Risk adjustment of mental health and substance abuse payments

Article Abstract:

Risk adjustment systems for mental health/substance abuse (MH/SA) payments may be difficult to improve adequately to abolish incentives to compete for good risks. Newhouse's proposal, that payments to insurers should not be fully capitated but should include some risk sharing among payers, seems appropriate for individuals with MH/SA problems. This is also similar with the contracts that have surfaced in the managed behavioral health care industry which mostly limit the risk generated by the carve-out vendor.

Medicaid, Administration of Public Health Programs, Health Care Services, Analysis, Medical care, Substance abuse, Insurance, Mental health benefits

---

Dialogue: if nonprofit doesn't mean "no profit," how much is enough in health care?

Article Abstract:

A panel discussion on the spending nature of Blue Cross Blue Shield, nonprofit organizations, and their intentions over allocation of economic resources from their profits, to different sections, with respect to medical coverage, is presented.

United States, Management dynamics, Accident & Health Insurance, Insurance Carriers, Medical Service and Health Insurance, Management, Economic aspects, Demographic aspects, Panel Discussion, Company business management, Health insurance industry, Blue Cross and Blue Shield Association

---

Similar abstracts:

• Abstracts: Formal risk adjustment by private employers. The impact of managed care on the use of outpatient mental health and substance abuse services in Puerto Rico
• Abstracts: Treatment of peptic ulcer disease with sucralfate: a review. part 2 Comparative study of sucralfate 2 grams twice daily versus sucralfate 1 gram four times daily in the treatment of benign gastric ulcers in outpatients
• Abstracts: Why don't private employers use risk adjustment? Conference overview. Private employers don't need formal risk adjustment
• Abstracts: How are net health insurance benefits distributed in the employment-related insurance market? Opinion: proposals for health policy
• Abstracts: The federal employees health benefits plan: implications for medicare reform. Some observations about risk adjustment research

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.