Access the full text.
Sign up today, get DeepDyve free for 14 days.
Y. Kishi, R. Kathol, D. McAlpine, W. Meller, Steven Richards (2006)
What should non‐US behavioral health systems learn from the USA?: US behavior health services trends in the 1980s and 1990sPsychiatry and Clinical Neurosciences, 60
Jean Mitchell, D. Gaskin (2004)
Do children receiving Supplemental Security Income who are enrolled in Medicaid fare better under a fee-for-service or comprehensive capitation model?Pediatrics, 114 1
R. Kathol, Y. Kishi (2007)
Calculating treatment costs in an MBHO.Psychiatric services, 58 3
M. Ridgely, M. Maglione (2006)
Managing Medicaid behavioral health care: findings of a national survey in the year 2000.Psychiatric services, 57 7
B. Cuffel, J. Bloom, N. Wallace, J. Hausman, T. Hu (2002)
Two-year outcomes of fee-for-service and capitated medicaid programs for people with severe mental illness.Health services research, 37 2
Alan Koike, R. Klap, J. Unützer (2000)
Utilization management in a large managed behavioral health organization.Psychiatric services, 51 5
J. Lieberman, T. Stroup, J. McEvoy, J. McEvoy, M. Swartz, R. Rosenheck, D. Perkins, R. Keefe, S. Davis, C. Davis, B. Lebowitz, J. Severe, J. Hsiao (2005)
Effectiveness of antipsychotic drugs in patients with chronic schizophrenia.The New England journal of medicine, 353 12
B. Landon, A. Zaslavsky, S. Bernard, M. Cioffi, P. Cleary (2004)
Comparison of performance of traditional Medicare vs Medicare managed care.JAMA, 291 14
S. Zuvekas, A. Rupp, G. Norquist (2007)
Cost shifting under managed behavioral health care.Psychiatric services, 58 1
Wiklund Ra, R. Sh (1997)
First of two partsThe New England Journal of Medicine, 337
R. Kathol, D. McAlpine, Y. Kishi, R. Spies, W. Meller, T. Bernhardt, S. Eisenberg, Keith Folkert, W. Gold (2005)
General medical and pharmacy claims expenditures in users of behavioral health servicesJournal of General Internal Medicine, 20
M. Murray, Jeffrey Henriques (2003)
An exploratory cost analysis of performing hospital-based concurrent utilization review.The American journal of managed care, 9 7
T. Bodenheimer, L. Casalino (1999)
Executives with white coats--the work and world view of managed-care medical directors. Second of two parts.The New England journal of medicine, 341 26
Psychiatr Q (2008) 79:33–42 DOI 10.1007/s11126-007-9065-8 IN TRO DUCTIO N The Role of a Behavioral Health Medical Director in Medicaid Managed Care Juliana I. Ekong Published online: 25 January 2008 Springer Science+Business Media, LLC 2008 Health expenditures in the United States continue to rise even when compared to inflation. As a share of the gross domestic product (GDP), health spending has increased from 5% in 1960 to over 16% in 2006 [1]. To stop this trend many states have contracted with managed care companies to manage the health benefits of all or some of their Medicaid recipients. The hope is that such management will allow for appropriate allocation of health care dollars while improving the overall quality of care. Although this move to managed care has been embraced by many recipients of care, many providers of care, especially in the arena of behavioral health, may remain antagonistic towards and suspicious of Medicaid managed care compa- nies. The author describes why she decided to leave direct clinical care to pursue a career in Medicaid managed care. She discusses the key aspects of her role as a Behavioral Health Medical Director, focusing on her role in ensuring the appropriate allocation of
Psychiatric Quarterly – Springer Journals
Published: Jan 25, 2008
Access the full text.
Sign up today, get DeepDyve free for 14 days.