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Article
Privatized Medicaid managed care in Massachusetts: disposition in child and adolescent mental health emergencies
Psychiatry Publications and Presentations
  • Joanne Nicholson, University of Massachusetts Medical School
  • Stephen Dine Young, University of Massachusetts Medical School
  • Lorna J. Simon, University of Massachusetts Medical School
  • William H. Fisher, University of Massachusetts Medical School
  • Anne Bateman, Northeastern University
UMMS Affiliation
Department of Psychiatry; Clinical and Population Health Research; Center for Mental Health Services Research
Date
8-1-1998
Document Type
Article
Medical Subject Headings
Adolescent; Adolescent Health Services; Child; Child Health Services; Emergency Services, Psychiatric; Female; Health Services Needs and Demand; Health Services Research; Hospitalization; Humans; Logistic Models; Male; Managed Care Programs; Mass Screening; Massachusetts; Medicaid; Mental Health Services; *Patient Selection; Privatization; Public Health Administration; Quality of Health Care; United States
Disciplines
Abstract
Data from child and adolescent emergency mental health screening episodes prior and subsequent to privatized Medicaid managed care in Massachusetts are used to investigate the relationship between payer source and disposition and to compare the match between clinical need and disposition level of care. Having Medicaid as the payer in the post-Medicaid managed care period decreased the odds of hospitalization by nearly 60%. None of the clinical need variables that contributed to hospitalization for Medicaid episodes in the pre-Medicaid managed care period were significant in the post-Medicaid managed care period. Multiple forces shaping professional standards, decision making, and quality of care are described. Public sector agencies must lay the groundwork for comprehensive evaluation prior to the implementation of privatized Medicaid managed care initiatives.
Rights and Permissions
Citation: J Behav Health Serv Res. 1998 Aug;25(3):279-92.
Related Resources
Link to Article in PubMed
PubMed ID
9685747
Citation Information
Joanne Nicholson, Stephen Dine Young, Lorna J. Simon, William H. Fisher, et al.. "Privatized Medicaid managed care in Massachusetts: disposition in child and adolescent mental health emergencies" Vol. 25 Iss. 3 (1998) ISSN: 1094-3412 (Print)
Available at: http://works.bepress.com/william_h_fisher/74/