Overview Of Publicly Funded Managed Behavioral Health Care

  • Mardi Coleman
  • William Schnapp
  • Debra Hurwitz
  • Sabine Hedberg
  • Linda Cabral
  • Aniko Laszlo
  • Jay Himmelstein


Using MEDLINE and other Internet sources, the authors perform a systematic review of published literature. A total of 109 articles and reports are identified and reviewed that address the development, implementation, outcomes, and trends related to Managed behavioral health care (MBHC). MBHC remains a work in progress. States have implemented their MBHC programs in a number of ways, making interstate comparisons challenging. While managed behavioral health care can lower costs and increase access, ongoing concerns about MBHC include potential incentives to under-treat those with more severe conditions due to the nature of risk-based contracting, the tendency to focus on acute care, difficulties assuring quality and outcomes consistently across regions, and a potential cost-shift to other public agencies or systems. Success factors for MBHC programs appear to include stakeholder involvement in program and policy development, effective contract development and management, and rate adequacy.

Key words

managed behavioral health care managed behavioral health care organizations Medicaid 


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Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Mardi Coleman
    • 1
  • William Schnapp
    • 2
  • Debra Hurwitz
    • 1
  • Sabine Hedberg
    • 1
  • Linda Cabral
    • 1
  • Aniko Laszlo
    • 1
  • Jay Himmelstein
    • 1
  1. 1.UMass Center for Health Policy and ResearchShrewsburyUSA
  2. 2.University of Texas Medical SchoolHoustonUSA

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