Effect of curtailed insurance benefits on use of mental health care: The tenneco health plan

Shan P. Tsai, Susan Miller Reedy, Edward J. Bernacki, Eun Sul Lee

Research output: Contribution to journalArticle

Abstract

This article presents the impact of a health insurance benefit redesign on utilization and costs for mental health care in a large Corporation. The design change primarily limited coverage to 45 days of hospitalization and 20 outpatient visits. Group health insurance data before and after the benefit changes (effective January 1, 1984) were compared and analyzed. Per capita charges for mental health care between 1983 and 1985 decreased by 41%, from $89 to $53. Responses to the benefit modifications differed for inpatient and outpatient Services. Inpatient costs and length of stay decreased dramatically, especially for dependents, while utilization rates remained about the same. Statistically significant increases occurred for outpatient care utilization and costs.

Original languageEnglish (US)
Pages (from-to)430-440
Number of pages11
JournalMedical Care
Volume26
Issue number4
StatePublished - 1988
Externally publishedYes

Fingerprint

insurance benefit
Insurance Benefits
Mental Health
utilization
mental health
Health Insurance
health care
Ambulatory Care
Delivery of Health Care
Costs and Cost Analysis
health insurance
Inpatients
Health
costs
health
outpatient care
hospitalization
corporation
Length of Stay
Hospitalization

Keywords

  • Benefit redesign
  • Costs
  • Insurance
  • Mental health care
  • Utilization

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Tsai, S. P., Reedy, S. M., Bernacki, E. J., & Lee, E. S. (1988). Effect of curtailed insurance benefits on use of mental health care: The tenneco health plan. Medical Care, 26(4), 430-440.

Effect of curtailed insurance benefits on use of mental health care : The tenneco health plan. / Tsai, Shan P.; Reedy, Susan Miller; Bernacki, Edward J.; Lee, Eun Sul.

In: Medical Care, Vol. 26, No. 4, 1988, p. 430-440.

Research output: Contribution to journalArticle

Tsai, SP, Reedy, SM, Bernacki, EJ & Lee, ES 1988, 'Effect of curtailed insurance benefits on use of mental health care: The tenneco health plan', Medical Care, vol. 26, no. 4, pp. 430-440.
Tsai, Shan P. ; Reedy, Susan Miller ; Bernacki, Edward J. ; Lee, Eun Sul. / Effect of curtailed insurance benefits on use of mental health care : The tenneco health plan. In: Medical Care. 1988 ; Vol. 26, No. 4. pp. 430-440.
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