scholarly journals Telehealth Delivery of Mental Health Services: An Analysis of Private Insurance Claims Data in the United States

2017 ◽  
Vol 68 (12) ◽  
pp. 1303-1306 ◽  
Author(s):  
Fernando A. Wilson ◽  
Sankeerth Rampa ◽  
Kate E. Trout ◽  
Jim P. Stimpson
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Health Services ◽  
Health Services ◽  
Claims Data ◽  
Private Insurance ◽  
The United States ◽  
Insurance Claims ◽  
Insurance Claims Data

scholarly journals Tuberculosis Test Usage and Medical Expenditures from Outpatient Insurance Claims Data, 2013

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Kwame Owusu-Edusei ◽  
Carla A. Winston ◽  
Suzanne M. Marks ◽  
Adam J. Langer ◽  
Roque Miramontes
Keyword(s):  
United States ◽  
Claims Data ◽  
Private Insurance ◽  
Patient Characteristics ◽  
The United States ◽  
Medical Expenditures ◽  
Regression Analyses ◽  
Insurance Claims ◽  
Insurance Claims Data ◽  
Test Usage

Objective. To evaluate TB test usage and associated direct medical expenditures from 2013 private insurance claims data in the United States (US). Methods. We extracted outpatient claims for TB-specific and nonspecific tests from the 2013 MarketScan® commercial database. We estimated average expenditures (adjusted for claim and patient characteristics) using semilog regression analyses and compared them to the Centers for Medicare and Medicaid Services (CMS) national reimbursement limits. Results. Among the TB-specific tests, 1.4% of the enrollees had at least one claim, of which the tuberculin skin test was most common (86%) and least expensive ($9). The T-SPOT® was the most expensive among the TB-specific tests ($106). Among nonspecific TB tests, the chest radiograph was the most used test (78%), while chest computerized tomography was the most expensive ($251). Adjusted average expenditures for the majority of tests (≈74%) were above CMS limits. We estimated that total United States medical expenditures for the employer-based privately insured population for TB-specific tests were $53.0 million in 2013, of which enrollees paid 17% ($9 million). Conclusions. We found substantial differences in TB test usage and expenditures. Additionally, employer-based private insurers and enrollees paid more than CMS limits for most TB tests.

Mental health services providers' distribution across counties in the United States.

1984 ◽  
Vol 39 (12) ◽  
pp. 1424-1434 ◽  
Author(s):  
David J. Knesper ◽  
John R. Wheeler ◽  
David J. Pagnucco
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Health Services ◽  
Health Services ◽  
The United States

scholarly journals Mental health services in Nicaragua: Ten years of revolution

1990 ◽  
Vol 14 (6) ◽  
pp. 346-350 ◽  
Author(s):  
Alison Harris ◽  
Tammy Shefer
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
The United States ◽  
Democratic Society ◽  
A Priority

Nicaragua is celebrating ten years of revolution since the overthrow of the 45 year long Somoza dictatorship∗. In this time, the Sandinista government has attempted to construct a more democratic society with considerable achievements in the area of health, welfare and education. Indeed, health care has been a priority in spite of severe economic difficulties caused by the United States economic blockade and by the need for defence against the war waged by the counter-revolutionaries (the Contra).

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