Reutzel T J, Becker F W, Sanders B K
Am J Public Health. 1987 Apr;77(4):503-4. doi: 10.2105/ajph.77.4.503.
An evaluation of the effect on total health care costs of a Medicaid demonstration project to provide coverage for alcoholism and substance abuse was conducted in Illinois in 1985. A pre/post-treatment analysis of expenditures for a subgroup of demonstration clients suggests that the addition of the alcohol and drug benefit did not result in higher total expenditures. [An important policy implication is that, when medical services substitute for one another, costs savings (increases) will not necessarily be realized when benefit packages are cut (expanded).]
1985年在伊利诺伊州对一项为酗酒和药物滥用提供保险的医疗补助示范项目对医疗保健总费用的影响进行了评估。对示范项目客户子群体治疗前后的支出分析表明,增加酒精和药物福利并未导致总支出增加。[一个重要的政策含义是,当医疗服务相互替代时,削减(扩大)福利套餐不一定能实现成本节约(增加)。]