Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Harman, J. S. Articles by Zhang, J. Search for Related Content PubMed Citation Articles by Harman, J. S. Articles by Zhang, J. Social Security, Other Entitlements Depression Service Utilization Related Article

Changes in Health Care Use and Costs After a Break in Medicaid Coverage Among Persons With Depression

OBJECTIVE: The objective of this study was to assess changes in individual beneficiaries' utilization and expenditures that occur when individuals with depression, who often require maintenance treatment, return to Medicaid after a period of interrupted Medicaid coverage. METHODS: Data from 1999 to 2002 Florida Medicaid claims from and eligibility files for beneficiaries with depression whose coverage was interrupted (N=1,946) were used to assess individual changes in the number of inpatient episodes, length of inpatient stay, emergency department visits, and total Medicaid expenditures between the three-month period immediately before and the three-month period immediately after an interruption in coverage. Multivariate analyses were used to assess how beneficiary characteristics are associated with changes in utilization and expenditures. RESULTS: The number of inpatient episodes increased by .054 episode (p<.001), the length of inpatient stay increased by .32 day (p<.001), the number of emergency department visits increased by .57 visit (p<.001), and total Medicaid expenditures increased by $430 (p<.001) in the three-month period after an interruption in coverage of more than one month. Individuals with depression who qualified for Medicaid because of a disability had a greater likelihood of experiencing higher expenditures after an interruption than individuals who were not disabled. CONCLUSIONS: Utilization of emergency and inpatient services and Medicaid expenditures significantly increased for beneficiaries with depression when they returned to Medicaid after experiencing a temporary loss in coverage, especially for beneficiaries with a documented disability. These findings point to the need for further research to assess the impact of interruptions in Medicaid.

Related Article:

January 2007: This Month's Highlights
Psychiatr Serv 2007 58: 7. [Full Text] [PDF]

This article has been cited by other articles:

				R. Mojtabai Unmet Need for Treatment of Major Depression in the United States Psychiatr Serv, March 1, 2009; 60(3): 297 - 305. [Abstract] [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2007 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us