How well do ambulatory care groups predict expenditures on mental health and substance abuse patients?

Administration and Policy in Mental Health

Volumn 24, Issue 4, 1997, Pages 339-357

  Ettner, Susan L ^a   Notman, Elizabeth H ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AMBULATORY CARE; ARTICLE; CHILD; FEMALE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HEALTH PROGRAM; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MENTAL HEALTH CARE; MODEL; PRIORITY JOURNAL; SUBSTANCE ABUSE; TREATMENT OUTCOME; UNITED STATES;

ADOLESCENT; ADULT; AMBULATORY CARE; CHILD; CHILD, PRESCHOOL; DATABASES, FACTUAL; DIAGNOSIS-RELATED GROUPS; EVALUATION STUDIES; FEMALE; FORECASTING; HEALTH EXPENDITURES; HUMANS; LINEAR MODELS; MALE; MEDICAID; MENTAL HEALTH SERVICES; MIDDLE AGED; MODELS, ECONOMIC; NEW HAMPSHIRE; PREGNANCY; RETROSPECTIVE STUDIES; RISK ASSESSMENT; UNITED STATES;

EID: 0030986379     PISSN: 0894587X     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF02042518     Document Type: Article

References (17)

1. Anderson, G.F., Cantor, J.C., Steinberg, E.P., & Holloway, J. (1986). Capitation pricing: Adjusting for prior utilization and physician discretion. Health Care Financing Review, 5(2), 27-34.
2. Anderson, G.F., Steinberg, E.P., Rowe, N.R., Antebi, S., Whittle, J., Horn, S., & Herbert, R. (1990). Setting payment rates for capitated systems: A comparison of various alternatives. Inquiry, 27, 225-233.
3. Anderson, R.V. (1991). Can risk-assessment tools be feasibly used in the health benefit marketplace? Advances in Health Economics and Health Services Research, 12, 3-18.
4. Ash, A., Porell, F., Gruenberg, L., Swaitz, E., Beiser, A. (1989). Adjusting Medicare capitation payments using prior hospitalization data. Health Care Financing Review, 10(5), 17-29.
5. CSC Healthcare Systems, Johns Hopkins University. (1993). The Johns Hopkins ACG case mix system: Applications manual (2nd ed.). Baltimore, MD: Author.
6. Duan, N., Manning, W.G., Morris, C.N., & Newhouse, J.P. (1983). A comparison of alternative models for the demand for medical cure. Journal of Business & Economic Statistics, 1(2), 115-126.
7. Dunn, D.L., Rosenblatt, A., Taira, D., Latimer, E., Bertko, J., Stoiber, T., Braun, P., & Busch, S. (1995). A comparative analysis of methods of health risk assessment: Final report.
8. Ellis, R.P., & Ash. A. (1994). Refinements to the diagnostic cost group (DCG) model. Unpublished manuscript.
9. Ellis, R.P., & McGuire, T.G. (1987). Setting capitation payments in markets for health services. Health Care Financing Review, 8(4), 55-64.
10. Frank, R.G., Huskamp, H.A., McGuire, T.G., & Newhouse, J.P. (1995). Some economics of mental health carveouts. Unpublished manuscript.
11. Frank, R.G., McGuire, T.G., & Newhouse, J.P. (1995). Risk contracts in managed mental health care. Health Affairs, 14(3), 50-64.
12. Fowler, E.J., & Anderson, G.F. (1995). Risk adjustment far pediatric populations. Paper presented at the Association for Health Services Research meetings.
13. Ginsberg, G.Y., Lerner, M.M., & Popper, M. (1994). Prior hospitalization and age as predictors of mental health resource utilization in Israel. Unpublished manuscript.
14. Glazer, J., & McGuire, T.G. (1995). Optimal risk adjustment of health insurance premiums for managed care. Unpublished manuscript.
15. Hombrook, M.C., & Goodman, M.J. (1991). Adjusting health benefit contributions to reflect risk. Advances in Health Economics and Health Services Research, 12, 41-76.
16. Newhouse, J.P., Manning, W.G., Keeler, E.B., & Sloss, E.M. (1989). Adjusting capitation rates using objective health measures and prior utilization. Health Care financing Review, 10(3): 41-54.
17. Weiner, J.P., Starfield, B.H., Steinwachs, D.M., & Mumford, L.M. (1991). Development and application of a population-oriented measure of ambulatory care case-mix. Medical Care, 29, 452-472.