Mental health/substance abuse treatment in managed care: the Massachusetts Medicaid experience.
Health Aff (Millwood)
; 14(3): 173-84, 1995.
Article
en En
| MEDLINE
| ID: mdl-7498890
Massachusetts was the first state to introduce a statewide specialty mental health managed care plan for its Medicaid program. This study assesses the impact of this program on expenditures, access, and relative quality. Over a one-year period, expenditures were reduced by 22 percent below predicted levels without managed care, without any overall reduction in access or relative quality. Reduced lengths-of-stay, lower prices, and fewer inpatient admissions were the major factors. However, for one population segment--children and adolescents--readmission rates increased slightly, and providers for this group were less satisfied than they were before managed care was adopted. Less costly types of twenty-four-hour care were substituted for inpatient hospital care. This experience supports the usefulness of a managed care program for mental health and substance abuse services, and the applicability of such a program to high-risk populations.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Planes Estatales de Salud
/
Programas Controlados de Atención en Salud
/
Medicaid
/
Trastornos Relacionados con Sustancias
/
Trastornos Mentales
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Health Aff (Millwood)
Año:
1995
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos