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Patterns of service use in two types of managed behavioral health care plans
Elizabeth L Merrick1, Dominic Hodgkin, Deirdre Hiatt
1Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454, USA. merrick@brandeis.edu
Objective:
The study examined service use patterns by level of care in two managed care plans offered by a national managed behavioral health care organization (MBHO): an employee assistance program (EAP) combined with a standard behavioral health plan (integrated plan) and a standard behavioral health plan.
Methods:
The cross-sectional analysis used 2004 administrative data from the MBHO. Utilization of 11 specific service categories was compared. The weighted sample reflected exact matching on sociodemographic characteristics (unweighted N=710,014; weighted N=286,750).
Results:
A larger proportion of enrollees in the integrated plan than in the standard plan used outpatient mental health and substance abuse office visits (including EAP visits) (p<.01) and substance abuse intensive outpatient or day treatment (p<.05), and the proportion using residential substance abuse rehabilitation was lower (p<.05).
Conclusions:
The integrated and standard products had distinct utilization patterns in this large MBHO. In particular, greater use of certain outpatient services was observed in the integrated plan.
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