Abstract
The National Association of Addiction Treatment Providers (NAATP) last week commended the Biden administration for its willingness to enforce parity (see story, page 6), last week. NAATP has been a leader in calling for this enforcement. The proposed regulations would mandate that insurers analyze their coverage to ensure equivalent access to mental health care based on outcomes. “Insurance companies would have to look at how they respond to requests from doctors to authorize treatments for substance use disorder and mental illness, as compared to physical ones,” NAATP said. “They would also be required to analyze their provider networks and how much they reimburse providers out of network for these services compared to physical health. Reimbursement rates are a critical issue and have exacerbated the workforce challenges for substance use treatment providers. The rule would also establish when health plans are prohibited from requiring doctors to obtain the insurers’ prior authorization to prescribe a medicine or procedure, or otherwise put‐up roadblocks for patients seeking mental health, as well as substance use treatment. Insurers could face fines for failing to offer comparable coverage for mental health. NAATP has advocated for the ability to fine insurers who continually ignore the law with few consequences.”
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