Sturm R
RAND, Santa Monica, CA 90407-2138, USA.
Inquiry. 2000 Summer;37(2):219-25.
Several pending health care bills propose employer mandates to improve coverage for substance abuse treatment. In today's managed care environment, however, mandating "nominal" benefits no longer may achieve intended goals. This paper estimates how one managed care arrangement, shifting risk to the organization managing care, affects substance abuse treatment. Full risk plans do not differ in access rates to any substance abuse treatments or inpatient treatment, but they significantly lower costs per use (by about $470, or 17%).
几项悬而未决的医疗保健法案提议强制雇主改善药物滥用治疗的覆盖范围。然而，在如今的管理式医疗环境下，强制规定“名义上的”福利可能不再能实现预期目标。本文估计了一种管理式医疗安排，即将风险转移给管理医疗的组织，会如何影响药物滥用治疗。完全风险计划在任何药物滥用治疗或住院治疗的就诊率方面并无差异，但它们显著降低了每次使用的成本（降低了约470美元，即17%）。
