Wright G E, Buck J A
Mathematica Policy Research.
Health Care Financ Rev. 1991 Fall;13(1):117-28.
Medicaid expenditures for alcohol, drug abuse, and mental health (ADM) services in 1984 were examined for the States of California and Michigan. Persons receiving such services constituted 9 to 10 percent of the total Medicaid population in the two States and accounted for 22 to 23 percent of total Medicaid expenditures. ADM expenditures were 11 to 12 percent of the total. Although the two States had similar proportions of overall expenditures for these services, Michigan appeared to emphasize inpatient psychiatric care, while California emphasized ambulatory and nursing home care. Based on the experience of the two States, national Medicaid expenditures for ADM services exclusive of long-term care were estimated to be $3.5 to $4.9 billion in 1984, two to three times the level suggested by earlier estimates.
对加利福尼亚州和密歇根州1984年医疗补助计划在酒精、药物滥用及心理健康（ADM）服务方面的支出情况进行了审查。接受此类服务的人员占这两个州医疗补助计划总人口的9%至10%，占医疗补助计划总支出的22%至23%。ADM支出占总支出的11%至12%。尽管这两个州在这些服务的总体支出比例上相近，但密歇根州似乎更强调住院精神病护理，而加利福尼亚州则更强调门诊和疗养院护理。根据这两个州的经验，估计1984年全国医疗补助计划用于ADM服务（不包括长期护理）的支出为35亿至49亿美元，是早期估计水平的两到三倍。
