Psychiatric service utilization and cost for persons with schizophrenia in a medicaid managed care program

Journal of Behavioral Health Services and Research

Volumn 31, Issue 1, 2004, Pages 1-12

  Rothbard, Aileen B ^a   Kuno, Eri ^b   Hadley, Trevor R ^b   Dogin, Judith ^b,c  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^c Department of Behavioral Health and Intellectual disAbilities Services   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AMBULATORY CARE; ARTICLE; COST BENEFIT ANALYSIS; FEMALE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE UTILIZATION; HEALTH PROGRAM; HOSPITAL BILLING; HUMAN; MAJOR CLINICAL STUDY; MALE; MANAGED CARE; MEDICAID; MENTAL HEALTH SERVICE; SCHIZOPHRENIA; UNITED STATES; ADDICTION; COMPARATIVE STUDY; ECONOMICS; EVALUATION; HEALTH INSURANCE; HOSPITAL COST; MEDICAL FEE; MIDDLE AGED; PSYCHIATRIC DEPARTMENT; PSYCHIATRIC DIAGNOSIS; STATISTICS; UTILIZATION REVIEW;

ADULT; DIAGNOSIS, DUAL (PSYCHIATRY); FEE-FOR-SERVICE PLANS; FEMALE; HEALTH CARE COSTS; HOSPITAL COSTS; HUMANS; MALE; MANAGED CARE PROGRAMS; MEDICAID; MENTAL HEALTH SERVICES; MIDDLE AGED; PENNSYLVANIA; PSYCHIATRIC DEPARTMENT, HOSPITAL; SCHIZOPHRENIA; STATE HEALTH PLANS; SUBSTANCE-RELATED DISORDERS; UNITED STATES;

EID: 1442279509     PISSN: 10943412     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF02287334     Document Type: Article

References (23)

1. Leff H, McFarland B, Rothbard A, et al. Managed Care and Vulnerable Populations Study: Core Paper 1, Sample Survey Study. Substance Abuse and Mental Health Services Administration (SAMHSA); 2001. Available at: http://www.hsri.org/coord/coord.html. Accessed February 19, 2003.
2. Leff H, McFarland B, Rothbard A, et al. Managed Care and Vulnerable Populations Study: Core Paper 2, Claims and Encounter Component. Substance Abuse and Mental Health Services Administration (SAMHSA); 2001. Available at: http://www.hsri.org/coord/coord.html. Accessed February 19, 2003.
3. Rothbard AB. Managed mental health care for seriously mentally ill populations. Current Opinion in Psychiatry. 1999;12:211-216.
4. SAMHSA Managed Care Tracking System. Fairfax, VA., The Lewin Group. 1998. Available at: http://www.samhsa.gov/mc/content/StatePrfls/intro.html. Accessed February 19, 2003.
5. Warner R, Huxley P. Outcomes for people with schizophrenia before and after Medicaid capitation at a community agency in Colorado. Psychiatric Services. 1998;49:802-807.
6. Rothbard AB, McFarland B, Shem D, et al. Managed care for persons with serious mental illness. Drug Benefit Trends. 2002;14(2):6BH-12BH.
7. Leff H, Woocher L. Trends in the evaluation of managed mental health care. Harvard Review of Psychiatry. March-April 1998;5:344-347.
8. Dickey B, Normand SL, Norton EC, et al. Managing the care of schizophrenia: lessons from a 4-year Massachusetts Medicaid study. Archives of General Psychiatry. 1996;53(10):945-952.
9. Manning WG, Stoner T, Lurie N, et al. Outcomes for Medicaid beneficiaries with schizophrema in the first year of the Utah Prepaid Mental Health Plan. Paper presented at: The Meetings of the American Public Health Association; 1993; San Francisco, Calif.
10. Popkin MK, Lurie N, Manning W, et al. Changes in the process of care for Medicaid patients with schizophrenia in Utah's Prepaid Mental Health Plan. Psychiatric Services. 1998;49(4):518-523.
11. Bloom JR, Tej-wei H, Wallace N, et al. Mental health cost and outcomes under altemative capitation systems in Colorado: early results. The Journal of Mental Health Policy and Economics. 1998;1:3-13.
12. Stuart ME, Weinrich M. Beyond managing Medicaid costs: restructuring care. Milbank Quarterly. 1998;76(2):251-280.
13. Medicaid's Disabled Population and Managed Care. Kaiser Commission on Medicaid and the Uninsured. Washington, DC: Kaiser Family Foundation; 2001. Available at: http://www.kff.org/content/2001/2123-02/2123.02.pdf. Accessed February 19, 2003.
14. Sullivan S. On the efficiency of managed care plans. Health Affairs. 2000;19(4):139-148.
15. Richman E, Lucas N, Blum S. Toward managed behavioral health services in Philadelphia. Administration and Policy in Mental Health. 1995;22(3):345-356.
16. Rothbard AB, Richman E, Hadley TR. Unbundling of state hospital services in the community: the Philadelphia state hospital story. Administration and Policy in Mental Health. 1997;24(5):391-339.
17. Stoner S, Manning W, Christianson J, et al. Expenditures for mental health services in the Utah Prepaid Mental Health Plan. Health Care Financing Review. 1997;18(3):73-94.
18. Liang KY, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73(1):13-22.
19. Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986;42:121-130
20. Horton NJ, Lipsitz SR. Review of software to fit generalized estimating Equation Regression Models. The American Statistician. May 1999;53:160-169.
21. Lurie N, Moscovice IS, Finch M, Christianson JB, Popkin MK. Does capitation affect the health of the chronically mentally ill: results from a national trial. Journal of the American Medical Association. 1992;267:3300-3304.
22. Walkup JT, Boyer CA, Kellerman SL. Reliability of Medicaid claims files for use in psychiatric diagnoses and service delivery. Administration and Policy in Mental Health. 2000;27(3):129-139.
23. Rothbard AB, Kuno E, Schinnar AP, Hadley TR, Turk R. Service utilization and cost of community care for discharged state hospital patients: a 3-year follow up study. American Journal Psychiatry. 1999;46(6):580-585.