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The Role of Health Plans in Supporting Behavioral Health Integration

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Abstract

Health plan policies can influence delivery of integrated behavioral health and general medical care. This study provides national estimates for the prevalence of practices used by health plans that may support behavioral health integration. Results indicate that health plans employ financing and other policies likely to support integration. They also directly provide services that facilitate integration. Behavioral health contracting arrangements are associated with use of these policies. Delivery of integrated care requires systemic changes by both providers and payers thus health plans are key players in achieving this goal.

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References

  • Alakeson, V., & Frank, R. G. (2010). Health care reform and mental health care delivery. Psychiatric Services, 61(11), 1063.

    Article  PubMed  Google Scholar 

  • Beronio, K., Glied, S., & Frank, R. (2014) How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care. The Journal of Behavioral Health Services & Research, 41(4), 1–19.

    Article  Google Scholar 

  • Blinded for review.

  • Bower, P., Gilbody, S., Richards, D., Fletcher, J., & Sutton, A. (2006). Collaborative care for depression in primary care. The British Journal of Psychiatry, 189(6), 484–493.

    Article  PubMed  Google Scholar 

  • Butler M, Kane RL, McAlpine D, et al. (2008) Integration of mental health/substance abuse and primary care. AHRQ Evidence Reports/Technology Assessments; #173.

  • Chi, F. W., Parthasarathy, S., Mertens, J. R., & Weisner, C. M. (2011). Continuing care and long-term substance use outcomes in managed care: Early evidence for a primary care-based model. Psychiatric Services, 62(10), 1194–1200.

    Article  PubMed  PubMed Central  Google Scholar 

  • Collins, C., Hewson, D. L., Munger, R., & Wade, T. (2010). Evolving models of behavioral health integration in primary care. New York: Milbank Memorial Fund.

    Book  Google Scholar 

  • Gerrity, M. (2015). Evolving models of behavioral health integration: Evidence update 2010–2015. New York: Milbank Memorial Fund.

    Google Scholar 

  • Gerrity, M. (2015). Evoloving models of behavioral health integration: Evidence update 2010–2015. New York: Milbank Memorial Fund.

    Google Scholar 

  • Grochtdreis, T., Brettschneider, C., Wegener, A., et al. (2015). Cost-effectiveness of collaborative care for the treatment of depressive disorders in primary care: A systematic review. PLoS ONE, 10(5), e0123078.

    Article  PubMed  PubMed Central  Google Scholar 

  • Horgan, C. M., Stewart, M. T., Reif, R., Garnick, D. W., Hodgkin, D., Merrick, E. L., & Quinn, A. E., (2016). Behavioral Health Services in the Changing Landscape of Private Health Plans. Psychiatric Services, 67(6):622–629.

    Article  PubMed  PubMed Central  Google Scholar 

  • Horvitz-Lennon, M., Kilbourne, A. M., & Pincus, H. A. (2006). From silos to bridges: Meeting the general health care needs of adults with severe mental illnesses. Health Affairs (Millwood), 25(3), 659–669.

    Article  Google Scholar 

  • Katon, W., Russo, J., Lin EHB, et al. (2012). Cost-effectiveness of a multicondition collaborative care intervention a randomized controlled trial. Archives of General Psychiatry, 69(5), 506–514.

    Article  PubMed  Google Scholar 

  • Kessler, R., Stafford, D., & Messier, R. (2009). The problem of integrating behavioral health in the medical home and the questions it leads to. Journal of Clinical Psychology in Medical Settings, 16(1), 4–12.

    Article  PubMed  Google Scholar 

  • Kim, T. W., Saitz, R., Cheng, D. M., Winter, M. R., Witas, J., & Samet, J. H. (2012). Effect of quality chronic disease management for alcohol and drug dependence on addiction outcomes. Journal of Substance Abuse Treatment, 43, 389–396.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kirchner, J. E., Ritchie, M. J., Pitcock, J. A., Parker, L. E., Curran, G. M., & Fortney, J. C. (2014). Outcomes of a partnered facilitation strategy to implement primary care-mental health. Journal of General Internal Medicine, 29, S904–S912.

    Article  Google Scholar 

  • Lewis, V. A., Colla, C. H., Tierney, K., Van Citters, A. D., Fisher, E. S., & Meara, E. (2014). Few ACOs pursue innovative models that integrate care for mental illness and substance abuse with primary care. Health Affair, 33(10), 1808–1816.

    Article  Google Scholar 

  • Mauer, B. (2006). Finance, policy and integration of services. Rockville, MD: National Council for Community Behavioral Healthcare.

    Google Scholar 

  • Mauer, B., & Druss, B. (2010). Mind and body reunited: Improving care at the behavioral and primary healthcare interface. The Journal of Behavioral Health Services and Research, 37(4), 529–542.

    Article  PubMed  Google Scholar 

  • Melek SP, Norris DT, Paulus J. (2014) Economic impact of integrated medical-behavioral healthcare: Implications for psychiatry. Milliman American Psychiatric Association Report.

  • Oslin, D., Lynch, K., Maisto, S., et al. (2014). A randomized clinical trial of alcohol care management delivered in department of veterans affairs primary care clinics versus specialty addiction treatment. Journal of General Internal Medicine, 29(1), 162–168.

    Article  PubMed  Google Scholar 

  • Park, T. W., Samet, J. H., Cheng, D. M., et al. (2015). The prescription of addiction medications after implementation of chronic care management for substance dependence in primary care. Journal of Substance Abuse Treatment, 52, 17–23.

    Article  PubMed  Google Scholar 

  • Parthasarathy, S., Mertens, J., Moore, C., & Weisner, C. (2003). Utilization and cost impact of integrating substance abuse treatment and primary care. Medical Care, 41(3), 357–367.

    PubMed  Google Scholar 

  • Saitz, R., Horton, N. J., Larson, M. J., Winter, M., & Samet, J. H. (2005). Primary medical care and reductions in addiction severity: A prospective cohort study. Addiction (Abingdon, England), 100, 70–78.

    Article  Google Scholar 

  • van Steenbergen-Weijenburg, K. M., van der Feltz-Cornelis, C. M., Horn, E. K., et al. (2010). Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review. BMC Health Services Research, 10(1), 19.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weisner, C., Mertens, J., Parthasarathy, S., Moore, C., & Lu, Y. (2001). Integrating primary medical care with addiction treatment. JAMA: The Journal of the American Medical Association, 286(14), 1715–1723.

    Article  CAS  PubMed  Google Scholar 

  • Woltmann, E., Grogan-Kaylor, A., Perron, B., Georges, H., Kilbourne, A. M., & Bauer, M. S. (2012). Comparative effectiveness of collaborative chronic care models for mental health conditions across primary, specialty, and behavioral health care settings: Systematic review and meta-analysis. American Journal of Psychiatry, 169(8), 790–804.

    Article  PubMed  Google Scholar 

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Acknowledgements

This work was funded by grant R01AA010869 from the National Institute on Alcohol Abuse and Alcoholism and grant R01DA029316 from the National Institute on Drug Abuse. Preliminary versions of these data were presented at the Addiction Health Services Research Conference in October, 2014, Boston, MA; the American Public Health Association Annual Meeting in November, 2013, Boston, MA; the Academy Health Annual Research Meeting in June 2012, Orlando, FL and the Research Society on Alcoholism Scientific Meeting in June 2012, San Francisco, CA. The authors acknowledge the contributions of Pat Nemeth, Frank Potter, Ph.D., and staff at Mathematica Policy Research, Inc., for survey design, statistical consultation, and data collection; Grant Ritter, Ph.D. for statistical consultation, and Galina Zolutusky, M.S., for statistical programming.

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Correspondence to Maureen T. Stewart.

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Stewart, M.T., Horgan, C.M., Quinn, A.E. et al. The Role of Health Plans in Supporting Behavioral Health Integration. Adm Policy Ment Health 44, 967–977 (2017). https://doi.org/10.1007/s10488-017-0812-3

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