Outcomes for rural medicaid clients with severe mental illness in fee for service versus managed care

Jacqueline M. Bianconi; Jo M. Mahler; Bentson H. McFarland

doi:10.1007/s10488-006-0041-7

Outcomes for rural medicaid clients with severe mental illness in fee for service versus managed care

Jacqueline M. Bianconi, Jo M. Mahler, Bentson H. McFarland

Psychiatry

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

This study compared outcomes for rural Medicaid clients with severe mental illness in fee for service versus managed care programs. Interviews were conducted with 305 Medicaid clients in rural Oregon (166 in fee for service and 139 in managed care). Logistic and multivariate regression analyses were used to examine client satisfaction, safety, symptoms, functioning, and family satisfaction in the fee for service versus managed care groups. There was no evidence that conversion of the Medicaid mental health system from fee for service to managed care led to changes in outcomes for rural clients with severe mental illness.

Original language	English (US)
Pages (from-to)	411-422
Number of pages	12
Journal	Administration and Policy in Mental Health and Mental Health Services Research
Volume	33
Issue number	4
DOIs	https://doi.org/10.1007/s10488-006-0041-7
State	Published - Jul 2006

Keywords

Fee for service
Managed care
Medicaid
Rural
Severe mental illness

ASJC Scopus subject areas

Phychiatric Mental Health
Health Policy
Public Health, Environmental and Occupational Health
Psychiatry and Mental health

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10.1007/s10488-006-0041-7

Cite this

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abstract = "This study compared outcomes for rural Medicaid clients with severe mental illness in fee for service versus managed care programs. Interviews were conducted with 305 Medicaid clients in rural Oregon (166 in fee for service and 139 in managed care). Logistic and multivariate regression analyses were used to examine client satisfaction, safety, symptoms, functioning, and family satisfaction in the fee for service versus managed care groups. There was no evidence that conversion of the Medicaid mental health system from fee for service to managed care led to changes in outcomes for rural clients with severe mental illness.",

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Outcomes for rural medicaid clients with severe mental illness in fee for service versus managed care

Abstract

Keywords

ASJC Scopus subject areas

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