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Medicare News

Lowering the Co-Pays for Mental Health Care Does Not Move Senior Citizens to Seek Help

Seniors in Medicare Advantage plans not motivated by rather large increases or decreases in co-pays for outpatient mental health care

Feb. 8, 2011 – Senior citizens with mental health conditions and enrolled in a managed care plan – Medicare Advantage – are not enticed to seek mental health care by lowering the co-pays required. The Affordable Care Act has forced a lowering of outpatient mental health co-pays to the same as required for other care in hopes of helping more seniors receive help.

Brown University researchers find senior are not taking the bait.

Parity measures, included in laws passed in 2008 and 2010, end an insurance industry practice of charging higher co-pays for mental health care than for other care. While the laws will allow many seniors who undergo treatment to save money, said Amal Trivedi, professor of community health at Brown University, the new findings suggest that co-pays are not the main barrier to care.

 

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Managed care plans in Medicare are known as Medicare Advantage Plans and they include HMOs, PPOs and others that may cover more services and have lower out-of-pocket costs than the Original Medicare Plan. Some plans cover prescription drugs. In some plans, like HMOs, patients may only be able to see certain doctors or go to certain hospitals to get covered services. Seniors do not need a Medigap policy if they are in one of these plans.

In the study published online in the journal Medical Care, Trivedi and graduate student Chima Ndumele found that seniors did not start mental health care when co-pays dropped and did not quit when they rose.

“Less than half of people with a mental health condition actually seek mental health services,” said Trivedi.

“The hope was that insurance parity and reducing co-pays would increase the number of people who would do so. We found that’s unlikely to be the case. At least for this population in managed care plans, rather large increases or decreases in co-pays have no effect on the likelihood of receiving any outpatient mental health care.”

A measurable non-effect

To perform their analysis, Trivedi and Ndumele combed through 252 Medicare plans with outpatient mental health services. They ultimately found 14 that raised co-pay rates by more than 25 percent in the last year of a three-year period, and that could be compared to plans that were similar except that they held co-pay rates constant.

They also found three plans that lowered rates by more than 25 percent in a third year that could also be compared to comparable control plans that did not change their co-pay.

Among enrollees in the 14 plans that raised rates, an average of 2.2 percent used mental health services both before and after the increase. In the case of the plans that lowered rates, participation in mental health care held steady at 1.2 percent of enrollees, despite the discount.

In both cases, the plans that did not change co-pays averaged a 0.1-percent drop in mental health service use. In short, mental health service use essentially remained unchanged no matter what happened to the co-pay.

The non-effect held true for almost every demographic breakdown of the enrollees, except that black seniors seemed to be motivated by reduced co-pays, increasing their participation in mental health care by almost a whole percentage point.

Barriers remain

Trivedi said at least a partial explanation for the tiny effect of co-pay changes is that other common insurance company policies may have a stronger effect on limiting use of mental health services for most seniors. Those policies include requiring prior authorization of care from primary care doctors and the insurer, and restricted networks of doctors approved to provide mental health care.

“The people who actually receive mental health services have already overcome these additional barriers to use of services,” he said. “If the plan had prior authorization or restricted network, it meant enough for them to go past those barriers. Putting in another co-pay increase didn’t dissuade them from receiving services.”

Similarly, Trivedi said, these policies are probably more of a barrier to seniors starting care than the level of the co-pay.

“Enacting parity is just one step in creating an environment in which individuals in need of mental health services will seek care,” added Ndumele. “Our study indicates that we must identify other steps beyond insurance parity to promote the appropriate use of mental health services among the elderly.”

The study was funded by the National Institutes of Health through a grant from the Minority Opportunities for Research (MORE) Division of the National Institute of General Medical Sciences.

About Managed Care Plans in Medicare

Managed care plans in Medicare are known as Medicare Advantage Plans and they include HMOs, PPOs and others that may cover more services and have lower out-of-pocket costs than the Original Medicare Plan. Some plans cover prescription drugs. In some plans, like HMOs, you may only be able to see certain doctors or go to certain hospitals to get covered services. Seniors do not need a Medigap policy if they are in one of these plans.

Medicare Advantage Plans – Available in many areas. If you have one of these plans, you don’t need a Medigap policy. These plans include:
   ● Health Maintenance Organizations (HMO),
   ● Preferred Provider Organizations (PPO)
   ● Private Fee-for-Service Plans
   ● Medicare Special Needs Plans
   ● Medicare Medical Savings Account Plans (MSA)

These plans may cover more services and have lower out-of-pocket costs than the Original Medicare Plan. Some plans cover prescription drugs. In some plans, like HMOs, you may only be able to see certain doctors or go to certain hospitals to get covered services.

 

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