Insuring Autism Care Closes Gap

May 13, 2016
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Interesting developments in an ever-evolving landscape of care and coverage for so many families across the country.


Study suggests insurance mandates help close gaps in autism care

Children with autism are more likely to get diagnosed and receive services in states where health insurance must cover the disorder

Early findings from a new study suggest that children with autism are more likely to get screened, diagnosed and treated in states where health plans must cover autism-related care.

The researchers found that 1 in 555 insured children had received an evaluation that led to an autism diagnosis in states where commercial health plans were required by law to cover autism-related medical services. By contrast, only 1 in 625 insured children in states without such a mandate had been evaluated and diagnosed.

However, even the improved diagnosis rate remains far below autism’s estimated prevalence of 1 in 68 American children, says lead researcher David Mandell, of the University of Pennsylvania School of Medicine. “Mandates may be a necessary but insufficient policy for helping children obtain services reimbursed through private insurance,” he says.

Click the link in the tweet, below, via Autism Speaks.