Opponents say the plan could make it more difficult for patients to access quality care.
to bolster coverage of mental and behavioral care could actually backfire and make it more difficult for patients to access quality care.The health care payers are urging the administration to drop major features of its plan, including a new formula to determine whether insurers are improperly limiting patient access to mental health care. And a leading health insurer trade group called on the administration to scrap the whole thing.
Under the proposal, a health plan could only use treatment limits like prior authorization on a mental health or substance use service if it also uses the limits on two-thirds or more of its medical benefits in the same class.
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