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Services in an Era of Managed Care

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A Public Health Perspective of Women's Mental Health

Abstract

The purpose of this chapter is to provide an overview of the organization, financing, and delivery of women’s mental health services in the current managed care environment. This background on the essentials of managed care is critical to a full understanding of women’s mental health services.

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References

  • Agency for Healthcare Research and Quality. (2004a). Table 1: Usual Source of Health Care and Selected Population Characteristics, United States, 2004. Medical Expenditure Panel Survey Component Data. Retrieved December 11, 2007, from www.meps.ahrq.gov/mepsweb

    Google Scholar 

  • Agency for Healthcare Research and Quality. (2004b). Table 8: Office-based Medical Provider Services – Median and Mean Expenses per Person with Expense and Distribution of Expenses by Source of Payment, United States, 2004. Medical Expenditure Panel Survey Component Data. Retrieved December 11, 2007, from www.meps.ahrq.gov/mepsweb

    Google Scholar 

  • Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). The prevalence of comorbid depression in adults with diabetes: A meta-analysis. Diabetes Care, 24(6), 1069–1078.

    Article  Google Scholar 

  • Barry, C. L., Frank, R. G., & McGuire, T. G. (2006). The costs of mental health parity: Still an impediment? Health Affairs, 25(3), 623–634.

    Article  PubMed  Google Scholar 

  • Barry, C. L., Gabel, J. R., Frank, R. G., Hawkins, S., Whitmore, H. H., & Pickreign, J. D. (2003). Design of mental health benefits: Still unequal after all these years. Health Affairs, 22(5), 127–137.

    Article  PubMed  Google Scholar 

  • Bartlett, J., Chalk, M., Manderscheid, R. W., & Wattenberg, S. (2006). Finding common performance measures through consensus and empirical analysis: The Forum on performance measures in behavioral healthcare. In R. W. Manderscheid (Ed.), Mental health, United States 2004. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Blehar, M. C. (2003). Public health context of women’s mental health research. Psychiatric Clinics of North America, 26(3), 781–799.

    Article  PubMed  Google Scholar 

  • Blum, T. C., & Roman, P. M. (1995). Cost effectiveness and preventive implications of employee assistance programs (No. DHHS RP-0907). Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Prevention.

    Google Scholar 

  • Buchmueller, T. C., Cooper, P. F., Jacobson, M., & Zuvekas, S. H. (2007). Parity for whom? Exemptions and the extent of state mental health parity legislation. Health Affairs, 26(4), w483–w487.

    Article  PubMed  Google Scholar 

  • Bureau of Labor Statistics. (2007a). National compensation survey: Employee benefits in private industry in the United States, 2005. Washington, DC: U.S. Department of Labor, Bureau of Labor Statistics.

    Google Scholar 

  • Bureau of Labor Statistics. (2007b). Women in the labor force: A databook (2007 edition). Retrieved December 11, 2007, from www.bls.gov/cps/wlf-databook2007.htm

    Google Scholar 

  • Case Management Society of America. (2007). Definition of case management. Retrieved July 29, 2007, from http://www.cmsa.org/ABOUTUS/DefinitionofCaseManagement/tabid/104/Default.aspx

    Google Scholar 

  • Centers for Medicare and Medicaid Services. (2007). Medicaid Managed Care Enrollment as of December 31, 2006. Retrieved November 18, 2007, from http://www.cms.hhs.gov/MedicaidDataSourcesGenInfo/Downloads/mmcpr06.pdf

    Google Scholar 

  • Compton, S. N., Cuffel, B. J., Burns, B. J., & Goldman, W. (2000). Datapoints: Effects of changing from five to ten preauthorized outpatient sessions. Psychiatric Services, 51(10), 1223.

    Article  CAS  PubMed  Google Scholar 

  • Dailard, C. (1999). Gender-specific approaches to mental health policy. Journal of Gender Specific Medicine, 2(3), 32–34, 39–40.

    Google Scholar 

  • Delaney, W., Grube, J. W., & Ames, G. M. (1998). Predicting likelihood of seeking help through the employee assistance program among salaried and union hourly employees. Addiction, 93(3), 399–410.

    Article  CAS  PubMed  Google Scholar 

  • DeNavas-Walt, C., Proctor, B., & Smith, J. (2007). Income, poverty and health insurance coverage in the U.S., 2006. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Disease Management Association of America. (2006). DMAA Definition of Disease Management. Retrieved March 20, 2008 from www.dmaa.org/dm_definition.asp.

    Google Scholar 

  • Donabedian, A. (1988). The quality of care. How can it be assessed? JAMA, 260(12), 1743–1748.

    Article  CAS  PubMed  Google Scholar 

  • Donohue, J. M., & Frank, R. G. (2007). Estimating Medicare Part D’s impact on medication access among dually eligible beneficiaries with mental disorders. Psychiatric Services, 58(20), 1285–1291.

    Article  PubMed  Google Scholar 

  • Dwight-Johnson, M., Sherbourne, C. D., Liao, D., & Wells, K. B. (2000). Treatment preferences among depressed primary care patients. Journal of General Internal Medicine, 15(8), 527–534.

    Article  CAS  PubMed  Google Scholar 

  • Flaherty, R. A., Rashbaum, R. F., Triano, J. J., Hansen, D. T., Mootz, R. D., Coile, R. C., et al. (1996). Healthcare credentialing and qualifications commission: An alternative to “any willing provider”? American Journal of Managed Care, 2(5), 559–566.

    Google Scholar 

  • Frank, R. G., & Brookmeyer, R. (1995). Managed mental health care and patterns of inpatient utilization for treatment of affective disorders. Social Psychiatry and Psychiatric Epidemiology, 30(5), 220–223.

    CAS  PubMed  Google Scholar 

  • Frank, R. G., & Garfield, R. L. (2007). Managed behavioral health care carve-outs: Past performance and future prospects. Annual Review of Public Health, 28, 303–320.

    Article  PubMed  Google Scholar 

  • Frank, R. G., Goldman, H. H., & McGuire, T. G. (1992). A model mental health benefit in private health insurance. Health Affairs, 11(3), 98–117.

    Article  CAS  PubMed  Google Scholar 

  • Frank, R. G., Huskamp, H. A., McGuire, T. G., & Newhouse, J. P. (1996). Some economics of mental health “carve-outs”. Archives of General Psychiatry, 53(10), 933–937.

    CAS  PubMed  Google Scholar 

  • Frank, R. G., & Lave, J. (2003). Economics. In S. Feldman (Ed.), Managed behavioral health services: Perspectives and practice (pp. 146–165). Springfield, IL: Charles C. Thomas, Ltd.

    Google Scholar 

  • Frank, R. G., & McGuire, T. G. (1986). A review of studies of the impact of insurance on the demand and utilization of specialty mental health services. Health Services Research, 21(2 Pt 2), 241–265.

    CAS  PubMed  Google Scholar 

  • Frank, R. G., & McGuire, T. G. (1998). Parity for mental health and substance abuse care under managed care. Journal of Mental Health Policy and Economics, 1(4), 153–159.

    Article  PubMed  Google Scholar 

  • Frank, R. G., McGuire, T. G., & Newhouse, J. P. (1995). Risk contracts in managed mental health care. Health Affairs, 14(3), 50–64.

    Article  CAS  PubMed  Google Scholar 

  • Gabel, J., Claxton, G., Gil, I., Pickreign, J., Whitmore, H., Finder, B., et al. (2005). Health benefits in 2005: Premium increases slow down, coverage continues to erode. Health Affairs, 24(5), 1273–1280.

    Article  PubMed  Google Scholar 

  • Garis, R. I., Clark, B. E., Siracuse, M. V., & Makoid, M. C. (2004). Examining the benefit of pharmacy benefit management companies. American Journal of Health-System Pharmacy, 61, 81–85.

    PubMed  Google Scholar 

  • Garnick, D., Horgan, C., Reif, S., Merrick, E., & Hodgkin, D. (2008). Management of behavioral health provider networks in private health plans. Journal of Ambulatory Care Management, 31(4), 330–341.

    PubMed  Google Scholar 

  • Glied, S. (1997). The treatment of women with mental health disorders under HMO and fee-for-service insurance. Women & Health, 26(2), 1–16.

    Article  CAS  Google Scholar 

  • Grazier, K. L., & Eselius, L. L. (1999). Mental health carve-outs: Effects and implications. Medical Care Research & Review, 56(Suppl. 2), 37–59.

    Google Scholar 

  • Hasin, D. S., Goodwin, R. D., Stinson, F. S., & Grant, B. F. (2005). Epidemiology of major depressive disorder: Results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Archives of General Psychiatry, 62(10), 1097–1106.

    Article  PubMed  Google Scholar 

  • Hodgkin, D. (1992). The impact of private utilization management on psychiatric care: A review of the literature. Journal of Mental Health Administration, 19(2), 143–157.

    Article  CAS  PubMed  Google Scholar 

  • Hodgkin, D., Horgan, C. M., & Garnick, D. W. (1997). Make or buy: HMOs’ contracting arrangements for mental health care. Administration and Policy in Mental Health, 24(4), 359–376.

    Article  CAS  PubMed  Google Scholar 

  • Hodgkin, D., Horgan, C. M., Garnick, D. W., & Merrick, E. L. (2008). Benefit limits for behavioral healthcare in private health plans. Waltham, MA: Brandeis University.

    Google Scholar 

  • Hodgkin, D., Horgan, C. M., Garnick, D. W., Merrick, E. L., & Goldin, D. (2000). Why carve out? Determinants of behavioral health contracting choice among large U.S. employers. Journal of Behavioral Health Services and Research, 27(2), 178–193.

    Article  CAS  PubMed  Google Scholar 

  • Hodgkin, D., Horgan, C. M., Garnick, D. W., Merrick, E. L., & Volpe-Vartanian, J. (2007a). Management of access to branded psychotropic medications in private health plans. Clinical Therapeutics, 29(2), 371–380.

    Article  Google Scholar 

  • Hodgkin, D., Merrick, E. L., Horgan, C. M., Garnick, D. W., & McLaughlin, T. J. (2007b). Does type of gatekeeping model affect access to outpatient specialty mental health services? Health Services Research, 42(1 Pt 1), 104–123.

    Article  Google Scholar 

  • Horgan, C. M. (1986). The demand for ambulatory mental health services from specialty providers. Health Services Research, 21(2 Pt 2), 291–319.

    CAS  PubMed  Google Scholar 

  • Horgan, C. M., Garnick, D. W., Merrick, E. L., & Hodgkin, D. (2009). Changes in how health plans provide behavioral health services. Journal of Behavioral Health Services and Research, 36(1), 11–24.

    Article  PubMed  Google Scholar 

  • Horgan, C. M., & Merrick, E. L. (2001). Financing of substance abuse treatment services. In M. Galanter (Ed.), Recent developments in alcoholism, Vol. XV: Services research in the era of managed care. New York, NY: Plenum Publishing.

    Google Scholar 

  • Horgan, C. M., Merrick, E. L., Garnick, D. W., Hodgkin, D., Cenczyk, R. E., Lusenhop, R. W., et al. (2003). The provision of mental health services in managed care organizations (DHHS Publication No. (SMA) 03-3797). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Howard, R. (1998). The sentinel effect in an outpatient managed care setting. Professional Psychology Research and Practice, 29(3), 262–268.

    Article  Google Scholar 

  • Huskamp, H. A., Azzone, V., & Frank, R. G. (1998). Carve-outs, women, and the treatment of depression. Womens Health Issues, 8(5), 267–282.

    Article  CAS  PubMed  Google Scholar 

  • Institute of Medicine. (2006). Improving the quality of health care for mental and substance-use conditions. Washington, DC: National Academies Press.

    Google Scholar 

  • Kaiser Family Foundation. (2007). Women’s Health Policy Facts: Women’s Health Insurance Coverage. Retrieved November 18, 2007, from http://www.kff.org/womenshealth/upload/6000_05.pdf

    Google Scholar 

  • Keeler, E. B., Manning, W. G., & Wells, K. (1989). The demand for episodes of mental health services. Journal of Health Economics, 7, 369–392.

    Article  Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005a). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.

    Article  Google Scholar 

  • Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., et al. (2005b). Prevalence and treatment of mental disorders, 1990 to 2003. New England Journal of Medicine, 352(24), 2515–2523.

    Article  CAS  Google Scholar 

  • Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51(1), 8–19.

    CAS  PubMed  Google Scholar 

  • Koike, A., Klap, R., & Unutzer, J. (2000). Utilization management in a large managed behavioral health organization. Psychiatric Services, 51(5), 621–626.

    Article  CAS  PubMed  Google Scholar 

  • Landsman, P. B., Yu, W., Liu, X., Teutsch, S. M., & Berger, M. L. (2005). Impact of 3-tier pharmacy benefit design and increased consumer cost-sharing on drug utilization. American Journal of Managed Care, 11(10), 621–628.

    PubMed  Google Scholar 

  • Larson, M. J., Miller, K., & Fleming, K. J. (2006). Antidepressant medication use in private insurance health plans, 2002. Psychiatric Services, 57(2), 175.

    Article  PubMed  Google Scholar 

  • Lightner, E., & McConatha, J. T. (1995). Factors affecting supervisory referrals to employee assistance programs: The impact of race and gender. Journal of Social Behavior and Policy, 10, 179–188.

    Google Scholar 

  • Liu, X., Sturm, R., & Cuffel, B. J. (2000). The impact of prior authorization on outpatient utilization in managed behavioral health plans. Medical Care Research & Review, 57(2), 182–195.

    Article  CAS  Google Scholar 

  • MacMahon, K. M., & Lip, G. Y. (2002). Psychological factors in heart failure: A review of the literature. Archives of Internal Medicine, 162(5), 509–516.

    Article  PubMed  Google Scholar 

  • Mark, T. L. (2008). Half of adolescents who are prescribed antidepressants don’t receive psychotherapy. Thomson Healthcare Research Brief March 2008. Retrieved April 9, 2008, from http://research.thomsonhealthcare.come/articles/view/?id=1629

    Google Scholar 

  • Mark, T. L., Levit, K. R., Coffey, R. M., McKusick, D. R., Harwood, H. J., King, E. C., et al. (2007). National expenditures for mental health services and substance abuse treatment, 1993–2003 (No. SMA 07-4227). Rockville, MD: Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Mauery, D. R., Vaquerano, L., Sethi, R., Jee, J., & Chimento, L. (2006). Managed mental health care: Findings from the literature, 1990–2005 (No. SMA-06-4178). Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

    Google Scholar 

  • Mechanic, D., Schlesinger, M., & McAlpine, D. D. (1995). Management of mental health and substance abuse services: State of the art and early results. Milbank Quarterly, 73(1), 19–55.

    Article  CAS  PubMed  Google Scholar 

  • Mental Health America. (2007). What Have States Done to Ensure Insurance Parity. Retrieved April 9, 2008, from http://www.nmha.org/go/parity/states

    Google Scholar 

  • Mental Health Statistics Improvement Program. (2000). MHSIP Consumer Survey version 1.1. Retrieved December 5, 2007, from http://www.MHSIP.org/

    Google Scholar 

  • Merrick, E. L., Hodgkin, D., Horgan, C. M., Garnick, D. W., & McLaughlin, T. J. (2008). Changing mental health gatekeeping: Effects on performance indicators. Journal of Behavioral Health Services and Research, 35(1), 3–19.

    Article  PubMed  Google Scholar 

  • Merrick, E. L., Horgan, C. M., Garnick, D. W., & Hodgkin, D. (2006). Managed care organizations’ use of treatment management strategies for outpatient mental health care. Administration and Policy in Mental Health, 33(1), 104–114.

    Article  PubMed  Google Scholar 

  • Merrick, E. L., Volpe-Vartanian, J., Horgan, C. M., & McCann, B. (2007). Alcohol & drug abuse: Revisiting employee assistance programs and substance use problems in the workplace: Key issues and a research agenda. Psychiatric Services, 58(10), 1262–1264.

    Article  PubMed  Google Scholar 

  • Nair, K. V., & Valuck, R. J. (2004). Impact of three-tier pharmacy benefit structures on consumer attitudes, pharmacy, medical utilization and costs: A critical review. Disease Management and Health Outcomes, 12(2), 81–92.

    Article  Google Scholar 

  • National Committee for Quality Assurance. (2007). Retrieved December 11, 2007, from http://web.ncqa.org/tabid/59/Default.aspx

    Google Scholar 

  • O’Kane, M. E. (2007). Performance-based measures: The early results are in. Journal of Managed Care Pharmacy, 13(2 Suppl.), S3–S6.

    PubMed  Google Scholar 

  • Olson, B. M. (2002). Approaches to pharmacy benefit management and the impact of consumer cost-sharing. Clinical Therapeutics, 25, 250–272.

    Article  Google Scholar 

  • Oss, M. E., Jardine, E., & Pesare, M. J. (2002). OPEN MINDS Yearbook of managed behavioral health and employee assistance program market share in the United States, 2002–2003. Gettysburg, PA: OPEN MINDS.

    Google Scholar 

  • Oss, M. E., Yennie, H., & Birch, S. (1998). Managed care approaches and models for the treatment and management of depression: Specific issues for women. Womens Health Issues, 8(5), 283–292, discussion 293–303.

    Google Scholar 

  • Pelonero, A. L., & Johnson, R. L. (2007). Economic grand rounds: A pay-for-performance program for behavioral health care practitioners. Psychiatric Services, 58(4), 442–444.

    Article  PubMed  Google Scholar 

  • President’s New Freedom Commission on Mental Health. (2003). Achieving the Promise: Transforming Mental Health Care in America. Retrieved December 7, 2007 from www.mentalhealthcommission.gov.

    Google Scholar 

  • Ridgely, M. S., & Maglione, M. A. (2006). Managing Medicaid behavioral health care: Findings of a national survey in the year 2000. Psychiatric Services, 57(7), 1000–1006.

    Article  PubMed  Google Scholar 

  • Robinson, J. C. (2001). The end of managed care. The Journal of the American Medical Association, 285(20), 2622–2628.

    Article  CAS  Google Scholar 

  • Robinson, G., Kaye, N., Bergman, D., Moreaux, M., & Baxter, C. (2005). State Profiles of Mental Health and Substance Abuse Services in Medicaid. Retrieved April 9, 2008, from http://mentalhealth.samhsa.gov/Publications/allpubs/State_Med/StateProfiles.pdf

    Google Scholar 

  • Rogowski, J. A. (1992). Insurance coverage for drug abuse. Health Affairs, 11(3), 137–148.

    Article  CAS  PubMed  Google Scholar 

  • Rosenthal, M. B., Landon, B. E., Normand, S. L., Frank, R. G., & Epstein, A. M. (2006). Pay for performance in commercial HMOs. New England Journal of Medicine, 355(18), 1895–1902.

    Article  CAS  PubMed  Google Scholar 

  • Salkever, D. S., Shinogle, J., & Goldman, H. (1999). Mental health benefit limits and cost sharing under managed care: A national survey of employers. Psychiatric Services, 50(12), 1631–1633.

    CAS  PubMed  Google Scholar 

  • Savoie, I., Morettin, D., Green, C. J., & Kazanjian, A. (2004). Systematic review of the role of gender as a health determinant of hospitalization for depression. International Journal of Technology Assessment in Health Care, 20(2), 115–127.

    Article  PubMed  Google Scholar 

  • Scholle, S. H., Chang, J., Harman, J., & McNeil, M. (2004). Characteristics of patients seen and services provided in primary care visits in obstetrics/gynecology: Data from NAMCS and NHAMCS. American Journal of Obstetrics & Gynecology, 190(4), 1119–1127.

    Article  Google Scholar 

  • Seyfried, L. S., & Marcus, S. M. (2003). Postpartum mood disorders. International Review of Psychiatry, 15(3), 231–242.

    Article  CAS  PubMed  Google Scholar 

  • Simon, G. E., Grothaus, L., Durham, M. L., VonKorff, M., & Pabiniak, C. (1996). Impact of visit copayments on outpatient mental health utilization by members of a health maintenance organization. American Journal of Psychiatry, 153(3), 331–338.

    CAS  PubMed  Google Scholar 

  • Sobelman, J. S. (2001). Managed care credentialing of physicians. Physician’s News Digest. Retrieved May 19, 2006, from http://www.physiciansnews.com/business/601sobelman.html

    Google Scholar 

  • Sturm, R. (1999). Tracking changes in behavioral health services: How have carve-outs changed care? Journal of Behavioral Health Services and Research, 26(4), 360–371.

    Article  CAS  PubMed  Google Scholar 

  • Sturm, R., & Sherbourne, C. D. (2000). Managed care and unmet need for mental health and substance abuse care in 1998. Psychiatric Services, 51(2), 177.

    Article  CAS  PubMed  Google Scholar 

  • Sturm, R., Zhang, W., & Schoenbaum, M. (1999). How expensive are unlimited substance abuse benefits under managed care? Journal of Behavioral Health Services and Research, 26(2), 203–210.

    Article  CAS  PubMed  Google Scholar 

  • Teich, J. L., & Buck, J. A. (2007). Mental health benefits in Employer-sponsored Health Plans, 1997–2003. Journal of Behavioral Health Services and Research, 34(3), 343–348.

    Article  PubMed  Google Scholar 

  • Thielke, S., Vannoy, S., & Unutzer, J. (2007). Integrating mental health and primary care. Primary Care, 34(3), 571–592, vii.

    PubMed  Google Scholar 

  • Uebelacker, L. A., Wang, P. S., Berglund, P., & Kessler, R. C. (2006). Clinical differences among patients treated for mental health problems in general medical and specialty mental health settings in the National Comorbidity Survey Replication. General Hospital Psychiatry, 28(5), 387–395.

    Article  PubMed  Google Scholar 

  • U.S. Surgeon General. (1999). Mental Health: A Report of the Surgeon General. Retrieved December 11, 2007 from www.surgeongeneral.gov/library/mentalhealth/home.html.

    Google Scholar 

  • Volpe-Vartanian, J. (2007). Are there gender differences in the effects of a managed behavioral health carve-out? Evidence from Puerto Rico. Dissertation, Brandeis University.

    Google Scholar 

  • Wagner, E. H. (1998). Chronic disease management: What will it take to improve care for chronic illness? Effective Clinical Practice, 1(1), 2–4.

    CAS  PubMed  Google Scholar 

  • Wang, P. S., Berglund, P., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005a). Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 603–613.

    Article  Google Scholar 

  • Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005b). Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 629–640.

    Article  Google Scholar 

  • Weisner, C., & Schmidt, L. (1992). Gender disparities in treatment for alcohol problems. The Journal of the American Medical Association, 268(14), 1872–1876.

    Article  CAS  Google Scholar 

  • Wickizer, T. M., & Lessler, D. (1998). Do treatment restrictions imposed by utilization management increase the likelihood of readmission for psychiatric patients? Medical Care, 36(6), 844–850.

    Article  CAS  PubMed  Google Scholar 

  • Wickizer, T. M., Lessler, D., & Travis, K. M. (1996). Controlling inpatient psychiatric utilization through managed care. American Journal of Psychiatry, 153(3), 339–345.

    CAS  PubMed  Google Scholar 

  • Zuvekas, S. H., Rupp, A., & Norquist, G. (2007). Cost shifting under managed behavioral health care. Psychiatric Services, 58(1), 100–108.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors thank Deborah W. Garnick, Sc.D., Dominic Hodgkin, Ph.D., and Constance M. Horgan, Sc.D., for review and helpful discussion of the manuscript, and Bernard McCann, MS, CEAP for research assistance.

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Merrick, E., Reif, S. (2010). Services in an Era of Managed Care. In: Levin, B., Becker, M. (eds) A Public Health Perspective of Women's Mental Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1526-9_11

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