ArticleAcademic pediatrics2020
Health Care Utilization and Spending for Children With Mental Health Conditions in Medicaid.
Article in Academic pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed, 32 citations in OpenAlex.
- Location of Crisis Service Delivery for Medicaid-Enrolled Youths With Behavioral Health Conditions.Psychiatric services (Washington, D.C.) · 2026Article
- Opportunities to Strengthen Implementation of the Medicaid Behavioral Health Home Model for Children with Serious Emotional Disturbance: A Systematic Review.Community mental health journal · 2026Article
- Racial and ethnic disparities in unmet need for mental health care among children: A nationally representative study.Journal of racial and ethnic health disparities · 2024Article
- A classification system for youth outpatient behavioral health services billed to medicaid.Frontiers in health services · 2024Article
- Electronic health records identify timely trends in childhood mental health conditions.Child and adolescent psychiatry and mental health · 2023Article
- Perspectives on Financing Strategies for Evidence-Based Treatment Implementation in Youth Mental Health Systems.The journal of mental health policy and economics · 2023Article
- Comparing Medicaid Expenditures for Standard and Enhanced Therapeutic Foster Care.Administration and policy in mental health · 2023Article
- Mental Health Care Use Among Children and Adolescents With High Health Care Costs in Ontario, Canada.JAMA network open · 2023Article
- Assessing the Relationship Between Well-Care Visit and Emergency Department Utilization Among Adolescents and Young Adults.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Intervention research to improve care and outcomes for children with medical complexity and their families.Current problems in pediatric and adolescent health care · 2021Article
- Perspectives of Parents and Providers on Reasons for Mental Health Readmissions: A Content Analysis Study.Administration and policy in mental health · 2021Article
- Prolonged Emergency Department Length of Stay for US Pediatric Mental Health Visits (2005-2015).Pediatrics · 2021Observational
- Pilot evaluation of the Fiscal Mapping Process for sustainable financing of evidence-based youth mental health treatments: A comparative case study analysis.Implementation research and practiceArticle
- Anxiety, Depression, and Behavioural Problems Among US Children and Adolescents, 2016-2022.Infant and child developmentArticle
Corrections and comments
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Authors and funding
10 authors at 7 institutions in 1 country.
Funding
Abstract
objectiveTo examine how characteristics vary between children with any mental health (MH) diagnosis who have typical spending and the highest spending; to identify independent predictors of highest spending; and to examine drivers of spending groups.
methodsThis retrospective analysis utilized 2016 Medicaid claims from 11 states and included 775,945 children ages 3 to 17 years with any MH diagnosis and at least 11 months of continuous coverage. We compared demographic characteristics and Medicaid expenditures based on total health care spending: the top 1% (highest-spending) and remaining 99% (typical-spending). We used chi-squared tests to compare the 2 groups and adjusted logistic regression to identify independent predictors of being in the top 1% highest-spending group.
resultsChildren with MH conditions accounted for 55% of Medicaid spending among 3- to 17-year olds. Patients in the highest-spending group were more likely to be older, have multiple MH conditions, and have complex chronic physical health conditions (P <.001). The highest-spending group had $164,003 per-member-per-year (PMPY) in total health care spending, compared to $6097 PMPY in the typical-spending group. Ambulatory MH services contributed the largest proportion (40%) of expenditures ($2455 PMPY) in the typical-spending group; general health hospitalizations contributed the largest proportion (36%) of expenditures ($58,363 PMPY) in the highest-spending group.
conclusionsAmong children with MH conditions, mental and physical health comorbidities were common and spending for general health care outpaced spending for MH care. Future research and quality initiatives should focus on integrating MH and physical health care services and investigate whether current spending on MH services supports high-quality MH care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.