Biomedical subjects

Darrel A Regier

Publications and source records attributed to Darrel A Regier.

20 records · Page 2Linked to original sources

PubMedDate not supplied

The impacts of mental health parity and managed care in one large employer group.

We examine the impacts of a state mental health parity mandate on a large employer group, which simultaneously introduced a managed behavioral health care carve-out. Overall, we find that mental health/substance abuse (MH/SA) costs dropped 39 percent from the year prior to three years after parity, with managed care offsetting increases in demand induced by parity coverage. Managed care was most effective in reducing very high inpatient use among adolescents and children. The effect of the parity mandate on access was ambiguous: While treatment prevalence rose nearly 50 percent, similar increases were observed for groups not subject to the mandate.

Adolescent↗

PubMedDate not supplied

Mental disorder diagnostic theory and practical reality: an evolutionary perspective.

In the current legislative debate about mandating parity of insurance coverage for mental disorders, many question the use of DSM-IV diagnostic criteria to indicate benefit eligibility. Some have indicated that resistance to adopting parity legislation has been driven by inadequacies in the theory underlying psychiatric diagnosis. This paper takes issue with that perspective and reviews the scientific basis for the current classification and the advances in research and clinical practice made possible by reliable diagnostic criteria. As hypotheses that are subject to empirical testing, the DSM-IV criteria have set the stage for further advances-independent of the economic and political forces that are now playing out in the parity debate.

Diagnosis, Differential↗