TY - JOUR
KW - Health Spending
KW - Mental Health/Substance Abuse
AU - K. Thorpe
AU - S. Jain
AU - P. Joski
A1 - 
AB - People with multiple medical conditions are a growing and increasingly costly segment of the U.S. POPULATION: Despite the co-occurrence of physical and behavioral health comorbidities, the US health care system tends to treat these conditions separately rather than holistically. To identify opportunities for population health improvement, we examined the treated prevalence of and health care spending on behavioral health disorders, by the number of coexisting physical disorders, among noninstitutionalized adults. The vast majority (85 percent) of spending was attributed to treatment of the physical comorbidities. Only 15 percent was attributed to treatments of the behavioral disorders; of these, a primary diagnosis of depression was most common, seen in 57 percent of the sample. These findings suggest the potential to improve outcomes and reduce spending by applying collaborative care models more broadly. Policies should promote payment and delivery reforms that advance the integration of behavioral health and primary care.
BT - Health affairs (Project Hope)
C5 - Financing & Sustainability
CP - 1
CY - United States
DO - 10.1377/hlthaff.2016.0875
IS - 1
JF - Health affairs (Project Hope)
N2 - People with multiple medical conditions are a growing and increasingly costly segment of the U.S. POPULATION: Despite the co-occurrence of physical and behavioral health comorbidities, the US health care system tends to treat these conditions separately rather than holistically. To identify opportunities for population health improvement, we examined the treated prevalence of and health care spending on behavioral health disorders, by the number of coexisting physical disorders, among noninstitutionalized adults. The vast majority (85 percent) of spending was attributed to treatment of the physical comorbidities. Only 15 percent was attributed to treatments of the behavioral disorders; of these, a primary diagnosis of depression was most common, seen in 57 percent of the sample. These findings suggest the potential to improve outcomes and reduce spending by applying collaborative care models more broadly. Policies should promote payment and delivery reforms that advance the integration of behavioral health and primary care.
PP - United States
PY - 2017
SN - 1544-5208; 0278-2715
SP - 124
EP - 132
EP - 
T1 - Prevalence And Spending Associated With Patients Who Have A Behavioral Health Disorder And Other Conditions
T2 - Health affairs (Project Hope)
TI - Prevalence And Spending Associated With Patients Who Have A Behavioral Health Disorder And Other Conditions
U1 - Financing & Sustainability
U2 - 28069855
U3 - 10.1377/hlthaff.2016.0875
VL - 36
VO - 1544-5208; 0278-2715
Y1 - 2017
ER -