Many Medicaid programs have either fully or partially carved out mental health services. The evaluation of carve-out plans requires a case-mix model that accounts for differing health status across Medicaid managed care plans. This article develops a diagnosis-based case-mix adjustment system specific to Medicaid behavioral health care. Several…

Experiments offer more reliable evidence on causation than observational studies, which is not to gainsay the contribution to knowledge from observation. Experiments should be analyzed as experiments, not as observational studies. A simple comparison of rates might be just the right tool, with little value added by "sophisticated" models. This…

A two-step procedure is developed for the analysis of pretest-posttest data. Nonlinear canonical correlation analysis is followed by covariance analysis of optimally scaled pretest and posttest measures. The procedure is available in the computer program CANALS. Advantages of the two-step procedure are discussed. (SLD)

Criteria for suitable research designs for use with large databases are suggested and analyzed. The advantages and disadvantages of several types of quasi-experimental designs are compared. Examples are taken from the authors' research with data from the Manitoba Health Services Commission. (Author/AL)

Consumer choice of health provider plan and preference for a personal physician were studied for 1,438 elderly adults using a joint logit model (JL) and a nested logit model. Choice criteria used by senior citizens, and reasons the nested choice model explains choice behavior better than the JL are examined. (SLD)

Use of performance gaps analysis in program evaluation is examined by analyzing and critiquing the gap reduction design as an experimental design and an analytic tool in program outcome evaluation. The example of the Bilingual Education Evaluation System illustrates the contention that disadvantages of the method outweigh its contributions. (SLD)