Comprehensive Mental Health Insurance Benefits:
Case Studies
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U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
Office of Managed Care
Acknowledgments
This report was prepared by Gail K. Robinson, Ph.D., Lisa M. Chimeto, M.P.P.M., Stacey Bush, and John Papay, all of The Lewin Group of Falls Church, VA. The case studies were conducted by The Lewin Group under contract with the Center for Mental Health Services (CMHS). Shelagh Smith, M.P.H., was the government project officer. The authors wish to thank the Advisory Panel (see Appendix A) for providing the context and benchmarks to identify companies with generous mental health coverage. We are indebted to the six employers, two managed care organizations, and one managed behavioral health care organization that participated in this study. A complete list of the organizations and their representatives is presented in Appendix B.
Disclaimer
Material for this report was prepared under contract by The Lewin Group for CMHS, Substance Abuse and Mental Health Services Administration (SAMHSA). The content of this publication does not necessarily reflect the views or policies of SAMHSA or the Department of Health and Human Services.
Public Domain Notice
All material appearing in this report is in the public domain and may be reproduced or copied without permission from the Substance Abuse and Mental Health Services Administration. Citation of the source is appreciated.
Access to Publication
This publication can be accessed electronically at http://mentalhealth.samhsa.gov. Additional copies may be obtained by calling SAMHSA's National Mental Health Information Center, 1-800-789-2647.
Originating Office
Office of Managed Care
Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
5600 Fishers Lane, 15-87
Rockville, MD 20857
October 2000, DHHS Publication No. SMA 01-3481
Suggested Citation
Robinson, G., Chimeto, L., Bush, S., & Papay, J. (2001). Comprehensive Mental Health Insurance Benefits: Case Studies. DHHS Pub. No. SMA 01-3481. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.
Table of Contents
I. Executive Summary
A. Employers
B. Managed Care Organizations
II. Overview and Background
Current State of Private Sector Mental Health care
III. Methodology
A. Criteria Involved in Employer Selection
B. Criteria Involved in MCO Selection
IV. Key Findings from Employers
A. Characteristics of Study Participants
B. Mental Health Benefits: Design, Services, and Employee Cost-Sharing Requirements
C. Benefit Management Approaches
D. Employee Satisfaction / Performance Data
E. Specific Examples of Best Practices
F. Challenges Remaining
V. Key Managed Care Organization (HMO and MBHO)
Findings
A. Characteristics of Study Participants
B. Mental Health Benefits: Design, Services, and Employee Cost-Sharing Requirements
C. Benefit Management Approaches
D. Employee Satisfaction / Performance Data
E. Specific Examples of Best Practices
F. Challenges Remaining
VI. Appendix A: Advisory Panel Roster
VII. Appendix B: List of Study Participants
VIII. Appendix C: Employer Case Studies
A. Bank One
B. Delta Air Lines
C. Eli Lilly and Company
D. Fannie Mae Corporation
E. Motorola
F. Company X
IX. Appendix D: Managed Care Organization Case Studies
A. American Psych Systems
B. Harvard Pilgrim Health Care
C. HealthPartners
X. References
SMA01-3481
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