The effect of substance abuse treatment on Medicaid expenditures among general assistance welfare clients in Washington state
Open accessAbstract
Little is currently known about the effect of substance abuse treatment on Medicaid expenses and other health care costs for welfare clients. This study examined the association between substance abuse treatment and reductions in medical care expenditures (primarily Medicaid expenses) for General Assistance (GA) welfare clients in Washington State. The treatment group included 3,235 GA clients who received treatment during 2000 or 2001. The comparison group included 4,863 GA clients who needed substance abuse treatment but did not receive it. Substance abuse treatment was associated with a reduction (p < .01) in medical expenses of approximately 2,500 US dollars annually. This estimated savings equaled the cost of treatment and represented approximately 35 percent of the annual Medicaid expenses incurred by GA clients with substance abuse problems.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Importance of the Normality Assumption in Large Public Health Data Sets
Lumley, T., Diehr, P., Emerson, S., & Chen, L. (2002) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.23.100901.140546 · Cited by 1,803 · see citing works
Ettner, S. L., Huang, D., Evans, E., Rose Ash, D., Hardy, M., Jourabchi, M., & Hser, Y. (2006) · Health Services Research · doi:10.1111/j.1475-6773.2005.00466.x · Cited by 164 · see citing works
Flagged first, then by citations
Research works printed but not linked: 28
- Boyd, D.J. 2003. The Bursting State Fiscal Bubble and State Medicaid Budgets. Health Affairs 22(1):46-61.
- Cartwright, W.S. 2000. Cost-Benefit Analysis of Drug Treatment Ser- vices: Review of the Literature. Journal of Mental Health Policy and Economics 3:11-26.
- Diehr, P., D. Yanez, A. Ash, M. Hornbrook, and D. Lin. 1999. Methods for Analyzing Health Care Utilization and Costs. Annual Review of Public Health 20:125-44.
- Duan, N. 1983. Smearing Estimate: A Nonparametric Retransformation Method. Journal of American Statistical Association 78:605-10.
- Ellis, R., and A. Ash. 1996. Refinements to the Diagnostic Cost Group (DCG) Model. Inquiry 32(4):418-29.
- French, M.T., H. Salome, A. Krupski, J. McKay, D. Donovan, T. McLel- lan, and J. Durell. 2000. Benefit-Cost Analysis of Residential and Outpatient Addiction Treatment in the State of Washington. Eval- uation Review 24(6):609-34.
- French, M.T., H.J. Salome, J.L. Sindelar, and T.A. McLellan. 2002. Benefit-Cost Analysis of Addiction Treatment: Methodological Guidelines and Empirical Application Using the DATCAP and ASI. Health Services Research 37(2):433-55.
- Gilmer, T., R. Kronick, P. Fishman, and T. Ganiats. 2001. The Medicaid Rx Model: Pharmacy-Based Risk Adjustment for Public Programs. Medical Care 39(11):1188-202.
- Holder, H.D. 1998. Cost Benefits of Substance Abuse Treatment: An Overview of Results from Alcohol and Drug Abuse. Journal of Mental Health Policy and Economics 1(1):23-29.
- Holder, H.D., and J.O. Blose. 1986. Alcoholism Treatment and Total Health Care Utilization and Costs: A Four-Year Longitudinal Anal- ysis of Federal Employees. Journal of the American Medical Association 256:1456-60.
- Institute of Medicine, Committee on Treatment of Alcohol Problems. 1990. Broadening the Base of Treatment for Alcohol Problems. Washing- ton, D.C.: National Academy Press.
- Jones, K.R., and J.R. Vischi. 1979. Impact of Alcohol Drug Abuse and Mental Health Treatment on Medical Care Utilization: A Review of the Research Literature. Medical Care 17:1-82.
- Kane, R.L., M. Wall, S. Potthoff, K. Stromberg, Y. Dai, and Z.J. Meryer. 2004. The Effect of Alcoholism Treatment on Medical Care Use. Medical Care 42(4):395-402.
- Kronick, R., T. Gilmer, T. Dreyfus, L. Lee, and Z. Zhou. 2000. Improving Health-Related Payment for Medicaid Beneficiaries: CDPS. Health Care Financing Review 21:21-64.
- Luchansky, B., L. He, A. Krupski, and K. Stark. 2000. Predicting Read- mission to Substance Abuse Treatment Using State Information Sys- tems. The Impact of Client and Treatment Characteristics. Journal of Substance Abuse 12(3):255-70.
- Maynard, C., G.B. Cox, J. Hall, A. Krupski, and K.D. Stark. 2004. Substance Use and Five-Year Survival in Washington State Mental Hospitals. Administrative Policy and Mental Health 31(4):339-45.
- Maynard, C., G.B. Cox, A. Krupski, and K. Stark. 2000. Utilization of Services by Persons Discharged from Involuntary Chemical Depen- dency Treatment. Journal of Addictive Disease 19(2):83-93.
- McCollister, K.E., and M.T. French. 2003. The Relative Contribution of Outcome Domains in the Total Economic Benefit of Addiction Interventions: A Review of First Findings. Addiction 98:1647-59.
- McKay, J.R., D. Donovan, T. McLellan, A. Krupski, M. Hansten, K. Stark, K. Geary, and J. Cecere. 2002. Evaluation of Full vs. Partial Continuum of Care in the Treatment of Publicly Funded Substance Abusers in Washington State. American Journal of Drug and Alcohol Abuse 28(2):307-8.
- Metsch, L., M. Pereyra, C. Miles, and C. McCoy. 2003. Welfare and Work Outcomes after Substance Abuse Treatment. Social Service Review 77(2):237-54.
- Metsch, L., and H. Pollack. 2005. Welfare Reform and Substance Abuse. The Milbank Quarterly 83(1):65-99.
- Mokdad, A.H., J.S. Marks, D.F. Stroup, and J.L. Gerberding. 2004. Ac- tual Causes of Death in the United States, 2000. Journal of American Medical Association 291(10):1238-45.
- Newhouse, J., W. Manning, E. Keeler, and E. Sloss. 1989. Adjusting Capitation Rates Using Objective Health Measures and Prior Uti- lization. Health Care Financing Review 10(3):41-54.
- Parthasarathy, S., C. Weisner, T.W. Hu, and C. Moore. 2001. Associa- tion of Outpatient Alcohol and Drug Treatment with Health Care Utilization and Cost: Revisiting the Offset Hypothesis. Journal of Studies on Alcohol 62:89-97.
- Pope, H.G., M. Ionescu-Pioggia, and K.W. Pope. 2001. Drug Use and Life Style among College Undergraduates: A 30-Year Longitudinal Study. American Journal of Psychiatry 158(9):1519-21.
- Schroeder, S.A. 2005. An Agenda to Combat Substance Abuse. Health Affairs 24(4):1005-14.
- Wickizer, T.M., K. Campbell, A. Krupski, and K. Stark. 2000. Employ- ment Outcomes among AFDC Recipients Treated for Substance Abuse in Washington State. The Milbank Quarterly 78(4):585-608.
- Wickizer, T.M., C. Maynard, A. Atherly, M. Frederick, T. Koepsell, A. Krupski, and K. Stark. 1994. Completion Rates of Clients Dis- charged from Drug and Alcohol Treatment Programs in Washington State. American Journal of Public Health 84(2):215-21.
Cited by
Sorted by citations
Satre, D. D., Palzes, V. A., Young-Wolff, K. C., Parthasarathy, S., Weisner, C., Guydish, J., & Campbell, C. I. (2020) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2020.108097 · Cited by 22 · see citing works
“Consistent with prior studies of SUD treatment samples that have found elevated levels of healthcare utilization either immediately before or after starting SUD treatment (Holder, 1998; Parthasarathy et al., 2001; Wickizer et al., 2006), results of our longitudinal analysis showed that utilization among people with SU…”
Result
- Authors
- WICKIZER, T. M., KRUPSKI, A., STARK, K. D., MANCUSO, D., & CAMPBELL, K.
- Affiliations
- University of Washington (US)
- Washington Department of Social and Health Services (US)
- Corresponding author
- WICKIZER, THOMAS M.
- ORCID
- CAMPBELL, KEVIN
- Venue
- The Milbank Quarterly
- Publisher
- Wiley
- Published
- 2006-08-29
- Volume
- 84
- Issue
- 3
- Pages
- 555-576
- ISSN
- 0887-378X (ISSN-L)
- 1468-0009
- PMC
- PMC2690254
- OpenAlex
- W2139350430
- Cited by
- 26
- References
- 2
- Citations by year
- 2021: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 2 · 2012: 4
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Milbank Quarterly (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- addiction treatment, Medicaid expenditures, welfare clients, health care costs, cost reduction, Washington State
- MeSH terms
- Adult, Health Expenditures, Female, Humans, Insurance Claim Review, Male, Medicaid, Mental Health Services, Middle Aged, Public Assistance, State Health Plans, United States, Washington, Program Evaluation, Cost Savings, Outcome Assessment, Health Care, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
