title: A typology of organizational and contractual arrangements for purchasing and delivery of behavioral health care.
abstract: The evolution of behavioral health care financing and delivery has led to a wide variety of arrangements connecting consumers to behavioral health services. In this paper, we present a typology based on three distinguishing features of behavioral health arrangements along which there is a high degree of variability and this variability has been shown to affect the cost and quality of behavioral health care: (1) the extent to which sponsor oversight over care is outsourced by way of contracts rather than performed directly; (2) whether financing for behavioral health is partitioned from health care financing overall; and (3) the amount of financial risk shared by the sponsor with third parties.
authors.affiliation: Harvard School of Public Health, 677 Huntington Avenue, Room 405, Boston, MA 02115, USA. mrosenth@hsph.harvard.edu
authors.forename: Meredith B
authors.initials: MB
authors.lastname: Rosenthal
authors.forename: Sarah
authors.initials: S
authors.lastname: Minden
authors.forename: Ronald
authors.initials: R
authors.lastname: Manderscheid
authors.forename: Marilyn
authors.initials: M
authors.lastname: Henderson
mesh_terms: D001524:Behavioral Medicine; D017144:Focus Groups; D006801:Humans; D020416:Outsourced Services / Q000191:economics / Q000379:methods* / Q000458:organization & administration; D014481:United States