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Article History

Received: 21 April 2020

Accepted: 25 December 2020

First Online: 18 January 2021

Ethics approval and consent to participate

: The Office of Research Compliance at the University of North Texas Health Science Center determined on behalf of the North Texas Regional Institutional Review Board that the analyses described herein do not meet the definition of human subjects research. These observational analyses were conducted during normal Magellan Health, Inc., business operations. No special permissions were required to access these data because the analyses were conducted as part of authors’ duties for Magellan Health (ELS, ADL). Permission for dissemination of the analysis results was granted by Magellan Health, Inc., and the State of Florida, Agency for Health Care Administration; these results contain no individually identifiable data.

: Not applicable.

: This project was sponsored by Magellan Health, Inc., and the State of Florida, Agency for Health Care Administration. Magellan Health, Inc., provided salary support to five authors (ELS, NJW, ED, ADL, and KN). These authors were employees of Magellan Health, Inc., or were paid for work towards a University of North Texas Health Science Center contract with Magellan Health, Inc., a commercial managed care organization. This affiliation does not alter our adherence to BMC Health Services Research policies on sharing data and materials, and neither Magellan Health nor the State of Florida, Agency for Health Care Administration, declare any bias towards particular study outcomes.