Implications of the balanced budget act of 1997 for general hospital psychiatry inpatient units providing medical and psychiatric services

General Hospital Psychiatry

Volumn 22, Issue 1, 2000, Pages 11-16

  Goldberg, Richard J ^a   Kathol, Roger ^b  

^a RHODE ISLAND HOSPITAL   (United States)

^b UNIVERSITY OF IOWA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BUDGET; GENERAL HOSPITAL; HEALTH SERVICE; HUMAN; LAW; MEDICAL CARE; MENTAL HOSPITAL; PROSPECTIVE PAYMENT; PSYCHIATRIC DEPARTMENT; REIMBURSEMENT; SHORT SURVEY; SOCIAL SECURITY; TAX;

EID: 0034594484     PISSN: 01638343     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0163-8343(99)00052-3     Document Type: Article

References (18)

1. Freiman M.P., Goldman H.H., Taube C.A. Hospitalization for psychiatric illness under Medicare, 1985. Hosp Community Psychiatry. 41:1990;51-58.
2. Unutzer J., Patrick D.L., Simon G., et al. Depressive symptoms and the cost of health services in HMO patients aged 65 years and older. A 4-year prospective study. JAMA. 277:(20):1997;1618-1623.
3. Smith G.R. Jr, Rost K., Kashner T.M. A trial of the effect of a standardized psychiatric consultation on health outcomes and costs in somatizing patients. Arch Gen Psychiatry. 52:(3):1995;238-243.
4. Smith G.R. Jr, Monson R.A., Ray D.C. Psychiatric consultation in somatization disorder a randomized controlled study . N Engl J Med. 314:1986;1407-1413.
5. Saravay S.M. Psychiatric interventions in the medically ill outcomes and effectiveness research . Psychiatr Clin N Am. 19:1996;1-14.
6. Salvador-Carulla L., Seguí J., Fernández-Cano P., et al. Costs and offset effect in panic disorders. Br J Psychiatry. 166:(Suppl 27):1995;23-28.
7. Rost K., Kashner T.M., Smith R.G. Jr. Effectiveness of psychiatric intervention with somatization disorder patients improved outcomes at reduced costs . Gen Hosp Psychiatry. 16:(6):1994;381-387.
8. Mayou R., Hawton K., Feldman E. What happens to medical patients with psychiatric disorder? J Psychosom Res. 32:(4-5):1988;541-549.
9. Holder H.D., Blose J.O. The reduction of health care costs associated with alcoholism treatment a 14-year longitudinal study . J Stud Alcohol. 53:1991;293-302.
10. Goetzel R.Z., Anderson D.R., Whitmer R.W., et al. The relationship between modifiable health risks and health care expenditures. J Occup Environ Med. 40:(10):1998;843-854.
11. Francis J., Kapoor W.N. Prognosis after hospital discharge of older medical patients with delirium. J Am Geriatr Soc. 40:(6):1992;601-606.
12. Miller N.S., Swift R.M., Gold M.S. Health Care economics for integrated addiction treatment in clinical settings. Psychiatr Ann. 28:(12):1998;682-689.
13. Wynn B: Statement as Acting Director, Bureau of Policy Development, HCFA, on Rehabilitation and long-term care hospital payments. House subcommittee on ways and means subcommittee on health, 4-10-97.
14. Liu C-F, Cromwell J: Impact of the balanced budget act of 1997 on PPS-exempt psychiatric facilities. Health Economics Research, Inc., Waltham, MA, 1998.
15. Kishi Y., Kathol R. Integrating medicine and psychiatry treatment in an inpatient medical setting the Type IV program . Psychosomatics. 40:(4):1999;345-355.
16. Kathol RG: Integrating psychiatric treatment into outpatient primary/specialty care: clinical models & economic feasibility, Prim Psychiatry 1999 (in press).
17. Kathol R.G. Integrated medicine and psychiatry treatment programs. Med Psychiatry. 1:1998;10-16.
18. National Committee Quality Assurance, 1999 standards, vol. 7, p 46, 1999.