The impact of managed care on Massachusetts mental health and substance abuse providers.
The impact of managed care on Massachusetts mental health and substance abuse providers.
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管理式医疗对马萨诸塞州心理健康和药物滥用提供者的影响。
DOI：
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发表时间：
1997
期刊：
影响因子：
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通讯作者：
A. Lockhart
中科院分区：
文献类型：
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作者：
R. Beinecke;Maury Goodman;A. Lockhart
医疗补助管理式护理计划正变得越来越普遍。为了调查对服务提供者的临床、组织和财务影响，在马萨诸塞州管理精神健康/药物滥用计划的第3年和第4年，通过电话对分层随机抽样的服务提供者进行了调查。提供者报告说，他们正在进行广泛的临床变化，如更多地使用小组，简短和间歇治疗。他们正在增加利用审查，全面质量管理和成果衡量。它们的规模不断扩大，与其他机构建立了联系，并提供了更广泛的服务。他们在为人头税做准备。与该计划之前和一年前相比，大约40%的供应商在财务上做得更好，四分之一的供应商做得更差。这项研究记录了一个广泛和持续的转变正在发生的假设，以应对管理式医疗。
Medicaid managed care programs are becoming more widespread. To investigate the clinical, organizational, and financial impacts on service providers, a stratified, random sample of providers in the Massachusetts Managed Mental Health/Substance Abuse Program were surveyed by phone in Years 3 and 4 of the initiative. Providers reported that they were making widespread clinical changes such as more use of group, brief, and episodic therapies. They were increasing utilization review, Total Quality Management, and outcomes measurement. They were increasing in size, affiliating with other agencies, and providing a greater range of services. They were preparing for capitation. Compared to before the program and a year earlier, about 40 percent of providers were doing better financially and a quarter were doing worse. The study documents the hypothesis that a widespread and continuing transformation is taking place in response to managed care.