Spending for specialized mental health treatment in the VA: 1995-2001

Health Affairs

Volumn 22, Issue 6, 2003, Pages 256-263

  Chen, Shuo ^a   Smith, Mark W ^a   Wagner, Todd H ^a,b   Barnett, Paul G ^a,b  

^a CENTER FOR HEALTH CARE EVALUATION   (United States)

^b STANFORD UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; ARTICLE; ECONOMICS; EPIDEMIOLOGY; GOVERNMENT; HEALTH CARE COST; HOSPITALIZATION; HUMAN; INFORMATION PROCESSING; MENTAL HEALTH SERVICE; PUBLIC HOSPITAL; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

AMBULATORY CARE; DATA COLLECTION; HEALTH CARE COSTS; HEALTH CARE SURVEYS; HEALTH EXPENDITURES; HOSPITALIZATION; HOSPITALS, VETERANS; HUMANS; MENTAL HEALTH SERVICES; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;

EID: 1542264821     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.22.6.256     Document Type: Review

References (19)

1. K. Kizer, J. Demakis, and J. Feussner, "Reinventing VA Health Care: Systematizing Quality Improvement and Quality Innovation," Medical Care (June 2000): 17-16.
2. K. Kizer, J. Demakis, and J. Feussner, Reinventing VA Health Care: Systematizing Quality Improvement and Quality Innovation Medical Care ( 2000): 17-16. Ibid.
3. T. Mark and R. Coffey, "What Drove Private Health Insurance Spending on Mental Health and Substance Abuse Care, 1992-1999?" Health Affairs (Jan/Feb 2003): 165-172.
4. S. Chen, T. Wagner, and P. Barnett, "The Effect of Reforms on Spending for Veterans' Substance Abuse Treatment, 1993-1999," Health Affairs (July/Aug 2001): 169-175.
5. S. Chen, T. Wagner, and P. Barnett, The Effect of Reforms on Spending for Veterans' Substance Abuse Treatment, 1993-1999 Health Affairs ( 2001): 169-175. Ibid.
6. J. Piette, K. Baisden, and R. Moos, Health Services for VA Substance Abuse and Psychiatric Patients (Palo Alto, Calif.: Program Evaluation Resource Center and HSR&D Center for Health Care Evaluation, Department of Veterans Affairs, 1999).
7. J. Piette, K. Baisden, and R. Moos, Health Services for VA Substance Abuse and Psychiatric Patients ( Ibid.
8. We estimated outpatient pharmacy spending for 1995-1998 based on the CDR figures. First we assumed that the proportion was fixed at the average proportion in the PBM data for 1999-2000 (16 percent). An alternative was to fix it at the 1999 proportion (15.9 percent). A third method used the change between the 1999 and 2000 proportions to extrapolate backward to 1995. The three methods produced similar results. The data reported in Exhibit 1 correspond to the assumption of a fixed 15.9 percent proportion each year.
9. Chen et al., "The Effect of Reforms."
10. K. Humphreys and D. Horst, The Department of Veterans Affairs Substance Abuse Treatment System: Results of the 2000 Drug and Alcohol Programs Survey (Palo Alto, Calif.: Program Evaluation Resource Center and HSR&D Center for Health Care Evaluation, Department of Veterans Affairs, 1999).
11. Mark and Coffey, "What Drove Private Health Insurance Spending?";
12. and T. Mark and R. Coffey, "Spending on Mental Health and Substance Abuse Treatment, 1987-1997," Health Affairs (July/Aug 2000): 108-120.
13. T. Wagner and S. Chen, Economic Impact of VA Psychosocial Residential Rehabilitation Treatment Programs: An Analysis with Panel Data (Menlo Park, Calif.: HSR&D Health Economics Resource Center, Department of Veterans Affairs, 2003).
14. C.P. Thomas, G. Ritter, and S. Wallack, "Growth in Prescription Drug Spending among Insured Elders," Health Affairs (Sep/Oct 2001): 265-277.
15. Mark and Coffey, "What Drove Private Health Insurance Spending?";
16. and Mark and Coffey, "Spending on Mental Health and Substance Abuse Treatment."
17. R. Clark et al., "Recent Trends in Antipsychotic Combination Therapy of Schizophrenia and Schizoaffective Disorder: Implications for State Mental Health Policy," Schizophrenia Bulletin 28, no. 1 (2002): 75-84.
18. R. Baldessarini, "Treatment Research in Bipolar Disorder. Issues and Recommendations," CNS Drugs (November 2002): 721-729.
19. R. Swindle, M. Beattie, and P. Barnett, "The Quality of Cost Data: A Caution from the VA Experience," Medical Care (March 1996): MS83-MS90.