Effects of a behavioral health carve-out on inpatient-related quality indicators for major depression treatment

Medical Care

Volumn 37, Issue 10, 1999, Pages 1023-1033

  Merrick, Elizabeth Levy ^a  

^a BRANDEIS UNIVERSITY   (United States)

Author keywords

Carve outs; Depression; Managed care; Mental health services; Quality of care

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; COMPARATIVE STUDY; DEPRESSION; ECONOMICS; FEMALE; FINANCIAL MANAGEMENT; FOLLOW UP; GOVERNMENT; HEALTH CARE QUALITY; HEALTH INSURANCE; HOSPITAL ADMISSION; HOSPITAL READMISSION; HUMAN; MALE; MENTAL HEALTH SERVICE; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PROPORTIONAL HAZARDS MODEL; STANDARD; STATISTICS; TREATMENT OUTCOME; UNITED STATES;

ADOLESCENT; ADULT; CONTRACT SERVICES; DEPRESSIVE DISORDER; FEMALE; FOLLOW-UP STUDIES; HEALTH BENEFIT PLANS, EMPLOYEE; HUMANS; MALE; MASSACHUSETTS; MENTAL HEALTH SERVICES; MIDDLE AGED; PATIENT ADMISSION; PATIENT READMISSION; PREFERRED PROVIDER ORGANIZATIONS; PROPORTIONAL HAZARDS MODELS; QUALITY INDICATORS, HEALTH CARE; STATE GOVERNMENT; TREATMENT OUTCOME;

EID: 0033209783     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199910000-00006     Document Type: Article

References (20)

1. Ma CA, McGuire TG. Costs and incentives in a mental health and substance abuse carve-out. Health Affairs 1998;17:53-69.
2. Frank RG, McGuire TG. Savings from a Medicaid carve-out for mental health and substance abuse services in Massachusetts. Psychiatr Serv 1997;48:1147-1152.
3. Coulam RF, Smith JCH, Thompson JW, Goldman HH, Burns BJ, Berg RF. Evaluation of the CPA-Norfolk demonstration: Final report. Cambridge, MA: Abt Associates, Inc., 1990.
4. Callahan JJ, Shepard DS, Beinecke RH, Larson MJ, Cavanaugh D. Mental health/substance abuse treatment in managed care: The Massachusetts experience. Health Affairs 1995;14:173-184.
5. Goldman W, McCulloch J, Sturm R. Costs and utilization of mental health services before and after managed care. Health Affairs 1998;17:40-52.
6. Stoner T, Manning W, Christianson J, Gray DZ, Marriott S. Expenditures for mental health services in the Utah prepaid mental health plan. Health Care Financ Rev 1997;18:73-93.
7. Grazier KL, Scheffler RM, Bender-Kitz S, Chase P. The effect of managed mental health care on use of outpatient mental health services in an employed population. In: Scheffler RM, Rossiter LM, eds. Advances in health economics and health services research, Vol. 14. Greenwich, CT: JAI Press, 1993:71-86.
8. Sturm R. How expensive is unlimited mental health coverage under managed care? JAMA 1997;278:1533-1537.
9. Dickey B, Norton EC, Normand SL, Azeni H, Fisher W, Althaffer F. Massachusetts Medicaid managed health care reform: Treatment for the psychiatrically disabled. In: Scheffler RM, Rossiter LF, eds. Advances in health economics and health services research, Vol. 15. Greenwich, CT: JAI Press, 1995:99-116.
10. Merrick EL. Treatment of major depression before and after implementation of a behavioral health carve-out plan. Psychiatr Serv 1998;49:1563-1567.
11. National Committee for Quality Assurance. HE-DIS 3.0, Vol. 1, January 1997. Washington, DC: National Committee for Quality Assurance, 1997.
12. Lin DY, Wei LJ. The robust inference for the Cox proportional hazards model. J Am Statist Assoc 1989;84:1074-1078.
13. Mechanic D, McAlpine DD, Olfson M. Changing patterns of psychiatric inpatient care in the United States, 1988-1994. Arch Gen Psychiatr 1998;55:785-791.
14. National Center for Health Statistics. Detailed diagnoses and procedures, National Hospital Discharge Survey 1988. Hyattsville, MD: US Department of Health and Human Services. DHHS Pub. No. (PHS)91-1768, series 13, no. 107, March 1991.
15. National Center for Health Statistics. Detailed diagnoses and procedures, National Hospital Discharge Survey 1992. Hyattsville, MD: US Department of Health and Human Services. DHHS Pub. No. (PHS)94-1779, series 13, no. 118, August 1994.
16. National Center for Health Statistics. Detailed diagnoses and procedures, National Hospital Discharge Survey 1995. Hyattsville, MD: US Department of Health and Human Services. DHHS Pub. No. (PHS)98-1791, series 13, no. 130, November 1997.
17. Sturm R. Cost and quality trends under managed care: Is there a learning curve in behavioral health carve-out plans? Santa Monica, CA: Research Center on Managed Care for Psychiatric Disorders, RAND Corporation. Working paper no. 138, September 1998.
18. National Association of State Mental Health Program Directors (NASMHPD) Research Institute, Inc. Five state feasibility study on state mental health agency performance measures, summarized in Outlook (joint publication of the Evaluation Center at HSRI and NASMHPD), Summer 1998:11-14.
19. Druss B, Rosenheck R. Evaluation of the HE-DIS measure of behavioral health care quality. Psychiatr Serv 1997;48:71-75.
20. Lieberman PB, Wiitala SA, Elliott B, McCormick S, Goyette SB. Decreasing length of stay: Are there effects on outcomes of psychiatric hospitalization? Am J Psychiatr 1998;155:905-909.