Managed care and patient ratings of the quality of specialty care among patients with pain or depressive symptoms

Table 3 Descriptive Statistics of Managed Care Indices for Health Plans and Primary Care Offices

Managed Care Measures	Patients with Pain Seeing Specialists	Patients with Depressive Symptoms Seeing Mental Health Specialists	Patients with Pain and Depressive Symptoms Seeing Mental Health or Pain Specialists	pvalue
Health Plan Indices (Averages)	(n = 383)	(n = 149)	(n = 269)
Plan Managed Care Index	39	38	34	.069
In-Network Benefits Index	90	90	91	.021
Out-of-Network Benefits Index	43	45	47	.455
Mental Health Benefits Index	--	52	57	.096
Mental Health Carve Out (%)	--	26%	30%	.313
Office Managed Care Index (Averages)	(n = 434)	(n = 171)	(n = 322)
Office Managed Care Index¹	43	37	37	.026

¹Patients were seen in offices that, on average, received 28% of their revenue from capitation. About 20% of patients were seen in offices where primary physicians required prior approval to refer inside the practice; about 62% of the patients were seen in offices where prior approval was required to refer outside the practice; and about 38% of the patients were seen in offices with guidelines.

ISSN: 1472-6963