Health insurance and psychiatric care: utilization and cost
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Health insurance and psychiatric care: utilization and cost

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Published by American Psychiatric Association in Washington .
Written in English



  • United States.


  • Insurance, Mental health -- United States

Book details:

Edition Notes

Includes bibliographical references.

Statement[by] Louis S. Reed, Evelyn S. Myers [and] Patricia L. Scheidemandel. Foreword by Walter E. Barton.
ContributionsMyers, Evelyn S., 1922- joint author., Scheidemandel, Patricia L., joint author.
LC ClassificationsHG9387 .R44 1972
The Physical Object
Paginationxiv, 411 p.
Number of Pages411
ID Numbers
Open LibraryOL5299347M
LC Control Number72080196

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  Objectives: To compare health care utilization patterns and cost among insured adults with autism spectrum disorder (ASD), adults with attention-deficit and hyperactivity disorder (ADHD), and adults with neither condition (general population [GP] controls). Method: We conducted a case–control study among adults (≥18 years) who were members of Kaiser Permanente Northern California (KPNC   Health care utilization and cost measures before (preperiod) and after (postperiod) program enrollment among PBHCI clients and a comparison group at two mental health clinics a. Clinic 1 (N=) Clinic 2 (N=) PBHCI (N=) Comparison (N=) PBHCI (N=) Comparison (N=) Health care measure Pre-period Post-period Pre-post difference Pre   Although several studies have shown that mental health conditions are associated with more severe physical symptoms, greater health care utilization, and higher costs, little research has focused on characteristics and needs of high-cost patients with specific mental health conditions (3–9). Understanding these patterns could inform the   For the Health Care Cost and Utilization Report, the Health Care Cost Institute (HCCI) presented national and subnational benchmarked statistics of health care spending, utilization, prices, and service intensity for the population of individuals younger than 65 and covered by employer-sponsored private health insurance (ESI). The data

Insurance funding of psychiatric services in this country was first comprehensively reviewed in with the publication of Health Insurance and Psychiatric Care: Utilization and Cost. This work, commissioned by the American Psychiatric Association, served as an eye opener. It came at a time when Emergency medical services (EMS)—most commonly thought of as ambulance service but also including aeromedical and other prehospital services—constitutes another health-care utilization and plays a critical role in the health-care system by providing timely out-of-hospital emergency medical care This Healthcare Cost and Utilization Project (HCUP) Statistical Brief presents data on hospital readmissions for mood disorders and for schizophrenia and other psychotic disorders (hereafter referred to in the text as schizophrenia for brevity). The Brief provides statistics on utilization and costs for hospital inpatient stays for mood disorders and schizophrenia compared with stays for non-M The passage of the Mental Health Parity Act of , which took effect Jan. 1, , came amid dire warnings from edgy business groups that it would cause exorbitant cost increases in health insurance premiums or prompt a dramatic reduction of medical and surgical benefits. But a recently released report emphasized the affordability of mental health insurance ://

Interestingly, no study has investigated the role of A2 disorders in health care utilization using a nationally representative dataset. Although awareness of A2 disorders among the general public is limited, these disorders may be particularly relevant for understanding how mental health conditions contribute to high-cost health care ://   He finds that a mental health care delivery system within a health maintenance organization offers the advantages of sophisticated utilization review procedures, reduced cost per mental health incident, and a low utilization rate and low cost for psychiatric ://   In summary, in a climate in which each health care dollar counts, providers and insurance companies should recognize the cost-effectiveness of psychotherapy for many psychiatric patients and the specific advantages of psychodynamic therapies for those with personality disorders, chronic anxiety and depression, and severe, chronic, and comorbid   Insurance coverage for menatal health problems is changing -- for the better. In the past, your insurance might have paid 80% of the cost of seeing your primary care doctor but only 50% of the