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Comparing Medicaid Expenditures for Standard and Enhanced Therapeutic Foster Care
Therapeutic foster care (TFC) is a service for children with high behavioral health needs that has shown promise to prevent entry into more restrictive and expensive care settings. The purpose of this study was to compare Medicaid expenditures associated with TFC with Medicaid expenditures associate...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10169148/ https://www.ncbi.nlm.nih.gov/pubmed/37160645 http://dx.doi.org/10.1007/s10488-023-01270-1 |
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author | Lanier, Paul Rose, Roderick Domino, Marisa Elena |
author_facet | Lanier, Paul Rose, Roderick Domino, Marisa Elena |
author_sort | Lanier, Paul |
collection | PubMed |
description | Therapeutic foster care (TFC) is a service for children with high behavioral health needs that has shown promise to prevent entry into more restrictive and expensive care settings. The purpose of this study was to compare Medicaid expenditures associated with TFC with Medicaid expenditures associated with an enhanced higher-rate service called Intensive Alternative Family Treatment (IAFT). We conducted a secondary analysis of Medicaid claims in North Carolina among children entering care in 2018–2019. Using propensity score analysis with difference-in-difference estimation, we compared monthly Medicaid expenditures before and after initiating TFC and IAFT (N = 5472 person-months). Youth entering IAFT had higher expenditures prior to treatment than those entering TFC. Both standard TFC and IAFT were associated with a downward trend in expenditures following treatment initiation. Both TFC and IAFT reverse a trend of increasing Medicaid costs prior to care among children with high behavioral health needs. |
format | Online Article Text |
id | pubmed-10169148 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-101691482023-05-11 Comparing Medicaid Expenditures for Standard and Enhanced Therapeutic Foster Care Lanier, Paul Rose, Roderick Domino, Marisa Elena Adm Policy Ment Health Original Article Therapeutic foster care (TFC) is a service for children with high behavioral health needs that has shown promise to prevent entry into more restrictive and expensive care settings. The purpose of this study was to compare Medicaid expenditures associated with TFC with Medicaid expenditures associated with an enhanced higher-rate service called Intensive Alternative Family Treatment (IAFT). We conducted a secondary analysis of Medicaid claims in North Carolina among children entering care in 2018–2019. Using propensity score analysis with difference-in-difference estimation, we compared monthly Medicaid expenditures before and after initiating TFC and IAFT (N = 5472 person-months). Youth entering IAFT had higher expenditures prior to treatment than those entering TFC. Both standard TFC and IAFT were associated with a downward trend in expenditures following treatment initiation. Both TFC and IAFT reverse a trend of increasing Medicaid costs prior to care among children with high behavioral health needs. Springer US 2023-05-09 /pmc/articles/PMC10169148/ /pubmed/37160645 http://dx.doi.org/10.1007/s10488-023-01270-1 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article Lanier, Paul Rose, Roderick Domino, Marisa Elena Comparing Medicaid Expenditures for Standard and Enhanced Therapeutic Foster Care |
title | Comparing Medicaid Expenditures for Standard and Enhanced Therapeutic Foster Care |
title_full | Comparing Medicaid Expenditures for Standard and Enhanced Therapeutic Foster Care |
title_fullStr | Comparing Medicaid Expenditures for Standard and Enhanced Therapeutic Foster Care |
title_full_unstemmed | Comparing Medicaid Expenditures for Standard and Enhanced Therapeutic Foster Care |
title_short | Comparing Medicaid Expenditures for Standard and Enhanced Therapeutic Foster Care |
title_sort | comparing medicaid expenditures for standard and enhanced therapeutic foster care |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10169148/ https://www.ncbi.nlm.nih.gov/pubmed/37160645 http://dx.doi.org/10.1007/s10488-023-01270-1 |
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