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Literature DB >> 10121507

The impact of private utilization management on psychiatric care: a review of the literature.

Abstract

Psychiatric care in the United States is increasingly practiced subject to some form of utilization management (UM) by third parties. This paper reviews recent studies of UM in the privately insured mental health sector, and finds some limited evidence that UM reduces utilization and costs to the payer. Less is known about UM's effect on mental health outcomes, or its financial impacts on patients, providers, and society. Implications concerning the regulation of UM are discussed, and suggestions are made for future research on the impact of UM.

Entities: Disease Species

Mesh：

Year: 1992 PMID： 10121507 DOI： 10.1007/BF02521315

Source DB: PubMed Journal: J Ment Health Adm ISSN： 0092-8623

36 in total

The impact of private utilization management on psychiatric care: a review of the literature.

1. Myths and mystifications of managed care.

2. From insured to managed mental health care.

3. Psychiatric case management offers cost, quality control.

4. How to make a soft landing.

5. A case study of state managed care regulation: utilization review laws.

6. A new look at rising mental health insurance costs.

Review 7. Utilization review: theory, practice, and issues.

8. Should we regulate 'utilization management?'.

9. Does utilization review reduce unnecessary hospital care and contain costs?

10. The negative impacts of increased concurrent review of psychiatric inpatient care.

1. Clinicians as advocates: an exploratory study of responses to managed care by mental health professionals.

2. Development of clinical methods for utilization review in psychiatric day treatment.

3. A comprehensive system for value accounting in psychiatry.

4. Managed mental health care and patterns of inpatient utilization for treatment of affective disorders.

5. The determinants of dumping: a national study of economically motivated transfers involving mental health care.

6. Does type of gatekeeping model affect access to outpatient specialty mental health services?

7. Changing mental health gatekeeping: effects on performance indicators.