Variation in outpatient mental health service utilization under capitation

Journal of Mental Health Policy and Economics

Volumn 8, Issue 1, 2005, Pages 3-14

  Chou, Ann F ^a   Wallace, Neal ^b   Bloom, Joan R ^c   Hu, Teh Wei ^c  

^a INDIANA UNIVERSITY   (United States)

^b PORTLAND STATE UNIVERSITY   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CAPITATION FEE; CONSUMER; CONTRACT; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DATA ANALYSIS; DAY CARE; DRUG MONITORING; FEMALE; GROUP THERAPY; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE FINANCING; HEALTH CARE ORGANIZATION; HEALTH CARE UTILIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MENTAL HEALTH CARE; MENTAL HEALTH CENTER; MENTAL HEALTH SERVICE; MENTAL PATIENT; NON PROFIT ORGANIZATION; OUTPATIENT CARE; PATIENT CARE; PILOT STUDY; PSYCHOTHERAPY; REIMBURSEMENT; STATISTICAL MODEL; UNITED STATES;

ADOLESCENT; ADULT; AGED; BIPOLAR DISORDER; CAPITATION FEE; COLORADO; COMMUNITY MENTAL HEALTH SERVICES; COST-BENEFIT ANALYSIS; FEE-FOR-SERVICE PLANS; FEMALE; HUMANS; MALE; MANAGED CARE PROGRAMS; MEDICAID; MENTAL DISORDERS; MIDDLE AGED; SCHIZOPHRENIA; STATE HEALTH PLANS; UNITED STATES; UTILIZATION REVIEW;

EID: 17144399208     PISSN: 10914358     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (42)

1. Liu C, Manning WG, Christianson J, Stoner TJ, Lurie N, Gray DZ, Popkin M. Patterns of outpatient use of mental health services for Medicaid beneficiaries under a prepaid mental health carve-out. Adm Policy Ment Health 1999; 26: 401-415.
2. Babigian HM, Mitchell OS, Marshall PE, Reed SK. A Mental Health Capitation Experiment: Evaluating the Monroe Livingston Experience Baltimore: John Hopkins University Press; 1992.
3. Callahan JJ, Shepard DS, Beinecke RH, Larson MJ, Cavanaugh D. Mental health/substance abuse treatment in managed care: The Massachusetts Medicaid experience. Health Aff 1995; 14: 173-184.
4. Christianson JB, Gray DZ, Kihlstrom LC, Speckman ZK. Development of the Utah prepaid mental health plan. Adv Health Econ Health Serv Res 1995; 15: 160-172.
5. Leff HS, Mulkern V, Lieberman M, Rabb B. The effects of capitation on service access, accuracy, and appropriateness. Adm Policy Ment Health 1994; 21: 141-160.
6. Reed SK, Hennessey KD, Mitchell OS, Babigian HM. A mental health capitation program: II. Cost-benefit analysis. Hosp Community Psychiatry 1994; 45: 1097-1103.
7. Reed SK. Serious mental illness and capitation financing. Behav Sci Law 1994; 12: 379-388.
8. Roth D, Snapp MB, Lauber BG, Clark JA. Consumer turnover in service utilization patterns: Implications for capitated payment. Adm Policy Ment Health 1998; 25: 241-255.
9. Mechanic D, Rochefort DA. Deinstitutionalization: An appraisal of reform. Ann Rev Soc 1990; 16: 301-327.
10. Catalano R, Libby A, Snowden L, Cuellar AE. The effect of capitated financing on mental health services for children and youth: The Colorado experience. Am J Public Health 2000; 90: 1861-1865.
11. Lehman AF. Capitation payment and mental health care: A review of the opportunities and risks. Hosp Community Psychiatry 1987; 38: 31-38.
12. Reed SK, Hennessey KD, Babigian HM. Setting capitation rates for comprehensive care of persons with disabling mental illness. Psychiatr Serv 1995; 46: 127-129.
13. Reed SK, Hennessey KD, Brown SW, Fray J. Capitation from a provider's perspective. Hosp Community Psychiatry 1992; 43: 1173-1175.
14. Scheffler R, Grogan C, Cuffel B, Penner S. A specialized mental health plan for persons with severe mental illness under managed competition. Hosp Community Psychiatry 1993; 44: 937-942.
15. The US Department of Health and Human Services. Mental Health, United States. 2000.
16. Center for Medicare and Medicaid services, Health and Human Services. Health Accounts. 2004.
17. Dwyer DS, Mitchell OS, Cole R, Reed SK. Evaluating Mental Health Capitation Treatment: Lessons from Panel Data: National Bureau of Economic Research; 1995.
18. Lehman AF. Strategies for improving services for the chronically mentally ill. Hosp Community Psychiatry 1989; 9: 916-920.
19. Hadley TR, Culhane DP, McGurrin MC. Identifying and tracking "heavy users" of psychiatric inpatient services. Adm Policy Ment Health 1992; 19: 279-290.
20. Cole RE, Reed SK, Babigian HM, Brown SW, Fray J. A mental health capitation program: I. Patient outcomes. Hosp Community Psychiatry 1994; 45:1090-1096.
21. Christianson JB, Manning W, Lurie N, Stoner TJ, Gray DZ, Popkin M, Marriott S. Utah's prepaid mental health plan: The first year. Health Aff 1995; 14: 160-172.
22. Mechanic D. Integrating mental health into a general health care system. Hosp Community Psychiatry 1994; 45: 893-897.
23. Manning WGJ, Wells KB. Preliminary results of a controlled trial of the effect of a prepaid group practice on the outpatient use of mental health services. J Hum Resour 1987; 21: 293-317.
24. Cohen E, Bloom JR. Managed care and service capacity development in a public mental health system. Adm Policy Ment Health 2000; 28: 63-74.
25. Chandler D, Hu TW, Meisel J, McGowen M, Madison K. Mental health costs, other public costs, and family burden among mental health clients in capitated integrated service agencies. J Ment Health Adm 1997; 24: 178-188.
26. Christianson JB, Gray DZ. What CMHCs can learn from two states' efforts to capitate Medicaid benefits. Hosp Community Psychiatry 1994; 8: 777-781.
27. Schinnar AP, Rothbard AB, Hadley TR. A prospective management approach to the delivery of public mental health services. Adm Policy Ment Health 1992; 19: 291-308.
28. McGuire T, Riordan M. Contracting for Community-based Public Mental Health Services. Greenwich, CT: JAI Press; 1993.
29. Bloom JR, Hu TW, Wallace N, Cuffel, B, Hausman, JW, Sheu, ML, Scheffler, R. Mental health costs and access under alternative capitation systems in Colorado. Health Serv Res 2002; 37: 315-340.
30. Bloom JR, Hu TW, Wallace N, Cuffel BJ, Hausman JW, Scheffler R. Mental health costs and outcomes under alternative capitation systems in Colorado: Early results. J Ment Health Policy Econ 1998; 1 3-13.
31. Manning WG. The logged dependent variable, heteroscedasticity, and the retransformation problem. J Health Econ 1998; 17: 283-295.
32. Manning WG, Mullahy J. Estimating log models: To transform or not to transform? J Health Econ 2001; 20: 461-494.
33. Bloom JR, Cheng JS, Hu TW, Kang SH, Wallace N. Use of antipsychotic medications in treating schizophrenia among different financing and delivery systems. J Ment Health Policy Econ 2003; 6: 163-171.
34. Ellis, A. The value of efficiency in psychotherapy. Psychother Theory, Res and Prac 1980; 17: 414-419.
35. Piper WE, Joyce AS. A consideration of factors influencing the utilization of time-limited, short-term group therapy. Int J Group Psychother 1996; 46: 311-328.
36. Dill AE, Rochefort DA. Coordination, continuity, and centralized control: A policy perspective on service strategies for the chronic mentally ill. J Soc Issues 1989; 45: 145-159.
37. Scott WR, Ruef M, Mendel P, Caronna CA. Institutional change and healthcare organizations. Chicago, IL: University of Chicago Press; 2000.
38. Schlesinger, M. 1998. Mismeasuring the consequences of ownership: external influences and the comparative performance of public, for-profit, and private nonprofit organization. In Powell WW, ed. Private Action and the Public Good. New Haven, CT: Yale University Press, 85-113.
39. Levine, White. Exchange as a conceptual framework for the study of interorganizational relations. ASQ 1963; 583-601.
40. Dill AEP. Issues in Case Managementfor the Chronically Mentally Ill. San Francisco: Jossey-Bass; 1987.
41. Kent S, Fogarty M, Yellowlees P. Heavy utilization of inpatient and outpatient services in a public mental health service. Psychiatr Serv 1995; 46: 1254-1257.
42. Mechanic D, Aiken LH. Capitation in mental health: Potentials and cautions. Paying for services: Promises and pitfalls of capitation. N Dir Ment Health Serv 1989; 43: 5-18.