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References (36)
-
J. Lyons, J. Colletta, M. Devens, S. Finkel (1995)
Validity of the Severity of Psychiatric Illness Rating Scale in a Sample of Inpatients on a Psychogeriatric UnitInternational Psychogeriatrics, 7
-
D. Mechanic, D. McAlpine, M. Olfson (1998)
Changing patterns of psychiatric inpatient care in the United States, 1988-1994.Archives of general psychiatry, 55 9
-
H. Flynn, J. Henisz (1975)
Criteria for psychiatric hospitalization: experience with a checklist for chart review.The American journal of psychiatry, 132 8
-
C. Taube, J. Lave, A. Rupp, H. Goldman, R. Frank (1988)
Psychiatry under prospective payment: experience in the first year.The American journal of psychiatry, 145 2
-
N. Penner, F. Lynch (2000)
Integrating mental health into the Oregon Health Plan.New directions for mental health services, 85
-
J. Christianson, W. Manning, N. Lurie, T. Stoner, D. Gray, M. Popkin, S. Marriott (1995)
Utah's Prepaid Mental Health Plan: the first year.Health affairs, 14 3
-
J. Christianson, F. Osher (1994)
Health maintenance organizations, health care reform, and persons with serious mental illness.Hospital & community psychiatry, 45 9
-
S. Segal, P. Akutsu, M. Watson (1998)
Factors associated with involuntary return to a psychiatric emergency service within 12 months.Psychiatric services, 49 9
-
R. Frank, T. Mcguire (1997)
Savings from a Medicaid carve-out for mental health and substance abuse services in Massachusetts.Psychiatric services, 48 9
-
J. Lyons, J. Stutesman, J. Neme, J. Vessey, M. O'Mahoney, H. Camper (1997)
Predicting psychiatric emergency admissions and hospital outcome.Medical care, 35 8
-
L. Davis, K. Wells, W. Rogers, B. Benjamin, G. Norquist, K. Kahn, J. Kosecoff, R. Brook (1995)
Effects of Medicare's prospective payment system on service use by depressed elderly inpatients.Psychiatric services, 46 11
-
(1996)
Developments in Medicaid managed behavioral health care -
D. Cutler, B. Mcfarland, K. Winthrop (1998)
Mental Health in the Oregon Health Plan: Fragmentation or Integration?Administration and Policy in Mental Health and Mental Health Services Research, 25
-
Kenneth Wells, William Rogers, Lois Davis, Katherine Kahn, Grayson Norquist, E. Keeler, J. Kosecoff, R. Brook (1993)
Quality of care for hospitalized depressed elderly patients before and after implementation of the Medicare Prospective Payment System.The American journal of psychiatry, 150 12
-
R. Warner, P. Huxley (1998)
Outcome for people with schizophrenia before and after Medicaid capitation at a community agency in Colorado.Psychiatric services, 49 6
-
J. Christianson, D. Gray (1994)
What CMHCs can learn from two states' efforts to capitate Medicaid benefits.Hospital & community psychiatry, 45 8
-
B. McFarland (2000)
New directions in mental health services -
A. Lansing, J. Lyons, L. Martens, M. O'Mahoney, S. Miller, A. Obolsky (1997)
The treatment of dangerous patients in managed care. Psychiatric hospital utilization and outcome.General hospital psychiatry, 19 2
-
(2000)
National overview. What the Oregon Health Plan can teach us about managed mental health care -
James Callahan, D. Shepard, R. Beinecke, M. Larson, Doreen Cavanaugh (1995)
Mental health/substance abuse treatment in managed care: the Massachusetts Medicaid experience.Health affairs, 14 3
-
J. Geller, W. Fisher, M. Mcdermeit, J. Brown (2000)
The effects of public managed care on patterns of intensive use of inpatient psychiatric services.Psychiatric services, 51 11
-
S. Desharnais, R. Wroblewski, D. Schumacher (1990)
How the medicare prospective payment system affects psychiatric patients treated in short-term general hospitals.Inquiry : a journal of medical care organization, provision and financing, 27 4
-
J.J. Callahan, D.S. Shepard, R.H. Beinecke, M.J. Larson, D. Cavanaugh (1995)
Mental health/ substance abuse in managed care: The Massachusetts Medicaid experienceHealth Affairs, 14
-
B. Mcfarland (1994)
Health maintenance organizations and persons with severe mental illnessCommunity Mental Health Journal, 30
-
B.H. McFarland, K. Winthrop, D.L. Cutler (1997)
Integrating mental health into the Oregon Health PlanPsychiatric Services, 48
-
Freiman Mp, R. Ellis, T. Mcguire (1989)
Provider response to Medicare's PPS: reductions in length of stay for psychiatric patients treated in scatter beds.Inquiry : a journal of medical care organization, provision and financing, 26 2
-
J. Bloom, Teh-wei Tw, N. Wallace, B. Cuffel, J. Hausman, R. Scheffler (1998)
Mental health costs and outcomes under alternative capitation systems in Colorado: early results.The journal of mental health policy and economics, 1 1
-
J. Lyons, M. O'Mahoney, Katheryn Doheny, Lisa Dworkin, S. Miller (1995)
The prediction of short-stay psychiatric inpatientsAdministration and Policy in Mental Health and Mental Health Services Research, 23
-
M. Popkin, N. Lurie, N. Lurie, W. Manning, J. Harman, A. Callies, D. Gray, J. Christianson (1998)
Changes in the process of care for Medicaid patients with schizophrenia in Utah's Prepaid Mental Health Plan.Psychiatric services, 49 4
-
K. Wells, W. Rogers, L. Davis, B. Benjamin, G. Norquist, K. Kahn, R. Brook (1994)
Quality of Care for Depressed Elderly Pre‐Post Prospective Payment System: Differences in Response Across Treatment SettingsMedical Care, 32
-
B. Dickey, S. Normand, S. Normand, E. Norton, H. Azeni, William Fisher, F. Altaffer (1996)
Managing the care of schizophrenia. Lessons from a 4-year Massachusetts Medicaid study.Archives of general psychiatry, 53 10
-
J. Lave, R. Frank, C. Taube, H. Goldman, A. Rupp (1988)
The early effects of Medicare's prospective payment system on psychiatry.Inquiry : a journal of medical care organization, provision and financing, 25 3
-
D.L. Cutler, B.H. McFarland, K. Winthrop (1998)
Mental health in the Oregon Health Plan: Integration or fragmentation?Administration and Policy in Mental Health, 25
-
J. Lyons, M. O'Mahoney, S. Miller, Janice Neme, J. Kabat, F. Miller (1997)
Predicting readmission to the psychiatric hospital in a managed care environment: implications for quality indicators.The American journal of psychiatry, 154 3
-
R.G. Frank, T.G. McGuire, E.H. Notman, R.M. Woodward (1996)
Center for Mental Health Services. Mental Health,United States,1996 -
C. Taube, E. Lee, R. Forthofer (1984)
DRGs in Psychiatry: An Empirical EvaluationMedical Care, 22
- Publisher
- Springer Journals
- Copyright
- Copyright © 2002 by Human Sciences Press, Inc.
- Subject
- Medicine & Public Health; Public Health; Health Administration; Clinical Psychology; Psychiatry; Health Informatics
- ISSN
- 0894-587X
- eISSN
- 1573-3289
- DOI
- 10.1023/A:1015178308087
- Publisher site
- See Article on Publisher Site
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 county 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.
Journal
Administration and Policy in Mental Health and Mental Health Services Research – Springer Journals
Published: Oct 22, 2004