Managed behavioral health care: a Medicaid carve-out for youth.

Journal Article (Journal Article)

This DataWatch assesses the impact of a public sector-managed Medicaid mental health carve-out pilot for North Carolina youth. Access to, volume of, and costs of mental health/substance abuse services are reported. We compared a pilot managed care program, with an incentive to shift hospital use and costs to community-based services, with usual fee-for-service Medicaid. Aggregate data from Medicaid claims for youth (from birth to age seventeen) statewide are reported for five years. We found dramatic reductions in use of inpatient care, with a shift to intensive outpatient services, and less growth in mental health costs. These findings demonstrate that public sector-managed care can be viable and more efficient than a fee-for-service model.

Full Text

Duke Authors

Cited Authors

  • Burns, BJ; Teagle, SE; Schwartz, M; Angold, A; Holtzman, A

Published Date

  • 1999

Published In

Volume / Issue

  • 18 / 5

Start / End Page

  • 214 - 225

PubMed ID

  • 10495609

International Standard Serial Number (ISSN)

  • 0278-2715

Digital Object Identifier (DOI)

  • 10.1377/hlthaff.18.5.214


  • eng

Conference Location

  • United States