The Bowman Family Foundation

The Bowman Family Foundation (“BFF”) is a private foundation qualifying as a 501(c)(3) nonprofit organization. The primary mission of BFF is to improve the lives of people with mental illness. BFF also provides funding to support the education and welfare of children.

BFF is the Managing Member of the Mental Health Treatment and Research Institute LLC (“MHTARI”), a tax-exempt subsidiary of BFF.  MHTARI provides funding to support projects, reports and the development of materials and tools related to:

1. Improving health equity – e.g., access to treatment for people who receive inadequate or no mental health care due to financial or other barriers,

2. PsyberGuide, a website founded by BFF and later donated to One Mind, which evaluates apps intended to help people with mental illness, and

3. Clinical trials conducted by academic centers and institutions.

BFF and MHTARI do not, themselves, provide or evaluate treatments or conduct clinical trials.

One example of a MHTARI supported PsyberGuide project is Digital Tools and Solutions for Mental Health, a guide prepared jointly by the Northeast Business Group on Health and PsyberGuide.

BFF is a partner of The Path Forward for Mental Health and Substance Use, a unique national initiative to achieve health equity for all Americans using a market-driven approach to implementing five key reforms. These reforms will dramatically improve access to, and the quality of, behavioral healthcare.

The following tools and material, funded by MHTARI or other organizations, are intended to assist employers, third party administrators, regulatory agencies, accreditation organizations and others in (i) assessing access to care, quality of care and the cost of care, (ii) compliance with parity laws, and (iii) gaining awareness of evidence-based approaches that can improve behavioral healthcare and reduce total healthcare costs:

A. The Path Forward One-page Summary

B. 2020 Milliman Report, entitled: How do individuals with behavioral health conditions contribute to physical and total healthcare spending?

C. 2019 Updated and Expanded Milliman Disparities Research Report, entitled: Addiction and mental health vs. physical health: Widening disparities in network use and reimbursement; A deeper analytical dive and updated results through 2017 for 37 million employees and dependents

D. Model Data Request Form – being used by employers and employer coalitions in requesting targeted, quantitative data from third party administrators for assessment of access to in-network behavioral health providers

E. Model Hold Harmless Language – sample indemnification/hold harmless clause for use by employers in their vendor contracts with third party administrators as related to parity law compliance

F. Parity Law Compliance – Non-quantitative Treatment Limitations:

 

F1. Milliman NQTL Compliance Guidelines White Paper – a white paper on NQTL compliant analyses, including regulatory guidance, the six-steps analysis, and the significance of outcomes data and quantitative measures

 

F2. Six-Steps Parity Guide for NQTL Compliance – a detailed issue brief covering specific types of non-quantitative treatment limitations governed by the federal parity law and regulations, with detailed illustrations to assist issuers, regulators or others

 

F3. Best Practice Examples for NQTL Compliance with Regulatory Guidance Embedded – a set of examples for regulators and others, illustrating compliant design, application and comparability testing of non-quantitative treatment limitations

G. 2020 Tele-behavioral Health Brief, entitled: Tele-Behavioral Health for Employees: Pre-COVID Practices and Recommendations for a Post COVID Path Forward – an examination of tele-behavioral health in the United States pre COVID-19, recent changes in policies and practices in response to this pandemic, and the opportunity tele-behavioral health presents to improve access to care

H. National Alliance of Healthcare Purchaser Coalitions 2018 Report, entitled: Achieving Value in Mental Health Support: A Deep Dive Powered by eValue8 – an assessment of the performance of large health insurers and MBHOs with respect to access to in-network behavioral health providers and compliance with the federal parity law

Contact: Matt.Bowman@TheBowmanFamilyFoundation.org