Behavioral Health's Integration Within a Care Network and Health Care Utilization

Health Services Research
Chandler McClellanNils Nordstrom

Abstract

Examine how behavioral health (BH) integration affects health care costs, emergency department (ED) visits, and inpatient admissions. Truven Health MarketScan Research Databases. Social network analysis identified "care communities" (providers sharing a high number of patients) and measured BH integration in terms of how connected, or central, BH providers were to other providers in their community. Multivariable generalized linear models adjusting for age, sex, number of prescriptions, and Charlson comorbidity score were used to estimate the relationship between the centrality of BH providers and health care utilization of BH patients. Used outpatient, inpatient, and pharmacy claims data from six Medicaid plans from 2011 to 2013 to identify study outcomes, comorbidities, providers, and health care encounters. Behavioral health centrality ranged from 0 (no BH providers) to 0.49. Relative to communities at the median BH centrality (0.06), in 2012, BH patients in communities at the 75th percentile of BH centrality (0.31) had 0.2 fewer admissions, 2.1 fewer all-cause ED visits, and accrued $1,947 fewer costs, on average. Increased behavioral centrality was significantly associated with a reduced number of ED visits, less frequent ...Continue Reading

References

Mar 1, 1986·Annals of Internal Medicine·W A KnausJ E Zimmerman
Feb 9, 2005·Physical Review. E, Statistical, Nonlinear, and Soft Matter Physics·Aaron ClausetCristopher Moore
Apr 20, 2007·The Australian Journal of Rural Health·Jeffrey FullerTrevor Hazell
Nov 3, 2010·Psychiatric Services : a Journal of the American Psychiatric Association·Vidhya Alakeson, Richard G Frank
Apr 28, 2011·Health Services Research·Michael L BarnettNicholas A Christakis
Nov 1, 2011·European Journal of Public Health·Shahadat UddinMargaret Kelaher
Dec 2, 2011·BMJ Quality & Safety·Frances C CunninghamJeffrey Braithwaite
Jan 18, 2012·Medical Care·Michael L BarnettBruce E Landon
Jun 5, 2013·Journal of Psychosomatic Research·Wayne J Katon, Jürgen Unützer
Jun 28, 2013·BMC Health Services Research·Shahadat UddinAshraful Alam
May 17, 2014·The Journal of Behavioral Health Services & Research·Kirsten BeronioRichard Frank
Aug 17, 2014·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Craig Evan PollackKatrina Armstrong
Jan 28, 2015·Journal of Interprofessional Care·Tony BarnettHeather Bridgman
Apr 24, 2015·Medical Care·Lawrence P CasalinoJames Moody
Jul 7, 2015·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Shauna R RobertsGerald L Early
Aug 14, 2015·Journal of Psychosocial Nursing and Mental Health Services·Brenda J JohnstonMarian Newton
Sep 10, 2015·Journal of Substance Abuse Treatment·Erick G GuerreroKarissa Fenwick M S W
Sep 12, 2015·BMC Health Services Research·David Lacasta TintorerFrancesc Saigí-Rubió
Sep 7, 2016·Health Services & Outcomes Research Methodology·Erika L MoenA James O'Malley
Mar 28, 2017·Administration and Policy in Mental Health·Vincent LorantUNKNOWN Title107 Study Group
Jun 25, 2017·Administration and Policy in Mental Health·Maureen T StewartElizabeth L Merrick

❮ Previous
Next ❯

Citations

May 8, 2020·Journal of Addictive Diseases·Chandler McClellanDaniel Whalen
Jun 20, 2019·The Journal of Behavioral Health Services & Research·Nadereh PouratAlek Sripipatana
May 28, 2021·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Ariel M Domlyn

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.