Changes in how health plans provide behavioral health services

Journal of Behavioral Health Services and Research

Volumn 36, Issue 1, 2009, Pages 11-24

  Horgan, Constance M ^a   Garnick, Deborah W ^a   Merrick, Elizabeth Levy ^a   Hodgkin, Dominic ^a  

^a BRANDEIS UNIVERSITY   (United States)

Author keywords

Behavioral health; Health plans; Managed care; Mental health; Substance abuse

Indexed keywords

BEHAVIOR THERAPY; HEALTH SERVICES ACCESSIBILITY; HUMANS; INSURANCE COVERAGE; MENTAL HEALTH SERVICES; SUBSTANCE-RELATED DISORDERS; UNITED STATES;

EID: 60549112197     PISSN: 10943412     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11414-007-9084-0     Document Type: Article

References (29)

1. JC Robinson 2001 The end of managed care Journal of the American Medical Association 285 20 2622 2628
2. JC Robinson 2004 Reinvention of health insurance in the consumer era Journal of the American Medical Association 291 15 1880 1886
3. Oss ME, Jardine EL, Pesare MJ. OPEN MINDS Yearbook of Managed Behavioral Health and Employee Assistance Behavioral Health and Employee Assistance Program Market Share in the United States, 2002-2003. Gettysburg, PA: OPEN MINDS; 2002.
4. DE Grembowski P Diehr LC Novak 2000 Measuring the "managedness" and covered benefits of health plans Health Services Research 35 3 707 731
5. TM Wickizer D Lessler 1998 Do treatment restrictions imposed by utilization management increase the likelihood of readmission for psychiatric patients? Medical Care 36 6 844 850
6. X Liu R Sturm B Cuffel 2000 The impact of prior authorization on outpatient utilization in managed behavioral health care plans Medical Care Research and Review 57 2 182 195
7. RC Howard 1998 The sentinel effect in an outpatient managed care setting Professional Psychology Research and Practice 29 3 262 268
8. EB Keeler WB Manning KG Wells 1988 The demand for episodes of MH services Journal of Health Economics 7 369 392
9. B Stein M Orlando R Sturm 2000 The effect of co-payments on drug and alcohol treatment following inpatient detoxification under managed care Psychiatric Services 51 2 195 198
10. HA Huskamp PA Deverka AM Epstein 2005 Impact of 3-tier formularies on drug treatment of attention-deficit/hyperactivity disorder in children Archives of General Psychiatry 62 435 441
11. MB Rosenthal 1999 Risk sharing in managed behavioral health care Health Affairs 18 5 204 213
12. RP Ellis TG McGuire 1996 Hospital response to prospective payment: moral hazard, selection, and practice-style effects Journal of Health Economics 15 3 257 277
13. RG Frank HH Goldman TG McGuire 2001 Will parity in coverage result in better mental health care? The New England Journal of Medicine 345 23 1701 1704
14. PS Wang M Lane M Olfson 2005 Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication Archives of General Psychiatry 62 6 629 640
15. EA McGlynn SM Asch J Adams 2003 The quality of health care delivered to adults in the United States The New England Journal of Medicine 348 26 2635 2645
16. P Kemper D Blumenthal JM Corrigan 1996 The design of the Community Tracking Study: a longitudinal study of health system change and its effects on people Inquiry 33 195 206
17. Research Triangle Institute. SUDAAN User's Manual: release 8.0. Research Triangle Park, NC: Research Triangle Institute; 2002.
18. D Hodgkin CM Horgan DW Garnick 1997 Make or buy: HMOs' contracting arrangements for mental health care Administration and Policy in Mental Health 24 4 359 376
19. Managed Care Week. MCOs weigh pharmacy management issues in making behavioral carve-out decisions. October 24, 2005.
20. RG Frank RM Conti HH Goldman 2005 Mental health policy and psychotropic drugs The Milbank Quarterly 83 2 271 298
21. SH Zuvekas 2005 Prescription drugs and the changing patterns of treatment for mental disorders, 1996-2001 Health Affairs 24 1 195 205
22. Mark TL, Coffey RM, Vandivort-Warren R. U.S. spending for mental health and substance abuse treatment, 1991-2001. Health Affairs 29 March 2005; Web Exclusives: W5-133-W5142.
23. Shatin D, Drinkard CR. Primary care physicians often prescribes psychotropic drugs to treat hyperactivity and depression in children. Ambulatory Pediatrics. 2002;111-119.
24. Manning WG, Wells KB, et al. Effects of mental health insurance: evidence from the RAND Health Insurance Experiment. RAND Report R-3815-NIMA/HCFA. 1989.
25. GE Simon L Grothaus ML Durham 1996 Impact of visit co-payments on outpatient mental health utilization by members of a health maintenance organization American Journal of Psychiatry 153 3 331 338
26. BD Stein Z Weiying 2003 Drug and alcohol treatment among privately insured patients: rate of specialty substance abuse treatment and association with cost sharing Drug and Alcohol Dependence 71 153 159
27. Hanlon P. Reimbursement rates still a concern for psychologists. New England Psychologist 14(7). Internet: http://www.nepsy.com/leading/0505-ne- cover-reimburse.html/ Accessed 9/12/06.
28. Institute of Medicine. Improving the Quality of Health Care for Mental and Substance-use Conditions. Washington, DC: National Academies Press; 2006.
29. AJ Rush MH Trivedi SR Wisneiwski 2006 Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR*D report American Journal of Psychiatry 163 11 1905 1917