Concepedia

Coverage Exclusions

Coverage Exclusions is a pharmacy benefit design mechanism that specifies particular drugs, drug classes, or therapeutic categories for which prescription coverage is explicitly denied by a health plan, thereby distinguishing it from general formulary restrictions by mandating non-coverage under all circumstances unless exceptions are formally granted.

28

Publications

916

Citations

91

Authors

51

Institutions

Publications per year

2017–2026

8

Parents

Children

Publications

28

Behavioral Health Parity and the Affordable Care Act

Richard G. Frank, Kirsten Beronio, Sherry Glied · Journal of Social Work in Disability & Rehabilitation · 2014 · 131 citations · Full text

, , +16

A Dog’s Breakfast:

Aslam H. Anis, Daphne Guh, Xiao Hua Wang · Medical Care · 2001 · 89 citations

, , +16

Eliminating Gaps in Medicaid Coverage During Reentry After Incarceration

Elaine Michelle Albertson, Christopher A. Scannell, Neda Ashtari et al. · American Journal of Public Health · 2020 · 70 citations · Full text

, , +14

Exclusions and Limitations in Children's Behavioral Health Care Coverage

Pamela B. Peele, Judith R. Lave, Kelly J. Kelleher · Psychiatric Services · 2002 · 59 citations

, , +17

Oregon's Denial Disabilities and Quality of Life

Paul T. Menzel · The Hastings Center Report · 1992 · 55 citations

, , +16

1–5 of 28

Authors

91

  1. SL
    Susan L. Ettner

    University of California, Los Angeles, United States

    3 publications · 54 citations

    3

    h-index

  2. MO
    Michael Ong

    University of California, Los Angeles, United States

    2 publications · 36 citations

    2

    h-index

  3. LZ
    Lily Zhang

    University of Washington, United States

    2 publications · 36 citations

    2

    h-index

  4. FA
    Francisca Azocar

    Optum (United States), United States

    2 publications · 36 citations

    2

    h-index

  5. HX
    Haiyong Xu

    University of California, Los Angeles, United States

    2 publications · 36 citations

    2

    h-index

1–5 of 91

Institutions

51

  1. Johns Hopkins University

    Baltimore, United States

    2 h-index

    3 publications

    59 citations

  2. UCLA Health

    Los Angeles, United States

    2 h-index

    7 publications

    96 citations

  3. Harvard University

    Cambridge, United States

    2 h-index

    3 publications

    59 citations

  4. National Bureau of Economic Research

    Cambridge, United States

    2 h-index

    2 publications

    46 citations

  5. Johns Hopkins Medicine

    Baltimore, United States

    2 h-index

    2 publications

    37 citations

  6. University of California, Los Angeles

    Los Angeles, United States

    2 h-index

    10 publications

    204 citations

  7. Centre for Advancing Health Outcomes

    Vancouver, Canada

    2 h-index

    2 publications

    117 citations

  8. Health Sciences Centre

    Winnipeg, Canada

    1 h-index

    1 publications

    28 citations

1–8 of 51

Venues

  1. Psychiatric Services

    5 publications · 134 citations

    5

    h-index

  2. Medical Care

    2 publications · 128 citations

    2

    h-index

  3. Journal of the American Geriatrics Society

    1 publications · 24 citations

    1

    h-index

  4. Health Policy

    1 publications · 14 citations

    1

    h-index

  5. Health Services Research

    HSR · 1 publications · 10 citations

    1

    h-index

1–5