State substance abuse and mental health managed care evaluation program
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The articles in this special section of the Journal of Behavioral Health Services & Research (30:1) present results from evaluations of publicly funded managed care initiatives for substance abuse and mental health treatment in Arizona, Iowa, Maryland, and Nebraska. This overview outlines the four managed care programs and summarizes the results from the studies. The evaluations used administrative data and suggest a continuing challenge to structure plans so that undesired deleterious effects associated with adverse selection are minimized. Successful plans balanced risk with limited revenues so that they permitted greater access to less intensive services. Shifts from inpatient services to outpatient care were noted in most states. Future evaluations might conduct patient interviews to examine the effectiveness and quality of services for mental health and substance abuse problems more closely.
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- State substance abuse and mental health managed care evaluation program
The Journal of Behavioral Health Services & Research
Volume 30, Issue 1 , pp 7-17
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- Author Affiliations
- 1. Department of Public Health & Preventive Medicine, CB669, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, 97201, Portland, OR
- 2. Organization and Financing Branch, Division of Services Improvement, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, USA
- 3. Schneider Institute for Health Policy, Heller Graduate School, Brandeis University, USA