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State Medicaid and MCO-CBO contracting. The George Washington University studies.
Behav Healthc Tomorrow. 1998 Feb; 7(1):21-7.BH

Abstract

The web of contracts between purchasers, plans, and providers will ultimately shape the American healthcare system. Managed care contracts represent a marked departure from common law principles which allowed healthcare providers to decide when and under what circumstances they would enter into a provider/patient relationship. In two studies supported by the Substance Abuse and Mental Health and Services Administration (SAMHSA), contracts for behavioral healthcare services between Medicaid agencies and MCOs, and between MCOs and community-based mental health and substance abuse organizations were examined. Contracts typically cover both mental health and substance abuse treatment services, but state-to-state variation in procedures and specific services covered is the hallmark of behavioral healthcare contracts across the board.

Authors+Show Affiliations

Goplerud E
Office of Managed Care, SAMHSA, USA.
Rosenbaum S
No affiliation info available

MeSH

Capitation FeeCenters for Medicare and Medicaid Services, U.S.Community Mental Health ServicesCompetitive BiddingHumansInsurance CoverageManaged Care ProgramsMedicaidMental DisordersQuality Assurance, Health CareReferral and ConsultationState Health PlansSubstance Abuse Treatment CentersUnited StatesUnited States Substance Abuse and Mental Health Services AdministrationUtilization Review

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10177768

Citation

Goplerud, E, and S Rosenbaum. "State Medicaid and MCO-CBO Contracting. the George Washington University Studies." Behavioral Healthcare Tomorrow, vol. 7, no. 1, 1998, pp. 21-7.
Goplerud E, Rosenbaum S. State Medicaid and MCO-CBO contracting. The George Washington University studies. Behav Healthc Tomorrow. 1998;7(1):21-7.
Goplerud, E., & Rosenbaum, S. (1998). State Medicaid and MCO-CBO contracting. The George Washington University studies. Behavioral Healthcare Tomorrow, 7(1), 21-7.
Goplerud E, Rosenbaum S. State Medicaid and MCO-CBO Contracting. the George Washington University Studies. Behav Healthc Tomorrow. 1998;7(1):21-7. PubMed PMID: 10177768.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - State Medicaid and MCO-CBO contracting. The George Washington University studies. AU - Goplerud,E, AU - Rosenbaum,S, PY - 1998/1/7/pubmed PY - 1998/1/7/medline PY - 1998/1/7/entrez SP - 21 EP - 7 JF - Behavioral healthcare tomorrow JO - Behav Healthc Tomorrow VL - 7 IS - 1 N2 - The web of contracts between purchasers, plans, and providers will ultimately shape the American healthcare system. Managed care contracts represent a marked departure from common law principles which allowed healthcare providers to decide when and under what circumstances they would enter into a provider/patient relationship. In two studies supported by the Substance Abuse and Mental Health and Services Administration (SAMHSA), contracts for behavioral healthcare services between Medicaid agencies and MCOs, and between MCOs and community-based mental health and substance abuse organizations were examined. Contracts typically cover both mental health and substance abuse treatment services, but state-to-state variation in procedures and specific services covered is the hallmark of behavioral healthcare contracts across the board. SN - 1063-8490 UR - https://www.unboundmedicine.com/medline/citation/10177768/State_Medicaid_and_MCO_CBO_contracting__The_George_Washington_University_studies_ L2 - https://medlineplus.gov/managedcare.html DB - PRIME DP - Unbound Medicine ER -