Dr. Mike Trangle

It's worse, you know, and traditionally it's changed, but traditionally it's been, even if we might pay for medical stuff, we would pay less for mental health, Medicare, you know, the national thing was 80% paid for, for medical and 50%, you know, until about 15 years ago, you know? And yeah,

It's worse, you know, and traditionally it's changed, but traditionally it's been, even if we might pay for medical stuff, we would pay less for mental health, Medicare, you know, the national thing was 80% paid for, for medical and 50%, you know, until about 15 years ago, you know? And yeah,

you know, chemical dependency services weren't paid for at all, you know, and how hard or easy you make it to get into those services. And the other thing you think about is, how do I want to say this? In mental health, the tradition has been If you have a problem, you have to prove it's a bad problem. You've had it for a while before you'd have access to services.

you know, chemical dependency services weren't paid for at all, you know, and how hard or easy you make it to get into those services. And the other thing you think about is, how do I want to say this? In mental health, the tradition has been If you have a problem, you have to prove it's a bad problem. You've had it for a while before you'd have access to services.

Not at all like, I had a heart attack and I need something. My leg, I need rehab services. Here you've got to prove that it's bad, it's serious. Much worse than for medical things. It's always been sort of unfair. And it's just...

Not at all like, I had a heart attack and I need something. My leg, I need rehab services. Here you've got to prove that it's bad, it's serious. Much worse than for medical things. It's always been sort of unfair. And it's just...

You know, I think I agree with what Biden was saying. You know, he did a thing like a week ago or whenever it was. And he said, one of our priorities is to really enforce parity. And we're really mean at this time, even though it's the fifth time around and it's been meant, but not really enforced, not really followed up on really for at least 20 or 30 years. It's been lip service. Yeah.

You know, I think I agree with what Biden was saying. You know, he did a thing like a week ago or whenever it was. And he said, one of our priorities is to really enforce parity. And we're really mean at this time, even though it's the fifth time around and it's been meant, but not really enforced, not really followed up on really for at least 20 or 30 years. It's been lip service. Yeah.

And I don't know exactly, the Department of Labor is now soliciting feedback on how they wanna sort of really mean at this time and enforce parity. And one of the things that they're highlighting in what they're proposing at least, they're still getting feedback on it is, Every health plan has to have a statement of purpose on what they mean by parity.

And I don't know exactly, the Department of Labor is now soliciting feedback on how they wanna sort of really mean at this time and enforce parity. And one of the things that they're highlighting in what they're proposing at least, they're still getting feedback on it is, Every health plan has to have a statement of purpose on what they mean by parity.

They have to have clear definitions on what limitations are and why. And they have to have a written analysis comparing the limitations and measuring it. and measuring outcomes. Although in a funny way, outcomes are, you know, historically have been weird. You know, it's like, how many people have we covered on this or something? It's a raw number. It doesn't give you a percent of the population.

They have to have clear definitions on what limitations are and why. And they have to have a written analysis comparing the limitations and measuring it. and measuring outcomes. Although in a funny way, outcomes are, you know, historically have been weird. You know, it's like, how many people have we covered on this or something? It's a raw number. It doesn't give you a percent of the population.

It doesn't compare you to medical. How many people get in? How long do you wait to get in for X, Y, or Z? You know? And if you don't measure it routinely, you don't know where you're at. And if you try to improve it, you won't even know what parts are improving and what parts aren't improving.

It doesn't compare you to medical. How many people get in? How long do you wait to get in for X, Y, or Z? You know? And if you don't measure it routinely, you don't know where you're at. And if you try to improve it, you won't even know what parts are improving and what parts aren't improving.

You know, so one of the things that we proposed, for example, here, we being sort of a consortium of mental health folks, is what we proposed and didn't make it through the legislature. The only thing that really made it through the legislature, not the only thing, there were a lot of things that made it through the Minnesota legislature. But one of the things we proposed that didn't was that

You know, so one of the things that we proposed, for example, here, we being sort of a consortium of mental health folks, is what we proposed and didn't make it through the legislature. The only thing that really made it through the legislature, not the only thing, there were a lot of things that made it through the Minnesota legislature. But one of the things we proposed that didn't was that

Everybody that's paying for mental health services and CD services should be measuring how long it takes to routinely get in, not in emergency cases or urgent cases, how long it takes to get in and whether you can get back in in a timely way. And it should be compared to the medical services.

Everybody that's paying for mental health services and CD services should be measuring how long it takes to routinely get in, not in emergency cases or urgent cases, how long it takes to get in and whether you can get back in in a timely way. And it should be compared to the medical services.

So if I'm waiting to get in to see a psychiatrist, it shouldn't be any longer than it takes me to get in to see a primary care doc or an orthopod or a heart person. You know, dermatology is hard to get into these days. Right. Yeah.

So if I'm waiting to get in to see a psychiatrist, it shouldn't be any longer than it takes me to get in to see a primary care doc or an orthopod or a heart person. You know, dermatology is hard to get into these days. Right. Yeah.