Business Commons^™

The Federal Imd Exemption And Cost-Shifting, Todd Rainey

Mahurin Honors College Capstone Experience/Thesis Projects

Anecdotal evidence suggests that the Federal IMD exclusion has resulted in states opting to shift costs to the government by enacting inefficient Medicaid programs in order to gain federal reimbursement. The claim of “cost-shifting” relies on the assumption that state programs are inefficient – that is, that their Medicaid programs are less effective at reducing incarceration rates (as a metric for failure to properly treat) than their psychiatric hospitals. Literature in the Public Health, Psychiatric, and Criminal Justice fields was surveyed in order to determine relevant factors to be included in the model. Model variables include factors which contribute to …