Substance abuse service utilization under managed care: HMOs versus carve-out plans.
Substance abuse service utilization under managed care: HMOs versus carve-out plans.
复制标题
管理式医疗下的药物滥用服务利用：HMO 与剥离计划。
DOI：
10.1007/bf02287305
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Sturm,R
中科院分区：
文献类型：
--
作者：
Stein,B;Reardon,E;Sturm,R
管理行为医疗保健组织越来越多地通过使用分割来管理美国人的药物滥用，但与HMO相比，关于这如何影响服务利用率和成本的信息很少。一个雇主的索赔提供的物质滥用服务的分割安排进行了比较，以前的HMO索赔信息。在分割安排下，住院和门诊服务利用率下降，但中间服务利用率大幅上升。所有服务的单位服务成本都有所下降。变化的模式与精神卫生服务不同，这表明不同的因素可能适用于药物滥用服务。
Managed behavioral health care organizations are increasingly managing Americans' substance abuse by using carve-outs, but little information is available about how this has affected service utilization and costs when compared to HMOs. One employer's claims for substance abuse services delivered under a carve-out arrangement are compared to prior HMO claims information. Under the carve-out arrangement, inpatient and outpatient service utilization are found to decrease, but intermediate service utilization dramatically increases. Costs per unit service decrease for all services. The pattern of changes is different from that seen for mental health services, suggesting that different factors may be applicable to substance abuse services.