The effect of a medicaid managed care program on patterns of psychiatric readmission among adolescents: evidence from Maryland.

The Journal of Behavioral Health Services & Research
Cynthia A FontanellaCaroline L Burry

Abstract

This study evaluates the effect of Maryland's Medicaid managed care program on patterns of psychiatric readmission for adolescents. Rates and frequency of readmissions are compared before (FY 1997) and after (FY 1998) the implementation of Maryland's Medicaid managed care program. Medicaid claims files were reviewed for 881 adolescents consecutively admitted to three major Maryland psychiatric hospitals between July 1, 1996 and June 30, 1998. Adolescents admitted after the managed care reforms were more likely to experience multiple readmissions. The 1-year cumulative rate of readmission pre- and postmanaged care was 33% and 38%, respectively; the highest risk period fell within the first 15-30 days postdischarge. The high rate of early readmissions raises concern about the quality of care and the adequacy of community-based services. Findings also suggest that youths with serious emotional disturbances who are high users of inpatient care may be adversely affected by the managed care reforms.

References

Jan 1, 1995·Health Affairs·R G FrankJ P Newhouse
Jan 1, 1993·The American Journal of Psychiatry·L ApplebyD R Hedeker
Jan 1, 1996·Health Affairs·D Checkett
Apr 1, 1997·New Directions for Mental Health Services·C A Boyer
Nov 19, 1997·Journal of Mental Health Administration·B A StroulM A Kershaw
Jun 20, 1998·Psychiatric Services : a Journal of the American Psychiatric Association·K A Oliver
Jun 20, 1998·Psychiatric Services : a Journal of the American Psychiatric Association·A B Busch
Aug 26, 1998·Psychiatric Services : a Journal of the American Psychiatric Association·C R GresenzR Sturm
Sep 25, 1999·Health Affairs·M F Hogan
Jul 27, 2000·The American Journal of Psychiatry·K J PottickR B Andelman
Feb 7, 2001·Psychiatric Services : a Journal of the American Psychiatric Association·B DickeyH Azeni
May 29, 2001·Psychiatric Services : a Journal of the American Psychiatric Association·S L Brown
Aug 11, 2001·The Journal of Behavioral Health Services & Research·J S Ringel, R Sturm
Sep 5, 2001·Psychiatric Services : a Journal of the American Psychiatric Association·K HoagwoodS K Schoenwald
Jan 17, 2003·Health Affairs·Richard G FrankMichael Hogan
Feb 27, 2003·Mental Health Services Research·Angela Blair Hutchinson, E Michael Foster
Mar 14, 2003·The Journal of Behavioral Health Services & Research·Dennis McCartyMilton Argeriou
Oct 15, 2003·Psychiatric Services : a Journal of the American Psychiatric Association·Robert C Saunders, Craig Anne Heflinger
May 26, 2004·European Psychiatry : the Journal of the Association of European Psychiatrists·T Pawłowski, A Kiejna

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Citations

Jan 12, 2010·Administration and Policy in Mental Health·Sigrid JamesKimberly Freeman
Apr 25, 2012·Administration and Policy in Mental Health·Amy C VargoMary I Armstrong
Nov 6, 2007·Journal of Child and Adolescent Psychopharmacology·Lynn A WarnerKathleen J Pottick
Mar 1, 2012·Journal of the American Academy of Child and Adolescent Psychiatry·Corine E CarlisleTeresa To
Jan 5, 2010·Children and Youth Services Review·Michelle R Munson, J Curtis McMillen
Dec 22, 2016·Journal of Child and Adolescent Mental Health·Deirdre PieterseWendy Vogel
Nov 26, 2009·The Annals of Pharmacotherapy·Cynthia A FontanellaJohn V Campo
Sep 24, 2008·Journal of General Internal Medicine·Benjamin D Sommers
Jun 27, 2006·Administration and Policy in Mental Health·Karen M ClementsSharon-Lise T Normand
Jul 12, 2017·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Troy Quast
Nov 15, 2012·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Corine E CarlisleTeresa To
Dec 15, 2015·The Journal of Behavioral Health Services & Research·Molly M GathrightDe Angelo Gatlin
Jun 10, 2020·Child and Adolescent Mental Health·David A A MillerMichael Zhang
Jan 3, 2021·Administration and Policy in Mental Health·David A A MillerAmanda K Slaunwhite

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