Module 3 – Case Parity, Payment and Patient Management

One of the chief objections to the enforcement of mental health parity laws is the fear voiced by managed care providers and others that giving generous unlimited benefits for mental health treatment will result in enormous increases in operating costs and ultimately in the premiums and other expenses charged to the consumer.

Spend some time researching this question on the Internet and in the Cyber Library. Pretend that you are preparing a report for the worried CFO of a small managed care provider. To what degree are these concerns based in reality? What about the issue of malingering — feigning mental illness — for some type of financial benefits? What are the base-rates for malingering by feigning physical illness and injury? Is there any reason to believe that providing parity in mental health coverage will promote more malingering?

When reading reports and editorials, be alert to the possible sources of bias that might affect the writer or investigators view of the problem. Be a good critical thinker as you read and consider the views presented to you.

Submit Case 3 when it is completed.

SUGGESTED LENGTH: 2 to 3 pages typed and double-spaced.

Due on the first day of Module 4.

ASSIGNMENT EXPECTATIONS:

The following items in particular will be assessed:

1) Define the term “parity” and discuss the controversies surrounding the issue of parity in mental health treatment benefits. What are the pros and cons of providing parity in mental health coverage?

2) Application of modular readings when appropriate (APA formatting not required).

The following components should guide your work and will be the criteria by which I will be grading:

Clearly demonstrates an understanding of the relevant concepts.

Clearly exhibits the ability to effectively apply relevant concepts from readings to the case presented.

Uses a logical structure appropriate to paper’s subject and purpose.

Includes a well-developed introduction, summative conclusion, and section headings or clear transition statements.

Uses appropriate, relevant, and compelling content to support ideas, convey understanding of the topic, and shape the whole work.

Paper shows a high level of analysis and evaluation of the data and resources, as well as recognition of differences, contradictions, and biases. Compelling discussion.

Uses words with precise meaning and an appropriate level of specificity. Sentences are varied, yet clearly structured and carefully focused, not long and rambling.

Almost entirely free of errors in spelling, punctuation, and grammar.

Correct in-text referencing. Complete, accurate reference list in consistent standard format.

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