82% Of HMOs Use Specialty Contracts To Cover Mental Health Services: 70% Of MCO Carve-Out Arrangements Place MBHOs At Full Risk
OPEN MINDS, The Behavioral Health & Social Service Industry Analyst Industry Statistic For the provision of behavioral health services, 82% of health maintenance organizations (HMOs) use specialty carve-out mental health service arrangements. Seventy percent (70%) of all types of managed care organizations place carve-out providers at full risk. Eighty-two percent (82%) of HMOs use specialty carve-out arrangements for the provision of mental health services for their members. Sixty-one percent (61%) of point-of-service (POS) plans and 30% of preferred provider organizations (PPOs) use specialty contracts. Specialty contracting arrangements are those in which MCOs carve . . .