Medicaid cutbacks and state psychiatric hospitalization of patients with schizophrenia

Psychiatric Services

Volumn 62, Issue 8, 2011, Pages 871-877

  McFarland, Bentson H ^a   Collins, Jon C ^b  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b Program Analysis and Evaluation Unit   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGE; ARTICLE; COHORT ANALYSIS; CONTROLLED STUDY; ETHNICITY; FEMALE; GENDER; GENERAL HOSPITAL; HEALTH CARE COST; HEALTH CARE POLICY; HOSPITAL ADMISSION; HOSPITAL UTILIZATION; HOSPITALIZATION; HUMAN; LENGTH OF STAY; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICARE; MENTAL HEALTH SERVICE; MENTAL HOSPITAL; MENTAL PATIENT; MORTALITY; OUTCOME ASSESSMENT; RACE; SCHIZOPHRENIA; UNITED STATES;

EID: 79961120129     PISSN: 10752730     EISSN: 15579700     Source Type: Journal    
DOI: 10.1176/ps.62.8.pss6208_0871     Document Type: Article

References (43)

1. Buck JA: Recent changes in Medicaid policy and their possible effects on mental health services. Psychiatric Services 60:1504-1509, 2009
2. Buck JA: Medicaid, health care financing trends, and the future of state-based public mental health services. Psychiatric Services 54:969-975, 2003
3. Whither Medicaid? A Briefing Paper on Mental Health Issues in Medicaid Restructuring. Washington, DC, Campaign for Mental Health Reform, 2005
4. Day SL: Issues in Medicaid policy and system transformation: recommendations from the President's Commission. Psychiatric Services 57:1713-1718, 2006
5. Harman JS, Manning WG, Lurie N, et al: Association between interruptions in Medicaid coverage and use of inpatient psychiatric services. Psychiatric Services 54:999-1005, 2003
6. Mark TL, Buck JA, Dilonardo JD, et al: Medicaid expenditures on behavioral health care. Psychiatric Services 54:188-194, 2003
7. Mark TL, Levit KR, Buck JA, et al: Mental health treatment expenditure trends, 1986-2003. Psychiatric Services 58:1041-1048, 2007
8. Mechanic D: Mental Health and Social Policy: The Emergence of Managed Care, 4th ed. Boston, Allyn and Bacon, 1999
9. Achieving the Promise: Transforming Mental Health Care in America. Pub no SMA-03-3832. Rockville, Md, Department of Health and Human Services, President's New Freedom Commission on Mental Health, 2003
10. Rothbard AB, McFarland BH, Shern DL, et al: Managed care for persons with serious mental illness. Drug Benefit Trends 14:6-14, 2002
11. Fossett JW, Burke CE: Medicaid and State Budgets in FY 2004: Why Medicaid Is So Hard to Cut. Albany, NY, Rockefeller Institute of Government Federalism Research Group, 2004
12. Mann C, Artiga S: Impact of Recent Changes in Health Care Coverage for Low-Income People: A First Look at the Research Following Changes in Oregon's Medicaid Program. Washington, DC, Kaiser Commission on Medicaid and the Uninsured, 2004
13. McFarland BH: Overview of Medicaid managed behavioral health care; in What the Oregon Health Plan Can Teach Us About Managed Mental Health Care. New Directions for Mental Health Services, no 85. Edited by Goetz RR, McFarland BH, Ross KV. San Francisco, Jossey-Bass, 2000
14. The Fiscal Survey of States. Washington, DC, National Governors Association, National Association of State Budget Officers, 2010
15. Sack K, Pear R: States consider Medicaid cuts as use grows. New York Times, Feb 18, 2010, p A1
16. Sack K: Medicaid cut places states in budget bind. New York Times, July 7, 2010, p A1
17. The Impact of the State Fiscal Crisis on the Public Mental Health System. Alexandria, Va, National Association of State Mental Health Program Directors Research Institute, 2010
18. Expanding Medicaid Under Health Reform: A Look at Adults at or Below 133% of Poverty. Menlo Park, Calif, Kaiser Family Foundation, 2010
19. Harman JS, Hall AG, Zhang J: Changes in health care use and costs after a break in Medicaid coverage among persons with depression. Psychiatric Services 58:49-54, 2007
20. Soumerai S: Unintended outcomes of Medicaid drug cost-containment policies on the chronically mentally ill. Journal of Clinical Psychiatry 64(suppl 17):19-22, 2003
21. Soumerai SB, McLaughlin TJ, Ross-Degnan D, et al: Effects of limiting Medicaid drug-reimbursement benefits on the use of psychotropic agents and acute mental health services by patients with schizophrenia. New England Journal of Medicine 331:650-655, 1994
22. McFarland BH, Winthrop K, Cutler DL: Integrating mental health into the Oregon Health Plan. Psychiatric Services 48:191-193, 1997
23. Penner NR, McFarland BH: Background on the Oregon Health Plan; in What the Oregon Health Plan Can Teach Us About Managed Mental Health Care. New Directions for Mental Health Services, no 85. Edited by Goetz RR, McFarland BH, Ross KV. San Francisco, Jossey-Bass, 2000
24. Cutler DL, Bigelow D, McFarland B: The cost of fragmented mental health financing: is it worth it? Community Mental Health Journal 28:121-133, 1992
25. Goetz RR, McFarland BH, Ross KV: Lessons learned; in What the Oregon Health Plan Can Teach Us About Managed Mental Health Care. New Directions for Mental Health Services, no 85. Edited by Goetz RR, McFarland BH, Ross KV. San Francisco, Jossey-Bass, 2000
26. Carlson MJ, Wright B: The Impact of Program Changes on Enrollment, Access, and Utilization in the Oregon Health Plan Standard Population. Portland, Oreg, Portland State University, Department of Sociology, 2005
27. Kanapaux W: Do Medicaid cuts matter? Behavioral Healthcare Tomorrow 14:14-21, 2005
28. LeCouteur G, Perry M, Artiga S, et al: The Impact of Medicaid Reductions in Oregon: Focus Group Insights. Washington, DC, Kaiser Commission on Medicaid and the Uninsured, 2004
29. Lowe RA, Localio AR, Schwarz DF, et al: Association between primary care practice characteristics and emergency department use in a Medicaid managed care organization. Medical Care 43:792-800, 2005
30. McConnell KJ, Wallace NT, Gallia CA, et al: Effect of eliminating behavioral health benefits for selected Medicaid enrollees. Health Services Research 43:1348-1365, 2008
31. Trends in Oregon's Health Care Market and the Oregon Health Plan. Salem, Office for Oregon Health Policy and Research, 2005
32. McConnell J, Wallace N: Impact of Premium Changes in the Oregon Health Plan. Salem, Office for Oregon Health Policy and Research, 2004
33. Oregon State Hospital. Salem, Oregon Health Authority, Apr 27, 2011. Available at www.oregon.gov/DHS/mentalhealth/osh/about-us.shtml
34. Bloom JD: Civil commitment is disappearing in Oregon. Journal of the American Academy of Psychiatry and Law 34:534-537, 2006
35. Faulkner LR, McFarland BH, Bloom JD, et al: A method for quantifying and comparing civil commitment processes. American Journal of Psychiatry 143:744-749, 1986
36. Lurie N, Popkin M, Dysken M, et al: Accuracy of diagnoses of schizophrenia in Medicaid claims. Hospital and Community Psychiatry 43:69-71, 1992
37. Lurie N, Moscovice IS, Finch M, et al: Does capitation affect the health of the chronically mentally ill? Results from a randomized trial. JAMA 267:3300-3303, 1992
38. D'Agostino RB: Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Statistics in Medicine 17:2265-2281, 1998
39. Rosenbaum PR: Observational Studies. New York, Springer-Verlag, 1995
40. Rosenbaum PR, Rubin DB: The central role of the propensity score in observational studies for causal effects. Biometrika 70:41-55, 1983
41. Rosenbaum PR, Rubin DB: Reducing bias in observational studies using subclassification on the propensity score. Journal of the American Statistical Association 79:516-524, 1984
42. Drake C: Effects of misspecification of the propensity score on estimators of treatment effect. Biometrics 49:1231-1236, 1993
43. Bertrand M, Duflo E, Mullainathan S: How much should we trust differences-indifferences estimates? Quarterly Journal of Economics 119:249-275, 2004