Table 5.
Difference in the Pre‐Post Annual Change in Utilization, Quality of Care, and Expenditures for Maine Medicaid Beneficiaries Enrolled in BHHs, First Two Years of Implementation (April 2014 Through March 2016)
| Outcome (per 1,000 Beneficiaries) | Pre‐Period Adjusted Mean, BHH | Post‐Period Adjusted Mean, BHH | Regression‐Adjusted Pre‐Post Estimate (90% CI) | Relative Difference (%) | P‐Value | Total Weighted N |
|---|---|---|---|---|---|---|
| Inpatient admissions | 30,580 | |||||
| 183.7 | 185.5 | 1.8 (−7.3, 11.0) | 1.0 | 0.74 | ||
| Emergency department visits not leading to hospitalization | 30,580 | |||||
| 586.8 | 577.1 | −9.8 (−21.1, 1.6) | −1.7 | 0.16 | ||
| 30‐day readmissions | 8,297 | |||||
| 186.5 | 201.9 | 15.4 (−2.3, 33.0) | 8.2 | 0.15 | ||
| Any visits to a primary care provider (%) | 30,580 | |||||
| 69.9 | 71.7 | 1.9 (0.8, 2.9) | 2.7 | 0.004 | ||
| Any visits to a specialty care providera (%) | 30,580 | |||||
| 50.8 | 54.9 | 4.1 (3.0, 5.3) | 8.1 | <0.001 | ||
| Patients who remained on antidepressant medication for at least 84 days (%) | 2,958 | |||||
| 58.1 | 62.2 | 4.0 (1.2, 6.8) | 6.9 | 0.02 | ||
| Patients who remained on antidepressant medication for at least 180 days (%) | 2,958 | |||||
| 44.7 | 47.0 | 2.3 (0.2, 4.4) | 5.1 | 0.07 | ||
| Total expenditures (PBPM)b | 30,580 | |||||
| 1461.60 | 1631.37 | 169.8 (125.0, 214.6) | 11.6 | <0.001 | ||
Abbreviations: BHH, behavioral health home; CI, confidence interval; PBPM, per beneficiary per month.
Specialty care providers included specialties for treating chronic and acute conditions, including behavioral health conditions. Examples of specialty care include immunology, anesthesiology, dermatology, emergency medicine, internal medicine specialties (eg, cardiology, hematology, nephrology), pathology, surgery, psychiatry, and neurology.
Total PBPM expenditures do not include the BHH monthly capitation payment.
Source: RTI analysis of Maine Medicaid data, 2011–2016.