The Nebraska Medicaid managed behavioral health care initiative: impacts on utilization, expenditures, and quality of care for mental health.

Publisher: Springer Country of Publication: United States NLM ID: 9803531 Publication Model: Print Cited Medium: Print ISSN: 1094-3412 (Print) Linking ISSN: 10943412 NLM ISO Abbreviation: J Behav Health Serv Res Subsets: MEDLINE

Publication: 2006- : New York, NY : Springer
Original Publication: Northbrook, IL : Thousand Oaks, CA : Association of Behavioral Healthcare Management ; Sage Publications, c1998-

Quality of Health Care*; Health Expenditures/*statistics & numerical data ; Managed Care Programs/*organization & administration ; Medicaid/*organization & administration ; Mental Health Services/*statistics & numerical data; Data Collection ; Health Services Accessibility ; Health Services Research ; Humans ; Managed Care Programs/standards ; Managed Care Programs/statistics & numerical data ; Medicaid/standards ; Mental Health Services/economics ; Mental Health Services/standards ; Multivariate Analysis ; Nebraska ; State Health Plans ; United States

This study evaluates the impact of Nebraska's Medicaid managed care program for behavioral health services on mental health service utilization, expenditures, and quality of care. Implementation of the program is correlated with progressive reductions in both total (about 13% over 3 years) and per eligible per month (20%) expenditures and a rapid, extensive decline in inpatient utilization and admissions. The percentage of enrollees receiving any type of treatment for a mental disorder actually increased modestly. Most important, several indicators of quality of care (e.g., timely receipt of ambulatory care following discharge from inpatient care and readmission to inpatient care shortly following discharge) suggest that quality of care did not materially change under the carve-out. Although a thorough assessment of quality of care impacts is warranted, this study suggests implementation of a managed care program may allow states to reduce Medicaid expenditures without compromising quality of care.

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Date Created: 20030314 Date Completed: 20030403 Latest Revision: 20191106

20250114

10.1007/BF02287815

12633006