Literature DB >> 20044425

Patterns of service use in two types of managed behavioral health care plans.

Elizabeth L Merrick1, Dominic Hodgkin, Deirdre Hiatt, Constance M Horgan, Vanessa Azzone, Bernard McCann, Grant Ritter, Galima Zolotusky, Thomas G McGuire, Sharon Reif.   

Abstract

OBJECTIVE: The study examined service use patterns by level of care in two managed care plans offered by a national managed behavioral health care organization (MBHO): an employee assistance program (EAP) combined with a standard behavioral health plan (integrated plan) and a standard behavioral health plan.
METHODS: The cross-sectional analysis used 2004 administrative data from the MBHO. Utilization of 11 specific service categories was compared. The weighted sample reflected exact matching on sociodemographic characteristics (unweighted N=710,014; weighted N=286,750).
RESULTS: A larger proportion of enrollees in the integrated plan than in the standard plan used outpatient mental health and substance abuse office visits (including EAP visits) (p<.01) and substance abuse intensive outpatient or day treatment (p<.05), and the proportion using residential substance abuse rehabilitation was lower (p<.05).
CONCLUSIONS: The integrated and standard products had distinct utilization patterns in this large MBHO. In particular, greater use of certain outpatient services was observed in the integrated plan.

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Year:  2010        PMID: 20044425      PMCID: PMC2801078          DOI: 10.1176/appi.ps.61.1.86

Source DB:  PubMed          Journal:  Psychiatr Serv        ISSN: 1075-2730            Impact factor:   3.084


  6 in total

1.  The relationship between treatment access and spending in a managed behavioral health organization.

Authors:  B J Cuffel; D Regier
Journal:  Psychiatr Serv       Date:  2001-07       Impact factor: 3.084

Review 2.  Mental health carve-outs: effects and implications.

Authors:  K L Grazier; L L Eselius
Journal:  Med Care Res Rev       Date:  1999       Impact factor: 3.929

Review 3.  Managed behavioral health care carve-outs: past performance and future prospects.

Authors:  Richard G Frank; Rachel L Garfield
Journal:  Annu Rev Public Health       Date:  2007       Impact factor: 21.981

4.  Treatment for substance use disorders in a privately insured population under managed care: costs and services use.

Authors:  Shelly F Greenfield; Vanessa Azzone; Haiden Huskamp; Brian Cuffel; Thomas Croghan; William Goldman; Richard G Frank
Journal:  J Subst Abuse Treat       Date:  2004-12

5.  Changes in how health plans provide behavioral health services.

Authors:  Constance M Horgan; Deborah W Garnick; Elizabeth Levy Merrick; Dominic Hodgkin
Journal:  J Behav Health Serv Res       Date:  2007-09-14       Impact factor: 1.505

6.  Alcohol & drug abuse: Revisiting employee assistance programs and substance use problems in the workplace: key issues and a research agenda.

Authors:  Elizabeth S Levy Merrick; Joanna Volpe-Vartanian; Constance M Horgan; Bernard McCann
Journal:  Psychiatr Serv       Date:  2007-10       Impact factor: 3.084

  6 in total
  4 in total

1.  Integrated employee assistance program/managed behavioral health plan utilization by persons with substance use disorders.

Authors:  Elizabeth S Levy Merrick; Dominic Hodgkin; Deirdre Hiatt; Constance M Horgan; Shelly F Greenfield; Bernard McCann
Journal:  J Subst Abuse Treat       Date:  2010-12-24

2.  The effect of employee assistance plan benefits on the use of outpatient behavioral health care.

Authors:  Dominic Hodgkin; Elizabeth L Merrick; Deirdre Hiatt; Constance M Horgan; Thomas G McGuire
Journal:  J Ment Health Policy Econ       Date:  2010-12

3.  Performance Metrics of Substance Use Disorder Care Among Medicaid Enrollees in New York, New York.

Authors:  Margarita Alegría; Irene Falgas-Bague; Marie Fukuda; Jenny Zhen-Duan; Cole Weaver; Isabel O'Malley; Timothy Layton; Jacob Wallace; Lulu Zhang; Sheri Markle; Charles Neighbors; Pat Lincourt; Shazia Hussain; Marc Manseau; Bradley D Stein; Nancy Rigotti; Sarah Wakeman; Martha Kane; A Eden Evins; Thomas McGuire
Journal:  JAMA Health Forum       Date:  2022-07-01

4.  Integrated employee assistance program/managed behavioral health care benefits: relationship with access and client characteristics.

Authors:  Elizabeth S Levy Merrick; Dominic Hodgkin; Constance M Horgan; Deirdre Hiatt; Bernard McCann; Vanessa Azzone; Galina Zolotusky; Grant Ritter; Sharon Reif; Thomas G McGuire
Journal:  Adm Policy Ment Health       Date:  2009-08-19
  4 in total

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