Effects of a mental health carve-out on use, costs, and payers: a four-year study
| Autor: | Kyle L. Grazier, Karen K. Shore, Laura L. Eselius, William A. G'Sell, Teh-wei Hu |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Mental Health Services medicine.medical_specialty Health (social science) Cost-Benefit Analysis Behavior Therapy Health care medicine Humans Health policy business.industry Health Policy Public health Public Health Environmental and Occupational Health Middle Aged Mental health Preferred provider organization United States Health psychology Health Benefit Plans Employee Health promotion Family medicine Health education Female Preferred Provider Organizations business |
| Zdroj: | The journal of behavioral health servicesresearch. 26(4) |
| ISSN: | 1094-3412 |
| Popis: | This study examines the effects of a mental health carve-out on a sample of continuously enrolled employees (N = 1,943) over a four-year time frame (1990–1994). The article presents a health care services utilization model of the effect of the carve-out on outpatient mental health use, cost, and source of payment in the three years post implementation relative to the year prior to the carve-out model. In the first three years of the carve-out, the likelihood of employees seeking mental health care increased in significant part because of the carve-out. For the outpatient mental health services user, the carve-out was not associated with the level of mental health services received. The carve-out was significantly associated over time with a reduction in the patient's and employer's mental health costs. This effect was more pronounced in the second and third years of the carve-out. The article explores the policy implications of these and other findings. |
| Databáze: | OpenAIRE |
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