Table 3. Associations of MHPAEA with Changes in the Percent of Plans with BH Quantitative Treatment Limits, among Carve-In Plans.
Limit Type | Pre-Parity (2008-09) N=3,615 | Transition (2010) N=2,304 | Post-Parity (2011-13) N=5,725 | P-value | Pre-Parity Limit, among plans with relevant limit | 2009 enrollees affected | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
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n | % | n | % | n | % | Median | Min, Max | n | % | ||
Inpatient or intermediate days, annual | |||||||||||
BH combined | 1512 | 42 | 139 | 6 | 108 | 2 | <.001 | 30 | 7, 175 | 1,417,517 | 37 |
Mental Health only | 1087 | 30 | 61 | 3 | 42 | 1 | <.001 | 30 | 8, 165 | 1,388,636 | 36 |
Substance Use Disorder only | 924 | 26 | 38 | 2 | 20 | <1 | <.001 | 30 | 6, 183 | 1,143,494 | 30 |
Inpatient or intermediate days, lifetime | |||||||||||
BH combined | 156 | 4 | 10 | <1 | 24 | <1 | <.001 | 90 | 30, 190 | 217,998 | 6 |
Mental Health only | 39 | 1 | 6 | <1 | 4 | <1 | <.001 | 90 | 45, 150 | 52,040 | 1 |
Substance Use Disorder only | 190 | 5 | 16 | 1 | 3 | <1 | <.001 | 60 | 10, 120 | 261,042 | 7 |
Inpatient or intermediate admissions, lifetime | |||||||||||
Substance Use Disorder only | 4 | <1 | 2 | <1 | 2 | <1 | .037 | 2 | 2, 2 | 15 | 0 |
Inpatient or intermediate days per admission | |||||||||||
BH combined | 30 | 1 | 13 | 1 | 16 | <1 | <.001 | 30 | 30, 45 | 10,188 | 0 |
Substance Use Disorder only | 28 | 1 | 6 | <1 | 12 | <1 | <.001 | 28 | 7, 45 | 3,645 | 0 |
Outpatient visits, annual | |||||||||||
BH combined | 1923 | 53 | 160 | 7 | 110 | 2 | <.001 | 30 | 3, 90 | 1,993,811 | 52 |
Mental Health only | 846 | 23 | 44 | 2 | 35 | 1 | <.001 | 31 | 5, 60 | 1,025,377 | 26 |
Substance Use Disorder only | 661 | 18 | 34 | 1 | 21 | <1 | <.001 | 35 | 5, 130 | 730,892 | 19 |
Outpatient visits, lifetime | |||||||||||
BH combined | 50 | 1 | 1 | <1 | 1 | <1 | <.001 | 150 | 30, 400 | 112,324 | 3 |
Mental Health only | 2 | <1 | 0 | 0 | 0 | 0 | .096 | 90 | 90, 90 | 1,866 | 0 |
Substance Use Disorder only | 96 | 3 | 2 | <1 | 4 | <1 | <.001 | 60 | 20, 120 | 95,795 | 2 |
Note: P-values are from Fisher's Exact Test. The table does not include rows for types of limits that did not exist in the data. For carve-in plans, limits were always combined INN and OON network (if there were OON benefits). Total 2009 enrollees for all carve-in plans = 3,871,04