Effects of a mental health carve-out on use, costs, and payers: A four-year study
dc.contributor.author | Grazier, Kyle L. | en_US |
dc.contributor.author | Eselius, Laura L. | en_US |
dc.contributor.author | Hu, Teh-wei | en_US |
dc.contributor.author | Shore, Karen K. | en_US |
dc.contributor.author | G'Sell, William A. | en_US |
dc.date.accessioned | 2006-09-11T16:26:51Z | |
dc.date.available | 2006-09-11T16:26:51Z | |
dc.date.issued | 1999-11 | en_US |
dc.identifier.citation | Grazier, Kyle L.; Eselius, Laura L.; Hu, Teh-wei; Shore, Karen K.; G'Sell, William A.; (1999). "Effects of a mental health carve-out on use, costs, and payers: A four-year study." The Journal of Behavioral Health Services & Research 26(4): 381-389. <http://hdl.handle.net/2027.42/45769> | en_US |
dc.identifier.issn | 1556-3308 | en_US |
dc.identifier.issn | 1094-3412 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/45769 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=10565099&dopt=citation | en_US |
dc.description.abstract | 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. | en_US |
dc.format.extent | 906740 bytes | |
dc.format.extent | 3115 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Springer-Verlag; Association of Behavioral Healthcare Management | en_US |
dc.subject.other | Psychiatry | en_US |
dc.subject.other | Community & Environmental Psychology | en_US |
dc.subject.other | Health Informatics & Health Administration | en_US |
dc.subject.other | Medicine & Public Health | en_US |
dc.subject.other | Health Promotion and Disease Prevention | en_US |
dc.subject.other | Health Psychology | en_US |
dc.subject.other | Public Health/Gesundheitswesen | en_US |
dc.title | Effects of a mental health carve-out on use, costs, and payers: A four-year study | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | School of Public Health, University of Michigan, 109 South Observatory, 48109-2029, Ann Arbor, MI | en_US |
dc.contributor.affiliationum | School of Public Health, University of Michigan, 109 South Observatory, 48109-2029, Ann Arbor, MI | en_US |
dc.contributor.affiliationother | Reden & Anders Ltd in San Francisco, USA | en_US |
dc.contributor.affiliationother | the School of Public Health, University of California, Berkeley | en_US |
dc.contributor.affiliationother | Harvard University, Boston | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.identifier.pmid | 10565099 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/45769/1/11414_2005_Article_BF02287299.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1007/BF02287299 | en_US |
dc.identifier.source | The Journal of Behavioral Health Services & Research | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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