Consumer-choice markets: lessons from FEHBP mental health coverage

Health Affairs

Volumn 18, Issue 5, 1999, Pages 125-130

  Foote, Sandra M ^a   Jones, Stanley B ^a  

^a GEORGE WASHINGTON UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ECONOMICS; GOVERNMENT; HEALTH CARE POLICY; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HUMAN; INSURANCE; LAW; LEGAL ASPECT; MENTAL HEALTH SERVICE; NATIONAL HEALTH INSURANCE; UNITED STATES;

BLUE CROSS; BLUE SHIELD; GOVERNMENT AGENCIES; HEALTH BENEFIT PLANS, EMPLOYEE; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH POLICY; HUMANS; INSURANCE COVERAGE; MENTAL HEALTH SERVICES; PATIENT FREEDOM OF CHOICE LAWS; UNITED STATES;

EID: 0033190841     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.18.5.125     Document Type: Article

References (16)

1. Mental health benefits here refer to all outpatient visits to mental health professionals and inpatient -hospital and/or residential care services for patients with a primary diagnosis of a psychiatric disorder, unless otherwise noted.
2. Office of Personnel Management, personal communication from Ralph Pierce, June 1999.
3. J.A. Buck et al., "Behavioral Health Benefits in Employer-Sponsored Health Plans," Health Affairs (March/April 1999): 67-78.
4. R. Sturm, "How Expensive Is Unlimited Mental Health Care Coverage under Managed Care?" Journal of the American Medical Association (12 November 1997): 1533-1537.
5. Blue Cross and Blue Shield Association, personal communication, Shirley Lady, June 1999.
6. C.A. Ma and T.G. McGuire, "Costs and Incentives in a Behavioral Health Carve-Out," Health Affairs (March/April 1998): 53-69; W. Goldman, J. McCulloch, and R. Sturm, "Costs and Use of Mental Health Services before and after Managed Care," Health Affairs (March/April 1998): 40-52; Parity in Financing Mental Health Sen-ices: Managed Care Effects on Cost, Access, and Quality, An Interim Report to Congress (Washington: National Advisory Mental Health Council, U.S. Department of Health and Human Services, National Institute of Mental Health, April 1998), 12-14; and J.K. Iglehart, "Managed Care and Mental Health," New England Journal of Medicine (11 January 1996): 131-135.
7. C.A. Ma and T.G. McGuire, "Costs and Incentives in a Behavioral Health Carve-Out," Health Affairs (March/April 1998): 53-69; W. Goldman, J. McCulloch, and R. Sturm, "Costs and Use of Mental Health Services before and after Managed Care," Health Affairs (March/April 1998): 40-52; Parity in Financing Mental Health Sen-ices: Managed Care Effects on Cost, Access, and Quality, An Interim Report to Congress (Washington: National Advisory Mental Health Council, U.S. Department of Health and Human Services, National Institute of Mental Health, April 1998), 12-14; and J.K. Iglehart, "Managed Care and Mental Health," New England Journal of Medicine (11 January 1996): 131-135.
8. C.A. Ma and T.G. McGuire, "Costs and Incentives in a Behavioral Health Carve-Out," Health Affairs (March/April 1998): 53-69; W. Goldman, J. McCulloch, and R. Sturm, "Costs and Use of Mental Health Services before and after Managed Care," Health Affairs (March/April 1998): 40-52; Parity in Financing Mental Health Sen-ices: Managed Care Effects on Cost, Access, and Quality, An Interim Report to Congress (Washington: National Advisory Mental Health Council, U.S. Department of Health and Human Services, National Institute of Mental Health, April 1998), 12-14; and J.K. Iglehart, "Managed Care and Mental Health," New England Journal of Medicine (11 January 1996): 131-135.
9. C.A. Ma and T.G. McGuire, "Costs and Incentives in a Behavioral Health Carve-Out," Health Affairs (March/April 1998): 53-69; W. Goldman, J. McCulloch, and R. Sturm, "Costs and Use of Mental Health Services before and after Managed Care," Health Affairs (March/April 1998): 40-52; Parity in Financing Mental Health Sen-ices: Managed Care Effects on Cost, Access, and Quality, An Interim Report to Congress (Washington: National Advisory Mental Health Council, U.S. Department of Health and Human Services, National Institute of Mental Health, April 1998), 12-14; and J.K. Iglehart, "Managed Care and Mental Health," New England Journal of Medicine (11 January 1996): 131-135.
10. Hay Group Study on Health Care Plan Design and Cost Trends - 1988 through 1998 (April 1999), www.naphs.org/news/hay99/haytrend.html (13 May 1999).
11. "Santa Fe Summit Seeks Direction for Practice Guidelines," Mental Health Weekly (29 March 1999), www.nccbh.org (25 April 1999).
12. C.L. Beaudin, "Outcomes Measurement: Application of Performance Standards and Practice Guidelines in Managed Behavioral Healthcare," Journal of Nursing Care Quality (November 1998): 14-26; and D. Mechanic, "Managed Mental Health Care," Society (November/December 1997): 44-52. See also U.S. General Accounting Office, Medicare Home Health Agencies, Pub. no. GAO/HEHS 99-120 (Washington: GAO, 1999), 22, for a description of how home health agencies are screening and managing patients with intense care needs to stay within agency revenue caps that are part of Medicare's interim payment system.
13. C.L. Beaudin, "Outcomes Measurement: Application of Performance Standards and Practice Guidelines in Managed Behavioral Healthcare," Journal of Nursing Care Quality (November 1998): 14-26; and D. Mechanic, "Managed Mental Health Care," Society (November/December 1997): 44-52. See also U.S. General Accounting Office, Medicare Home Health Agencies, Pub. no. GAO/HEHS 99-120 (Washington: GAO, 1999), 22, for a description of how home health agencies are screening and managing patients with intense care needs to stay within agency revenue caps that are part of Medicare's interim payment system.
14. C.L. Beaudin, "Outcomes Measurement: Application of Performance Standards and Practice Guidelines in Managed Behavioral Healthcare," Journal of Nursing Care Quality (November 1998): 14-26; and D. Mechanic, "Managed Mental Health Care," Society (November/December 1997): 44-52. See also U.S. General Accounting Office, Medicare Home Health Agencies, Pub. no. GAO/HEHS 99-120 (Washington: GAO, 1999), 22, for a description of how home health agencies are screening and managing patients with intense care needs to stay within agency revenue caps that are part of Medicare's interim payment system.
15. Institute of Medicine, Managing Managed Care: Quality Improvement in Behavioral Health (Washington: National Academy Press, 1997), 6; and "Findings from the American College of Mental Health Administration Santa Fe Summit 1997," www.acmha.org (25 April 1999).
16. Institute of Medicine, Managing Managed Care: Quality Improvement in Behavioral Health (Washington: National Academy Press, 1997), 6; and "Findings from the American College of Mental Health Administration Santa Fe Summit 1997," www.acmha.org (25 April 1999).