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Managed behavioral health care carve-outs: past performance and future prospects.
Annu Rev Public Health. 2007; 28:303-20.AR

Abstract

As the managed behavioral health care market has matured, behavioral health carve-outs have solved many problems facing the delivery of behavioral health services; at the same time, they have exacerbated existing difficulties or created new problems. Carve-outs developed to address rising inpatient behavioral health costs and limited insurance coverage. They are based on the economic principles of economies of specialization, economies of scale, price negotiation, and selection. Literature shows that carve-outs have been successful in lowering costs and maintaining or improving access, but results on their impact on quality of care are mixed. In recent years, carve-outs have evolved to take on new roles within the health system, such as coordinating mental and physical health, addressing fragmented public financing systems, and using market power to implement quality improvement. Although not perfect, carve-outs have been instrumental in addressing long-standing challenges in utilization, access, and cost of behavioral health care.

Authors+Show Affiliations

Department of Health Care Policy, Harvard University, Boston, MA 02115, USA. frank@hcp.med.harvard.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Review

Language

eng

PubMed ID

17112340

Citation

Frank, Richard G., and Rachel L. Garfield. "Managed Behavioral Health Care Carve-outs: Past Performance and Future Prospects." Annual Review of Public Health, vol. 28, 2007, pp. 303-20.
Frank RG, Garfield RL. Managed behavioral health care carve-outs: past performance and future prospects. Annu Rev Public Health. 2007;28:303-20.
Frank, R. G., & Garfield, R. L. (2007). Managed behavioral health care carve-outs: past performance and future prospects. Annual Review of Public Health, 28, 303-20.
Frank RG, Garfield RL. Managed Behavioral Health Care Carve-outs: Past Performance and Future Prospects. Annu Rev Public Health. 2007;28:303-20. PubMed PMID: 17112340.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Managed behavioral health care carve-outs: past performance and future prospects. AU - Frank,Richard G, AU - Garfield,Rachel L, PY - 2006/11/23/pubmed PY - 2007/12/20/medline PY - 2006/11/23/entrez SP - 303 EP - 20 JF - Annual review of public health JO - Annu Rev Public Health VL - 28 N2 - As the managed behavioral health care market has matured, behavioral health carve-outs have solved many problems facing the delivery of behavioral health services; at the same time, they have exacerbated existing difficulties or created new problems. Carve-outs developed to address rising inpatient behavioral health costs and limited insurance coverage. They are based on the economic principles of economies of specialization, economies of scale, price negotiation, and selection. Literature shows that carve-outs have been successful in lowering costs and maintaining or improving access, but results on their impact on quality of care are mixed. In recent years, carve-outs have evolved to take on new roles within the health system, such as coordinating mental and physical health, addressing fragmented public financing systems, and using market power to implement quality improvement. Although not perfect, carve-outs have been instrumental in addressing long-standing challenges in utilization, access, and cost of behavioral health care. SN - 0163-7525 UR - https://www.unboundmedicine.com/medline/citation/17112340/Managed_behavioral_health_care_carve_outs:_past_performance_and_future_prospects_ L2 - https://arjournals.annualreviews.org/doi/10.1146/annurev.publhealth.28.021406.144029?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -