Bartlett John, Manderscheid Ron
The Carter Center Mental Health Program, One Coppenhill, 453 Freedom Parkway, Atlanta, GA 30307, USA.
25 Massachusetts Avenue Northwest, Suite 500, Washington, DC 2001, USA.
Psychiatr Clin North Am. 2016 Jun;39(2):331-42. doi: 10.1016/j.psc.2016.01.010. Epub 2016 Mar 8.
Parity of mental health and substance abuse insurance benefits with medical care benefits, as well as parity in their management, are major ongoing concerns for adults with serious mental illness (SMI). The Mental Health Parity and Addiction Equity Act of 2008 guaranteed this parity of benefits and management in large private insurance plans and privately managed state Medicaid plans, but only if the benefits were offered at all. The Patient Protection and Affordable Care Act of 2010 extended parity to all persons receiving insurance through the state health insurance marketplaces, through the state Medicaid Expansions, and through new individual and small group plans. This article presents an analysis of how accessible parity has become for adults with SMI at both the system and personal levels several years after these legislative changes have been implemented.
心理健康和药物滥用保险福利与医疗保健福利的平等，以及它们在管理方面的平等，是患有严重精神疾病（SMI）的成年人持续关注的主要问题。2008年的《心理健康平等和成瘾公平法案》保证了大型私人保险计划和私人管理的州医疗补助计划在福利和管理方面的平等，但前提是必须提供这些福利。2010年的《患者保护与平价医疗法案》将平等扩展到所有通过州医疗保险市场、州医疗补助扩展计划以及新的个人和小团体计划获得保险的人。本文分析了在这些立法变革实施几年后，患有严重精神疾病的成年人在系统和个人层面上获得平等的难易程度。
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