diff --git a/domains/health/mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates.md b/domains/health/mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates.md index 1cfe8a65c..5d9a4c582 100644 --- a/domains/health/mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates.md +++ b/domains/health/mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates.md @@ -13,6 +13,7 @@ sourcer: DOL EBSA related: - the-mental-health-supply-gap-is-widening-not-closing-because-demand-outpaces-workforce-growth-and-technology-primarily-serves-the-already-served-rather-than-expanding-access - mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates +- illinois-mhpaea-2024-rule-enforcement-creates-natural-experiment-for-outcome-data-evaluation supports: - State MHPAEA enforcement addresses procedural coverage parity but cannot solve reimbursement rate disparities that drive mental health access barriers reweave_edges: diff --git a/domains/health/state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity.md b/domains/health/state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity.md index 1f8da2eb2..7e5b985b8 100644 --- a/domains/health/state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity.md +++ b/domains/health/state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity.md @@ -10,8 +10,15 @@ agent: vida sourced_from: health/2026-04-30-georgia-oci-25m-mhpaea-fines-22-insurers-jan-2026.md scope: structural sourcer: Georgia Office of Commissioner of Insurance and Safety Fire -supports: ["mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates"] -related: ["mental-health-reimbursement-27pct-gap-structural-access-barrier", "trump-mhpaea-2024-rule-pause-suspends-outcome-data-enforcement-preserves-procedural-compliance", "mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates", "the-mental-health-supply-gap-is-widening-not-closing-because-demand-outpaces-workforce-growth-and-technology-primarily-serves-the-already-served-rather-than-expanding-access", "state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity"] +supports: +- mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates +related: +- mental-health-reimbursement-27pct-gap-structural-access-barrier +- trump-mhpaea-2024-rule-pause-suspends-outcome-data-enforcement-preserves-procedural-compliance +- mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates +- the-mental-health-supply-gap-is-widening-not-closing-because-demand-outpaces-workforce-growth-and-technology-primarily-serves-the-already-served-rather-than-expanding-access +- state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity +- illinois-mhpaea-2024-rule-enforcement-creates-natural-experiment-for-outcome-data-evaluation --- # State MHPAEA enforcement addresses procedural coverage parity but cannot solve reimbursement rate disparities that drive mental health access barriers diff --git a/domains/health/trump-mhpaea-2024-rule-pause-suspends-outcome-data-enforcement-preserves-procedural-compliance.md b/domains/health/trump-mhpaea-2024-rule-pause-suspends-outcome-data-enforcement-preserves-procedural-compliance.md index 4c51dcfe3..59c4fe31b 100644 --- a/domains/health/trump-mhpaea-2024-rule-pause-suspends-outcome-data-enforcement-preserves-procedural-compliance.md +++ b/domains/health/trump-mhpaea-2024-rule-pause-suspends-outcome-data-enforcement-preserves-procedural-compliance.md @@ -10,8 +10,14 @@ agent: vida sourced_from: health/2026-04-30-trump-mhpaea-2024-rule-enforcement-pause-may-2025.md scope: structural sourcer: DOL/HHS/Treasury Tri-Agencies -supports: ["the-mental-health-supply-gap-is-widening-not-closing-because-demand-outpaces-workforce-growth-and-technology-primarily-serves-the-already-served-rather-than-expanding-access"] -related: ["mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates", "mental-health-reimbursement-27pct-gap-structural-access-barrier", "trump-mhpaea-2024-rule-pause-suspends-outcome-data-enforcement-preserves-procedural-compliance", "state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity"] +supports: +- the-mental-health-supply-gap-is-widening-not-closing-because-demand-outpaces-workforce-growth-and-technology-primarily-serves-the-already-served-rather-than-expanding-access +related: +- mhpaea-enforcement-closes-coverage-gaps-but-not-access-gaps-because-payers-differentially-treat-mental-health-versus-medical-reimbursement-rates +- mental-health-reimbursement-27pct-gap-structural-access-barrier +- trump-mhpaea-2024-rule-pause-suspends-outcome-data-enforcement-preserves-procedural-compliance +- state-mhpaea-enforcement-addresses-procedural-parity-not-reimbursement-parity +- illinois-mhpaea-2024-rule-enforcement-creates-natural-experiment-for-outcome-data-evaluation --- # Trump administration's MHPAEA 2024 rule enforcement pause specifically suspended outcome-data evaluation requirements while preserving procedural comparative analysis requirements that payers already know how to satisfy diff --git a/domains/health/value-based care transitions stall at the payment boundary because 60 percent of payments touch value metrics but only 14 percent bear full risk.md b/domains/health/value-based care transitions stall at the payment boundary because 60 percent of payments touch value metrics but only 14 percent bear full risk.md index 2fe3743ee..3eb88d394 100644 --- a/domains/health/value-based care transitions stall at the payment boundary because 60 percent of payments touch value metrics but only 14 percent bear full risk.md +++ b/domains/health/value-based care transitions stall at the payment boundary because 60 percent of payments touch value metrics but only 14 percent bear full risk.md @@ -13,6 +13,7 @@ related: - attractor-molochian-exhaustion - value-based care transitions stall at the payment boundary because 60 percent of payments touch value metrics but only 14 percent bear full risk - MSSP ACOs generated record $2.48B in net Medicare savings in 2024 for the eighth consecutive year while maintaining superior quality performance compared to non-ACO peers proving that cost and quality improvement are achievable simultaneously under value-based payment +- illinois-mhpaea-2024-rule-enforcement-creates-natural-experiment-for-outcome-data-evaluation related_claims: ["double-coverage-compression-simultaneous-medicaid-cuts-and-aptc-expiry-eliminate-coverage-for-under-400-fpl", "medicaid-work-requirements-cause-coverage-loss-through-procedural-churn-not-employment-screening", "upf-driven-chronic-inflammation-creates-continuous-vascular-risk-regeneration-explaining-antihypertensive-treatment-failure", "medically-tailored-meals-achieve-pharmacotherapy-scale-bp-reduction-in-food-insecure-hypertensive-patients", "hypertension-shifted-from-secondary-to-primary-cvd-mortality-driver-since-2022", "uspstf-glp1-policy-gap-leaves-aca-mandatory-coverage-dormant"] reweave_edges: - federal-budget-scoring-methodology-systematically-undervalues-preventive-interventions-because-10-year-window-excludes-long-term-savings|related|2026-03-31