Medicaid managed care and the distribution of societal costs for persons with severe mental illness

American Journal of Psychiatry

Volumn 165, Issue 2, 2008, Pages 254-260

  Shern, David L ^a   Jones, Kristine ^b   Huey, Jen Chen ^b   Jordan, Neil ^b   Ramoni Perazzi, Josefa ^b   Boothroyd, Roger A ^b  

^a Mental Health America   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; DISEASE SEVERITY; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE PLANNING; HUMAN; MAJOR CLINICAL STUDY; MALE; MANAGED CARE; MEDICAID; MENTAL DISEASE; MENTAL HEALTH SERVICE; PRIORITY JOURNAL; REGRESSION ANALYSIS; RISK ASSESSMENT; SELF REPORT; AGE; BUDGET; COST; COST CONTROL; ECONOMICS; HEALTH CARE QUALITY; HEALTH INSURANCE; HEALTH SERVICES RESEARCH; HOSPITALIZATION; METHODOLOGY; MIDDLE AGED; PSYCHOLOGICAL ASPECT; RISK MANAGEMENT; STANDARD; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

ADULT; AGE FACTORS; BUDGETS; COST ALLOCATION; COST CONTROL; FEMALE; FINANCING, PERSONAL; HEALTH CARE COSTS; HEALTH SERVICES RESEARCH; HUMANS; MALE; MANAGED CARE PROGRAMS; MEDICAID; MENTAL DISORDERS; MIDDLE AGED; QUALITY OF HEALTH CARE; RISK ASSESSMENT; RISK SHARING, FINANCIAL; SEVERITY OF ILLNESS INDEX; UNITED STATES; UTILIZATION REVIEW;

EID: 40949096812     PISSN: 0002953X     EISSN: None     Source Type: Journal    
DOI: 10.1176/appi.ajp.2007.06122089     Document Type: Article

References (32)

1. Mechanic D: Managing behavioral health in Medicaid. N Engl J Med 2003; 348:1914-1916
2. Bloom JR, Hu TW, Wallace N, Cuffel B, Hausman J, Scheffler R: Mental health costs and outcomes under alternative capitation systems in Colorado: early results. J Ment Health Policy Econ 1998; 1:3-13
3. Iglehart J: Reform of the Veterans Affairs health care system. N Engl J Med 1996; 335:1407-1411
4. Frank RG, Garfield RL: Managed behavioral health care carveouts: past performance and future prospects. Annu Rev Public Health 2007; 28:303-320
5. Rothbard AB, Kuno E, Hadley TR, Dogin J: Psychiatric service utilization and cost for persons with schizophrenia in a Medicaid managed care program. J Behav Health Serv Res 2004; 31:1-12
6. Bouchery E, Harwood H: The Nebraska Medicaid managed behavioral health care initiative: impacts on utilization, expenditures, and quality of care for mental health. J Behav Health Serv Res 2003; 30:93-108
7. Morrissey JP, Stroup TS, Ellis AR, Merwin E: Service use and health status of persons with severe mental illness in full-risk and no-risk Medicaid programs. Psychiatr Serv 2002; 53:293-298
8. Huskamp HA: Episodes of mental health and substance abuse treatment under a managed behavioral health care carve-out. Inquiry 1999; 36:147-161
9. Goldman W, McCulloch J, Sturm R: Costs and use of mental health services before and after managed care. Health Aff (Millwood) 1998; 17:40-52
10. 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
11. Ma CA, McGuire TG: Costs and incentives in a behavioral health carve-out. Health Aff (Millwood) 1998; 17:53-69
12. Cuffel BJ, Goldman W, Schlesinger H: Does managing behavioral health care services increase the cost of providing medical care? J Behav Health Serv Res 1999; 26:372-380
13. Libby AM, Cuellar A, Snowden LR, Orion HD: Substitution in a Medicaid mental health carve-out: services and costs. J Health Care Finance 2002; 28:11-23
14. Norton E, Lindrooth R, Dickey B: Cost shifting in managed care. Ment Health Serv Res 1999; 1:185-196
15. Heflinger CA, Northrup D: Community level changes in behavioral health care following capitated contracting. Child Youth Serv Rev 2000; 22:175-193
16. Domino ME, Norton EC, Morrissey JP, Thakur N: Cost shifting to jails after a change to managed mental health care. Health Serv Res 2004; 39:1379-1402
17. Fisher WH, Packer IK, Banks SM, Smith D, Simon LJ, Roy-Bujnowski K: Self-reported lifetime psychiatric hospitalization histories of jail detainees with mental disorders: comparison with a non-incarcerated sample. J Behav Health Serv Res 2002;29:458-465
18. Jones K, Chen HJ, Jordan N, Boothroyd RA, Ramoni-Perazzi J, Shern DL: Examination of formal treatment costs in the provision of managed care for a Medicaid population with psychiatric disabilities. Med Care 2006; 44:320-327
19. Stein BD, Reardon E, Sturm R: Substance abuse service utilization under managed care: HMOs versus carve-out plans. J Behav Health Serv Res 1999; 26:451-456
20. Chandler D, Hu TW, Meisel J, McGowen M, Madison K: Mental health costs, other public costs and family burden among mental health clients in capitated integrated service agencies. J Ment Health Adm 1997; 24:178-188
21. Stroup TS, Dorwart R: Impact of a managed mental health program on Medicaid patients with severe mental illness. Psychiatr Serv 1995; 46:885-889
22. Drummond MF, O'Brien B, Stoddart GL, Torrance GW: Methods for the Economic Evaluation of Health Care Programmes, 2nd ed. New York, Oxford University Press, 1997
23. Hargreaves WA, Shumway M, Hu T, Cuffel B: Cost-Outcome Methods for Mental Health. San Diego, Academic Press, 1998
24. Schlesinger M, Gray BA: A broader vision for managed care, part 1: measuring the benefit to communities. Health Aff (Millwood) 1998; 17:152-168
25. Grazier KL, Pollack H: Translating behavioral health services research into benefits policy. Med Care Res Rev 2000; 57(suppl 2):53-71
26. Hanson KW, Huskamp HA: State health care reform: behavioral health services under Medicaid managed care: the uncertain implications of state variation. Psychiatr Serv 2001; 52:447-450
27. Ridgely MS, Giard J, Shern D: Florida's Medicaid mental health carve out: lessons from the first years of implementation. J Behav Health Serv Res 1999; 26:400-415
28. Sobell LC, Sobell MB, Maisto SA, Cooper AM: Time-line follow-back assessment method, in Alcoholism Treatment Assessment Research Instruments. National Institute on Alcohol Abuse and Alcoholism Treatment Handbook Series, vol 2: DHHS publication number 85-1380. Edited by Lettieri DJ, Sayers MA, Nelson JE. Washington, DC, NIAAA, 1985, pp 530-534
29. Cohen JA: A coefficient of agreement for nominal scales. Educ Psychol Measure 1960; 37-46
30. Breiman L, Friedman JH, Olshen RA, Stone CI: Classification and Regression Trees. Belmont, Calif, Wadsworth, 1984
31. Arno PS, Levine C, Memmott MM: The economic value of informal caregiving. Health Aff (Millwood) 1999; 18:182-188
32. Shern DL, Giard J, Robinson P, Stiles P, Boothroyd R, Murrin MR, Chen H, Boaz T, Dow M, Ward J: Evaluation of Florida's Prepaid Mental Health Plan: Year 4, Report. Tampa, Fla, University of South Florida, Louis de la Parte Florida Mental Health Institute, 2001