TY - VIDEO
KW - Health Insurance
KW - Health services utilization
KW - Managed Care
KW - mental health care
KW - Welfare
AU - April Michelle Barclay
A1 - 
AB - Funding for mental health services has been controversial for decades. With questions about the accuracy of diagnoses and the effectiveness of treatment still left unanswered, many insurance companies hesitate to provide the necessary medical and behavioral services. Managed care plans claim to offer comprehensive cost-effective health care coverage that will cover mental health diagnosis and treatment within a standardized protocol (i.e., use of primary care physicians, accepted definitions of treatment, fewer referrals to specialists). However, the emphasis on lowering the cost of care may have negatively affected many consumers' access to appropriate mental health services. This research will examine the effects of insurance type on the utilization of health care and mental health services for the mentally ill population. Using the National Health Interview Survey of 1994, a logistic regression analysis revealed that the mentally ill respondents with HMO insurance coverage were not only less likely to see a psychiatrist for specialized mental health services but less likely to see a doctor for more general medical services than other forms of private insurance. The conflict between financial responsibility and the definition of appropriate mental health services that have led to fewer benefits and a larger cost burden for the mentally ill consumers will be discussed with respect to the rise of managed care and the implementation problems of the Mental Health Parity Act of 1996. Future research will also be discussed.
C4 - This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
C5 - Financing & Sustainability; Financing & Sustainability; Healthcare Policy; Grey Literature
CY - United States -- Texas
N2 - Funding for mental health services has been controversial for decades. With questions about the accuracy of diagnoses and the effectiveness of treatment still left unanswered, many insurance companies hesitate to provide the necessary medical and behavioral services. Managed care plans claim to offer comprehensive cost-effective health care coverage that will cover mental health diagnosis and treatment within a standardized protocol (i.e., use of primary care physicians, accepted definitions of treatment, fewer referrals to specialists). However, the emphasis on lowering the cost of care may have negatively affected many consumers' access to appropriate mental health services. This research will examine the effects of insurance type on the utilization of health care and mental health services for the mentally ill population. Using the National Health Interview Survey of 1994, a logistic regression analysis revealed that the mentally ill respondents with HMO insurance coverage were not only less likely to see a psychiatrist for specialized mental health services but less likely to see a doctor for more general medical services than other forms of private insurance. The conflict between financial responsibility and the definition of appropriate mental health services that have led to fewer benefits and a larger cost burden for the mentally ill consumers will be discussed with respect to the rise of managed care and the implementation problems of the Mental Health Parity Act of 1996. Future research will also be discussed.
PB - The University of Texas at Dallas
PP - United States -- Texas
PY - 2001
SP - 110
EP - 110
EP - 
T1 - The effects of managed care on the utilization of mental health services
TI - The effects of managed care on the utilization of mental health services
U1 - Financing & Sustainability; Financing & Sustainability; Healthcare Policy; Grey Literature
U4 - This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
VL - Ph.D.
Y1 - 2001
ER -