Small group reform in a competitive managed care market: the case of California, 1993 to 1995

Article Abstract:

Passage of the Assembly Bill 1672 was crucial in fostering growth and enhancing competition in the Canadian health insurance market. The insurance reforms embodied in the bill were instrumental in spurring health insurance in small-scale business enterprises. Since its implementation, employer provision of health insurances rose by a range of 10 to 13 percentage points, coupled with a dramatic increase in managed care penetration. Such developments occurred simultaneously with the evolution of various health insurance plans and rapid decline of conventional insurances.

Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors, Insurance Regulation, Evaluation, California, Insurance, Insurance policies, Insurance law

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

Article Abstract:

The introduction of managed behavioral health care (MBHC) carve-out programs led to a number of substantial changes in mental health and substance abuse (MHSA) plans. These programs were particularly instrumental in lowering per-episode spending and treatment patterns. Among these changes, the most notable are the reduction of copayments and annual limits on patient services. The trend likewise resulted in the shift from the traditional more intensive treatment settings to less intensive patterns.

Care and treatment, Usage, Mentally ill persons, Mental health, Mentally ill, Managed care plans (Medical care)

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