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Overview Of Publicly Funded Managed Behavioral Health Care

Administration and Policy in Mental Health and Mental Health Services Research volume 32, pages 321–340 (2005)Cite this article

Abstract

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.

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Authors and Affiliations

  1. UMass Center for Health Policy and Research, 222 Maple Avenue, Shrewsbury, MA, 01545, USA

    Mardi Coleman, Debra Hurwitz, Sabine Hedberg, Linda Cabral, Aniko Laszlo & Jay Himmelstein

  2. University of Texas Medical School, Houston, USA

    William Schnapp

Authors
  1. Mardi Coleman
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  2. William Schnapp
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  3. Debra Hurwitz
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  4. Sabine Hedberg
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  5. Linda Cabral
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  6. Aniko Laszlo
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  7. Jay Himmelstein
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Correspondence to Mardi Coleman.

Additional information

Mardi Coleman, B.A., is a Research Associate at the UMass Center for Health Policy and Research. William Schnapp, Ph.D., is a Professor at the University of Texas Medical School at Houston. Debra Hurwitz, M.B.A., B.S.N., R.N., is the Director, Sabine Hedberg, M.A., M.P.A., is a Project Director, Linda Cabral, M.M., is a Project Director, and Aniko Laszlo, M.A., M.B.A., is a Research Associate, all at the UMass Center for Health Policy and Research. Jay Himmelstein, M.D., M.P.H., is a Professor of Family Medicine and Community Health.

Material for this article was developed in part to support a comprehensive evaluation of the MassHealth Primary Care Clinician Plan behavioral health carve-out, conducted by the University of Massachusetts Center for Health Policy and Research at the request of Phyllis Peters, M.B.A., Deputy Assistant Secretary for the MassHealth Office of Acute and Ambulatory Care.

Address for correspondence: Mardi Coleman, B.A., UMass Center for Health Policy and Research, 222 Maple Avenue, Shrewsbury, MA 01545. E-mail: mardia.coleman@umassmed.edu.

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Coleman, M., Schnapp, W., Hurwitz, D. et al. Overview Of Publicly Funded Managed Behavioral Health Care. Adm Policy Ment Health 32, 321–340 (2005). https://doi.org/10.1007/s10488-004-1662-3

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Key words

  • managed behavioral health care
  • managed behavioral health care organizations
  • Medicaid