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American Journal of Public Health logoLink to American Journal of Public Health
. 1992 Jun;82(6):796–798. doi: 10.2105/ajph.82.6.796

Commentary: caring for the indigent mentally ill--new strategies and old problems.

E Ferran Jr 1
PMCID: PMC1694184  PMID: 1585958

Abstract

Christianson and his colleagues examine how Medicaid beneficiaries receive mental health services in HMOs by analyzing two important aspects of service delivery: the use of community-based treatment programs by Medicaid beneficiaries enrolled in health maintenance organizations (HMOs) and the reimbursement levels paid to these programs by HMOs. The hypotheses studied are complex issues that concern mental-health advocates and providers. Traditional community-based mental health services have always struggled to maintain their presence in the health care field, having to contend with changing funding priorities and more serious and multiple problems presented by their patients. For prepaid plans to work effectively for the indigent mentally ill, the complex issues have to be made clear and acknowledged as meaningful variables.

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Selected References

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  1. Christianson J. B., Lurie N., Finch M., Moscovice I. S., Hartley D. Use of community-based mental health programs by HMOs: evidence from a Medicaid demonstration. Am J Public Health. 1992 Jun;82(6):790–796. doi: 10.2105/ajph.82.6.790. [DOI] [PMC free article] [PubMed] [Google Scholar]

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