health Parity (EBRI)

Posted on February 5, 2009 15:26

Topics: Mental Health | Parity

Post Type:

From EBRI.org:

Summary

  • "This Issue Brief discusses issues in mental health care benefits. It describes the current state of employment-based mental health benefits and discusses studies and issues regarding full mental health parity. It also includes an analysis of the effect of full mental health parity on the uninsured population and the effects of the limited mental health parity provision contained in the VA-HUD appropriations bill. The final section discusses the implications of mental health parity for health plans and health insurers.
  • When employers began to provide health insurance benefits to their employees and their families, they extended coverage to include mental health benefits under the same terms as other health care services. Many employers continued to add mental health benefits through the 1970s and early 1980s until cost pressures required employers to re-examine all health care benefits that were offered. They quickly found that, while only a small proportion of the beneficiaries used mental health care services, the costs associated with this care were very high. As a result, employers placed limits on mental health benefits in an attempt to make the insurance risk more manageable.
  • The general strategies employers have used to manage their health care costs are cost sharing, utilization review, managed care, and the packaging of provider services. Employers' cost management strategies may be restricted, however. Five states have mental health parity laws, but three of the states—Rhode Island, Maine, and New Hampshire—apply these laws only to the seriously mentally ill. In addition, 31 states mandate that mental health benefits be provided. However, state mandates apply only to insured plans, not to self-insured employer plans, which are exempt from state regulation of health plans under the Employee Retirement Income Security Act of 1974 (ERISA).
  • A number of recent studies have examined the effect of mental health parity on health insurance premiums in a "typical"preferred provider organization and on the uninsured. In general, the studies concluded that mental health parity could increase health insurance premiums, decrease health insurance coverage for non-mental health related illnesses, and increase the number of uninsured individuals.
  • All studies of mental health parity, and mandated benefits in general, assume that there is a strong likelihood that increased health benefit costs would be passed along to workers in the form of higher cost sharing for health insurance, lower wage growth, or lower growth in other employee benefits."

 Find the Full briefing here: http://ebri.org/publications/ib/index.cfm?fa=ibDisp&content_id=92


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