Medicare Inpatient Treatment for Elderly Non-dementia Psychiatric Illnesses 1992–2002; Length of Stay and Expenditures by Facility Type
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We summarize Medicare utilization and payment for inpatient treatment of non-dementia psychiatric illnesses (NDPI) among the elderly during 1992 and 2002. From 1992 to 2002, overall mean Medicare expenditures per elderly NDPI inpatient stay declined by $2,254 (in 2002 dollars) and covered days by 2.8. However, these changes are complicated by expanded use of skilled nursing facilities and hospital psychiatric units, and decreased use of long-stay hospitals and general hospital beds. This suggests that inpatient treatment for NDPI is shifting into less expensive settings which may reflect cost-cutting strategies, preferences for less restrictive settings, and outpatient treatment advances.
KeywordsNon-dementia psychiatric illnesses Inpatient care Expenditures Length of stay Elderly
- Blazer, D. G. (2003). Depression in late life: Review and commentary. Journal of Gerontology, 58A(3), 249–265.Google Scholar
- Frank, R. G., & Lave, J. R. (2003). Economics. In S. Feldman (Ed.), Managed mental health services (2nd ed., pp. 146–165). Springfield: Charles C. Thomas.Google Scholar
- Harrington, C., Carrillo, H., & LaCava, C. (2006). Nursing facilities, staffing, residents, and facility deficiencies, 1999 through 2005. San Francisco: Department of Social and Behavioral Sciences, University of California.Google Scholar
- Health Care Financing Administration. (1997). Your medicare handbook, 1997. Washington: U.S. Government Printing Office.Google Scholar
- HRSA – Health Services & Resources Administration. (2007). Women’s health 2002. Page 69 Internet Address http://mchb.hrsa.gov/whusa02/Page_69.htm, Accessed May 2007.
- Miller, E., & Mor, V. (2006). Out of the shadows. The National Commission for Quality Long-term Care. Available at www.qualitylongtermcarecommission.org, Accessed 22 July 2007.
- National Association of Psychiatric Health Systems. (2002). Trends in behavioral healthcare systems: A benchmarking report. The NAPHS 2001 Annual Survey Report. Washington: NAPHS.Google Scholar
- OBRA. (1987). Omnibus Budget Reconciliation Act of 1987, Public Law No 100-203 sections 4201–4206, 4211–4216.Google Scholar
- Rhoades, J. A., & Krauss, N. A. (1999). Chartbook #3: Nursing home trends, 1987 and 1996. Rockville, MD: Agency for Healthcare Research and Quality. Available at http://www.meps.ahrq.gov/data_files/publications/cb3/cb3.shtml.