Mental health and substance abuse services, commonly referredto as behavioral health services, have been more aggressivelymanaged than most other medical and surgical services.1 Managedbehavioral health organizations came to public programs fromthe private sector, where they substantially reduced the numberof inpatient days for behavioral health problems, as well asthe overall expenditures related to behavioral health. Manystate Medicaid administrators, concerned about growing expenditures,have contracted with such organizations or capitated local providers,such as community mental health centers, to manage behavioralhealth benefits separately from other medical care.2 Such behavioralhealth "carve-out" programs come in . . . [Full Text of this Article]
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From the Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, N.J.
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