Assessment, Authorization and Access to Medicaid Managed Mental Health Care
| Autor: | Neal Wallace, Lonnie R. Snowden, Mary C. Masland |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Mental Health Services
medicine.medical_specialty Eligibility Determination Health informatics California Health Services Accessibility Health administration Nursing medicine Humans Service (business) Medicaid business.industry Health Policy Public health Managed Care Programs Public Health Environmental and Occupational Health Fixed effects model medicine.disease Mental health Psychiatry and Mental health Health Care Surveys Managed care Medical emergency Pshychiatric Mental Health business |
| Zdroj: | Administration and Policy in Mental Health and Mental Health Services Research. 34:548-562 |
| ISSN: | 1573-3289 0894-587X |
| Popis: | Examined were effects on access of managed care assessment and authorization processes in California's 57 county mental health plans. Primary data on managed care implementation were collected from surveys of county plan administrators; secondary data were from Medicaid claims and enrollment files. Using multivariate fixed effects regression, we found that following implementation of managed care, greater access occurred in county plans where assessments and treatment were performed by the same clinician, and where service authorizations were made more rapidly. Lower access occurred in county plans where treating clinicians authorized services themselves. Results confirm the significant effects of managed care processes on outcomes and highlight the importance of system capacity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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