Characteristics of health plans that treat psychiatric patients

Citation
Da. Zarin et al., Characteristics of health plans that treat psychiatric patients, HEAL AFFAIR, 18(5), 1999, pp. 226-236
Citations number
25
Categorie Soggetti
Public Health & Health Care Science
Journal title
HEALTH AFFAIRS
ISSN journal
02782715 → ACNP
Volume
18
Issue
5
Year of publication
1999
Pages
226 - 236
Database
ISI
SICI code
0278-2715(199909/10)18:5<226:COHPTT>2.0.ZU;2-P
Abstract
Nationally representative data regarding the organizational, financial, and procedural features of health plans in which psychiatric patients receive treatment indicate that fewer privately insured, Medicaid, and Medicare man aged care enrollees receive care from a psychiatrist than is true for "nonm anaged" enrollees. Financial considerations were reported to adversely affe ct treatment for one-third of all patients. Although utilization management techniques and financial/resource constraints commonly applied to patients in both managed and nonmanaged plans, performance-based incentives were ra ve in nonmanaged plans. The traditional health plan categories provide limi ted information to identify salient plan characteristics and guide policy d ecisions regarding the provision of care.