Mental Health Carve-Outs: Effects and Implications
dc.contributor.author | Grazier, Kyle L. | en_US |
dc.contributor.author | Eselius, Laura L. | en_US |
dc.date.accessioned | 2010-04-14T14:00:15Z | |
dc.date.available | 2010-04-14T14:00:15Z | |
dc.date.issued | 1999 | en_US |
dc.identifier.citation | Grazier, Kyle; Eselius, Laura (1999). "Mental Health Carve-Outs: Effects and Implications." Medical Care Research and Review 56(): 33-59. <http://hdl.handle.net/2027.42/68797> | en_US |
dc.identifier.issn | 1077-5587 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/68797 | |
dc.description.abstract | To control the rise in expenditures and to increase access to mental health and substance abuse (MH/SA) services, a growing number of employers and states are implementing a “carve-out.” Under this arrangement, the sponsor separates insurance benefits by disease or condition, service category, or population and contracts separately for the management of care and/or associated risks. A carve-out allows a unique set of managed care techniques to be applied to a subset of particularly costly or complex benefits. This article describes various carve-out models, discusses the potential advantages and disadvantages of a full carve-out, and summarizes recent public and private sector research regarding the strategy’s effects on access and use, cost savings and shifting, and quality of care. It concludes by discussing approaches to the assessment and monitoring of the processes and outcomes associated with a MH/SA carve-out. | en_US |
dc.format.extent | 3108 bytes | |
dc.format.extent | 86664 bytes | |
dc.format.mimetype | text/plain | |
dc.format.mimetype | application/pdf | |
dc.publisher | Sage Publications | en_US |
dc.title | Mental Health Carve-Outs: Effects and Implications | 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 | University of Michigan | en_US |
dc.contributor.affiliationother | Harvard University | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/68797/2/10.1177_107755879905600203.pdf | |
dc.identifier.doi | 10.1177/107755879905600203 | en_US |
dc.identifier.source | Medical Care Research and Review | en_US |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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