Translating behavioral health services research into benefits policy

被引:11
作者
Grazier, KL [1 ]
Pollack, H [1 ]
机构
[1] Univ Michigan, Ann Arbor, MI 48109 USA
关键词
D O I
10.1177/107755800773743727
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This article uses a 4-pronged statistical approach to examine the impact of a mental health came-out at a major employer. To examine net financial impact of the came-out, the authors perform a pre-post, multivariate regression analysis of changes in costs. Using a random-effects model, the authors explore the ultimate financial impact of the came-out for patients and for the firm. Using a multinomial logistic regression, they examine differing program effects by intensity of use. A fixed-effects negative binomial regression models the episodic nature of outpatient care, controlling for patient-specific unobserved characteristics that influence health care utilization. The came-out slightly reduced overall mental health costs and utilization while expanding entry-level access to routine services. At the same time, the specific carve-out shifted financial burdens from the firm onto high-utilization patients. Therefore, this came-out appears poorly suited to the care of individuals experiencing severe and debilitating psychiatric disorders.
引用
收藏
页码:53 / 71
页数:19
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