Health Affairs, 25, no. 3 (2006): 647 doi: 10.1377/hlthaff.25.3.647 © 2006 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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Specialization & Integration

PROLOGUE

Specialization And Integration In Mental Health Care

In the astute judgment of a Health Affairs editorial adviser, fragmentation is the problem in mental health, but integration is not necessarily the solution. In the 1990s, integration was a vision that subsumed hospital, medical, and subacute care as well as financial management and insurance risk in a single health care organization. But things have not turned out that way in mental health or the general health sector, except on rare occasions. A riotously pluralistic provider universe and an equally disjointed array of financial arrangements in mental health have stopped this dream of reason in its tracks. But while big-bang . . . [Full Text of this Article]

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