title: The effect of mandating complementary and alternative medicine services on insurance benefits in Washington State.
abstract: OBJECTIVE
  Washington was the first state to require insurance companies to cover all categories of licensed providers. The purpose of this paper was to examine the effect of Washington's law on coverage decisions of major health plans.
  
  
  METHODS
  The study uses literature and document review as well as key informant interviews.
  
  
  METHODS
  The study focuses on legislation and other legal activity in the state of Washington. The key informant interviews are focused on the decisions of three major health plans.
  
  
  RESULTS
  Although the law had a major effect on complementary and alternative medicine (CAM) coverage in Washington, the impact on the use of CAM services and expenditures has been bounded by changing market forces.
  
  
  CONCLUSIONS
  CAM providers face scientific tests of measurable efficacy and market tests of consumer value. In this economic environment, CAM stakeholders will have to work hard to maintain their political gains.
authors.affiliation: Department of Health Services, University of Washington, 1959 NE Pacific Street, Box 357660, Seattle, WA 98195, USA. watts@u.washington.edu
authors.forename: Carolyn A
authors.initials: CA
authors.lastname: Watts
authors.forename: William E
authors.initials: WE
authors.lastname: Lafferty
authors.forename: Andrea Corage
authors.initials: AC
authors.lastname: Baden
mesh_terms: D000529:Complementary Therapies / Q000191:economics / Q000331:legislation & jurisprudence* / Q000592:standards; D019033:Delivery of Health Care, Integrated; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000331:legislation & jurisprudence*; D006801:Humans; D007342:Insurance Benefits / Q000191:economics / Q000331:legislation & jurisprudence*; D019458:Insurance Coverage / Q000191:economics / Q000331:legislation & jurisprudence*; D013221:State Health Plans / Q000458:organization & administration; D014481:United States; D014861:Washington