Frank R G, McGuire T G
Department of Health Care Policy, Harvard Medical School, USA.
Health Aff (Millwood). 1995 Fall;14(3):102-15. doi: 10.1377/hlthaff.14.3.102.
The cost of expanding mental health and substance abuse treatment coverage is a major impediment to reforming insurance coverage for these types of conditions. The recent experience with national health care reform offers a case study in cost estimation for mental health and substance abuse coverage. The impact of managed care and the cost of expanding coverage to currently uninsured persons introduced uncertainty into predictions. This paper critically reviews that experience and draws lessons for estimating future costs of policy initiatives.
扩大心理健康和药物滥用治疗覆盖范围的成本是改革此类疾病保险覆盖范围的主要障碍。近期全国医疗改革的经验为心理健康和药物滥用保险的成本估算提供了一个案例研究。管理式医疗的影响以及将覆盖范围扩大到目前未参保人群的成本给预测带来了不确定性。本文批判性地审视了这一经验，并为估算未来政策举措的成本汲取了教训。
