caa a22 4500 477131964 CHVBK 20180405111706.0 cr unu---uuuuu 170330e19970301xx s 000 0 eng 10.1007/BF02042519 doi (NATIONALLICENCE)springer-10.1007/BF02042519 Make or buy: HMOs' contracting arrangements for mental health care [Elektronische Daten] [Dominic Hodgkin, Constance Horgan, Deborah Garnick] Many health maintenance organizations (HMOs) are contracting with external vendors for mental health care, rather than maintaining an internal mental health department. We develop a framework for analyzing HMOs' contracting choices, rooted in transaction cost economics. Applying this framework, external contracting seems most likely to appeal to smaller, newer HMOs and those located in areas with multiple vendors. Pressure from value-oriented buyers may make it harder for HMOs to provide mental health internally, without costly reforms to their product. HMO contracting arrangements deserve further study, given their implications for cost and the quality of care. Human Sciences Press, Inc., 1997 Hodgkin Dominic Heller School, Brandeis University, Mailstop 35, 02254, Waltham, MA aut Horgan Constance Heller School, Brandeis University, Mailstop 35, 02254, Waltham, MA aut Garnick Deborah Heller School, Brandeis University, Mailstop 35, 02254, Waltham, MA aut Administration and Policy in Mental Health and Mental Health Services Research Kluwer Academic Publishers-Human Sciences Press 24/4(1997-03-01), 359-376 0894-587X 24:4<359 1997 24 10488 https://doi.org/10.1007/BF02042519 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02042519 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hodgkin Dominic Heller School, Brandeis University, Mailstop 35, 02254, Waltham, MA aut NATIONALLICENCE 700 1- Horgan Constance Heller School, Brandeis University, Mailstop 35, 02254, Waltham, MA aut NATIONALLICENCE 700 1- Garnick Deborah Heller School, Brandeis University, Mailstop 35, 02254, Waltham, MA aut NATIONALLICENCE 773 0- Administration and Policy in Mental Health and Mental Health Services Research Kluwer Academic Publishers-Human Sciences Press 24/4(1997-03-01), 359-376 0894-587X 24:4<359 1997 24 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer