Abstract
Mental health services experts suggest that managed care diminishes the need for arbitrary benefit limits and consumer cost-sharing. Data from 577 health plans were used to test the hypotheses that health maintenance organizations (HMOs) and carve-out plans are less likely to use benefit limits or service exclusions, have more generous limits, and have lower cost- sharing requirements than non-HMOs and non-carveout plans. The results show that HMOs were more likely to use service exclusions and did not make less use of benefit limits. Calve-outs were less likely to use some coverage exclusions. Comparisons of the stringency of limits and cost-sharing provisions did not show consistent differences.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1631-1633 |
| Number of pages | 3 |
| Journal | Psychiatric Services |
| Volume | 50 |
| Issue number | 12 |
| State | Published - 1999 |
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ASJC Scopus subject areas
- Psychiatry and Mental health
- Public Health, Environmental and Occupational Health
- Health(social science)
- Health Professions(all)
Cite this
Mental health benefit limits and cost sharing under managed care : A national survey of employers. / Salkever, David S; Shinogle, Judy; Goldman, Howard.
In: Psychiatric Services, Vol. 50, No. 12, 1999, p. 1631-1633.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Mental health benefit limits and cost sharing under managed care
T2 - A national survey of employers
AU - Salkever, David S
AU - Shinogle, Judy
AU - Goldman, Howard
PY - 1999
Y1 - 1999
N2 - Mental health services experts suggest that managed care diminishes the need for arbitrary benefit limits and consumer cost-sharing. Data from 577 health plans were used to test the hypotheses that health maintenance organizations (HMOs) and carve-out plans are less likely to use benefit limits or service exclusions, have more generous limits, and have lower cost- sharing requirements than non-HMOs and non-carveout plans. The results show that HMOs were more likely to use service exclusions and did not make less use of benefit limits. Calve-outs were less likely to use some coverage exclusions. Comparisons of the stringency of limits and cost-sharing provisions did not show consistent differences.
AB - Mental health services experts suggest that managed care diminishes the need for arbitrary benefit limits and consumer cost-sharing. Data from 577 health plans were used to test the hypotheses that health maintenance organizations (HMOs) and carve-out plans are less likely to use benefit limits or service exclusions, have more generous limits, and have lower cost- sharing requirements than non-HMOs and non-carveout plans. The results show that HMOs were more likely to use service exclusions and did not make less use of benefit limits. Calve-outs were less likely to use some coverage exclusions. Comparisons of the stringency of limits and cost-sharing provisions did not show consistent differences.
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UR - http://www.scopus.com/inward/citedby.url?scp=0032717006&partnerID=8YFLogxK
M3 - Article
C2 - 10577886
AN - SCOPUS:0032717006
VL - 50
SP - 1631
EP - 1633
JO - Psychiatric Services
JF - Psychiatric Services
SN - 1075-2730
IS - 12
ER -