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Workplace Mental Health Benefits & Selective Contracting

工作场所心理健康福利

基本信息

批准号：
6528652
负责人：
ANTHONY T LOSASSO
金额：
$ 18.38万
依托单位：
NORTHWESTERN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2001
资助国家：
美国
起止时间：
2001-09-14 至 2004-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6528652
关键词：
employee governmental health /scientific organization health care cost /financing health care policy health care quality health care service evaluation health care service utilization human data longitudinal human study mental health mental health counseling mental health organization mental health services person with disability work site

项目摘要

DESCRIPTION (provided by applicant): The need for a healthy and productive workforce in a global economy has brought renewed interest in studies of how changes in corporate benefit policies for mental health treatment affect broader healthcare utilization and the productivity of workers. The goal of our study is to examine the effects of an innovative mental health benefit design change by a large national corporation. Specifically, restrictions on mental health treatment were reduced, patient out-of-pocket costs were decreased, and a company-wide effort was made to destigmatize mental health treatment. Concurrently, a network of mental health providers was initiated, the goal of which was to offer employees treatment options from quality providers. Using claims data for medical, pharmaceutical, and mental health in conjunction with linked employee and provider records in the pre- and post-benefit change period, we propose to examine the following research questions: 1) How did the overall benefit policy change affect mental health treatment initiation, intensity, and quality? 2) How did the overall benefit policy change impact non-mental health costs? 3) How did the benefit policy change impact short-term disability. 4) To what extent are changes in treatment intensity due to selecting providers that already expouse the company's treatment philosophy (contracting effect) or changes in provider's behavior in order to join the network (adaption effect)? 5) What are the costs of selective contracting to patients and providers? 6) Were quality, efficient providers selected? Adopting a comprehensive strategy that improves access to treatment of mental illness may have important long run benefits to employers and employees. Moreover, selective contracting has the potential to reward efficient providers and may be less costly and controversial than attempting to change the way providers treat patients through utilization management. Our study will offer lessons from which other purchasers, including the federal government, may learn.

描述（由申请人提供）：在全球经济中，对健康和生产力的劳动力的需求带来了对研究企业福利政策如何改变的新兴趣，心理健康治疗影响更广泛的医疗保健利用，工人的生产力。我们研究的目的是检验一家大型国家公司改变了创新精神健康福利设计。具体而言，减少了对心理健康治疗的限制，自付成本降低，并在全公司范围内努力消除心理健康治疗的污名化。同时，一个心理健康网络供应商发起，其目标是为员工提供治疗优质供应商的选择。结合使用医疗、制药和心理健康索赔数据在福利变动前后，在此期间，我们提出了以下研究问题：1）如何总体福利政策变化影响心理健康治疗的启动，强度和质量？2)整体福利政策的变化有何影响非心理健康费用？3)福利政策的变化如何影响短期残疾。4)治疗强度的变化在多大程度上是由于选择已经阐述了公司治疗理念的供应商（合同效力）或提供者的行为改变，以加入网络（适应效应）？5)选择性承包的成本是什么患者和供应商？6)是否选择了高质量、高效率的供应商？采取全面战略，改善精神病患者的治疗疾病可能对雇主和雇员有重要的长期利益。此外，选择性承包有可能奖励高效率的供应商而且可能比试图改变提供者通过使用管理来治疗患者。我们的研究将提供包括联邦政府在内的其他购买者可以从中吸取教训，学习.