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Managed behavioral health care: lessons from Massachusetts
Donald S Shepard1, Marilyn C Daley, Richard H Beinecke
1Heller School, Brandeis University, Waltham, MA, USA. shepard@brandeis.edu
Administration and Policy in Mental Health
|April 23, 2005
Summary
Massachusetts
Area of Science:
- Health Services Research
- Public Health Policy
- Behavioral Health Management
Background:
- Massachusetts pioneered the first statewide carve-out for behavioral health care in 1992.
- This policy aimed to improve the integration and delivery of mental health and substance use services.
Purpose of the Study:
- To introduce a special issue examining the outcomes of Massachusetts' behavioral health care carve-out.
- To explore key factors contributing to the policy's success and its impact on various populations.
Main Methods:
- This is an introductory piece, outlining the scope of the special issue.
- It will cover contextual factors, primary care integration, consumer satisfaction, unmet needs, and stakeholder views.
Main Results:
- Massachusetts has demonstrated sustained cost reductions and increased access to behavioral health services.
- Significant improvements in major quality measures have been observed since the policy's implementation.
Conclusions:
- The Massachusetts behavioral health carve-out model offers valuable insights into effective public health policy.
- Performance incentives and stakeholder engagement appear crucial for successful implementation and sustained improvements.
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