Tami L Mark

..The present study updated this literature to determine recent spending and utilization trends and provides a baseline for assessing the effects of recent health care policy changes...

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..This study analyzed recent trends in spending on psychiatric prescription drugs and underlying factors that served as drivers of these changes...

..To examine the effects of antihypertensive step therapy on prescription drug utilization and spending, and other medical care utilization and spending...

..To our knowledge, no prior study has examined the extent to which psychoactive medications are prescribed for non-psychiatric somatic illnesses or the main types of psychiatric disorders for which psychoactive medications are being used...

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..Our spending estimates provide an important context for evaluating the effect of those policies...

..To determine in a large claims database the healthcare utilization and costs associated with treatment of alcohol dependence with medications vs no medication and across 4 US Food and Drug Administration (FDA)-approved medications...

..The study aimed to determine the prevalence of documented side effects and drug–drug interactions in older adults using antidepressants and their implications for adherence...

..The extent to which substance dependence medications will be adopted by physicians and patients, and marketed by industry, remains uncertain...

..This study determined spending on mental health treatment in the United States over time by provider and payer relative to all health spending...

..S. health care spending grew by 8.0 percent. As a result of the slower growth of SA spending compared to that for all health care, SA spending fell as a share of all health spending from 2.1 percent in 1986 to 1.3 percent in 2003...

..The authors reviewed studies of Medicaid spending on mental health and substance abuse services...

..For MH, Medicaid is forecasted to fund an increasingly larger share of treatment costs (27 percent), and prescription medications are expected to capture 30 percent of MH spending by 2014...

..Detoxification readmission is common in the public sector. Engaging patients in treatment following detoxification may reduce readmission rates and time to readmission...

..Insurance benefits can have a large effect on whether one is able to access health care services. Mental health and substance abuse (MHSA) insurance coverage has typically been less generous than that of general health services...

..The study indicates that medications to treat alcoholism must overcome numerous barriers before becoming widely accepted...

..g. by reading more journal articles about naltrexone) were more likely to prescribe it. In summary, multiple factors are contributing to the relatively low naltexone prescription rate...

..SA spending per capita by age was $26 per youth, $98 per mid-age adult, and $28 per older adult...

..This paper examines physicians' opinions about and use of two alcoholism medications currently approved in the US--disulfiram and naltrexone--and one alcoholism medication--acamprosate--that might be approved...

..e., efficacy, side effects, compliance, price, mode of administration, method of action)...

..Private insurance payment for substance abuse actually dropped in real dollars, increasing the public share of substance abuse spending...

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..Step therapy is not the same as generic substitution...

..64; CI = 1.27-2.12; p = 0.0002). Schizophrenia is, on average, accompanied by different diagnoses and symptoms in Blacks. Symptom profiles indicate that second-generation antipsychotics may be underprescribed to Black patients...

..Estimate the productivity-related cost of depression in an employed population...

..2 percent of total private insurance spending in 1992 to 5.1 percent in 1999. The decline was attributable to a dramatic decrease in inpatient MH/SA treatment--specifically, the probability of admissions and average length-of-stay...

..CONCLUSION: The leading risk adjustment approaches substantially reduce the incentives for adverse selection but do not eliminate them...

..2 days and the percentage of admissions through the emergency room increased from 35.6% to 40.1%. Detoxification offers an opportunity to link patients with rehabilitation. This analysis indicates that those opportunities may be missed...

..Although it is estimated that serious emotional disturbance affects 9 to 13 percent of children and adolescents in the United States, there are few national data on the characteristics of this group...

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..This decline was evident in all categories: inpatient, outpatient, and pharmaceutical usage. Substance abuse spending per covered life (in constant dollars) dropped from about $21.16 in 1992 to about $5.58 in 2001 [corrected]..

..Employers may receive a considerable return on the investment of offering SCTs as part of comprehensive insurance benefit for their employees as opposed to a rider...

..On a more encouraging note, many facilities were conducting discharge planning and providing aftercare, although the specifics of these services were not determined...

..In particular, barriers to access may exist for African Americans. Physician access to information about advances in drug therapies also may play a substantial role in the rate of diffusion of new medications...

..The approach should receive additional research and development attention...

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