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Managed mental health care and patterns of inpatient utilization for treatment of affective disorders.

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  • 1Johns Hopkins University, School of Hygiene and Public Health, Baltimore, MD, USA.


In this analysis we made use of a large data base of individuals insured by large American corporations to estimate the impact of managed care provision on hospital care for depression. Data on 6,348 individuals hospitalized for depression were examined to assess the effect of managed care techniques on the cost per episode and the likelihood of rehospitalization. Preadmission certification programs were found to lead to significant long- and short-run savings for payers.

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