As the mental health crisis deepens in America, a fierce debate is erupting between insurance companies and the Biden administration over coverage for mental health care.
The Biden administration is proposing new rules aiming to make mental health care more affordable.
Insurance companies are opposing this, citing high costs and unachievable standards.
Stakes for Consumers
Consumers currently pay a hefty amount out-of-pocket for mental health care.
The proposed changes aim to lessen this financial burden.
Insurance companies claim these proposed changes would add costs and do little to address the scarcity of mental health providers.
Cost to Insurers
The first-year cost of complying with the new regulations would be $291 million for insurers and around $118 million in the following years.
AHIP, an insurance industry group, argues that the proposals have legal and operational flaws and won’t achieve their intended goals.
Access to Treatment
Despite laws in place to make mental health treatment accessible, many find it unaffordable or difficult to obtain the care they need.
In the late stages of the Covid-19 pandemic, 30% of adults reported symptoms like anxiety and depression. The need for treatment is increasing.
55% of people suffering from mental illness don’t get treatment. Reasons include high costs and inadequate insurance coverage.
Many individuals are paying completely out-of-pocket for mental health services.
The idea of affordable treatment exists more on paper than in practice.
There’s a huge gap in the number of mental health providers available. An estimated 350 individuals are vying for each available provider.
Mental health providers often receive lower reimbursement rates compared to other medical providers, discouraging many from accepting insurance.
Compliance and Penalties
If the proposal takes effect, insurers failing to ensure equal coverage for mental health could face penalties and would need to inform their enrollees.
If approved, the new regulations would become applicable starting on or after January 1, 2025.
Skepticism From Insurers
Insurers argue that many of the new requirements set standards that are impossible to meet, raising concerns over practical implementation.
Advocates Weigh In
Mental health organizations argue that insurance companies need to do more to make mental health care accessible and affordable.
The Biden administration contends that the new rules are necessary to prevent insurers from limiting or denying mental health coverage unfairly.
This unfolding debate brings to light the systemic challenges of making mental health care both accessible and affordable. As the discourse continues, the impact on patients remains a major concern.
“America only has ONE NATIONAL ANTHEM”: Fans Outraged After Black National Anthem Is Sung at Super Bowl LVII Instead of American National Anthem
The NFL’s decision to include the performance of “Lift Every Voice and Sing,” often referred to as the “Black National Anthem,” at the opening of Super Bowl LVII has sparked severe online controversy. Here’s the full story. “America only has ONE NATIONAL ANTHEM”: Fans Outraged After Black National Anthem Is Sung at Super Bowl LVII Instead of American National Anthem
“Karma Strikes Back” – Russia Faces Its Largest Attack on Home Soil Since the War Began
Reports of drone attacks on Russian soil by the Ukrainian forces have escalated to the largest cross-border attack since the war started, with the important airport in Pskov becoming the latest victim. “Karma Strikes Back” – Russia Faces Its Largest Attack on Home Soil Since the War Began
“Texas Is Doomed” – Federal Judge Delivers a Controversial Verdict, Gov. Greg Abbott Accused of Breaking the Law in Latest Legal Showdown
A federal judge has ruled that Texas governor Greg Abbott violated federal laws in his fight to keep Mexicans out. Now, the Republican may be up a creek without a paddle. “Texas Is Doomed” – Federal Judge Delivers a Controversial Verdict, Gov. Greg Abbott Accused of Breaking the Law in Latest Legal Showdown
They “Boxed All of the Black Children Together” – Florida Principal Threatens High-Achieving Black Student With Jail Time if Test Scores Don’t Improve
Bunnell Elementary School’s new principal, Donelle Evensen, attempted a unique strategy to address academic performance concerns, but it backfired spectacularly, sparking outrage and accusations of racial insensitivity. They “Boxed All of the Black Children Together” – Florida Principal Threatens High-Achieving Black Student With Jail Time if Test Scores Don’t Improve
Florida’s COVID Hospitalizations Soar as DeSantis Administration Urges People Under 65 Not to Get Newly Approved Boosters
Florida’s Covid-19 hospitalizations have surged to a post-pandemic record. Amid this crisis, Governor Ron DeSantis and his surgeon general’s controversial warning against COVID-19 booster shots has sparked intense debate and concern within the medical community. Florida’s COVID Hospitalizations Soar as DeSantis Administration Urges People Under 65 Not to Get Newly Approved Boosters
The post Mental Health Coverage Showdown: Biden Administration and Insurers Lock Horns Over Proposed Rules first appeared on Mama Say What?!
Featured Image Credit: Shutterstock / Alexandros Michailidis. The people shown in the images are for illustrative purposes only, not the actual people featured in the story.