Cover: Use of Outpatient Mental Health Care

Use of Outpatient Mental Health Care

Trial of a Prepaid Group Practice Versus Fee-for-Service

Published 1986

by Willard G. Manning, Kenneth B. Wells, Bernadette Benjamin

Download

Download eBook for Free

FormatFile SizeNotes
PDF file 4.4 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Purchase

Purchase Print Copy

 Format Price
Add to Cart Paperback114 pages $30.00

The aim of this study was to determine whether a prepaid group practice delivers less outpatient mental health care than fee-for-service when both serve comparable populations. To do this, it used data from the RAND Health Insurance Study, a randomized controlled trial that assigned families to a prepaid group practice — Group Health Cooperative of Puget Sound (GHC) — or to fee-for-service insurance plans. The study also contained data on existing GHC enrollees, who served as controls. The study found that when GHC and fee-for-service plans treat comparable groups of patients who face no cost sharing, GHC delivers a much less intensive style of mental health care but treats a comparable fraction of the population. Adding cost sharing to fee-for-service plans reduces mental health expenses, but it also lowers the probability of use even though it does not lower the intensity of care.

This report is part of the RAND report series. The report was a product of RAND from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.