Episodes of mental health and substance abuse treatment under a managed behavioral health care carve-out

Inquiry. Summer 1999;36(2):147-61.


Little is known about the effect of a managed behavioral health care (MBHC) carve-out on treatment episodes for a mental health/substance abuse (MHSA) condition. This study found adoption of a carve-out for Massachusetts state employees associated with a dramatic drop in total MHSA costs per episode (particularly for individuals with certain severe MHSA conditions). The carve-out also was associated with a shift away from the use of facility care toward the use of outpatient care for enrollees with a diagnosis of unipolar depression.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Episode of Care*
  • Female
  • Health Care Costs
  • Humans
  • Insurance Benefits
  • Insurance Claim Review
  • Logistic Models
  • Male
  • Managed Care Programs / organization & administration
  • Managed Care Programs / statistics & numerical data*
  • Massachusetts
  • Mental Disorders*
  • Mental Health Services / organization & administration
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Program Evaluation
  • Risk Sharing, Financial
  • Substance-Related Disorders*
  • Utilization Review / methods