The effect of substance abuse treatment on medicaid expenditures among general assistance welfare clients in Washington State

Milbank Quarterly

Volumn 84, Issue 3, 2006, Pages 555-576

  Wickizer, Thomas M ^a   Krupski, Antoinette ^b   Stark, Kenneth D ^b   Mancuso, David ^b   Campbell, Kevin ^b  

^a UNIVERSITY OF WASHINGTON   (United States)

^b University of Washington ^*

Author keywords

Cost offset; Cost savings; Medicaid costs; Substance abuse treatment

Indexed keywords

ADDICTION; ADULT; COST CONTROL; ECONOMICS; FEMALE; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HUMAN; INSURANCE; MALE; MEDICAID; MENTAL HEALTH SERVICE; MIDDLE AGED; OUTCOME ASSESSMENT; REVIEW; SOCIAL CARE; UNITED STATES; UTILIZATION REVIEW;

ADULT; COST SAVINGS; FEMALE; HEALTH EXPENDITURES; HUMANS; INSURANCE CLAIM REVIEW; MALE; MEDICAID; MENTAL HEALTH SERVICES; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PROGRAM EVALUATION; PUBLIC ASSISTANCE; STATE HEALTH PLANS; SUBSTANCE-RELATED DISORDERS; UNITED STATES; WASHINGTON;

EID: 33747857302     PISSN: 0887378X     EISSN: 14680009     Source Type: Journal    
DOI: 10.1111/j.1468-0009.2006.00458.x     Document Type: Review

References (37)

1. Boyd, D.J. 2003. The Bursting State Fiscal Bubble and State Medicaid Budgets. Health Affairs 22(1):46-61.
2. Cartwright, W.S. 2000. Cost-Benefit Analysis of Drug Treatment Services: Review of the Literature. Journal of Mental Health Policy and Economics 3:11-26.
3. Diehr, P., D. Yanez, A. Ash, M. Hornbrook, and D. Lin. 1999. Methods for Analyzing Health Care Utilization and Costs. Annual Review of Public Health 20:125-44.
4. Duan, N. 1983. Smearing Estimate: A Nonparametric Retransformation Method. Journal of American Statistical Association 78:605-10.
5. Ellis, R., and A. Ash. 1996. Refinements to the Diagnostic Cost Group (DCG) Model. Inquiry 32(4):418-29.
6. Ettner, S., D. Huang, E. Evans, D. Ash, M. Hardy, M. Jourabchi, and Y. Hser. 2006. Benefit-Cost in the California Treatment Outcome Project: Does Substance Abuse Treatment "Pay for Itself? Health Services Research 41(1):192-209.
7. French, M.T., H. Salome, A. Krupski, J. McKay, D. Donovan, T. McLellan, and J. Durell. 2000. Benefit-Cost Analysis of Residential and Outpatient Addiction Treatment in the State of Washington. Evaluation Review 24(6):609-34.
8. French, M.T., H.J. Salome, J.L. Sindelar, and T.A. McLellan. 2002. Benefit-Cost Analysis of Addiction Treatment: Methodological Guidelines and Empirical Application Using the DATCAP and ASI. Health Services Research 37(2):433-55.
9. Gallagher, J., C. Uccello, A. Pierce, and E. Reidy. 1999. State General Assistance Programs, 1998. Washington, D.C.: Urban Institute.
10. Gilmer, T., R. Kronick, P. Fishman, and T. Ganiats. 2001. The Medicaid Rx Model: Pharmacy-Based Risk Adjustment for Public Programs. Medical Care 39(11):1188-202.
11. Holder, H.D. 1987. Alcoholism Treatment and Potential Health Care Cost Saving. Medical Care 25:52-70.
12. Holder, H.D. 1998. Cost Benefits of Substance Abuse Treatment: An Overview of Results from Alcohol and Drug Abuse. Journal of Mental Health Policy and Economics 1(1):23-29.
13. Holder, H.D., and J.O. Blose. 1986. Alcoholism Treatment and Total Health Care Utilization and Costs: A Four-Year Longitudinal Analysis of Federal Employees. Journal of the American Medical Association 256:1456-60.
14. Institute of Medicine, Committee on Treatment of Alcohol Problems. 1990. Broadening the Base of Treatment for Alcohol Problems. Washington, D.C.: National Academy Press.
15. Jones, K.R., and J.R. Vischi. 1979. Impact of Alcohol Drug Abuse and Mental Health Treatment on Medical Care Utilization: A Review of the Research Literature. Medical Care 17:1-82.
16. Kane, R.L., M. Wall, S. Potthoff, K. Stromberg, Y. Dai, and Z.J. Meryer. 2004. The Effect of Alcoholism Treatment on Medical Care Use. Medical Care 42(4):395-402.
17. Kirby, G., and J. Anderson. 2000. Addressing Substance Abuse Problems among TANF Recipients: A Guide for Program Administrators. Washington, D.C.: Mathematica Policy Research.
18. Kronick, R., T. Gilmer, T. Dreyfus, L. Lee, and Z. Zhou. 2000. Improving Health-Related Payment for Medicaid Beneficiaries: CDPS. Health Care Financing Review 21:21-64.
19. Luchansky, B., L. He, A. Krupski, and K. Stark. 2000. Predicting Read-mission to Substance Abuse Treatment Using State Information Systems. The Impact of Client and Treatment Characteristics. Journal of Substance Abuse 12(3):255-70.
20. Lumley, T., P. Diehr, S. Emerson, and L. Chen. 2002. The Importance of the Normality Assumption in Large Public Health Data Sets. Annual Review of Public Health 23:151-69.
21. Maynard, C., G.B. Cox, J. Hall, A. Krupski, and K.D. Stark. 2004. Substance Use and Five-Year Survival in Washington State Mental Hospitals. Administrative Policy and Mental Health 31(4):339-45.
22. Maynard, C., G.B. Cox, A. Krupski, and K. Stark. 2000. Utilization of Services by Persons Discharged from Involuntary Chemical Dependency Treatment. Journal of Addictive Disease 19(2):83-93.
23. McCollister, K.E., and M.T. French. 2003. The Relative Contribution of Outcome Domains in the Total Economic Benefit of Addiction Interventions: A Review of First Findings. Addiction 98:1647-59.
24. McKay, J.R., D. Donovan, T. McLellan, A. Krupski, M. Hansten, K. Stark, K. Geary, and J. Cecere. 2002. Evaluation of Full vs. Partial Continuum of Care in the Treatment of Publicly Funded Substance Abusers in Washington State. American Journal of Drug and Alcohol Abuse 28(2):307-8.
25. Metsch, L., M. Pereyra, C. Miles, and C. McCoy. 2003. Welfare and Work Outcomes after Substance Abuse Treatment. Social Service Review 77(2):237-54.
26. Metsch, L., and H. Pollack. 2005. Welfare Reform and Substance Abuse. The Milbank Quarterly 83(1):65-99.
27. Mokdad, A.H., J.S. Marks, D.F. Stroup, and J.L. Gerberding. 2004. Actual Causes of Death in the United States, 2000. Journal of American Medical Association 291(10):1238-45.
28. National Institute on Drug Abuse and the National Institute on Alcohol Abuse and Alcoholism. 1998. The Economic Costs of Alcohol and Drug Abuse in the United States, 1992. NIH Publication no. 98-4327. Bethesda, Md.: National Institutes of Health, U.S. Department of Health and Human Services.
29. Newhouse, J., W. Manning, E. Keeler, and E. Sloss. 1989. Adjusting Capitation Rates Using Objective Health Measures and Prior Utilization. Health Care Financing Review 10(3):41-54.
30. Parthasarathy, S., C. Weisner, T.W. Hu, and C. Moore. 2001. Association of Outpatient Alcohol and Drug Treatment with Health Care Utilization and Cost: Revisiting the Offset Hypothesis. Journal of Studies on Alcohol 62:89-97.
31. Pope, H.G., M. Ionescu-Pioggia, and K.W. Pope. 2001. Drug Use and Life Style among College Undergraduates: A 30-Year Longitudinal Study. American Journal of Psychiatry 158(9):1519-21.
32. Schroeder, S.A. 2005. An Agenda to Combat Substance Abuse. Health Affairs 24(4):1005-14.
33. Sindelar, J., M. Jofre-Bonet, M. French, and A.T. McLellan. 2004. Cost-Effectiveness Analysis of Addiction Treatment: Paradoxes of Multiple Outcomes. Drug and Alcohol Dependence 73:41-50.
34. Wickizer, T.M., K. Campbell, A. Krupski, and K. Stark. 2000. Employment Outcomes among AFDC Recipients Treated for Substance Abuse in Washington State. The Milbank Quarterly 78(4):585-608.
35. Wickizer, T.M., A. Krupski, K. Stark, D. Mancuso, and K. Campbell. 2006a. Substance Abuse Treatment of Welfare Clients in Washington State, Part I: Need for Treatment and Criminal Activity Outcomes. Unpublished manuscript.
36. Wickizer, T.M., A. Krupski, K. Stark, D. Mancuso, and K. Campbell. 2006b. Substance Abuse Treatment of Welfare Clients in Washington State, Part II: Pre-Treatment Work Experience and Post-Treatment Employment Outcomes. Unpublished manuscript.
37. Wickizer, T.M., C. Maynard, A. Atherly, M. Frederick, T. Koepsell, A. Krupski, and K. Stark. 1994. Completion Rates of Clients Discharged from Drug and Alcohol Treatment Programs in Washington State. American Journal of Public Health 84(2):215-21.