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Insurance Parity and Outpatient Care Following a Psychiatric Hospitalization—Reply
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In Reply: Mr Lee and Dr Xiong raise the important issue of the association of race with follow-up care after a psychiatric hospitalization. In our sample of Medicare managed care enrollees hospitalized for a mental illness from 2002 to 2006, black enrollees were significantly less likely than white enrollees to receive timely follow-up mental health care after discharge. Thirty-day follow-up rates were 57% for white enrollees compared with 45% for black enrollees (P < .001). This result is consistent with other studies of racial disparities in the quality of care for Medicare managed care enrollees.1-2
Our study, which focused on the effect of parity on outpatient care following a psychiatric hospitalization, found that enrollees in health plans with equal cost sharing for mental health and primary care had an 11 percentage-point higher use of timely follow-up visits after discharge compared with enrollees in plans without insurance parity. This association was . . . [Full Text of this Article]
Amal N. Trivedi, MD, MPH
amal_trivedi@brown.edu
Shailender Swaminathan, PhD;
Vincent Mor, PhD
Department of Community Health
Warren Alpert Medical School at Brown University
Providence, Rhode Island
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