The Journal of Behavioral Health Services & Research

, Volume 26, Issue 4, pp 381–389

Effects of a mental health carve-out on use, costs, and payers: A four-year study

Authors

    • School of Public HealthUniversity of Michigan
  • Laura L. Eselius
    • Harvard University
  • Teh-wei Hu
    • the School of Public Health, University of California
  • Karen K. Shore
    • Reden & Anders Ltd in San Francisco
  • William A. G'Sell
    • School of Public HealthUniversity of Michigan
Articles

DOI: 10.1007/BF02287299

Cite this article as:
Grazier, K.L., Eselius, L.L., Hu, T. et al. The Journal of Behavioral Health Services & Research (1999) 26: 381. doi:10.1007/BF02287299

Abstract

This study examines the effects of a mental health carve-out on a sample of continuously enrolled employees (N = 1,943) over a four-year time frame (1990–1994). The article presents a health care services utilization model of the effect of the carve-out on outpatient mental health use, cost, and source of payment in the three years post implementation relative to the year prior to the carve-out model. In the first three years of the carve-out, the likelihood of employees seeking mental health care increased in significant part because of the carve-out. For the outpatient mental health services user, the carve-out was not associated with the level of mental health services received. The carve-out was significantly associated over time with a reduction in the patient's and employer's mental health costs. This effect was more pronounced in the second and third years of the carve-out. The article explores the policy implications of these and other findings.

Copyright information

© Association of Behavioral Healthcare Management 1999