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Annual medical costs of BH users were 1.3 times higher than those of non-BH users. Conclusions The results of this Japanese cohort study show that patients with concurrent BH conditions and chronic medical illnesses have substantially lower total health care costs than numerous studies have demonstrated in US populations. This is perhaps in part due to the integration of medical and BH claims payment and care delivery in Japan, an approach that the US health system may wish to consider testing.Objectives To determine the impact of high-
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