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Title
Cost shifting in a mental health carve-out for the AFDC population.
First Author
Norton, Edward C
Date of Pub
1997 Spring
Pages
95-108
Volume
18
Issue
3
Other Authors
Dickey, Barbara; Lindrooth, Richard C
Abstract
This study tests whether the managed care vendor shifted costs to Medicaid-reimbursed medical care after the start of the mental health carve-out for the Aid to Families with Dependent Children (AFDC) population in Massachusetts. We used claims data over a 4-year period to estimate expenditures for four types of health services, two of which were paid for by the managed care vendor and two by Medicaid. Total per person public expenditures declined by only about 3 percent. Inpatient psychiatric services were replaced by outpatient psychiatric services and some pharmaceuticals, but overall there was little or no evidence of cost shifting to the medical sector. These results are in contrast to what was found in a sample of Medicaid beneficiaries eligible due to a mental health disability.
Abstract Continued
N/A
MeSH
Adolescence : Adult : Aid to Families with Dependent Children/utilization : Child : Child, Preschool : Cost Allocation/statistics & numerical data : Female : Health Expenditures/statistics & numerical data : Human : Infant : Male : Managed Care Programs/economics/utilization : Massachusetts : Medicaid/organization & administration/statistics & numerical data : Mental Disorders/economics : Mental Health Services/economics/utilization : Middle Age : Models, Econometric : Support, U.S. Gov't, P.H.S. : United States
NTIS Number
PB98-110554