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Life Interrupted: The Particular Needs of the Mentally Ill in Managed Care

June 30, 1998 | Program Results Report

During 1996 and 1997, staff at the Treatment Research Institute conducted a literature review of research on managed behavioral health care for the treatment of substance abuse and mental illness.

How Do Doctors Decide What Care is Necessary for Mental Health Problems?

November 1, 1996 | Program Results Report

Harvard Pilgrim Health Care documented the implicit criteria used to determine "medical necessity" related to mental health, and the influences of financial incentives and organizational arrangements on medical necessity decisions.

Portland, Oregon Makes the Case for Case Management of Adolescents' Health Needs

October 1, 1997 | Program Results Report

CMY works with adolescents ages 11 to 17 who have mental health problems. These are high-risk youth who otherwise would "fall between the cracks" of the health and social service system.

Unintended Impacts of a Medicaid Prior Authorization Policy on Access to Medications for Bipolar Illness

January 1, 2010 | Journal Article

This article examines the effects of a prior authorization policy put into effect by Maine Medicaid to control the cost of psychotropic medications. Little is known about whether such prior authorizations have unintended consequences on treatment for mental illness.

Raising Premiums and Other Costs for Oregon Health Plan Enrollees Drove Many to Drop Out

December 1, 2010 | Journal Article

This study illustrates the effects of even modest changes in Medicaid cost-sharing policy on vulnerable populations.

What the Oregon Health Study Can Tell Us about Expanding Medicaid

August 1, 2010 | Journal Article

The recently enacted Patient Protection and Affordable Care Act includes a major expansion of Medicaid to low-income adults in 2014. This paper describes the Oregon Health Study, a randomized controlled trial that will be able to shed some light on ...

Freelancers in New York State Get a Health Insurance Plan

January 26, 2010 | Program Results Report

Working Today, through its affiliated Freelancers Union, established the for-profit Freelancers Insurance Company and began designing a health plan model for freelancers in New York state.

The Difficult Job of Making Sure Federal Workers Get Equivalent Health Benefits

May 17, 2002 | Program Results Report

Health Systems Research conducted a conference to identify key questions involved in evaluating the effects of introducing parity in mental health services coverage and traditional medical care coverage for the Federal Employees Health Benefits Program.

Evaluation of HMO-School Partnerships to Improve Children's Health Shows Some Improvement

October 1, 2002 | Program Results Report

From 1999 to 2001, researchers at Kaiser Foundation Hospitals, Kaiser Foundation Research Institute evaluated two projects that were part of the Kaiser Permanente Cares for Kids Demonstration Projects.

State Laws That Provide Parity for Mental Health Care Benefit Children and Ease Families' Financial Burden

February 29, 2008 | Program Results Report

Researchers at Yale University examined the financial impact on children and their families of state laws mandating that insurers provide parity in coverage for mental and physical illness.

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