Development of a Medicaid Behavioral Health Case-Mix Model

John Robst ()

Evaluation Review, 2009, vol. 33, issue 6, 519-538

Abstract: Many Medicaid programs have either fully or partially carved out mental health services. The evaluation of carve-out plans requires a case-mix model that accounts for differing health status across Medicaid managed care plans. This article develops a diagnosis-based case-mix adjustment system specific to Medicaid behavioral health care. Several different model specifications are compared that use untransformed, square root transformed, and log-transformed expenditures.

Keywords: risk adjustment; case mix; Medicaid; carve-out (search for similar items in EconPapers)
Date: 2009
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Persistent link: https://EconPapers.repec.org/RePEc:sae:evarev:v:33:y:2009:i:6:p:519-538

DOI: 10.1177/0193841X09349420

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