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.
- Institute of Medicine.Managing Managed Care: Quality Improvement in Behavioral Health. Washington, DC: National Academy Press; 1997.
- McCarty D, Argeriou A, Denmead G, et al. Public sector managed care for substance abuse treatment.Journal of Behavioral Health Services & Research. 2001;28:143–154.
- Mechanic D, Schlesinger M, McAlpine DD. Management of mental health and substance abuse services: state of the art and early results.The Milbank Quarterly. 1995;73:19–55.
- Steenrod S, Brisson A, McCarty D, et al. Effects of managed care on programs and practices for the treatment of alcohol and drug dependence.Recent Developments in Alcoholism: Services Research in the Era of Managed Care. 2001;15:51–71.
- Tompkins C, Perloff J. Using information to guide managed behavioral health care.Journal of Behavioral Health Services & Research, in press.
- McCarty D, Argeriou M. The Iowa Managed Substance Abuse Care Plan (IMSACP): access, utilization and expenditures for Medicaid recipients.Journal of Behavioral Health Services & Research. 2003;30(1):18–25.
- Ettner S, Argeriou M, McCarty D, et al. How did the introduction of managed care for the uninsured in Iowa affect the use of substance abuse services?Journal of Behavioral Health Services & Research. 2003;30(1):26–40.
- American Society of Addiction Medicine.Patient Placement Criteria for the Treatment of Substance Related Disorders: ASAM PPC-2. 2nd ed. Chevy Chase, MD: American Society of Addiction Medicine; 1996.
- Drug Strategies.Smart Steps: Treating Baltimore's Drug Problem. Washington, DC: Drug Strategies; 2000.
- Singer J, Szanton S. Crisis of Access: How to Insure Treatment for Addiction Among Baltimore's Poor in the Age of Managed Care.The Abell Report. 1999;12(2):1–12.
- Drug Treatment Task Force.Drug Treatment Task Force Final Report—Blueprint for Change: Expanding Access to and Increasing the Effectiveness of Maryland's Drug and Alcohol Treatment System. Annapolis, MD: State of Maryland Task Force on Drug Treatment; 2001.
- Ettner SL, Denmead G, Dilonardo J, et al. The impact of managed care on the substance abuse treatment patterns and outcomes of Medicaid beneficiaries: Maryland's HealthChoice program.Journal of Behavioral Health Services & Research. 2003;30(1):41–62.
- Ettner SL, Johnson S. Do adjusted clinical groups eliminate incentives for HMOs to avoid substance abusers? Evidence from the Maryland Medicaid HealthChoice program.Journal of Behavioral Health Services & Research. 2003;30(1):63–77.
- Normand S-LT, Belanger AJ, Frank RG. Evaluating selection out of health plans for Medicaid beneficiaries with substance abuse.Journal of Behavioral Health Services & Research. 2003;30(1):78–92.
- Bouchery E, Harwood H. The Nebraska Medicaid managed behavioral health care initiative: impacts on utilization, expenditures, and quality of care for mental health.Journal of Behavioral Health Services & Research. 2003;30(1):93–108.
- Frank RG, McGuire TG, Bae JP, Rupp A. Solutions for adverse selection in behavioral health care.Health Care Financing Review. 1997;18:109–122.
- Ettner SL, Frank RG, McGuire TG, et al. Risk adjustment of mental health and substance abuse payments.Inquiry. 1998;35:223–239.
- Weisner C. The provision of services for alcohol problems: a community perspective for understanding access.Journal of Behavioral Health Services & Research. 2001;28:130–142.
- 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