TABLE 2.
Unadjusted measures of service use for Medicaid carve‐in and carve‐out groups, 2016
| Access rate | Total visits (conditional on at least one visit) | |||
|---|---|---|---|---|
| Carve‐in group (%) | Carve‐out group (%) | Carve‐in group mean (SD) | Carve‐out group mean (SD) | |
| Outpatient behavioral health visits | ||||
| All | 74.4% | 71.6% | 15.15 (23.71) | 15.11 (26.43) |
| With a primary care provider a | 36.6% | 34.8% | 4.25 (12.54) | 2.82 (6.10) |
| With a psychiatrist b | 6.7% | 10.1% | 3.33 (3.02) | 3.78 (3.05) |
| With a psychologist | 6.5% | 3.5% | 6.89 (9.76) | 6.59 (8.92) |
| With an advanced practice nursing provider c | 12.6% | 12.7% | 3.36 (2.92) | 3.66 (3.11) |
| With a behavioral health specialist d | 37.6% | 39.4% | 12.93 (17.08) | 13.08 (18.71) |
| With a social worker | 16.7% | 16.0% | 7.72 (10.94) | 6.56 (10.27) |
| With another provider type e | 25.0% | 27.5% | 9.91 (19.00) | 9.29 (18.21) |
| Other behavioral health visits | ||||
| Inpatient | 4.6% | 4.7% | 1.39 (0.88) | 1.43 (0.94) |
| Emergency department | 9.9% | 10.1% | 2.15 (2.94) | 2.31 (3.26) |
| Physical health visits | ||||
| Inpatient | 10.7% | 12.1% | 1.39 (0.97) | 1.52 (1.37) |
| Emergency department | 39.0% | 42.8% | 2.51 (2.82) | 2.74 (3.59) |
| Primary care | 80.5% | 80.5% | 4.24 (3.74) | 4.38 (4.02) |
Note: Carve‐in group includes 15,601 individuals; carve‐out group includes 30,185 individuals.
a
Includes physicians, physician assistants, and advanced practice nursing providers specializing in primary care.
b
Restricted to the subset of outpatient services that are for evaluation and management.
c
Includes nurse practitioners and clinical nurse specialists specializing in mental health.
d
Includes counselors, therapists, and psychoanalysts.
e
All providers not included in other outpatient visit subtypes.