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Episodes of Mental Health and Substance Abuse Treatment Under a Managed Behavioral Health Care Carve-out

Haiden A. Huskamp
Inquiry
Vol. 36, No. 2 (Summer 1999), pp. 147-161
Published by: Sage Publications, Inc.
Stable URL: http://www.jstor.org/stable/29772819
Page Count: 15
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Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Episodes of Mental Health and Substance Abuse Treatment Under a Managed Behavioral Health Care Carve-out
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Abstract

Little is known about the effect of a managed behavioral health care (MBHC) carve-out on treatment episodes for a mental health/substance abuse (MHSA) condition. This study found adoption of a carve-out for Massachusetts state employees associated with a dramatic drop in total MHSA costs per episode (particularly for individuals with certain severe MHSA conditions). The carve-out also was associated with a shift away from the use of facility care toward the use of outpatient care for enrollees with a diagnosis of unipolar depression.

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