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Published in: Administration and Policy in Mental Health and Mental Health Services Research 4/2008

01-07-2008 | Original Paper

Medicare Inpatient Treatment for Elderly Non-dementia Psychiatric Illnesses 1992–2002; Length of Stay and Expenditures by Facility Type

Authors: Donald R. Hoover, Ayse Akincigil, Jonathan D. Prince, Ece Kalay, Judith A. Lucas, James T. Walkup, Stephen Crystal

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 4/2008

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Abstract

We summarize Medicare utilization and payment for inpatient treatment of non-dementia psychiatric illnesses (NDPI) among the elderly during 1992 and 2002. From 1992 to 2002, overall mean Medicare expenditures per elderly NDPI inpatient stay declined by $2,254 (in 2002 dollars) and covered days by 2.8. However, these changes are complicated by expanded use of skilled nursing facilities and hospital psychiatric units, and decreased use of long-stay hospitals and general hospital beds. This suggests that inpatient treatment for NDPI is shifting into less expensive settings which may reflect cost-cutting strategies, preferences for less restrictive settings, and outpatient treatment advances.
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Metadata
Title
Medicare Inpatient Treatment for Elderly Non-dementia Psychiatric Illnesses 1992–2002; Length of Stay and Expenditures by Facility Type
Authors
Donald R. Hoover
Ayse Akincigil
Jonathan D. Prince
Ece Kalay
Judith A. Lucas
James T. Walkup
Stephen Crystal
Publication date
01-07-2008
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 4/2008
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-008-0166-y

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