Expenditures for mental health services in the Utah Prepaid Mental Health Plan.
Date of Pub
Christianson, Jon B; Gray, Donald Z; Manning Jr, Willard G; Marriott, Sally
This article examines the effect of a mental health carve-out, the Utah Prepaid Mental Health Plan (UPMHP), on expenditures
for mental health treatment and utilization of mental health services for Medicaid beneficiaries from July 1991 through December
1994. Three Community Mental Health Centers (CMHCs) provided mental health services to Medicaid beneficiaries in their catchment
areas in return for capitated payments. The analysis uses data from Medicaid claims as well as "shadow claims" for UPMHP contracting
sites. The analysis is a pre/post comparison of expenditures and utilization rates, with a contemporaneous control group in
the Utah catchment areas not in the UPMHP. The results indicate that the UPMHP reduced acute inpatient mental health expenditures
and admissions for Medicaid beneficiaries during the first 2 1/2 years of the UPMHP. In contrast, the UPMHP had no statistically
significant effect on outpatient mental health expenditures or visits. There was no significant effect of the UPMHP on overall
mental health expenditures.
Capitation Fee : Catchment Area (Health) : Costs and Cost Analysis : Fee-for-Service Plans : Health Care Surveys : Health
Expenditures/statistics & numerical data : Medicaid/statistics & numerical data/utilization : Mental Health Services/economics/utilization
: Prepaid Health Plans/economics : State Health Plans/economics : Support, Non-U.S. Gov't : Support, U.S. Gov't, P.H.S. :
United States : Utah