Evidence map›Paper›PMID 19037721›Full record

ArticleAdministration and policy in mental health2009

Benefit limits for behavioral health care in private health plans.

Dominic Hodgkin, Constance M Horgan, Deborah W Garnick, Elizabeth L Merrick

Abstract read
In one paragraph

Article in Administration and policy in mental health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. A Comparison of Benefit Limits in Mental Health.Administration and policy in mental health · 2016
    Article
  6. Article
  7. Current controversies on the role of behavior therapy in Tourette syndrome.Movement disorders : official journal of the Movement Disorder Society · 2013
    Review
  8. Health services and financing of treatment.Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism · 2011
    Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Dominic HodgkinSchneider Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454-9110, USA. hodgkin@brandeis.edu
Constance M Horgan
Deborah W Garnick
Elizabeth L Merrick

Funding

Provision of Alcohol Services in Private Health PlansR01AA010869 · NIAAA · BRANDEIS UNIVERSITY · PI HORGAN, CONSTANCE M. · 1996 to 2012
$4.1M
DRUG ABUSE TREATMENT UNDER MANAGED CARE--ROLE OF PPOSR01DA010915 · NIDA · BRANDEIS UNIVERSITY · PI HORGAN, CONSTANCE M · 1997 to 2002
$663k
NIAAA NIH HHS R01 AA 010869NIAAA NIH HHS R01 AA010869NIDA NIH HHS R01 DA010915NIDA NIH HHS R01 DA 10915
6 · The paper itself

Abstract

Data from a nationally representative sample of private health plans reveal that special lifetime limits on behavioral health care are rare (used by 16% of products). However, most plans have special annual limits on behavioral health utilization; for example, 90% limit outpatient mental health and 93% limit outpatient substance abuse treatment. As a result, enrollees in the average plan face substantial out-of-pocket costs for long-lasting treatment: a median of $2,710 for 50 mental health visits, or $2,400 for 50 substance abuse visits. Plans' access to new managed care tools has not led them to stop using benefit limits for cost containment purposes.

Indexed as

Financing, PersonalHealth ExpendituresHealth Services ResearchHumansInsurance CoverageManaged Care ProgramsMental Health ServicesPrivate SectorSubstance-Related Disorders

Identifiers

PMID19037721
PMCPMC2644559

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.