Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Medical Care Research and Review
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Liu, X.
Right arrow Articles by Cuffel, B. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Liu, X.
Right arrow Articles by Cuffel, B. J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

The Impact of Prior Authorization on Outpatient Utilization in Managed Behavioral Health Plans

Xiaofeng Liu

Health Benchmarks, Inc.

Roland Sturm

RAND Corporation

Brian J. Cuffel

United Behavioral Health

This study examines how preauthorization affects outpatient behavioral health utilization under managed care by comparing plans with similar benefits, but differing in the number of visits authorized. The authors compare plans primarily authorizing in increments of 5 visits to plans authorizing in increments of 10 visits. They analyze the likelihood of terminating outpatient service between the two groups using conditional logistic regression. Results suggest that patients whose treatment is authorized in increments of 5 sessions are nearly 3 times more likely to terminate treatment at exactly the fifth visit than if their treatment is authorized in increments of 10 sessions conditional on being in treatment until the 5th visit. The likelihood of termination peaks in both the 5- and 10-session authorization at the 10th visit, but the difference is not statistically significant. The authorization effect differs by provider type and is weaker among psychiatrists than among nonphysician providers.

Medical Care Research and Review, Vol. 57, No. 2, 182-195 (2000)
DOI: 10.1177/107755870005700203
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Psychiatr. Serv.Home page
C. H. Lemak and J. A. Alexander
Factors That Influence Staffing of Outpatient Substance Abuse Treatment Programs
Psychiatr Serv, August 1, 2005; 56(8): 934 - 939.
[Abstract] [Full Text] [PDF]

Home page
 Psychiatr. Serv.Home page
C. H. Lemak, J. A. Alexander, and C. Campbell
Administrative Burden and Its Implications for Outpatient Substance Abuse Treatment Organizations
Psychiatr Serv, May 1, 2003; 54(5): 705 - 711.
[Abstract] [Full Text] [PDF]

Home page
 Psychiatr. Serv.Home page
S. N. Compton, B. J. Cuffel, B. J. Burns, and W. Goldman
Datapoints: Effects of Changing From Five to TenPreauthorized Outpatient Sessions
Psychiatr Serv, October 1, 2000; 51(10): 1223 - 1223.
[Full Text] [PDF]