Recommendations Related to Insurance 2% 11% Opioid Related Deaths 2% Require the Division of Insurance to implement 12% • in MA by Category 9% guidance for commercial insurers about the of Insurance implementation of chapter 258 of the acts of 2014 prior to October 1, 2015 2013 Commercial Insurance Eliminate insurance barriers that impede integration • of addiction and mental health care into the primary 14% Medicare care setting 50% Require consistent coverage and prior authorization • Medicare and practices and policies throughout all MassHealth MassHealth (Duals) 1% programs MassHealth 11% Bring meaning to federal and state behavioral health • 14% parity laws through enforcement actions to remove Unknown/Uninsured 1% Health Safety Net 6% inappropriate barriers to treatment Encourage insurers to support non-opioid pain • Other therapies treatment Prepare a public report on what non- 13% • at Time of Death 2014 pharmacological treatments for pain are covered by all private and public insurers Encourage insurers to support recovery coaches for • 54% individuals with a substance use disorder Encourage insurers to support new pathways to • Data provided by the Center for Health Information and Analysis, the Department of Public Health, and MassHealth Finding 10: Insurance barriers prevent individuals from receiving treatment 33
Recommendations Related to Insurance • Require the Division of Insurance to implement guidance for commercial insurers about the implementation of chapter 258 of the acts of 2014 prior to October 1, 2015 • Eliminate insurance barriers that impede integration of addiction and mental health care into the primary care setting • Require consistent coverage and prior authorization practices and policies throughout all MassHealth programs • Bring meaning to federal and state behavioral health 2% 11% 2% 12% 2013 50% 1% 11% Opioid Related Deaths 9% in MA by Category of Insurance Commercial Insurance 14% Medicare Medicare and MassHealth (Duals) MassHealth parity laws through enforcement actions to remove inappropriate barriers to treatment • Encourage insurers to support non-opioid pain therapies 1% 14% 6% Health Safety Net Other Unknown/Uninsured • Prepare a public report on what non- pharmacological treatments for pain are covered by all private and public insurers • Encourage insurers to support recovery coaches for individuals with a substance use disorder • Encourage insurers to support new pathways to treatment 2014 54% 13% at Time of Death Data provided by the Center for Health Information and Analysis, the Department of Public Health, and MassHealth Finding 10: Insurance barriers prevent individuals from receiving treatment 33
recommendations-of-the-governors-opioid-working-group.docx