Psychiatric hospital length of stay for medicaid clients before and after managed care

Bentson H. Mcfarland, Suzann Khorramzadeh, Rebecca Millius, Jo Mahler

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Managed care systems allegedly discharge psychiatric inpatients "quicker and sicker" than fee-for-service programs. Study subjects were admitted to a general hospital that served adjacent counties. During 1994, both counties operated fee-for-service Medicaid mental health systems. In 1995, one country remained fee-for-service and the other assumed inpatient financial risk. Lengths of stay declined in both counties between 1994 and 1996. Managed care patients had longer lengths of stay than their fee-for-service counterparts (even after adjustment for confounders). Secular trends and practice patterns may influence length of stay more than managed care.

Original languageEnglish (US)
Pages (from-to)191-199
Number of pages9
JournalAdministration and Policy in Mental Health
Volume29
Issue number3
DOIs
StatePublished - May 27 2002

Keywords

  • Capitation
  • Length of stay
  • Managed care
  • Medicaid

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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