{"id":600326,"date":"2023-09-29T11:20:10","date_gmt":"2023-09-29T15:20:10","guid":{"rendered":"https:\/\/www.kff.org\/?post_type=issue-brief&#038;p=600326"},"modified":"2025-08-09T07:04:23","modified_gmt":"2025-08-09T11:04:23","slug":"proposed-mental-health-parity-rule-signals-new-focus-on-outcome-data-as-tool-to-assess-compliance","status":"publish","type":"post","link":"https:\/\/www.kff.org\/mental-health\/proposed-mental-health-parity-rule-signals-new-focus-on-outcome-data-as-tool-to-assess-compliance\/","title":{"rendered":"Proposed Mental Health Parity Rule Signals New Focus on Outcome Data as Tool to Assess Compliance"},"content":{"rendered":"\n<div\n\tclass=\"wp-block-kff-shared-content--standard-layout wp-block-kff-shared-content\">\n\t\n\n<section class=\"wp-block-kff-shared-content-main\">\n\t\t\t<div class=\"post-header\">\n\t\t\t\t\t\n\t<h1 class=\"post-header__title\">Proposed Mental Health Parity Rule Signals New Focus on Outcome Data as Tool to Assess Compliance<\/h1>\n\n\t\n\t\t\t<div class=\"post-header__meta\">\n\t\t\t\t\t<div>\n\t\t\t\t<span class=\"post-header__meta-label\">\n\t\t\t\tAuthors:\t\t\t\t<\/span>\n\t\t\t\t<a href=\"https:\/\/www.kff.org\/person\/kaye-pestaina\/\">Kaye Pestaina<\/a>, <a href=\"https:\/\/www.kff.org\/person\/rayna-wallace\/\">Rayna Wallace<\/a>, <a href=\"https:\/\/www.kff.org\/person\/justin-lo\/\">Justin Lo<\/a>, and <a href=\"https:\/\/www.kff.org\/person\/lunna-lopes\/\">Lunna Lopes<\/a> \t\t\t<\/div>\n\t\t\t\t<div>\n\t\t\t<span class=\"post-header__meta-label\">Published:<\/span>\n\t\t\t<date>Sep 29, 2023<\/date>\n\t\t<\/div>\n\t\t<\/div>\n\t\n\t<div class=\"post-header__social-sharing\">\n\t\t<button class=\"post-header__social-sharing__button print\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M4.348 2.5v3.391H2.783A.787.787 0 0 0 2 6.674v4.696c0 .429.353.782.783.782h1.565V14.5h7.304v-2.348h1.565c.43 0 .783-.353.783-.782V6.674a.787.787 0 0 0-.783-.783h-1.565V2.5H4.348Zm.522.522h6.26v2.87H4.87v-2.87ZM2.783 6.413h1.782a.26.26 0 0 0 .085 0h6.697a.26.26 0 0 0 .086 0h1.784c.148 0 .261.114.261.26v4.697c0 .147-.113.26-.26.26h-1.566V9.283H4.348v2.347H2.783a.257.257 0 0 1-.261-.26V6.674c0-.147.113-.261.26-.261Zm9.39.783a.522.522 0 1 0 0 1.043.522.522 0 0 0 0-1.043ZM4.87 9.804h6.26v2.043a.264.264 0 0 0 0 .086v2.045H4.87v-2.043a.261.261 0 0 0 0-.085V9.804Zm1.043.783a.262.262 0 0 0-.265.26.26.26 0 0 0 .265.262h4.174a.26.26 0 1 0 0-.522H5.913Zm0 1.043a.26.26 0 1 0 0 .522h3.13a.26.26 0 1 0 0-.522h-3.13Zm0 1.044a.26.26 0 1 0 0 .522h4.174a.262.262 0 0 0 .264-.261.26.26 0 0 0-.264-.261H5.913Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tPrint\t\t<\/button>\n\t\t<a href=\"mailto:?subject=Proposed%20Mental%20Health%20Parity%20Rule%20Signals%20New%20Focus%20on%20Outcome%20Data%20as%20Tool%20to%20Assess%20Compliance&#038;body=https%3A%2F%2Fwww.kff.org%2Fmental-health%2Fproposed-mental-health-parity-rule-signals-new-focus-on-outcome-data-as-tool-to-assess-compliance%2F\" class=\"post-header__social-sharing__button\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M2.333 4.25h-.25v9.14h12.5V4.25H2.333Zm1.083 1.693-.353-.2V5.23h10.54v.513l-.353.2L8.333 8.73 3.416 5.943Zm-.353 6.467V6.884l.107.06 5.04 2.857.123.07.123-.07 5.04-2.857.107-.06v5.526H3.063Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tEmail\t\t<\/a>\n\t\t<button class=\"post-header__social-sharing__button copy\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M11.533 2.9c-.615 0-1.23.235-1.697.702L8.502 4.936a2.4 2.4 0 0 0-.575 2.46l.958-.958a1.32 1.32 0 0 1 .371-.748l1.334-1.333a1.331 1.331 0 0 1 1.886 0c.52.52.52 1.365 0 1.885l-1.334 1.333c-.21.21-.474.331-.748.372l-.958.958a2.393 2.393 0 0 0 2.46-.576l1.334-1.333a2.402 2.402 0 0 0 0-3.394 2.393 2.393 0 0 0-1.697-.702Zm-1.61 3.46a.533.533 0 0 0-.367.162l-3.2 3.2a.533.533 0 1 0 .754.754l3.2-3.2a.534.534 0 0 0-.387-.915ZM6.586 7.973a2.388 2.388 0 0 0-1.816.697l-1.334 1.333a2.403 2.403 0 0 0 0 3.394 2.393 2.393 0 0 0 1.697.702c.614 0 1.229-.234 1.697-.702l1.333-1.334a2.4 2.4 0 0 0 .576-2.46l-.959.958a1.32 1.32 0 0 1-.37.749l-1.334 1.333a1.334 1.334 0 0 1-1.886-1.885l1.334-1.334c.21-.21.474-.331.748-.372l.958-.957c-.21-.07-.426-.11-.644-.122Z\" fill=\"#004B88\"\/>\n\t\t\t<\/svg>\n\n\t\t\t<span>Copy Link<\/span>\n\t\t<\/button>\n\t\t\t<\/div>\n\t<\/div>\n\t\t\t\n<p class=\"wp-block-paragraph\">New <a href=\"https:\/\/www.federalregister.gov\/documents\/2023\/08\/03\/2023-15945\/requirements-related-to-the-mental-health-parity-and-addiction-equity-act\">proposed<\/a> updates to the regulations under the Mental Health Parity and Addiction Equity Act (MHPAEA) seek to strengthen the law\u2019s implementation by employer plan sponsors and insurers in the group and individual insurance market. If finalized as proposed, it would establish a new <a href=\"https:\/\/www.healthaffairs.org\/content\/forefront\/new-federal-rules-seek-strengthen-mental-health-parity#:~:text=On%20July%2025%2C%202023%2C%20the,substance%20use%20disorder%20(MHSUD)%20services\">three-part framework<\/a> for plans and insurers (collectively, \u201cplans\u201d) to show that certain treatment limits on behavioral health coverage comply with the parity law. The proposal would require plans to apply a new mathematical test to determine whether certain limits on behavioral health coverage are no more restrictive than limits on medical coverage. In addition, plans have to document that the \u201cprocesses, strategies, evidentiary standards and other factors\u201d used to design and apply specific limits on behavioral health are comparable and not more stringent than those used to design and apply limits on medical benefits. The third part of the framework would require plans to take affirmative steps to collect, evaluate and analyze specific types of \u201coutcome data.\u201d This is data designed to show the impact of certain restrictions on coverage (such as prior authorization rules and provider networks limitations) that apply to both behavioral health and medical care. Disparities in this data that show more restrictive limits on behavioral health than medical care would serve as an indicator of a possible violation of parity and trigger requirements on plans to take action to address the problem.<\/p>\n\n<p class=\"wp-block-paragraph\">The focus on use of data analysis for compliance and enforcement represents an effort to look beyond just written plan descriptions of coverage, provider directories, and insurer marketing materials to see how coverage works in practice\u2014for example, how claims are actually processed and evaluated, the results of that process, and how these affect insured individuals.<\/p>\n\n<h2 id=\"background\" class=\"wp-block-heading\">Background<\/h2>\n\n<p class=\"wp-block-paragraph\">Setting up a mechanism in MHPAEA rules to easily compare behavioral health coverage to medical coverage has been <a href=\"https:\/\/www.kff.org\/private-insurance\/issue-brief\/mental-health-parity-at-a-crossroads\/\">difficult<\/a>, especially when comparing limits on coverage beyond cost sharing amounts, where it is relatively simple to evaluate parity. Much <a href=\"https:\/\/www.dol.gov\/agencies\/ebsa\/laws-and-regulations\/laws\/mental-health-parity\/mhpaea-enforcement-2022-fact-sheet-appendix\">agency guidance<\/a> has focused on how to compare so-called nonquantitative treatment limits (NQTLs), such as prior authorization, for behavioral health coverage to those for medical care. The <a href=\"https:\/\/www.congress.gov\/116\/bills\/hr133\/BILLS-116hr133enr.pdf\">Consolidated Appropriations Act<\/a> (CAA) of 2021 requires plans and issuers to document that all NQTLs on behavioral health benefits meet parity standards through a written \u201ccomparative analysis\u201d submitted to federal or state authorities upon request (and\u2014for some plans\u2014to consumers upon request).<\/p>\n\n<p class=\"wp-block-paragraph\">The agencies are looking to revamp ways to measure compliance with parity\u2014and make the required comparative analysis more useful\u2014by requiring plans to conduct quantitative analyses of certain coverage features, including ways to measure the impact of NQTLs on actual consumer access to behavioral health care.<\/p>\n\n<p class=\"wp-block-paragraph\">The recent <a href=\"https:\/\/www.kff.org\/private-insurance\/poll-finding\/kff-survey-of-consumer-experiences-with-health-insurance\/\">KFF Survey of Consumer Experiences with Health Insurance<\/a> found 17% of insured adults indicated that even with health coverage, they did not get mental health care that they thought they needed in the past year. Of these individuals, more than 4 in 10 (44%) indicated that one of the reasons they did not get needed mental health care was that they could not afford the cost. Additionally, about a third of insured adults who did not get needed mental health services in the past year say their insurance not covering the services was a reason they did not get the care.<\/p>\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: 537px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/zTVRC\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/zTVRC\/full.png\"\n\t\t\talt=\"Many Adults Who Did Not Get Needed Mental Health Services Say Cost Or Lack Of Coverage Were Reasons They Did Not Get Care\"\n\t\t\/>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">A recent Peterson-KFF Health System Tracker <a href=\"https:\/\/www.kff.org\/health-costs\/issue-brief\/privately-insured-people-with-depression-and-anxiety-face-high-out-of-pocket-costs\/\">study<\/a> also highlighted the affordability burden. That study looked at commercial claims data from a sample of large employer plans and found that enrollees treated for depression and\/or anxiety pay a larger share out-of-pocket for mental health services than for other services.<\/p>\n\n<h2 id=\"how-are-the-agencies-proposing-to-use-outcome-data-for-mental-health-parity\" class=\"wp-block-heading\">How are the agencies proposing to use outcome data for mental health parity?<\/h2>\n\n<p class=\"wp-block-paragraph\"><strong>Insurers and group health plans would be required to collect and evaluate data deemed relevant to assess the impact of the use of each NQTL on access to behavioral health care versus medical care. <\/strong>The agencies would specify in future guidance the type of data, as well as the form and manner of collection. At a minimum all plans would collect data on \u201cthe number and percentage of claim denials\u201d as part of its review and assessment of each NQTL.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>If analysis of the data shows material differences in access to behavioral health treatment when compared to medical, the agencies will consider this a strong indicator that there is a violation of the parity law. <\/strong>Plans would then need to take \u201creasonable action\u201d to mitigate these material differences to avoid violating the parity law. The CAA-required comparative analysis would have to include the data results and actions taken to address the material difference (actions might include increased reimbursement of providers or enhanced use of behavioral telehealth). The agencies seek information about how to define \u201cmaterial difference\u201d in a tangible quantitative manner using statistical tools.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>An exception applies for the use of independent professional medical or clinical standards. <\/strong>Plans can avoid having to do this outcome analysis for an NQTL, if it \u201cimpartially\u201d applies independent professional medical or clinical standards when designing and applying an NQTL. Plans sometimes use clinical criteria that they develop internally to make decisions about whether a service or medication is medically necessary and covered by insurance. Challengers to use of certain internal criteria <a href=\"https:\/\/www.thekennedyforum.org\/wit\/\">claim<\/a> that the criteria are inconsistent with generally accepted standards of care, create a financial conflict of interest for a plan or are not transparent to patients. This rule might give plans an incentive to use independently developed clinical criteria to avoid having to conduct an outcome analysis.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Special rules would apply to NQTLs that affect network composition.<\/strong> The agencies note a particular concern about NQTLs that limit access to in-network behavioral health providers and subject these to a higher level of scrutiny than all other NQTLs. The agencies note <a href=\"https:\/\/assets.milliman.com\/ektron\/Addiction_and_mental_health_vs_physical_health_Widening_disparities_in_network_use_and_provider_reimbursement.pdf\">studies<\/a> that indicate lower provider reimbursement rates and higher levels of use of out-of-network providers for behavioral health services when compared to medical. Where outcomes data show disparities in access to in-network behavioral care when compared to in- network medical care, the plan would automatically violate the parity law under the new proposed rule. The DOL issued <a href=\"https:\/\/www.dol.gov\/agencies\/ebsa\/employers-and-advisers\/guidance\/technical-releases\/23-01\">Technical Release 2023-01P<\/a> that requests comment on four types of data it might collect as relevant outcomes data for NQTLs that involve network composition.<\/p>\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: 489px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/GQ9KZ\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/GQ9KZ\/full.png\"\n\t\t\talt=\"Outcome Data That Might Be Used To Assess Impact of Network Composition Restrictions\"\n\t\t\/>\n<\/div>\n\n\n<h2 id=\"what-are-the-key-issues-to-watch\" class=\"wp-block-heading\">What are the key issues to watch?<\/h2>\n\n<p class=\"wp-block-paragraph\">The proposal\u2019s data-informed approach to compliance would essentially require all plans to take action to audit the possible impact of certain coverage limits on behavioral health if they want to continue to use those limits. Some <a href=\"https:\/\/dfr.oregon.gov\/business\/reg\/health\/Pages\/mental-health-parity.aspx\">states<\/a> have started approaches that go beyond disclosure of outcome data upon request but instead involve ongoing plan reporting of similar metrics such as claim denials, though those requirements do not extend to self-insured employer plans as the federal regulations would.<\/p>\n\n<p class=\"wp-block-paragraph\">The parity proposal would for the first time specifically require private self-insured employers to review and document the status of their behavioral health networks. These plans would also have to disclose, upon request, claim denial information.<\/p>\n\n<p class=\"wp-block-paragraph\">Expect questions on what data is a good indicator or benchmark for spotting a potential parity violation. The cost, complexity, and value of plans having to collect and evaluate this data are also issues for consideration, as well as the relative legal responsibilities of insurers and employers to know how their coverage is working on the ground. <a href=\"https:\/\/www.politico.com\/news\/2023\/09\/17\/white-house-insurer-mental-health-law-00115804\">Enhanced enforcement<\/a> of these rules will continue to be the focus as some advocates point to plan use of medical management techniques to improperly deny behavioral health claims, while plans point to provider shortages beyond their control as limiting access to behavioral health care.<\/p>\n\n\n<div class=\"is-style-blue-box wp-block-tenup-callout\">\n\t\n\t\t\t<div class=\"wp-block-tenup-callout__content\">\n\t\t\t\n<p class=\"wp-block-paragraph\">This work was supported in part by a grant from the Robert Wood Johnson Foundation. KFF maintains full editorial control over all of its policy analysis, polling, and journalism activities.<\/p>\n\n\t\t<\/div>\n\t\n\t<\/div>\n \n\t<div class=\"post-footer\">\n\t<div class=\"post-footer__title\">More On<\/div>\n\t<div class=\"post-footer__links\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/mental-health\/\">\n\t\t\t\tMental Health\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/prior-authorization\/\">\n\t\t\t\tPrior Authorization\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\t<\/section>\n\n<section class=\"wp-block-kff-shared-content-sidebar\">\n\t\t\t\n\t\t\n<div class=\"wp-block-kff-shared-related-content--green wp-block-kff-shared-related-content\">\n\t<h2 class=\"wp-block-kff-shared-related-content__heading\">Also of Interest<\/h2>\n\t<div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/mental-health\/rise-in-use-of-mental-health-apps-raises-new-policy-issues\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tRise in Use of Mental Health Apps Raises New Policy Issues\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/affordable-care-act\/kff-survey-of-consumer-experiences-with-health-insurance\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tKFF Survey of Consumer Experiences with Health Insurance\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/medicaid\/mental-health-parity-at-a-crossroads-old-562188\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tMental Health Parity at a Crossroads\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t<div class=\"wp-block-kff-shared-related-content__card-date\">\n\t\t\t\t\t\tNews Release, \t\t\t\t\t\t<date>Aug 18, 2022<\/date>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\t\t\t<\/section>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Proposed updates to federal mental health parity rules would make wide ranging changes to current standards that apply to private insurance and coverage provided by most employers. This issue brief focuses on one aspect of the new proposal&#8212;a requirement that plans perform an \u201coutcome analysis\u201d before they can place certain restrictions on behavioral health coverage. This would require that plans evaluate specific data to determine the impact of certain restrictions on behavioral health access, such as prior authorization rules or limited provider network access.  The use of data analysis as an oversight tool would be new for federal insurance regulators. The brief discusses this new proposed tool and the key policy questions that it triggers.<\/p>\n","protected":false},"author":155412874,"featured_media":600564,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"authors":[{"type":"foundation","id":552522,"name":""},{"type":"foundation","id":575587,"name":""},{"type":"foundation","id":574190,"name":""},{"type":"foundation","id":394594,"name":""}],"exhibits":[],"jetpack_post_was_ever_published":false,"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","hide_from_search":false,"show_featured_image":false,"subheading":"","tag":"","search_keywords":"10228, Issue Brief, mental health, mental health parity, mental health parity rules, consumer protection, Kaye Pestaina, Rayna Wallace, Justin Lo, Lunna Lopes","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"shortlink":"","footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[579145303],"tags":[579145436],"series":[],"partner":[],"program":[579145224],"content-types":[579145483],"class_list":["post-600326","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mental-health","tag-prior-authorization","program-program-on-patient-and-consumer-protections","content-types-issue-brief"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Proposed Mental Health Parity Rule Signals New Focus on Outcome Data as Tool to Assess Compliance | KFF<\/title>\n<meta name=\"description\" content=\"Proposed updates to federal mental health parity rules would make wide ranging changes to current standards that apply to private insurance and coverage provided by most employers. This issue brief focuses on one aspect of the new proposal---a requirement that plans perform an \u201coutcome analysis\u201d before they can place certain restrictions on behavioral health coverage. This would require that plans evaluate specific data to determine the impact of certain restrictions on behavioral health access, such as prior authorization rules or limited provider network access.  The use of data analysis as an oversight tool would be new for federal insurance regulators. The brief discusses this new proposed tool and the key policy questions that it triggers.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kff.org\/mental-health\/proposed-mental-health-parity-rule-signals-new-focus-on-outcome-data-as-tool-to-assess-compliance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Proposed Mental Health Parity Rule Signals New Focus on Outcome Data as Tool to Assess Compliance | KFF\" \/>\n<meta property=\"og:description\" content=\"Proposed updates to federal mental health parity rules would make wide ranging changes to current standards that apply to private insurance and coverage provided by most employers. This issue brief focuses on one aspect of the new proposal---a requirement that plans perform an \u201coutcome analysis\u201d before they can place certain restrictions on behavioral health coverage. This would require that plans evaluate specific data to determine the impact of certain restrictions on behavioral health access, such as prior authorization rules or limited provider network access. The use of data analysis as an oversight tool would be new for federal insurance regulators. The brief discusses this new proposed tool and the key policy questions that it triggers.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kff.org\/mental-health\/proposed-mental-health-parity-rule-signals-new-focus-on-outcome-data-as-tool-to-assess-compliance\/\" \/>\n<meta property=\"og:site_name\" content=\"KFF\" \/>\n<meta property=\"article:published_time\" content=\"2023-09-29T15:20:10+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-09T11:04:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2023\/09\/Mental-Health-Parity-Paper_Sept.-29_feature-image.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"628\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"kffraynaw\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" 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