EVALUATION OF THE UTAH PREPAID MENTAL HEALTH PLAN

这项拟议的研究旨在评估创新的 医疗补助中精神卫生服务的筹资和提供问题探讨 犹他州的计划受益人。犹他州，根据联邦政府的豁免 医疗保健融资管理局，已与三个社区签约 精神健康中心(其服务范围包括所有医疗补助的52% 受益人)提供精神健康服务，以换取投降 付款。评估被构建为准实验设计， 非承包站点为不同的客户提供比较组 分析的各个方面。该分析将评估计划级别和 演示的受益者级别的结果。在程序层面上，它 将分析示威活动对Medicaid和CMHC的影响 业务、受益人的服务利用率和医疗补助 支出。在受益者层面，它将估计 关于健康状况、访问、满意度和使用情况的演示 由被诊断为精神分裂症的医疗补助受益人样本提供的服务。 分析单位随着研究问题的性质和 在不同的时间，CMHC，医疗补助受益人，医疗补助 节目和个体化治疗插曲。定性和定量的结合 提出了定量研究方法，利用各种不同的 数据来源包括Medicaid和Medicare索赔文件、提供者 财务和使用记录，与Medicaid的面谈 受益人，以及对精神健康提供者和 医疗补助计划官员。研究团队有经验，有后天 主要是通过评估一项豁免的医疗补助示范 明尼苏达州和兰德健康保险试验，以及拟议的数据 收集和分析方法。这项评估代表着 明尼苏达大学研究人员的合作努力 ，并得到了卫生保健部的全力支持 犹他州卫生部资助，已经资助了一个 精神分裂症医疗补助受益人的基线调查 建议的研究设计的基本组成部分。

The proposed research seeks to evaluate the impact of an innovative approach to the financing and delivery of mental health care to Medicaid program beneficiaries in the State of Utah. Utah, under a waiver from the Health Care Financing Administration, has contracted with three community mental health centers (whose service areas include 52% of all Medicaid beneficiaries) to provide mental health services in return for capitated payments. The evaluation is structured as a quasi-experimental design, with non-contracting sites providing comparison groups for different aspects of the analysis. The analysis will assess both program-level and beneficiary-level outcomes of the demonstration. At the program level, it will analyze the impact of the demonstration on Medicaid and CMHC operations, service utilization rates for beneficiaries and Medicaid expenditures. At the beneficiary level, it will estimate the impact of the demonstration on health status, access, satisfaction, and utilization of services by a sample of Medicaid beneficiaries diagnosed as schizophrenic. The unit of analysis changes with the nature of the research question and is, at different times, the CMHC, the Medicaid beneficiary, the Medicaid program, and the individual treatment episode. A mix of qualitative and quantitative research methodologies are proposed, utilizing a variety of data sources including Medicaid and Medicare claims files, provider financial and utilization records, in-person interviews with Medicaid beneficiaries, and in-person interviews with mental health providers and Medicaid program officials. The research team has experience, acquired primarily through the evaluation of a waivered Medicaid demonstration in Minnesota and the RAND Health Insurance Experiment, with the proposed data collection and analytic approaches. The evaluation represents a collaborative effort of researchers at the University of Minnesota and University of Utah, and has the full support of the Division of Health Care Financing, Department of Health, State of Utah, which has already funded a baseline survey of schizophrenic Medicaid beneficiaries that is an essential component of the proposed research design.