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"Freedom of choice" laws: empirical evidence of their contribution to competition in mental health care delivery.

Freedom of Choice laws have been forwarded as laws which enhance consumer choice and efficient functioning of markets for mental health services. The name of these laws constitute a misnomer, because they serve to force consumers to buy a specific type of insurance coverage. Nevertheless, under a specific set of markets conditions, the implementation of Freedom of Choice laws may increase competition and improve efficiency in the market. Empirical estimates are reported of the effect on prices of this legislation.

Community Participation↗

How to negotiate successfully a reimbursement contract for day hospital services.

Reimbursement from third-party payers has been identified as a major problem facing partial hospitalization programs. This paper provides an overview of the process by which a contract to reimburse for day hospital services in a general hospital setting was negotiated with the Department of Social Services and Housing in the State of Hawaii. The paper details the specific program development, the determination of direct and indirect cost components, the establishment of costs and charges, the comparative cost data developed, and the nature of the negotiations that ensued with the Department of Social Services and Housing in the State of Hawaii.

Contract Services↗