Evidence map›Paper›PMID 36799934›Full record

ArticlePopulation health management2023

The Impact of a Workforce Mental Health Program on Employer Medical Plan Spend: An Application of Cost Efficiency Measurement for Mental Health Care.

Todor Penev, Shelley Zhao, Jennifer L Lee, Connie E Chen, Leanne Metcalfe, Ronald J Ozminkowski

Abstract read
In one paragraph

Article in Population health management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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  3. Review
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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

6 authors.

Todor PenevHealth Solutions, Aon plc, Atlanta, Georgia, USA.
Shelley ZhaoHealth Solutions, Aon plc, Portland, Oregon, USA.
Jennifer L LeeLyra Health, Burlingame, California, USA.ORCID 0000-0003-1334-7671
Connie E ChenLyra Health, Burlingame, California, USA.ORCID 0000-0002-6051-4316
Leanne MetcalfeHealth Solutions, Aon plc, Austin, Texas, USA.ORCID 0000-0002-2110-2917
Ronald J OzminkowskiHealth Solutions, Aon plc, Saline, Michigan, USA.ORCID 0000-0001-5555-4797

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mental health issues often result in significant impairment and financial challenges, both at home and in the workplace. Solutions vary widely in their usage and cost-effectiveness. This study presents an analysis of medical and prescription drug spending and utilization data for the employees of 4 companies who were eligible for an evidence-based workforce mental health program (WMHP). A variation of coarsened exact matching paired WMHP users to nonusers, based on demographics, location, and medical factors. Individuals included 2791 pairs of members whose medical claims were incurred in 2018 and 3883 pairs with claims in 2019. Using a cost efficiency measurement process, mean cost and utilization per person per year (PPPY) were compared. WMHP users had lower medical (-$2295 in 2018; -$2304 in 2019) and prescription drug spending (-$295 in 2018; -$312 in 2019). Over half of the cost reduction (-$1252 in 2018; -$1211 in 2019) resulted from shifting therapy services from the medical benefit to WMHP. WMHP users attended about 12 sessions PPPY, whereas the comparison group of nonusers attended about 7 mental health office visits PPPY under the medical benefit. WMHP users had more mental health-related visits in both years, but had fewer visits on the medical plan, and fewer emergency department visits for mental health than comparison group members. These results provide evidence that high-quality, evidence-based mental health services can reduce total expenditures and change utilization patterns. Evidence-based WMHP may represent a prudent investment for employers in providing mental health care to employees.

Indexed as

Mental Health ServicesPrescription DrugsHealth ExpendituresHumansMental HealthWorkplacePrescription Drugscost-effectivenessemployee assistance programhealth care claimsmental healththerapyworkforce mental health

Identifiers

PMID36799934
PMCPMC9969895

What OpenQuestion holds

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LicenceCC BY
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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.