NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

Does the Impact of Managed Care on Substance Abuse Treatment Services Vary By Profit Status?

Jody Sindelar, Todd Olmstead

NBER Working Paper No. 10745
Issued in September 2004
NBER Program(s):AG, HE

We extend our previous research by determining whether, and how, the impact of managed care on substance abuse treatment (SAT) services differs by facility ownership.

We use the 2000 National Survey of Substance Abuse Treatment Services that contains data on service offerings and other characteristics of 10,513 SAT facilities. For each group of for-profit, not-for-profit, and public facilities, we estimate the impact of managed care (MC) on the number and types of SAT services offered (i.e., indicators of the quality of care). We use IVs to account for possible endogeneity between facilities' involvement in MC and service offerings.

We find substantial differences in the magnitude and direction of the impact of MC by facility ownership. On average, MC causes for-profits to offer approximately four (out of 26) additional services, causes publics to offer approximately four fewer services, and has no impact on the number of services offered by not-for-profits.

Our findings raise concerns that managed care may reduce the quality of care provided by public SAT facilities by limiting the range of services offered. On the other hand, for-profit clinics are found to increase their range of services; the societal impact of this is unclear for several reasons.

download in pdf format
   (240 K)

email paper

The NBER Bulletin on Aging and Health provides summaries of publications like this.  You can sign up to receive the NBER Bulletin on Aging and Health by email.

Machine-readable bibliographic record - MARC, RIS, BibTeX

Document Object Identifier (DOI): 10.3386/w10745

Published: Olmstead, T and JL Sindelar. "Does the impact of managed care on substance abuse treatment services vary by profit status?" Health Services Research 40(6 Pt 1) (December 2005): 1862–1882.

Users who downloaded this paper also downloaded* these:
Finkelstein and McKnight w11609 What Did Medicare Do (And Was It Worth It)?
Fischer w2518 Rules Versus Discretion in Monetary Policy
Kapteyn and Panis Institutions and Saving for Retirement: Comparing the United States,Italy, and the Netherlands
Fisher The Market for Investment in Fees—Residential and Commercial
Dave and Mukerjee w14471 Mental Health Parity Legislation, Cost-Sharing and Substance Abuse Treatment Admissions
 
Publications
Activities
Meetings
NBER Videos
Themes
Data
People
About

National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138; 617-868-3900; email: info@nber.org

Contact Us