Abstract
The authors evaluate a group of mental health system reforms undertaken in recent years by the state of New Hampshire. A key reform was the coordination of authority over Medicaid and state-run mental health programs, which in most states have historically been operated by separate departments. Preliminary evidence suggests that the reforms have encouraged use of private hospitals and have succeeded in restraining the growth of cost per admission.
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This study was supported by a grant from the Robert Wood Johnson Foundation and grant number K05-MH00832 from the National Institute of Mental Health. The authors are grateful to Robin Clark, Bob Drake, Randy Ellis, and Karen Jacobson for their helpful comments on an earlier draft. Mary Lou Sudders, Assistant Director of the New Hampshire Division of Mental Health and Developmental Services, was helpful in clarifying state fiscal and utilization data.
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McGuire, T.G., Hodgkin, D. & Shumway, D. Managing medicaid mental health costs: The case of New Hampshire. Adm Policy Ment Health 23, 97–117 (1995). https://doi.org/10.1007/BF02106721
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DOI: https://doi.org/10.1007/BF02106721