The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
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The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
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We publish The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to population health.
September 2006 (Volume 84)
September 2006 | Thomas M. Wickizer, Antoinette Krupski, Kenneth D. Stark, David Mancuso, Kevin Campbell
Little is currently known about the effect of substance abuse treatment on Medicaid expenses and other health care costs for welfare clients. This study examined the association between substance abuse treatment and reductions in medical care expenditures (primarily Medicaid expenses) for General Assistance (GA) welfare clients in Washington State. The treatment group included 3,235 GA clients who received treatment during 2000 or 2001. The comparison group included 4,863 GA clients who needed substance abuse treatment but did not receive it. Substance abuse treatment was associated with a reduction (p < .01) in medical expenses of approximately $2,500 annually. This estimated savings equaled the cost of treatment and represented approximately 35 percent of the annual Medicaid expenses incurred by GA clients with substance abuse problems.
Author(s): Thomas M. Wickizer; Antoinette Krupski; Kenneth D. Stark; David Mancuso; Kevin Campbell
Keywords: substance abuse treatment; Medicaid costs; cost savings; cost offset
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Volume 84, Issue 3 (pages 555–576)
Published in 2006
Developing an Evidence Base for Policies and Interventions to Address Health Inequalities: The Analysis of “Public Health Regimes”
A Tale of Two Counties: Expanding Health Insurance Coverage for Children in California