August 27, 2001 So Much for Integration… Well, the numbers are in—and what they say is “so long” to the vision of integration of behavioral health services with physical health.  In fact, what the numbers tell us is that payers prefer to ‘carve out’ behavioral health services and are doing so more and more.  Enrollment in specialty managed behavioral health programs continues to grow, and an increasing number of state governments are opting for carve-out model managed behavioral health programs rather than integrated (or HMO-based) programs. What's more, those hard-won mental health . . .