| A publicly managed Medicaid substance abuse carve-out: effects on spending and utilization. | |
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MedLine Citation:
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PMID: 15160784 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In 1998, Michigan Medicaid "carved out" substance abuse treatment from its medical plans, transferring the management responsibility and substantial financial risk to 15 specialized local entities called coordinating agencies. All these agencies were either non-profit or publicly owned, unlike carve-out entities in many other states. By the second year of the risk-based carve-out (2000), Medicaid payments per eligible were 9.1% lower than in the last year before the carve-out (1998). Reductions were largely achieved by serving fewer clients, not by reducing payments per client. Agencies faced with revenue reductions or small increases were more likely to reduce treatment spending. |
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Authors:
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Dominic Hodgkin; Donald S Shepard; Yvonne E Anthony; Gail K Strickler |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Administration and policy in mental health Volume: 31 ISSN: 0894-587X ISO Abbreviation: Adm Policy Ment Health Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2004-05-26 Completed Date: 2004-06-18 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8914574 Medline TA: Adm Policy Ment Health Country: United States |
Other Details:
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Languages: eng Pagination: 197-217 Citation Subset: IM |
Affiliation:
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Schneider Institute for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts 02454-9110, USA. hodgkin@brandeis.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Disease Management* Humans Medicaid / economics* Michigan Substance-Related Disorders* / economics, therapy United States |
| Grant Support | |
ID/Acronym/Agency:
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R01 AA 10880/AA/NIAAA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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