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Changes in Community Behavioral Heal...

Williams, Anna Marie.

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Changes in Community Behavioral Healthcare Organizations subsequent to the implementation of Medicaid managed care.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Changes in Community Behavioral Healthcare Organizations subsequent to the implementation of Medicaid managed care./
Author:	Williams, Anna Marie.
Description:	214 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-07, Section: A, page: .
Contained By:	Dissertation Abstracts International72-07A.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3453640
ISBN:	9781124619590

Changes in Community Behavioral Healthcare Organizations subsequent to the implementation of Medicaid managed care.
Williams, Anna Marie.

Changes in Community Behavioral Healthcare Organizations subsequent to the implementation of Medicaid managed care. - 214 p.

Source: Dissertation Abstracts International, Volume: 72-07, Section: A, page: .

Thesis (Ph.D.)--Indiana University of Pennsylvania, 2011.

The purpose of this study is to gather information about the organizational impact of Medicaid managed care on Community Behavioral Health Organizations (CBHOs). In particular, the study seeks to identify specific survival strategies utilized by CBHOs in light of the implementation of Medicaid managed care. It also seeks to determine if survival strategies have a positive effect on CBHO survival.

ISBN: 9781124619590Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Changes in Community Behavioral Healthcare Organizations subsequent to the implementation of Medicaid managed care.
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035 $a (UMI)AAI3453640
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040 $a UMI $c UMI
100 1 $a Williams, Anna Marie. $3 1682297
245 1 0 $a Changes in Community Behavioral Healthcare Organizations subsequent to the implementation of Medicaid managed care.
300 $a 214 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-07, Section: A, page: .
500 $a Adviser: Susan Boser.
502 $a Thesis (Ph.D.)--Indiana University of Pennsylvania, 2011.
520 $a The purpose of this study is to gather information about the organizational impact of Medicaid managed care on Community Behavioral Health Organizations (CBHOs). In particular, the study seeks to identify specific survival strategies utilized by CBHOs in light of the implementation of Medicaid managed care. It also seeks to determine if survival strategies have a positive effect on CBHO survival.
520 $a The implementation of Medicaid managed care programs for mental health services is a relatively recent phenomenon, expanding into most states only in the late 1990s. However, the transition has been relatively rapid and 47 states had Medicaid managed care plans by 1998. Despite this dynamic change, there is very little comprehensive research about organizational behaviors in community behavioral healthcare organizations (CBHOs) since the implementation of Medicaid managed care, despite the fact that these organizations treat the vast majority of Medicaid mental health consumers, and rely on Medicaid reimbursement to survive. In addition, there are no organizational studies that link strategic changes to financial success.
520 $a This research used financial data available from Guidestar and completed surveys from respondents in community behavioral healthcare organizations across the United States to analyze organizational changes. I used ordinary least squares multiple regression to estimate the impact of Medicaid managed care and other predictor variables on the implementation of survival strategies. I also used multiple regressions to determine the effect of survival strategies on gross revenue, the changes in gross revenue since 1998, net revenue, and the change in net revenue since 1998.
520 $a The results of the research did not support the hypothesis in one case, in that Medicaid Managed Care did not appear to have a significant relationship to the use of survival strategies. However, I identified other predictor factors that had a weak to moderate effect on survival strategies. In addition, specific survival strategies had a positive effect on financial results.
520 $a Further research should examine the reactions of community behavioral healthcare organizations to continued dynamic environmental change and the long-term effect of organizational change on financial success.
590 $a School code: 0318.
650 4 $a Health Sciences, Mental Health. $3 1017693
650 4 $a Business Administration, Management. $3 626628
650 4 $a Sociology, Public and Social Welfare. $3 1017909
650 4 $a Sociology, Organizational. $3 1018023
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0347
690 $a 0454
690 $a 0630
690 $a 0703
690 $a 0769
710 2 $a Indiana University of Pennsylvania. $b Sociology. $3 1044500
773 0 $t Dissertation Abstracts International $g 72-07A.
790 1 0 $a Boser, Susan, $e advisor
790 1 0 $a Nowak, Thomas $e committee member
790 1 0 $a Heckert, Alex $e committee member
790 $a 0318
791 $a Ph.D.
792 $a 2011
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3453640