Sunday, October 14, 2012

Maryland Medicaid: Behavioral health problems predict skyrocketing medical hospitalizations

Earlier this summer the Maryland Department of Health and Mental Hygiene released four years of aggregated data on Maryland Medicaid patients and some measures of health care utilization, such as hospitalizations. The data can be found here (look at the July 11 meeting materials called Data Book). This is in the context of Maryland's attempts to integrate mental health, addictions, and somatic health (see Crazy Busy for more details).

The data show hospital admissions for the top 25 conditions -- such as stroke, diabetes, pneumonia, etc -- and further break up these data into four groups of people:

  • people who also have a mental health disorder
  • people who also have a substance use disorder
  • people who have both a mental health and a substance use disorder
  • people who have neither of these conditions (ie, just a somatic disorder, like asthma or diabetes)

Taking this data and analyzing it in more detail led to some amazing discoveries that are buried in the data tables. For example, in 2011, adult patients in Maryland Medicaid's HealthChoice program who had co-occurring mental health (MH) and substance use (SU) disorders were admitted to hospitals 800-1500% more often than those without these co-occurring conditions -- hospitalized 8-15 times more often for things like pneumonia, asthma, diabetes, epilepsy, and cellulitis.

That is worth saying one more time:
Patients with both mental health and substance use disorders were hospitalized 8-15 times more often for things like pneumonia, asthma, diabetes, epilepsy, and cellulitis.
Here is a graph demonstrating this amazing connection. People with co-occurring mental health problems were admitted 2-4 times more often for these 6 types of medical conditions, and people with co-occurring substance use problems were admitted 4-7 times more often. This is based on claims data submitted to Medicaid and analyzed by the Hilltop Institute. The data are normalized such those without mental health or addiction comorbidity have a relative risk of 1 for hospitalization


The six conditions are the primary diagnoses as indicated by the Medicaid data: epilepsy; HIV-related illness; cellulitis/septicemia; congestive heart failure; respiratory conditions (bronchitis, pneumonia, asthma, and COPD); and diabetes mellitis.

It's no wonder there is data that people with chronic mental health conditions treated in the public health system die 25 years earlier.

If there was ever a reason to better integrate mental health care, addiction treatment, and primary care, this is it.

55 comments:

  1. Thanks for writing such a good article, I stumbled onto your blog and read a few post. I like your style of writing... grow taller 4 idiots

    ReplyDelete
  2. My friend mentioned to me your blog, so I thought I’d read it for myself. Very interesting insights, will be back for more! Temecula Health Insurance

    ReplyDelete
  3. I would like to thank you for the efforts you have made in writing this article. I am hoping the same best work from you in the future as well. In fact your creative writing abilities has inspired me to start my own BlogEngine blog now. Really the blogging is spreading its wings rapidly. Your write up is a fine example of it. gyms sunshine coast

    ReplyDelete
  4. Are you looking for the best Pigmentation Treatment in delhi? If yes, read on to find out the safe and effective way to get rid of the blemishes and make your skin look flawless and radiant.

    ReplyDelete
  5. My friend mentioned to me your blog, so I thought I’d read it for myself. Very interesting insights, will be back for more!
    best recipes for juicing

    ReplyDelete
  6. Earlier this summer the Maryland Department of Health and Mental Hygiene released four years of aggregated data on Maryland Medicaid patients and some measures of health care utilization, such as hospitalizations. Chiropractor

    ReplyDelete
  7. iherb coupon can give you wealth. Money, Gold, fame can be other sorts of assets. But without a proper health you cannot enjoy or relish the flavor of these materialistic things. Hence, you need to have a sound health. iherb coupon

    ReplyDelete
  8. Your music is amazing. You have some very talented artists. I wish you the best of success.
    Natural Deodorant that works

    ReplyDelete
  9. I simply want to tell you that I am new to weblog and definitely liked this blog site. Very likely I’m going to bookmark your blog . You absolutely have wonderful stories. Cheers for sharing with us your blog.
    vitamin research

    ReplyDelete
  10. Hi there, I found your blog via Google while searching for such kinda informative post and your post looks very interesting for me.
    brain boosting supplements

    ReplyDelete
  11. Specific or task-oriented fitness is a person's ability to perform in a specific activity with a reasonable efficiency: for example, sports or military service. Specific training prepares athletes to perform well in their sports.www.vigrxoilreview.com

    ReplyDelete
  12. This comment has been removed by the author.

    ReplyDelete
  13. People with ADHD more often have difficulties with social skills such as social interaction and forming and maintaining friendships. This is true for all subtypes. About half of children and adolescents with ADHD experience social rejection by their peers compared to 10–15% of non-ADHD children and adolescents.

    ReplyDelete
  14. I simply want to tell you that I am new to weblog and definitely liked this blog site. Very likely I’m going to bookmark your blog . You absolutely have wonderful stories. Cheers for sharing with us your blog.针对早泄的草本疗法

    ReplyDelete
  15. The sex of the fetus may be discerned by ultrasound as early as 11 weeks gestation.Gender scan

    ReplyDelete
  16. The 4D scans also referred to as Gender scans conducted throughout the 2nd and 3rd trimester are meant for getting an obvious picture of the placenta as well as for providing information regarding growth and position of this baby.4D Scans

    ReplyDelete
  17. The penis growth guide provides you with a safer solution to enlarge your penis size naturally. The guide shows you natural ways that do not require you to swallow any pills or perform any kind of surgery.Penis Growth Guaranteed

    ReplyDelete
  18. The Hooper Clinic is a medical weight loss clinic treating patients in the San Jose area. The Hooper Clinic specializes in customized weight loss management programs for all ages and body types. We utilize the latest research in bariatric medicine to design personalized programs that optimize each patient’s metabolic pathways to achieve rapid, safe, and long-term weight loss and weight control.San Jose Weight Loss Clinic

    ReplyDelete
  19. Healthy weight loss It’s can be difficult but with a little bit of work and some research, you can accomplish your weight loss goals with ease...fat loss factor

    ReplyDelete
  20. Furthermore, those who want to reverse their type 2 diabetes problem must strongly consider regular physical activity to further decrease liver fat stores and prevent their blood sugar problem from coming back.can type 2 diabetes be reversed?

    ReplyDelete
  21. Such a very useful article. Very interesting to read this article.I would like to thank you for the efforts you had made for writing this awesome article.Aloe Vera health benefits

    ReplyDelete
  22. I think you would be hard pressed to find somebody with the same consistency I have had over the years so I am happy with that.USA Forever Living shops

    ReplyDelete
  23. I am very much pleased with the contents you have mentioned. I wanted to thank you for this great health article.Best Brazilian wax in Manhattan

    ReplyDelete
  24. Outstandingly thought out! I wonder what would have happened if I made this kind of article. Thank you for this wonderful post. Every day I am looking forward for more post.www.gethardererectionbycommand.com

    ReplyDelete
  25. Good post posted right here through a person. Certainly, among the best post which I have analyzed in your weblog. You've carried out a few amazing enhancement about this post within the prior post and contains repaid very well. I really hope a person carry on this particular!yoga tops for women

    ReplyDelete
  26. Yoga as a technique for entering into other bodies, generating multiple bodies, and the attainment of other supernatural accomplishments yoga tops for women

    ReplyDelete
  27. Health wealthy and wise article is very well written and I like to say that when your health is good you can do any thing in any edge because your body allow you to do it without any issue.ez health benefits

    ReplyDelete
  28. wow !! This is a beautiful design. More scalable solution to provide better information, key in:hidradenitis suppurativa

    ReplyDelete
  29. SynthaSleep is an all-natural sleep aid that’s way better for you, and much more effective, than other OTC sleeping pills, many of which contain chemicals like doxylamine.best natural sleep aids over the counter

    ReplyDelete
  30. iherb promo code Eze764 $10 OFF- Enter your Coupon for any product you want at iHerb! As always we you get free shipping to USA on all orders +$20 and worldwide low cost shipping!
    Get your Discount here: https://www.youtube.com/watch?v=oZV4G2Hwqi4

    ReplyDelete
  31. My family is very surprised everyday in the morning I poop. I used two times, I never have constipation till now.constipation in children

    ReplyDelete
  32. Excellent article. I was wondering about this so I'm very happy I found your website.how to grow taller

    ReplyDelete
  33. Excellent article. I was wondering about this so I'm very happy I found your website.how to get taller

    ReplyDelete
  34. Excellent article. I was wondering about this so I'm very happy I found your website.HGH.Com Reviews

    ReplyDelete
  35. Yoga pants are a type of flexible, form-fitting pants designed for the practice of yoga as well as other physical activities that involve a lot of movement, bending and stretching.yoga pants

    ReplyDelete
  36. H-Moles Formula basically consists of organic oils with natural components that get rid of moles on the neck, legs, face, torso, hands and feet on being applied to these regions.

    ReplyDelete
  37. wow, great, I was wondering how to cure acne naturally. and found your site by google, learned a lot, now i’m a bit clear. I’ve bookmark your site and also add rss. keep us updated.H-Warts Formula

    ReplyDelete
  38. Welcome to our site! Here we review the best cheap food processors in 2016 up for grabs in order to find you the greatest products for your needs.bestbudgetfoodprocessor.com/with-dough-blade/

    ReplyDelete
  39. I used it get rid of the horrible period cramps which bothered me for more than 10 years!period pain

    ReplyDelete
  40. It is designed to empower men to have a healthy and satisfied sexual relationship, with no perils, claims the manufacturing company.does vigrx plus work

    ReplyDelete
  41. Excellent article. I was wondering about this so I'm very happy I found your website. Chelation Therapy

    ReplyDelete
  42. We offer several studios in Brooklyn and Queens NYC. We offer expecting moms 3d 4d ultrasound and gender determination services. Long Island Pregnancy

    ReplyDelete
  43. Excellent way of informing, and piece of content to acquire information regarding my demonstration subject, This is a subject that's close to my center... Thank you !top minceur

    ReplyDelete
  44. Usage of Lemon Juice is Very Good for Health. Well Lemon is something you would find easily in your day to day life without any problem. Remove Unwanted Hair Permanently At Home

    ReplyDelete
  45. I understand that most people are nervous the first time they come in...but my staff and I value the time we spend with patients, exploring choices and addressing their concerns. We're passionate about changing lives through the work we do Tummy Tuck Houston

    ReplyDelete
  46. I read this article. I think You put a lot of effort to create this article. I appreciate your work.http://www.viacianow.com/

    ReplyDelete
  47. I think you would be hard pressed to find somebody with the same consistency I have had over the years so I am happy with that.Whiplash Treatment Tampa

    ReplyDelete
  48. I like this post,And I guess that they having fun to read this post,they shall take a good site to make a information,thanks for sharing it to me.Best Online Fitness Coach

    ReplyDelete
  49. This powerful compound activates numerous other enzymes within a range of cells and tissues, and is indirectly involved in far too many cellular functions to list here.best weight loss pills

    ReplyDelete
  50. Excellent article. I was wondering about this so I'm very happy I found
    your website. weight loss meals tasmania

    ReplyDelete
  51. I like this post,And I guess that they having fun to read this post,they shall take a good site to make a information,thanks for sharing it to me.Isagenix Products

    ReplyDelete
  52. wow, great, I was wondering how to cure acne naturally. and found your site by google, learned a lot, now i’m a bit clear. I’ve bookmark your site and also add rss. keep us updated. activated charcoal powder australia

    ReplyDelete
  53. This comment has been removed by the author.

    ReplyDelete
  54. Natural Health Organics is a unique Online Health Foods Store specialising in healthy organic products sourced from through out the world. We are one of Australia’s largest organic food online distributors.Online Health Food Store

    ReplyDelete