Cover 2 Resources
Cover 2 Resources
Ep. 240 – Uncovering Coverage Gaps and Understanding the ACA, with Lindsey Vuolo
Ep. 240 – Uncovering Coverage Gaps and Understanding the ACA, with Lindsey Vuolo
Ep. 240 – Uncovering Coverage Gaps and Understanding the ACA, with Lindsey Vuolo
Thursday 9th May 2019
Lindsey Vuolo from the Center on Addiction reveals gaps in ACA plans' addiction coverage and discusses how to improve treatment access.
29 minutes
Informative
Eye-opening
Thought-provoking
Raw
Engaging
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Get the buttons here!Lindsey Vuolo Exposes the Gaps in ACA Addiction Coverage
Patients may be denied a certain service because it was determined not to be medically necessary. The parity act actually requires plans to use the same type of, you know, criterion guidelines to determine medical necessity as are used for medical surgical benefits and to apply them in a similar manner.
Ever wondered why some addiction treatments aren't covered by your health plan? In this episode of Cover2 Resources, Lindsey Vuolo from the Center on Addiction sheds light on the eye-opening findings of their 2019 report, 'Uncovering Coverage Gaps II.' This report takes a deep dive into the addiction benefits offered by Affordable Care Act (ACA) plans across all 50 states.
It turns out, many plans fall short in providing essential substance use disorder treatments, making it tough to gauge if they meet federal and state requirements. Vuolo, an expert in health law and policy, breaks down these gaps and discusses the significant exclusions like methadone treatment. She also highlights the critical role of Attorneys General in enforcing state mandates and the hurdles people face when trying to access necessary treatments.
To wrap it up, Vuolo offers practical tools for combating discriminatory insurance practices and improving treatment availability. This episode is a must-listen for anyone navigating the complexities of addiction healthcare coverage.