Healthcare Finance News October 20, 2023
Jeff Lagasse

Organizations say the proposals are legally and operationally flawed and could hinder access rather than facilitate it.

Over the past several days health insurers have criticized the Biden Administration’s proposed regulatory updates to mental health parity requirements, with some decrying what they deem as burdensome compliance requirements.

The administration’s updates to the Mental Health Parity and Addiction Equity Act (MHPAEA), issued through the departments of Labor, Treasury and Health and Human Services, revamp parity laws in an effort to hold health plans accountable for adhering to the requirements. Under the proposed framework, payers would need to evaluate both their prior authorization protocols and out-of-network reimbursement, with the idea of helping members duck avoidable costs.

AHIP, in a letter sent to...

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Topics: Congress / White House, Govt Agencies, Insurance, Mental Health, Payer, Provider
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