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Psychiatr Serv. 2009 Jul;60(7):974-7. doi: 10.1176/appi.ps.60.7.974.

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. rothbard@mail.med.upenn.edu

Abstract

OBJECTIVE:

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.

METHODS:

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.

RESULTS:

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.

CONCLUSIONS:

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.

PMID:
19564230
[PubMed - indexed for MEDLINE]
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