G2TT
来源类型Publication
Medicaid Emergency Psychiatric Demonstration: Response to 21st Century Cures Act Requirements (Report to Congress)
Ellen Bouchery; Sandra Chao; Mary Allison Geibel; Claire Brindley; Christine O'; Malley; Kara Zivin; and Crystal Blyler
发表日期2019-09-30
出版者Washington, DC: Mathematica
出版年2019
语种英语
概述Since the enactment of the Medicaid statute in 1965, payment for services for beneficiaries ages 21 to 64 who are patients in institutions for mental diseases (IMDs) has been prohibited; this is known as the IMD exclusion.",
摘要

Since the enactment of the Medicaid statute in 1965, payment for services for beneficiaries ages 21 to 64 who are patients in institutions for mental diseases (IMDs) has been prohibited; this is known as the IMD exclusion. Section 1905(i) of the Social Security Act defines an IMD as a “hospital, nursing facility, or other institution of more than 16 beds, that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services.” In response to stakeholder concerns about the limited availability of publicly funded inpatient psychiatric beds and the fairness of the IMD exclusion, the Patient Protection and Affordable Care Act (P.L. 111-148, Affordable Care Act,) authorized and the Centers for Medicare & Medicaid Services (CMS) implemented the MEPD from July 1, 2012 to June 30, 2015. MEPD provided federal payments to participating states for inpatient care provided in private IMDs to stabilize psychiatric emergency medical conditions (EMCs) among Medicaid beneficiaries ages 21 to 64. MEPD tested the extent to which reimbursing IMDs improved access to and quality of inpatient psychiatric care for Medicaid beneficiaries with psychiatric EMCs and reduced use and overall costs of Medicaid-funded mental health services, including inpatient, outpatient, and emergency services. Eleven states (Alabama, California, Connecticut, Illinois, Maine, Maryland, Missouri, North Carolina, Rhode Island, Washington, and West Virginia) and the District of Columbia, and 29 private IMDs participated.

Analyses required by the Cures Act confirm that MEPD was not associated with reductions in Medicaid and Medicare costs or emergency room use. New analyses found that forensic hospitals are rare in MEPD States, and forensic patients occupy a substantial portion of beds in non-forensic hospitals. Lengths of stays, payment rates, and expenditures per stay were not consistently greater for general hospital psychiatric units than for IMDs. Only a small share of all IMDs and IMD beds participated in MEPD.

URLhttps://www.mathematica.org/our-publications-and-findings/publications/medicaid-emergency-psychiatric-demonstration-response-to-21st-century-cures-act-requirements-report
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/489720
推荐引用方式
GB/T 7714
Ellen Bouchery,Sandra Chao,Mary Allison Geibel,et al. Medicaid Emergency Psychiatric Demonstration: Response to 21st Century Cures Act Requirements (Report to Congress). 2019.
条目包含的文件
文件名称/大小 资源类型 版本类型 开放类型 使用许可
mepd curesact rtc.pd(1860KB)智库出版物 限制开放CC BY-NC-SA浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Ellen Bouchery]的文章
[Sandra Chao]的文章
[Mary Allison Geibel]的文章
百度学术
百度学术中相似的文章
[Ellen Bouchery]的文章
[Sandra Chao]的文章
[Mary Allison Geibel]的文章
必应学术
必应学术中相似的文章
[Ellen Bouchery]的文章
[Sandra Chao]的文章
[Mary Allison Geibel]的文章
相关权益政策
暂无数据
收藏/分享
文件名: mepd curesact rtc.pdf
格式: Adobe PDF
此文件暂不支持浏览

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。