Medicaid Behavioral Health Carve-Outs: A New Generation of Privatization Decisions

REFERENCES

• Schlesinger M, Dorwart R. Ownership and mental-health ser- vices: a reappraisal of the shift toward privately owned facili- ties. N Eng J Med 1984;311:959–65.
   Web of Science ®Google Scholar
• Donahue J. The privatization decision: public ends, private means. New York: Basic Books, 1989.
   Google Scholar
• Starr P. New life of the liberal state: privatization and the re- structuring of state-society relations. In: Suleiman EN, Water- bury J, eds. The political economy of public sector reform. Boulder: Westview Press, 1990.
   Google Scholar
• Callahan JJ, Shepard DS, Beinecke RH, Larson MJ, Cavan- augh D. Mental health/substance abuse treatment in man- aged care: the Massachusetts Medicaid experience. Health Aff 1995;14(3):173–84.
   Google Scholar
• Smith SR, Lipsky M. Nonprofits for hire: the welfare state in the age of contracting. Cambridge, Massachusetts: Harvard University Press, 1993.
   Google Scholar
• Demone HW, Gibelman M. Services for sale: purchasing health and human services. New Brunswick, New Jersey: Rut- gers University Press, 1989.
   Google Scholar
• Wilson JQ. Bureaucracy: what government agencies do and why they do it. New York: Basic Books, 1989.
   Google Scholar
• Manderscheid RW, Henderson MJ, eds. Mental health: United States. Washington, DC: US Department of Health and Hu- man Services, 1998.
   Google Scholar
• Dorwart RA, Schlesinger M. Privatization of psychiatric ser- vices. Am J Psychiatry 1988;145(5):543–53.
   PubMedGoogle Scholar
• Dorwart RA, Epstein SS. Privatization and mental health care: a fragile balance. Westport, Connecticut: Auburn House, 1993.
   Google Scholar
• Frank RG, Salkever DS. Non-profit organizations in the health sector. Econ Perspect 1994;8(4):129–44.
   Google Scholar
• Sloan F. Hospital ownership and cost and quality of care: is there a dime’s worth of difference? Cambridge, Massachusetts: National Bureau of Economic Research, 1998:1–37. NBER Working Paper 6706.
   Google Scholar
• Schlesinger M, Dorwart R, Pulice R. Competitive bidding and states’ purchase of service. Policy Anal Manage 1986; 5:245–63.
   PubMed Web of Science ®Google Scholar
• Mark T, McKusick D, King E, Harwood H, Genuardi J. Na- tional expenditures for mental health, alcohol and other drug abuse treatment. Rockville, Maryland: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, 1996.
   Google Scholar
• Bachman SS. Why do states privatize mental health services? Six state experiences. J Health Polit Policy Law 1996;21(4): 807–24.
   Google Scholar
• National Association of State Mental Health Program Direc- tors. State mental health agency profile system highlights. Alexandria, Virginia: National Association of State Mental Health Program Directors Research Institute, 1996.
   Google Scholar
• Lutterman T, Hirad A, Poindexter B. Funding sources and ex- penditures of state mental health agencies: fiscal year 1997. Alexandria, Virginia: National Association of State Mental Health Program Directors Research Institute, 1999.
   Google Scholar
• Substance Abuse and Mental Health Services Administration. Managed care tracking system: state profiles on public sector managed behavioral health care and other reforms. Fairfax, Virginia: US Department of Health and Human Services, 1998. DHHS Publication No. (SMA) 99–3280.
   Google Scholar
• US General Accounting Office. Medicaid managed care: four states’ experiences with mental health carveout programs. Washington, DC: US General Accounting Office, 1999. GAO/ HEHS-99–118.
   Google Scholar
• Boyle PJ, Callahan D. Managed care in mental health: the ethical issues. Health Aff 1995;14(3):7–22.
   Web of Science ®Google Scholar
• Mechanic D. Emerging trends in mental health policy and practice. Health Aff 1998;17(6):82–98.
   Web of Science ®Google Scholar
• Grazier KL, Eselius LL. Mental health carve-outs: effects and implications. Med Care Res Rev 1999;56(suppl 2):37–59.
   Google Scholar
• Donohue JM, Hanson KW, Huskamp HA. Medicaid managed care and the disabled. [Unpublished report]. Princeton, New Jersey: Robert Wood Johnson Foundation, 1999.
   Google Scholar
• Frank RG, McGuire TG. Savings from a Medicaid carve-out for mental health and substance abuse services in Massachu- setts. Psychiatr Serv 1997;48(9):1147–52.
   Google Scholar
• Bloom JR, Hu T, Wallace N, et al. Mental health costs and outcomes under alternative capitation systems in Colorado: early result. J Ment Health Policy Econ 1998;1:3–114.
   Google Scholar
• Chang CF, Kiser LJ, Bailey JE, Martins M, Gibson W, Schab- erg KA, et al. Tennessee’s failed managed care program for mental health and substance abuse services. JAMA 1998; 279(11):864–9.
   Google Scholar
• Stoner TJ, Manning WG, Christianson J, Gray DZ, Marriott S. Expenditures for mental health services in the Utah Prepaid Mental Health Plan. Health Care Financ Rev 1997;18(3): 73–93.
   Google Scholar
• Manning WG, Liu CF, Stoner TJ, Gray D, Lurie N, Popkin M, et al. Outcomes for Medicaid beneficiaries with schizophrenia under a prepaid mental health carve-out. Behav Health Serv Res 1999;26(4):442–50.
   PubMed Web of Science ®Google Scholar
• Dickey B, Norton EC, Normand ST, Azeni H, Fisher WH. Man- aged mental health experience in Massachusetts (New Direc- tions for Mental Health Services, 78). San Francisco: Jossey- Bass, 1998:115–22.
   Google Scholar
• Anonymous. Administration wants Magellan out by June 30. The Associated Press State and Local Wire, March 26, 1999.
   Google Scholar
• Gallagher S. State, Magellan sign agreement to terminate contract. The Associated Press State and Local Wire, March 25, 1999.
   Google Scholar
• Frank RG, McGuire TG, Newhouse JP. Risk contracts in man- aged mental health care. Health Aff 1995;14(3):50–64.
   Web of Science ®Google Scholar
• McCall N. Lessons from Arizona’s Medicaid managed care pro- gram. Health Aff 1997;16(4):194–9.
   Google Scholar
• Gold M, Sparer M, Chu K. Medicaid managed care: lessons from five states. Health Aff 1996;15(3):153–66.
   Web of Science ®Google Scholar
• National Association of State Mental Health Program Direc- tors. Full time equivalent staffing of state mental health agency central office/regional office. Alexandria, Virginia: Na- tional Association of State Mental Health Program Directors Research Institute, 1995.
   Google Scholar
• Rosenbaum S. Negotiating the new health system: purchasing publicly accountable managed care. Am J Prev Med 1998; 149(3S):67–71.
   Google Scholar
• Torrey EF, Erdman K, Wolfe SM, Flynn LM. Care of the seri- ously mentally ill: a rating of state programs. Washington, DC: A joint publication of Public Citizen Health Research Group and National Alliance for the Mentally Ill, 1990.
   Google Scholar
• Grob GN. Mental illness and American society 1875–1940. Princeton, New Jersey: Princeton University Press, 1983.
   Google Scholar
• Frank RG, Goldman HH. Financing care of the severely men- tally ill: incentives, contracts and public responsibility. Soc Is- sues 1989;45(3):131–44.
   Google Scholar