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Administration and Policy in Mental Health and Mental Health Services Research

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01-05-2018 | Original Article

Impact of a Usual Source of Care on Health Care Use, Spending, and Quality Among Adults With Mental Health Conditions

Authors: Catherine A. Fullerton, Whitney P. Witt, Clifton M. Chow, Manjusha Gokhale, Christine E. Walsh, Erika L. Crable, Sarah Naeger

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 3/2018

Abstract

Physical comorbidities associated with mental health conditions contribute to high health care costs. This study examined the impact of having a usual source of care (USC) for physical health on health care utilization, spending, and quality for adults with a mental health condition using Medicaid administrative data. Having a USC decreased the probability of inpatient admissions and readmissions. It decreased expenditures on emergency department visits for physical health, 30-day readmissions, and behavioral health inpatient admissions. It also had a positive effect on several quality measures. Results underscore the importance of a USC for physical health and integrated care for adults with mental health conditions.

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Title: Impact of a Usual Source of Care on Health Care Use, Spending, and Quality Among Adults With Mental Health Conditions
Authors: Catherine A. Fullerton
Whitney P. Witt
Clifton M. Chow
Manjusha Gokhale
Christine E. Walsh
Erika L. Crable
Sarah Naeger
Publication date: 01-05-2018
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 3/2018
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-017-0838-6

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Impact of a Usual Source of Care on Health Care Use, Spending, and Quality Among Adults With Mental Health Conditions

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