In 1996, Virginia implemented a capitated Medicaid managed care program in the Tidewater area of the state. The impact of this program on Medicaid reimbursed mental health inpatient care is presented by contrasting utilization rates with the Richmond area, which remained fee-for service. These analyses will be presented at the county level of analysis. The interaction with inpatient care and community based services of crisis intervention, case managment, medication management, and individual therapy will be discussed. Changes in the lengths of inpatient stays as well as readmission rates will be evaluated in relation to managed care. Clients receiving inpatient care will be identified. The impact of age, race, diagnosis, as well as managed care on annual inpatient days, length of stay, and readmission rates will be evaluated. Following a comprehensive contrast of inpatient use for the population of Medicaid recipients, information from a sample of patients hospitalized in each area will be compared. Patients' clinical symptoms, their use of other health services, their satisfaction with care, and their status at follow-up will be compared. Integrating the rich data collected on the sample with the broader description of utilization of the population will offer expectations for the impact of managed care on the use of inpatient mental health care.
Learning Objectives: a. participants will gain an understanding of trends in Medicaid reimbursed inpatient care before and after managed care; b. participants will be able to identify the impact of the availability of community resources on inpatient care; c. participants will gain an understanding of the interactive relationship between the utilization of different community care services including crisis intervention, case management, medication management on inpatient care; d. following description of the use of inpatient care using population based administrative data, information on a sample of inpatients' perceptions of satisfaction with care, their clinical status, and well-being following discharge will be contrasted for managed and non-managed care settings
Keywords: Medicaid Managed Care,
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.