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

Bentson McFarland, Suzann Khorramzadeh, Rebecca Millius, Jo Mahler

Research output: Contribution to journalArticle

8 Citations (Scopus)

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 - 2002

Fingerprint

Fee-for-Service Plans
Medicaid
Psychiatric Hospitals
Managed Care Programs
Length of Stay
Inpatients
General Hospitals
Psychiatry
Mental Health

Keywords

  • Capitation
  • Length of stay
  • Managed care
  • Medicaid

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Leadership and Management

Cite this

Psychiatric hospital length of stay for medicaid clients before and after managed care. / McFarland, Bentson; Khorramzadeh, Suzann; Millius, Rebecca; Mahler, Jo.

In: Administration and Policy in Mental Health, Vol. 29, No. 3, 2002, p. 191-199.

Research output: Contribution to journalArticle

McFarland, Bentson ; Khorramzadeh, Suzann ; Millius, Rebecca ; Mahler, Jo. / Psychiatric hospital length of stay for medicaid clients before and after managed care. In: Administration and Policy in Mental Health. 2002 ; Vol. 29, No. 3. pp. 191-199.
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