Okunade A A, Chang C F
University of Memphis, TN, USA.
J Health Care Finance. 1998 Spring;24(3):27-40.
Federal Section 1915(b) and Section 1115 waivers, through the Health Care Financing Administration, are the primary modes for implementing Medicaid-managed mental health and chemical dependency services. This paper focuses on three distinct case studies of managed mental health programs in Tennessee, Massachusetts, and Hawaii. The purpose is to determine, among other design factors (such as carve-in, carve-out, and covered services) the specific roles that differences in the financing structure play in the relative success of these programs. Findings from the three distinct models should provide lessons for the impending mental health programs of other states, including those in the varying stages of implementation.
联邦第1915(b)条和第1115条豁免条款通过医疗保健财务管理局，是实施医疗补助管理的心理健康和药物依赖服务的主要方式。本文重点关注田纳西州、马萨诸塞州和夏威夷州管理心理健康项目的三个不同案例研究。目的是在其他设计因素（如纳入、分离和涵盖服务）中确定融资结构差异在这些项目相对成功中所起的具体作用。来自这三种不同模式的研究结果应为其他州即将实施的心理健康项目提供经验教训，包括那些处于不同实施阶段的项目。
