When UHS built the new  Cumberland Hall Hospital  in Hopkinsville, Kentucky,  it included a wing dedicated solely to treating members of the military. The décor and colors of the special wing were chosen to help reduce anxiety  among the soldiers being treated there. The Behavioral Health Division also experienced an increase in regulatory oversight and audits from  the Centers for Medicare and Medicaid Services  (CMS), which expanded its national revenue recovery  initiatives. In response, UHS developed procedures to respond to audit requests, and ensure that all facilities keep detailed medical records and thorough  documentation of correspondence with auditing and credentialing bodies. Many states struggled in 2011 to maintain Medicaid  programs, despite budget reductions, increased caseloads and higher costs. Some attempted to contain costs by reducing reimbursements, services  and eligibility, or by increasing cost sharing and restricting care through managed care systems.  UHS saw an increase in admissions from many states, but also experienced more stringent utilization management and stricter criteria for insurance authorizations, as well as reductions in length of stay.  Pricing pressures are evident as referral sources continue to place patients in lower cost alternatives,  such as community-based care that is not available 24 hours per day. UHS advocates for a full continuum  of services, including inpatient care and residential  treatment services because inappropriate placements can delay the delivery of proper care and be more costly in the long run. In 2011, the industry began to experience the critical implementation phase of the federal Mental Health Parity Act. The act improves access to mental health care for millions of Americans by requiring large group health insurance plans to treat mental health benefits the same as medical/  surgical benefits. The Mental Health Parity Act, however, exempts small businesses and does not mandate coverage for mental health and addiction services. 14 UNIVERSAL HEALTH SERVICES, INC.  PREPARING FOR CHANGE INCREASING PRESSURE ON THE COST OF CARE INTEGRATION, GROWTH  AND EXPANSION