Managed behavioral health care: lessons from Massachusetts.
Since implementing the first statewide carve-out for behavioral health care in 1992, Massachusetts has achieved sustained reductions in cost, increases in access, and improvements in major quality measures. This introduction to a special issue describes the context, linkages with primary care, consumer satisfaction, unmet need, performance incentives (a key component of the success), stakeholder perspectives, and impacts on special populations.
Shepard
Donald S
DS
Heller School, Brandeis University, Waltham, MA, USA. shepard@brandeis.edu
Daley
Marilyn C
MC
Beinecke
Richard H
RH
Hurley
Clare L
CL
D008329:Managed Care Programs / Q000458:organization & administration*; D008404:Massachusetts; D008511:Medicine; D008605:Mental Health Services / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration; D013038:Specialization