TY - JOUR
KW - Adult
KW - Costs and Cost Analysis
KW - Female
KW - Health Care Costs/statistics & numerical data
KW - Humans
KW - Linear Models
KW - Maine/epidemiology
KW - Male
KW - Medicaid/economics
KW - Mental Disorders/economics/epidemiology/therapy
KW - Mental Health Services/economics/organization & administration
KW - Mental Health/statistics & numerical data
KW - Middle Aged
KW - United States/epidemiology
KW - Young Adult
AU - E. Freeman
AU - C. A. McGuire
AU - J. W. Thomas
AU - D. A. Thayer
A1 - 
AB - BACKGROUND: Persons with behavioral disorders incur higher healthcare costs. Although they utilize behavioral health (BH) services others do not, they also have higher utilization of medical services OBJECTIVES: : To determine the degree to which higher costs for persons with BH disorders are attributable to utilization of BH services, multiple chronic medical conditions (CMCs) or other issues specific to populations with BH disorders. RESEARCH DESIGN: Data base consisted of claims for 63,141 Medicaid beneficiaries, 49% of whom had one of 5 categories of BH disorder. Generalized linear models were used to identify relative impact of demographics, BH status, multiple CMCs and primary care access on total, behavioral, nonbehavioral, and medical/surgical costs. RESULTS: Number of CMCs was associated with significant increases in all cost categories, including behavioral costs. Presence of any BH disorder significantly influenced these same costs, including those not associated with BH care. Effect size in each cost category varied by BH group. CONCLUSIONS: BH status has a large impact on all healthcare costs, including costs of medical and other non-BH services. The number of CMCs affects BH costs independent of BH disorder. Results suggest that costs might be reduced through better integration of behavioral and medical health services.
BT - Medical care
C5 - Financing & Sustainability; Healthcare Disparities
CY - United States
DO - 10.1097/MLR.0000000000000075
JF - Medical care
N2 - BACKGROUND: Persons with behavioral disorders incur higher healthcare costs. Although they utilize behavioral health (BH) services others do not, they also have higher utilization of medical services OBJECTIVES: : To determine the degree to which higher costs for persons with BH disorders are attributable to utilization of BH services, multiple chronic medical conditions (CMCs) or other issues specific to populations with BH disorders. RESEARCH DESIGN: Data base consisted of claims for 63,141 Medicaid beneficiaries, 49% of whom had one of 5 categories of BH disorder. Generalized linear models were used to identify relative impact of demographics, BH status, multiple CMCs and primary care access on total, behavioral, nonbehavioral, and medical/surgical costs. RESULTS: Number of CMCs was associated with significant increases in all cost categories, including behavioral costs. Presence of any BH disorder significantly influenced these same costs, including those not associated with BH care. Effect size in each cost category varied by BH group. CONCLUSIONS: BH status has a large impact on all healthcare costs, including costs of medical and other non-BH services. The number of CMCs affects BH costs independent of BH disorder. Results suggest that costs might be reduced through better integration of behavioral and medical health services.
PP - United States
PY - 2014
SN - 1537-1948; 0025-7079
EP - 6
EP - S60+
T1 - Factors affecting costs in Medicaid populations with behavioral health disorders
T2 - Medical care
TI - Factors affecting costs in Medicaid populations with behavioral health disorders
U1 - Financing & Sustainability; Healthcare Disparities
U2 - 24561760
U3 - 10.1097/MLR.0000000000000075
VL - 52 Suppl 3
VO - 1537-1948; 0025-7079
Y1 - 2014
ER -