Parity Laws Still Not Effective

Bravo to both CBS’s “60 Minutes” and to Behavioral Health Magazine for highlighting the blatant violation of the parity laws by insurance companies when it comes to compensating behavioral health care providers.  Here is a snippet from that article:

Although the mental health parity law went into effect in 2009, patients and providers are still fighting systemic inequity. A report this week on the television show “60 Minutes” documented several patients who needed longer-term inpatient care but were categorically denied that level of coverage by commercial insurers, sometimes resulting in distress leading to suicide. The show singled out giant national insurer Anthem and sparked more industry discussion about how parity is applied in practice.

In quantifying the denials, the show’s investigators found that among 11 authorization reviewers contracted by Anthem, the average denial rate was above 90%. One reviewer in particular, Timothy Jack, MD, was said to earn as much as $25,000 per month doing medical reviews for Anthem from his home and is well known by providers to deny coverage for intensive behavioral health services pretty much all the time.

Here is the full article from Editor-in-Chief Julie Miller: http://www.behavioral.net/blogs/julie-miller/evidence-parity-misdeeds-starting-pile?utm_source=SilverpopVG&utm_medium=eml&utm_campaign=BH%20eNews%2012-19-14&utm_content=&spMailingID=47663913&spUserID=MTAxODYxNjE3MzQxS0&spJobID=583609675&spReportId=NTgzNjA5Njc1S0

Here is the link to the 60 Minutes piece:  http://www.cbsnews.com/videos/denied/

About Jeffrey Lynne

Jeffrey C. Lynne is a South Florida native, representing individuals and business entities relating to licensing, accreditation, regulatory compliance, business structure, marketing, real estate, zoning and litigation pertaining to substance abuse treatment facilities and sober living residences. Mr. Lynne has been recognized across the region as a leader in progressive public dialogue about the role that substance abuse treatment has within our communities and the fundamental need and right to provide safe and affordable housing for those who are both in treatment for addiction and alcoholism as well as those who are established in their recovery.

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