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Related Experiment Videos

Effectiveness, patient matching, and insurance coverage for depression

T G McGuire1

  • 1Department of Economics, College of Liberal Arts, Boston, MA 02215, USA.

Social Psychiatry and Psychiatric Epidemiology
|August 1, 1995
PubMed
Summary

Effective depression treatments exist, but their availability shouldn't automatically trigger insurance coverage. Insurance doesn't ensure effective delivery or cost-effectiveness, requiring careful payment system design.

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Area of Science:

  • Health Economics
  • Mental Health Services Research

Background:

  • Effective treatments for depression are well-established.
  • There is a societal imperative to provide necessary healthcare.

Purpose of the Study:

  • To argue against automatic insurance coverage extension based solely on treatment effectiveness.
  • To highlight limitations of insurance in ensuring effective and cost-efficient depression care.

Main Methods:

  • This study presents a critical analysis of insurance coverage extension for depression treatment.
  • It examines the relationship between insurance, treatment delivery, and cost-effectiveness.

Main Results:

  • Insurance coverage does not guarantee effective treatment delivery.

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  • Insurance does not ensure treatment is provided to the most appropriate patients.
  • Insurance systems may not optimize cost-effectiveness in mental healthcare.

    • Conclusions:

    • Treatment effectiveness alone is insufficient justification for extending insurance coverage.
    • Payment systems for depression treatment must consider delivery effectiveness and cost-efficiency.
    • Careful consideration of these factors is crucial for optimizing mental healthcare provision.