A Comparison of Benefit Limits in Mental Health

This study provides insight to policy makers and stakeholders on how three types of benefits limits on Medicaid-covered mental health services might affect access for consumers diagnosed with severe mental illness. The study used a retrospective cohort design with data for Medicaid-covered, communit...

Full description

Saved in:
Bibliographic Details
Published in:Administration and policy in mental health and mental health services research 2016-07, Vol.43 (4), p.524-534
Main Authors: Olesiuk, William Joseph, Sweeney, Helen Anne, Seiber, Eric E., Zhu, Hong, Schweikhart, Sharon B., Shoben, Abigail B., Tam, Kwok Kwan
Format: Article
Language:English
Subjects:
Age
American Recovery & Reinvestment Act 2009-US
Budgets
Census of Population
Clinical Psychology
Cohort Studies
Community
Community Mental Health Services
Community-based programs
Coverage
Expenditures
Federal funding
Government programs
Health Administration
Health care
Health care expenditures
Health Expenditures
Health Informatics
Health services
Humans
Insurance Benefits
Legislation
Medicaid
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - therapy
Mental health
Mental health care
Ohio
Original Article
Policy making
Psychiatry
Public Health
Recessions
Regression analysis
Retrospective Studies
Service provision
Software
Stakeholders
Subsidies
Trends
Uninsured people
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c470t-7e4fa2ca455a47751524697b699faf83bcbb37939bf41073ca96a6bc5ef8393c3
cites cdi_FETCH-LOGICAL-c470t-7e4fa2ca455a47751524697b699faf83bcbb37939bf41073ca96a6bc5ef8393c3
container_end_page 534
container_issue 4
container_start_page 524
container_title Administration and policy in mental health and mental health services research
container_volume 43
creator Olesiuk, William Joseph
Sweeney, Helen Anne
Seiber, Eric E.
Zhu, Hong
Schweikhart, Sharon B.
Shoben, Abigail B.
Tam, Kwok Kwan
description This study provides insight to policy makers and stakeholders on how three types of benefits limits on Medicaid-covered mental health services might affect access for consumers diagnosed with severe mental illness. The study used a retrospective cohort design with data for Medicaid-covered, community-based mental health services provided in Ohio during fiscal year 2010. Log-binomial regression was used for the analysis. Results indicate that limits compared have significant, varying consequences based on Medicaid coverage and diagnoses. When constraining Medicaid costs, policy makers should consider how limits will disrupt care and include clinicians in discussions prior to implementation.
doi_str_mv 10.1007/s10488-015-0656-7
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4644099</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4077153641</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-7e4fa2ca455a47751524697b699faf83bcbb37939bf41073ca96a6bc5ef8393c3</originalsourceid><addsrcrecordid>eNp1kc1LwzAYxoMobk7_AC9S8OKlLmm-moswhzph4kXBW0hjumW0zUxawf_e1M2hgqf38Pze5_14ADhF8BJByMcBQZLnKUQ0hYyylO-BIaIcpzjLxT4YwlyQlOb8ZQCOQlhBCAXj2SEYZFQwxigagvEkmbp6rbwNrklcmVybxpS2Tea2tm1IbJM8mKZVVTIzqmqXx-CgVFUwJ9s6As-3N0_TWTp_vLufTuapJhy2KTekVJlWhFJFOKeIZoQJXjAhSlXmuNBFgbnAoigJghxrJZhihaYmigJrPAJXG991V9TmVccdvKrk2tta-Q_plJW_lcYu5cK9S8IIgUJEg4utgXdvnQmtrG3QpqpUY1wXJOqnxycyEtHzP-jKdb6J531RLIeI9xTaUNq7ELwpd8sgKPs45CYOGeOQfRySx56zn1fsOr7_H4FsA4QoNQvjf4z-1_UTMAeUGg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1793680174</pqid></control><display><type>article</type><title>A Comparison of Benefit Limits in Mental Health</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>Social Science Premium Collection</source><source>Sociology Collection</source><source>Springer Link</source><creator>Olesiuk, William Joseph ; Sweeney, Helen Anne ; Seiber, Eric E. ; Zhu, Hong ; Schweikhart, Sharon B. ; Shoben, Abigail B. ; Tam, Kwok Kwan</creator><creatorcontrib>Olesiuk, William Joseph ; Sweeney, Helen Anne ; Seiber, Eric E. ; Zhu, Hong ; Schweikhart, Sharon B. ; Shoben, Abigail B. ; Tam, Kwok Kwan</creatorcontrib><description>This study provides insight to policy makers and stakeholders on how three types of benefits limits on Medicaid-covered mental health services might affect access for consumers diagnosed with severe mental illness. The study used a retrospective cohort design with data for Medicaid-covered, community-based mental health services provided in Ohio during fiscal year 2010. Log-binomial regression was used for the analysis. Results indicate that limits compared have significant, varying consequences based on Medicaid coverage and diagnoses. When constraining Medicaid costs, policy makers should consider how limits will disrupt care and include clinicians in discussions prior to implementation.</description><identifier>ISSN: 0894-587X</identifier><identifier>EISSN: 1573-3289</identifier><identifier>DOI: 10.1007/s10488-015-0656-7</identifier><identifier>PMID: 25966651</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Age ; American Recovery &amp; Reinvestment Act 2009-US ; Budgets ; Census of Population ; Clinical Psychology ; Cohort Studies ; Community ; Community Mental Health Services ; Community-based programs ; Coverage ; Expenditures ; Federal funding ; Government programs ; Health Administration ; Health care ; Health care expenditures ; Health Expenditures ; Health Informatics ; Health services ; Humans ; Insurance Benefits ; Legislation ; Medicaid ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - therapy ; Mental health ; Mental health care ; Ohio ; Original Article ; Policy making ; Psychiatry ; Public Health ; Recessions ; Regression analysis ; Retrospective Studies ; Service provision ; Software ; Stakeholders ; Subsidies ; Trends ; Uninsured people ; United States</subject><ispartof>Administration and policy in mental health and mental health services research, 2016-07, Vol.43 (4), p.524-534</ispartof><rights>Springer Science+Business Media New York 2015</rights><rights>Springer Science+Business Media New York 2016</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-7e4fa2ca455a47751524697b699faf83bcbb37939bf41073ca96a6bc5ef8393c3</citedby><cites>FETCH-LOGICAL-c470t-7e4fa2ca455a47751524697b699faf83bcbb37939bf41073ca96a6bc5ef8393c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1793680174/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1793680174?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,776,780,881,12824,21372,21373,27900,27901,30975,33587,33588,34506,34507,43708,44090,74191,74608</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25966651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Olesiuk, William Joseph</creatorcontrib><creatorcontrib>Sweeney, Helen Anne</creatorcontrib><creatorcontrib>Seiber, Eric E.</creatorcontrib><creatorcontrib>Zhu, Hong</creatorcontrib><creatorcontrib>Schweikhart, Sharon B.</creatorcontrib><creatorcontrib>Shoben, Abigail B.</creatorcontrib><creatorcontrib>Tam, Kwok Kwan</creatorcontrib><title>A Comparison of Benefit Limits in Mental Health</title><title>Administration and policy in mental health and mental health services research</title><addtitle>Adm Policy Ment Health</addtitle><addtitle>Adm Policy Ment Health</addtitle><description>This study provides insight to policy makers and stakeholders on how three types of benefits limits on Medicaid-covered mental health services might affect access for consumers diagnosed with severe mental illness. The study used a retrospective cohort design with data for Medicaid-covered, community-based mental health services provided in Ohio during fiscal year 2010. Log-binomial regression was used for the analysis. Results indicate that limits compared have significant, varying consequences based on Medicaid coverage and diagnoses. When constraining Medicaid costs, policy makers should consider how limits will disrupt care and include clinicians in discussions prior to implementation.</description><subject>Age</subject><subject>American Recovery &amp; Reinvestment Act 2009-US</subject><subject>Budgets</subject><subject>Census of Population</subject><subject>Clinical Psychology</subject><subject>Cohort Studies</subject><subject>Community</subject><subject>Community Mental Health Services</subject><subject>Community-based programs</subject><subject>Coverage</subject><subject>Expenditures</subject><subject>Federal funding</subject><subject>Government programs</subject><subject>Health Administration</subject><subject>Health care</subject><subject>Health care expenditures</subject><subject>Health Expenditures</subject><subject>Health Informatics</subject><subject>Health services</subject><subject>Humans</subject><subject>Insurance Benefits</subject><subject>Legislation</subject><subject>Medicaid</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - therapy</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Ohio</subject><subject>Original Article</subject><subject>Policy making</subject><subject>Psychiatry</subject><subject>Public Health</subject><subject>Recessions</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Service provision</subject><subject>Software</subject><subject>Stakeholders</subject><subject>Subsidies</subject><subject>Trends</subject><subject>Uninsured people</subject><subject>United States</subject><issn>0894-587X</issn><issn>1573-3289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2S</sourceid><recordid>eNp1kc1LwzAYxoMobk7_AC9S8OKlLmm-moswhzph4kXBW0hjumW0zUxawf_e1M2hgqf38Pze5_14ADhF8BJByMcBQZLnKUQ0hYyylO-BIaIcpzjLxT4YwlyQlOb8ZQCOQlhBCAXj2SEYZFQwxigagvEkmbp6rbwNrklcmVybxpS2Tea2tm1IbJM8mKZVVTIzqmqXx-CgVFUwJ9s6As-3N0_TWTp_vLufTuapJhy2KTekVJlWhFJFOKeIZoQJXjAhSlXmuNBFgbnAoigJghxrJZhihaYmigJrPAJXG991V9TmVccdvKrk2tta-Q_plJW_lcYu5cK9S8IIgUJEg4utgXdvnQmtrG3QpqpUY1wXJOqnxycyEtHzP-jKdb6J531RLIeI9xTaUNq7ELwpd8sgKPs45CYOGeOQfRySx56zn1fsOr7_H4FsA4QoNQvjf4z-1_UTMAeUGg</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Olesiuk, William Joseph</creator><creator>Sweeney, Helen Anne</creator><creator>Seiber, Eric E.</creator><creator>Zhu, Hong</creator><creator>Schweikhart, Sharon B.</creator><creator>Shoben, Abigail B.</creator><creator>Tam, Kwok Kwan</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2S</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>POGQB</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PRQQA</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160701</creationdate><title>A Comparison of Benefit Limits in Mental Health</title><author>Olesiuk, William Joseph ; Sweeney, Helen Anne ; Seiber, Eric E. ; Zhu, Hong ; Schweikhart, Sharon B. ; Shoben, Abigail B. ; Tam, Kwok Kwan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-7e4fa2ca455a47751524697b699faf83bcbb37939bf41073ca96a6bc5ef8393c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Age</topic><topic>American Recovery &amp; Reinvestment Act 2009-US</topic><topic>Budgets</topic><topic>Census of Population</topic><topic>Clinical Psychology</topic><topic>Cohort Studies</topic><topic>Community</topic><topic>Community Mental Health Services</topic><topic>Community-based programs</topic><topic>Coverage</topic><topic>Expenditures</topic><topic>Federal funding</topic><topic>Government programs</topic><topic>Health Administration</topic><topic>Health care</topic><topic>Health care expenditures</topic><topic>Health Expenditures</topic><topic>Health Informatics</topic><topic>Health services</topic><topic>Humans</topic><topic>Insurance Benefits</topic><topic>Legislation</topic><topic>Medicaid</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mental disorders</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - therapy</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Ohio</topic><topic>Original Article</topic><topic>Policy making</topic><topic>Psychiatry</topic><topic>Public Health</topic><topic>Recessions</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Service provision</topic><topic>Software</topic><topic>Stakeholders</topic><topic>Subsidies</topic><topic>Trends</topic><topic>Uninsured people</topic><topic>United States</topic><toplevel>online_resources</toplevel><creatorcontrib>Olesiuk, William Joseph</creatorcontrib><creatorcontrib>Sweeney, Helen Anne</creatorcontrib><creatorcontrib>Seiber, Eric E.</creatorcontrib><creatorcontrib>Zhu, Hong</creatorcontrib><creatorcontrib>Schweikhart, Sharon B.</creatorcontrib><creatorcontrib>Shoben, Abigail B.</creatorcontrib><creatorcontrib>Tam, Kwok Kwan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>ProQuest Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>Sociology Database (ProQuest)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health &amp; Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest Sociology &amp; Social Sciences Collection</collection><collection>ProQuest One Health &amp; Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Administration and policy in mental health and mental health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olesiuk, William Joseph</au><au>Sweeney, Helen Anne</au><au>Seiber, Eric E.</au><au>Zhu, Hong</au><au>Schweikhart, Sharon B.</au><au>Shoben, Abigail B.</au><au>Tam, Kwok Kwan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Comparison of Benefit Limits in Mental Health</atitle><jtitle>Administration and policy in mental health and mental health services research</jtitle><stitle>Adm Policy Ment Health</stitle><addtitle>Adm Policy Ment Health</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>43</volume><issue>4</issue><spage>524</spage><epage>534</epage><pages>524-534</pages><issn>0894-587X</issn><eissn>1573-3289</eissn><abstract>This study provides insight to policy makers and stakeholders on how three types of benefits limits on Medicaid-covered mental health services might affect access for consumers diagnosed with severe mental illness. The study used a retrospective cohort design with data for Medicaid-covered, community-based mental health services provided in Ohio during fiscal year 2010. Log-binomial regression was used for the analysis. Results indicate that limits compared have significant, varying consequences based on Medicaid coverage and diagnoses. When constraining Medicaid costs, policy makers should consider how limits will disrupt care and include clinicians in discussions prior to implementation.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25966651</pmid><doi>10.1007/s10488-015-0656-7</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0894-587X
ispartof Administration and policy in mental health and mental health services research, 2016-07, Vol.43 (4), p.524-534
issn 0894-587X
1573-3289
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4644099
source Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Sociology Collection; Springer Link
subjects Age
American Recovery & Reinvestment Act 2009-US
Budgets
Census of Population
Clinical Psychology
Cohort Studies
Community
Community Mental Health Services
Community-based programs
Coverage
Expenditures
Federal funding
Government programs
Health Administration
Health care
Health care expenditures
Health Expenditures
Health Informatics
Health services
Humans
Insurance Benefits
Legislation
Medicaid
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - therapy
Mental health
Mental health care
Ohio
Original Article
Policy making
Psychiatry
Public Health
Recessions
Regression analysis
Retrospective Studies
Service provision
Software
Stakeholders
Subsidies
Trends
Uninsured people
United States
title A Comparison of Benefit Limits in Mental Health
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-24T16%3A29%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Comparison%20of%20Benefit%20Limits%20in%20Mental%20Health&rft.jtitle=Administration%20and%20policy%20in%20mental%20health%20and%20mental%20health%20services%20research&rft.au=Olesiuk,%20William%20Joseph&rft.date=2016-07-01&rft.volume=43&rft.issue=4&rft.spage=524&rft.epage=534&rft.pages=524-534&rft.issn=0894-587X&rft.eissn=1573-3289&rft_id=info:doi/10.1007/s10488-015-0656-7&rft_dat=%3Cproquest_pubme%3E4077153641%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c470t-7e4fa2ca455a47751524697b699faf83bcbb37939bf41073ca96a6bc5ef8393c3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1793680174&rft_id=info:pmid/25966651&rfr_iscdi=true