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

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

doi:10.1023/A:1015178308087

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 journal › Article › peer-review

9 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 language	English (US)
Pages (from-to)	191-199
Number of pages	9
Journal	Administration and Policy in Mental Health
Volume	29
Issue number	3
DOIs	https://doi.org/10.1023/A:1015178308087
State	Published - 2002
Externally published	Yes

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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10.1023/A:1015178308087

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title = "Psychiatric hospital length of stay for medicaid clients before and after managed care",

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.",

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note = "Funding Information: This study was supported in part by the Stanley Foundation by Grant K02 MH01238 from the National Institute of Mental Health, and by Cooperative Agreement TI11315 from the Substance Abuse and Mental Health Services Administration.",

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T1 - Psychiatric hospital length of stay for medicaid clients before and after managed care

AU - Mcfarland, Bentson H.

AU - Khorramzadeh, Suzann

AU - Millius, Rebecca

AU - Mahler, Jo

N1 - Funding Information: This study was supported in part by the Stanley Foundation by Grant K02 MH01238 from the National Institute of Mental Health, and by Cooperative Agreement TI11315 from the Substance Abuse and Mental Health Services Administration.

PY - 2002

Y1 - 2002

N2 - 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.

AB - 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.

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KW - Managed care

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

Abstract

Keywords

ASJC Scopus subject areas

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