Journal of Mental Health Policy and Economics, vol. 2, 1999, p. 29-41
Recent empirical research has found behavioural health carve-outs in the US to reduce costs immediately and considerably compared to indemnity insurance and HMOs. Paper uses concepts and results from industrial organisation and transaction cost literature to explain:
R. M. Scheffler
Journal of Mental Health Policy and Economics, vol. 2, 1999, p. 21-28
Within the past decade, mental health care in the US has undergone a significant transformation in terms of delivery, financing and workforce configuration. Contracting between managed care organisations (MCOs) and providers has become increasingly prevalent, paralleling the trend in health care in general. As measured by changes in utilisation and price, widespread application of classic managed care techniques such as preadmission review, concurrent review, case management, standardised clinical protocols and guidelines, volume purchase of services and free discounting appear to have led to significant cost reductions for providers of both inpatient and outpatient mental health services.
M. N. Ozawa and B. E. Hong
Children and Youth Services Review, vol. 21, 1999, p. 437-462
The Personal Responsibility and Work Opportunity Reconciliation Act 1996 made it more difficult for children with disabilities to receive SSI (Supplemental Security Income). Article explores the question of whether SSI is being implemented for mentally disabled children as intended under the law. Findings of a study that investigated the relationship between rates of participation on account of mental illness and mental retardation and the prevalence of these disorders show that SSI is being implemented for children with learning difficulties according to the law, but not for children with mental illnesses.