As the managed behavioral health care market has matured, behavioral health carve-outs have solved many problems facing the delivery of behavioral health services; at the same time, they have exacerbated existing difficulties or created new problems. Carve-outs developed to address rising inpatient behavioral health costs and limited insurance coverage. They are based on the economic principles of economies of specialization, economies of scale, price negotiation, and selection. Literature shows that carve-outs have been successful in lowering costs and maintaining or improving access, but results on their impact on quality of care are mixed. In recent years, carve-outs have evolved to take on new roles within the health system, such as coordinating mental and physical health, addressing fragmented public financing systems, and using market power to implement quality improvement. Although not perfect, carve-outs have been instrumental in addressing long-standing challenges in utilization, access, and cost of behavioral health care.

中文翻译：

---

可管理的行为保健解决方案：过去的业绩和未来前景。

随着有管理的行为健康护理市场的成熟，行为健康的解决解决了提供行为健康服务所面临的许多问题。同时，它们加剧了现有的困难或创造了新的问题。制定了解决方案，以解决不断增加的住院行为健康成本和有限的保险范围。它们基于专业化经济，规模经济，价格谈判和选择的经济原理。文献表明，分担治疗在降低成本，维持或改善医疗服务方面已经取得了成功，但其对护理质量的影响喜忧参半。近年来，解决方案已演变为在卫生系统中扮演新角色，例如协调身心健康，解决分散的公共筹资系统，并利用市场力量实施质量改进。尽管并非完美无缺，但解决方案在应对行为医疗保健的使用，获取和成本方面长期面临的挑战中发挥了作用。