Access, Utilization, and Quality of Behavioral Health Integration in Medicaid Managed Care.

ABSTRACT:

Importance

Many states have moved from models that carve out to those that carve in or integrate behavioral health in their Medicaid managed care organizations (MCOs), but little evidence exists about the effect of this change.

Objective

To assess the association of the transition to integrated managed care (IMC) in Washington Medicaid with health services use, quality, health-related outcomes, and measures associated with social determinants of health.

Design, setting, and participants

This cohort study used difference-in-differences analyses of Washington State's 2014 to 2019 staggered rollout of IMC on claims-based measures for enrollees in Washington's Medicaid MCO. It was supplemented with interviews of 24 behavioral health agency leaders, managed care administra

SUBMITTER: McConnell KJ 

PROVIDER: S-EPMC10755612 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature