{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T15:12:37Z","timestamp":1746544357065},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,4,5]],"date-time":"2013-04-05T00:00:00Z","timestamp":1365120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine whether comprehensive behavioral health parity leads to changes in expenditures for individuals with severe mental illness (<jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>), who are likely to be in greatest need for services that could be outside of health plans' traditional limitations on behavioral health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources\/Study Setting<\/jats:title><jats:p>We studied the effects of a comprehensive parity law enacted by <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>regon in 2007. Using claims data, we compared expenditures for individuals in four <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>regon commercial plans from 2005 through 2008 to a group of commercially insured individuals in <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>regon who were exempt from parity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>We used difference\u2010in\u2010differences and difference\u2010in\u2010difference\u2010in\u2010differences analyses to estimate changes in spending, and quantile regression methods to assess changes in the distribution of expenditures associated with parity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Among 2,195 individuals with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>, parity was associated with increased expenditures for behavioral health services of $333 (95 percent <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> $67, $615), without corresponding increases in out\u2010of\u2010pocket spending. The increase in expenditures was primarily attributable to shifts in the right tail of the distribution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Oregon's parity law led to higher average expenditures for individuals with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>. Parity may allow individuals with high mental health needs to receive services that may have been limited without parity regulations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.12058","type":"journal-article","created":{"date-parts":[[2013,4,5]],"date-time":"2013-04-05T05:30:55Z","timestamp":1365139855000},"page":"1634-1652","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The Effect of Parity on Expenditures for Individuals with Severe Mental Illness"],"prefix":"10.1111","volume":"48","author":[{"given":"K. 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