Outcomes for medicaid clients with substance abuse problems before and after managed care.

ABSTRACT: Medicaid conversion from fee for service to managed care raised numerous questions about outcomes for substance abuse treatment clients. For example, managed care criticisms include concerns that clients will be undertreated (with too short and/or insufficiently intense services). Also of interest are potential variations in outcome for clients served by organizations with assorted financial arrangements such as for-profit status versus not-for-profit status. In addition, little information is available about the impact of state Medicaid managed care policies (including client eligibility) on treatment outcomes. Subjects of this project were Medicaid clients aged 18-64 years enrolled in the Oregon Health Plan during 1994 (before substance abuse treatment managed care, N = 1751) or 1996-199

SUBMITTER: McFarland BH 

PROVIDER: S-EPMC1635015 | biostudies-literature | 2005 Oct-Dec

REPOSITORIES: biostudies-literature