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Psychiatr Serv. 2009 Jul;60(7):974-7. doi: 10.1176/

Revised cost estimates of Medicaid recipients with serious mental illness and HIV-AIDS.

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  • 1Department of Psychiatry, University of Pennsylvania, 3535 Market St., Philadelphia, PA 19104, USA.



The aim of this brief report is to provide accurate 1996 baseline cost estimates for persons with co-occurring HIV and serious mental illness by revising original figures previously reported by the authors.


Data were examined for 23,729 adults who were enrolled in Medicaid in 1996. A comparison of utilization and cost of services was done for four groups: serious mental illness and HIV-AIDS, serious mental illness only, HIV-AIDS only, and neither condition.


In 1996 persons with both illnesses had the highest annual medical and behavioral health treatment expenditures at $20,038 per person, followed by persons with only HIV-AIDS at $14,714. The cost of care for the HIV-AIDS population, regardless of the presence of serious mental illness, averaged $16,253 per person.


Although the absolute costs found in this study were much higher than those reported in the authors' previous study, both studies showed that those with co-occurring illnesses had the highest cost.

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