Focused psychiatric review: impacts on expense and utilization.
Focused Psychiatric Review, Aetna's inpatient mental health utilization review program, reduces length of stay and stabilizes admission rates and, as a consequence, reduces expenses, according to the study reported in this article. The program has greater impact on psychiatric than on substance abuse treatments. The best estimate of annual net program savings is $34.90 per covered employee, a return of $12.60 saved for each program dollar spent.
Gotowka
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Smith
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D003625:Data Collection; D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data; D017049:Employer Health Costs / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D007345:Insurance Claim Review / Q000191:economics / Q000706:statistics & numerical data; D007358:Insurance, Psychiatric / Q000706:statistics & numerical data*; D016018:Least-Squares Analysis; D007902:Length of Stay / Q000706:statistics & numerical data; D008329:Managed Care Programs / Q000191:economics*; D001523:Mental Disorders / Q000145:classification / Q000191:economics; D015999:Multivariate Analysis; D015397:Program Evaluation / Q000379:methods; D019966:Substance-Related Disorders / Q000145:classification / Q000191:economics; D014481:United States; D014600:Utilization Review / Q000379:methods* / Q000706:statistics & numerical data