Managed Behavioral Health Care Carve-Outs: Past Performance and Future Prospects

Mental health carve-outs: effects and implications.

To control the rise in expenditures and to increase access to mental health and substance abuse (MH/SA) services, a growing number of employers and states are implementing a "carve-out." Under this arrangement, the sponsor separates insurance benefits by disease or condition, service category, or population and contracts separately for the management of care and/or associated risks. A carve-out...

Economic aspects of mental health carve-outs.

BACKGROUND: Recent empirical research has found behavioral health carve-outs in the US to reduce costs immediately and considerably, compared to indemnity insurance and HMOs. Carve-outs have quickly captured a large part of the organized market in US behavioral health. At the same time, market concentration has increased significantly. METHODS: The current paper uses concepts and results from t...

evidence-based health care, past deeds at a glance, challenges and the future prospects in iran.

along with the global fervor over evidence based medicine (ebm), certain measures have been taken in iran too. many educational workshops and national and international seminars have been held. multiple educational packages have been prepared and even included in the educational curriculum. in recent years, policies have been directed toward encouraging clinical guidelines, health technology as...

Medicare, managed care, and behavioral health care.

Selected key issues in the development and drafting of public managed behavioral health care carve-out contracts.

The development of managed behavioral health care carve-out contracts covering a discrete subset of benefits available for use by persons with mental health and/or substance abuse disorders poses major challenges for public purchasers. This Issue Brief explores several key issues that arise when drafting such agreements. Many of the issues that arise in the drafting of carve-out agreements will...