论文信息 - Costs and incentives in a behavioral health carve-out.

Costs and incentives in a behavioral health carve-out.

A carve-out of mental health and substance abuse services initiated in 1993 by the Group Insurance Commission (GIC) of the Commonwealth of Massachusetts resulted in changes in the costs of those services. Those changes were related to incentives in the contract between the GIC and its managed behavioral health vendor. Total and plan costs were reduced by 30-40 percent after adjusting for trends. Incentives to produce savings of this magnitude not only were a consequence of the payer/vendor contract but, we speculate, derive from the growth potential facing companies in the managed behavioral health care market.

T. Mcguire | C. Ma | C. Ma | C. Ma

[1] R. Sturm,et al. Costs and use of mental health services before and after managed care. , 1998, Health affairs.

[2] R. Sturm. How expensive is unlimited mental health care coverage under managed care? , 1997, JAMA.

[3] J. Newhouse,et al. Some economics of mental health 'carve-outs'. , 1996, Archives of general psychiatry.

[4] J. Newhouse,et al. Risk contracts in managed mental health care. , 1995, Health affairs.

[5] J. Laffont,et al. THE DYNAMICS OF INCENTIVE CONTRACTS , 1988 .

[6] S. Sharfstein. Financing Psychotherapy: Costs, Effects, and Public Policy , 1982 .

[7] R. Scheffler,et al. The effect of managed mental health care on use of outpatient mental health services in an employed population. , 1993, Advances in health economics and health services research.