Frank R G, Koyanagi C, McGuire T G
Department of Health Care Policy, Harvard University, USA.
Health Aff (Millwood). 1997 Jul-Aug;16(4):108-19. doi: 10.1377/hlthaff.16.4.108.
The enactment of the Domenici-Wellstone amendment in September 1996, which calls for the elimination of certain limits on coverage for mental health care under private insurance, is being hailed as a major step forward in the quest for "parity" in mental health coverage. Parity legislation is being introduced in a number of state legislatures and is finding new enthusiasm in Congress. In this paper we consider the efficiency rationale for these laws and examine their likely impact in the era of managed care. We conclude that although such successes represent important political events, they may offer only small gains in the efficiency and fairness of insurance markets.
1996年9月颁布的多梅尼西-韦尔斯通修正案要求取消私人保险对心理健康护理覆盖范围的某些限制，被誉为在追求心理健康保险“平等”方面向前迈出的重要一步。平等立法正在多个州立法机构中提出，并在国会中获得了新的支持。在本文中，我们考虑这些法律的效率依据，并研究它们在管理式医疗时代可能产生的影响。我们得出的结论是，尽管这些成功代表了重要的政治事件，但它们可能只会在保险市场的效率和公平性方面带来微小的收益。
