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.