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The Effects of Three Kinds of Insurance Benefit Design Features on Specialty Mental Health Care Use in Managed Care.

08:00 EDT 1st June 2019 | BioPortfolio

Summary of "The Effects of Three Kinds of Insurance Benefit Design Features on Specialty Mental Health Care Use in Managed Care."

Insurance benefit features play a role in determining access to specialty mental health care. Previous research, primarily examining the effects of copayments, coinsurance, and deductibles in a fee-for-service setting, has concluded that specialty mental health use is highly sensitive to changes in financial requirements. Less is known about the effects of other benefit features and the effects of all of these features in a managed care environment.

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Journal Details

This article was published in the following journal.

Name: The journal of mental health policy and economics
ISSN: 1091-4358
Pages: 43-59

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Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.

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