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Section IV: Insurance for Mental Health Care
Table 4. Annual utilization and payments
| Type of Utilization |
Private
Sector
(fee-for-service)
1995 |
Medicaid |
Medicare
(5% Sample)
1995 |
MI
1994 |
NJ
1994 |
PA
1995 |
WA
1994 |
| MH/SA claimants |
114,132 |
173,877 |
79,997 |
179,797 |
56,313 |
173,528 |
| Total payments for MH/SA claimants ($1,000) |
$440,339 |
$1,270,198 |
$698,910 |
$1,361,900 |
$387,273 |
$1,991,191 |
| Average payment per MH/SA claimant |
$3,858 |
$7,305 |
$8,737 |
$7,575 |
$6,877 |
$11,475 |
| % Dedicated to MH/SA services |
30.7% |
48.6% |
43.3% |
43.8% |
36.6% |
17.9% |
| Average payment per non-MH/SA claimant (comparison sample) |
$1,853 |
$2,238 |
$2,909 |
$3,564 |
$3,044 |
$3,798 |
| Average payment per claimant with diabetes |
$5,650 |
$6,984 |
$8,907 |
$9,225 |
$7,414 |
$8,977 |
| Average payment per claimant with asthma |
$3,478 |
$4,198 |
$4,702 |
$4,955 |
$5,255 |
$9,672 |
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