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Treatment of long-term psychiatric disorders in the managed care environment: an observational longitudinal study
UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
1998-04-01Keywords
Managed Care ProgramsMental Health Services
Cost Control
Health Expenditures
Physician's Practice Patterns
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
In the USA, mental health expenditures have been rising at a rate that exceeds other medical expenditures. To control these costs, insurance companies and governmental agencies responsible for health benefit plans have turned to managed care companies who review utilisation of services and who negotiate fee reductions with providers. In this study, we examined changes in patterns of care and per person expenditures among Medicaid enrollees with major mental illness. We found that after the introduction of managed care, per person expenditures were reduced by about 25%, accomplished primarily by limiting hospital admissions. We also found that admissions (and the associated costs) were not shifted to the Department of Mental Health, which funds state hospital long-term care for the indigent. Measures of continuity of care were unchanged during the study period. We conclude that managed care met its cost-containment goals without shifting costs to another state agency.Source
Clin Drug Investig. 1998;15(4):303-8.Permanent Link to this Item
http://hdl.handle.net/20.500.14038/45206PubMed ID
18370485Related Resources
Link to Article in PubMedCollections
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