Drug abuse

Researchers said overall costs did not go up and there was no huge rush of federal workers seeking mental health treatment.

"The big winners, in terms of reduced out-of-pocket spending, were the sickest patients, including those who needed hospital care," said Richard Frank, a professor of health economics at Harvard and one of the authors of the study.

If insurers had to increase premiums, the hike was at most .05 percent, the authors said.

The study was published in The New England Journal of Medicine.

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