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How do health insurance regulations affect the care of person with mental illness? And how do such persons, in turn, affect the economy through lost productivity, reduced labor supply, and deviant behavior at the workplace? In Economics and Mental Health, Richard G. Frank and Willard G. Manning Jr., bring to gether a distinguished group of health care economists to explore the new and rapidly growing feild of mental health economics. The authors begin by dicsussing the issue of care for severely mentally ill patients as it is influenced by differing modes of reimbursement. They then offer labor market analyses that shed light on the economic costs of mental illness. They analyse the interaction of health insurance and the demand for mental health care. And they present case studies that outline experimental systems of delivering health care.
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Does a prepaid groupe practice deliver less outpatient mental heath care than fee-for-service when they both serve comparable populations? to answer this question the authors used data from a randomized controlled trial which assigned families into a prepaid group practice and into fee-for-service insurance plans. The pattern of outpatient mental health care differs for those enrolled at the prepaid group practice and those enrolled in the fee for service. This type provides more expensive and more intensive therapy per user. The enrollees are 50% more likely to see a mental health specialist at leat once over a three years period when they depend of the prepaid group. This difference is due to a higher rate of "turnover" of patients in this type of plan.
Poor health habits (drinking, smoking, lack of exercise) obviously take their toll on individuals and their families. The costs to society are less obvious but certainly more far-reaching. This investigation is the first to quantify the financial burden these detrimental habits place on American taxpayers. Willard Manning and his colleagues measure the direct costs of poor health habits (fire damage, motor vehicle accidents, legal fees), as well as collectively financed costs (medical care, employee sick leave, group health and life insurance, nursing home care, retirement pensions, liability insurance). Consider two co-workers covered by their employer's health plan: both pay the same premi...