Does consideration of Medicare use affect VA evaluations of treatment for new episodes of depression?

Administration and Policy in Mental Health
John F McCarthyMarcia Valenstein

Abstract

This report evaluates whether consideration of out-of-system use affects Veterans Affairs (VA) health system assessments of depression treatment. We measured effective medication management and optimal practitioner contacts among veterans whose VA data indicated a new episode of depression. Among 3,567 VA patients who were Medicare age-eligible, VA data indicated that 69% received recommended antidepressant coverage and 9% received recommended practitioner contacts. After including Medicare data, 295 patients (8%) no longer met inclusion criteria. Among the remainder, 3% received Medicare depression treatment and 0.5% were re-classified as having recommended contacts. Medicare use does not substantially supplement VA depression treatment.

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Citations

Jul 18, 2009·Administration and Policy in Mental Health·Kara ZivinMarcia Valenstein
Aug 10, 2007·Journal of General Internal Medicine·Neil JordanKevin B Weiss
Apr 22, 2010·Journal of the American Geriatrics Society·Helen C KalesMarcia Valenstein
Nov 12, 2016·Journal of Palliative Medicine·Melissa M GarridoKenneth S Boockvar
Oct 20, 2011·Journal of Psychosocial Nursing and Mental Health Services·Robert J Machado, Victoria Tomlinson

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