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Behavioral healthcare risk-sharing and medical cost offset.

Medical offset savings have been demonstrated clearly and repeatedly in a variety of settings. Taking advantage of these savings improves quality of care and lowers direct healthcare expenditures. However, most organized systems of care lack the infrastructure or incentives to measure offset savings, nor can they recycle these savings to find the behavioral services required to produce cost off-sets. The author provides actuarial models and case studies to demonstrate how this problem can be solved.