Using information to guide managed behavioral health care.

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Bibliographic Details
Title: Using information to guide managed behavioral health care.
Authors: Tompkins, Christopher, Perloff, Jennifer
Source: Journal of Behavioral Health Services & Research. Jan-Mar2004, Vol. 31 Issue 1, p98-110. 13p. 1 Diagram, 2 Charts, 1 Graph.
Subjects: Managed mental health care, Substance abuse treatment, Mental illness treatment, Mental health services, Managed care programs, Medicaid, Comparative studies, Research methodology, Medical quality control, Medical cooperation, Health outcome assessment, Psychology, Research, Social sciences, Rate setting, Treatment programs, Evaluation research, Mental health services administration, State health plans
Geographic Terms: United States, Arizona
Abstract: This evaluation of substance abuse and mental health treatment services in Arizona discusses and illustrates the use of data already collected by the State to manage and monitor the public behavioral health sector. The authors utilize a framework that focuses on rate-setting and financial incentives; provider profiling and education; and monitoring of data quality and system-wide performance. Information and analysis can contribute to key management activities and forces that guide behavior in the system toward optimal system performance. Using data from 33,208 Medicaid-covered and uninsured adults, service mix varied substantially by region; for example, spending on residential care ranged from 0% to 40% for substance abuse treatment clients. By focusing on a smaller group of client with functional assessments, it also appears that regional spending levels varied considerably, for reasons not explained by client demographics or clinical measures. Finally, longitudinal data show that the regional managed care organizations are moving in different directions with regard to client mix and spending priorities. All of this variation suggests that there may be considerable latitude to guide and improve system-wide performance. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Using information to guide managed behavioral health care.
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  Data: <searchLink fieldCode="AR" term="%22Tompkins%2C+Christopher%22">Tompkins, Christopher</searchLink><br /><searchLink fieldCode="AR" term="%22Perloff%2C+Jennifer%22">Perloff, Jennifer</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Health+Services+%26+Research%22">Journal of Behavioral Health Services & Research</searchLink>. Jan-Mar2004, Vol. 31 Issue 1, p98-110. 13p. 1 Diagram, 2 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Managed+mental+health+care%22">Managed mental health care</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+treatment%22">Substance abuse treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness+treatment%22">Mental illness treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Managed+care+programs%22">Managed care programs</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid%22">Medicaid</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+cooperation%22">Medical cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Social+sciences%22">Social sciences</searchLink><br /><searchLink fieldCode="DE" term="%22Rate+setting%22">Rate setting</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+programs%22">Treatment programs</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services+administration%22">Mental health services administration</searchLink><br /><searchLink fieldCode="DE" term="%22State+health+plans%22">State health plans</searchLink>
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  Data: This evaluation of substance abuse and mental health treatment services in Arizona discusses and illustrates the use of data already collected by the State to manage and monitor the public behavioral health sector. The authors utilize a framework that focuses on rate-setting and financial incentives; provider profiling and education; and monitoring of data quality and system-wide performance. Information and analysis can contribute to key management activities and forces that guide behavior in the system toward optimal system performance. Using data from 33,208 Medicaid-covered and uninsured adults, service mix varied substantially by region; for example, spending on residential care ranged from 0% to 40% for substance abuse treatment clients. By focusing on a smaller group of client with functional assessments, it also appears that regional spending levels varied considerably, for reasons not explained by client demographics or clinical measures. Finally, longitudinal data show that the regional managed care organizations are moving in different directions with regard to client mix and spending priorities. All of this variation suggests that there may be considerable latitude to guide and improve system-wide performance. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/BF02287342
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      – Code: eng
        Text: English
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        PageCount: 13
        StartPage: 98
    Subjects:
      – SubjectFull: Managed mental health care
        Type: general
      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: Mental illness treatment
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Managed care programs
        Type: general
      – SubjectFull: Medicaid
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Medical cooperation
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Psychology
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Social sciences
        Type: general
      – SubjectFull: Rate setting
        Type: general
      – SubjectFull: Treatment programs
        Type: general
      – SubjectFull: Evaluation research
        Type: general
      – SubjectFull: Mental health services administration
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      – SubjectFull: State health plans
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      – SubjectFull: United States
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      – SubjectFull: Arizona
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    Titles:
      – TitleFull: Using information to guide managed behavioral health care.
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            NameFull: Tompkins, Christopher
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              M: 01
              Text: Jan-Mar2004
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              Y: 2004
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