Umland B
Behav Healthc Tomorrow. 1997 Jun;6(3):57-60.
Most employer-sponsored health insurance plans provide some coverage for mental health and addiction treatment. However, analysis of over 3,000 employer benefit plans reveals wide variation in the level and scope of behavioral health benefits. Of all commercially insured employees and dependents, 77 percent are currently enrolled in health maintenance organizations (HMOs), preferred provider organizations (PPOs), or point-of-service (POS) managed care plans. This article documents the differences among behavioral health coverage packages in these three different types of managed care organizations (MCOs), and the lower levels of behavioral health coverage compared with coverage for other medical care. The author states that some employers are selecting single-specialty managed behavioral carve-out plans specifically to increase benefit levels and improve quality of care.
大多数雇主提供的医疗保险计划都涵盖了一定的心理健康和成瘾治疗服务。然而,对3000多个雇主福利计划的分析显示,行为健康福利的水平和范围存在很大差异。在所有商业保险的员工及其家属中,77%目前参加了健康维护组织(HMO)、优先提供者组织(PPO)或服务点(POS)管理式医疗计划。本文记录了这三种不同类型的管理式医疗组织(MCO)中行为健康保险套餐之间的差异,以及与其他医疗保健相比行为健康保险水平较低的情况。作者指出,一些雇主选择单一专科的管理式行为分离计划,特别是为了提高福利水平和改善护理质量。