Abstract
Little is known about the effect of a managed behavioral health care (MBHC) carve-out on treatment episodes for a mental health/substance abuse (MHSA) condition. This study found adoption of a carve-out for Massachusetts state employees associated with a dramatic drop in total MHSA costs per episode (particularly for individuals with certain severe MHSA conditions). The carve-out also was associated with a shift away from the use of facility care toward the use of outpatient care for enrollees with a diagnosis of unipolar depression.
Publication types
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adult
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Episode of Care*
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Female
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Health Care Costs
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Humans
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Insurance Benefits
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Insurance Claim Review
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Logistic Models
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Male
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Managed Care Programs / organization & administration
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Managed Care Programs / statistics & numerical data*
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Massachusetts
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Mental Disorders*
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Mental Health Services / organization & administration
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Mental Health Services / statistics & numerical data*
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Middle Aged
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Program Evaluation
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Risk Sharing, Financial
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Substance-Related Disorders*
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Utilization Review / methods