The impact of capitated financing on psychiatric emergency services

Psychiatric Services

Volumn 56, Issue 6, 2005, Pages 685-690

  Catalano, Ralph A ^a,c   Coffman, Janet M ^a   Bloom, Joan R ^a   Ma, Yifei ^b   Kang, Soo H ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c 140 Warren Hall ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY HEALTH SERVICE; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE ORGANIZATION; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; MENTAL DISEASE; MENTAL HEALTH SERVICE; REIMBURSEMENT; SUBSTANCE ABUSE;

CAPITATION FEE; COLORADO; COST ALLOCATION; COST-BENEFIT ANALYSIS; EMERGENCY SERVICES, PSYCHIATRIC; FEE-FOR-SERVICE PLANS; HUMANS; MEDICAID; MENTAL DISORDERS; QUALITY ASSURANCE, HEALTH CARE; SUBSTANCE-RELATED DISORDERS; UTILIZATION REVIEW;

EID: 20044364954     PISSN: 10752730     EISSN: None     Source Type: Journal    
DOI: 10.1176/appi.ps.56.6.685     Document Type: Article

References (46)

1. Ma CA, McGuire TG: Costs and incentives in a behavioral carve-out. Health Affairs 17:53-69, 1998
2. Mechanic D, Aiken LH (eds.): Paving for Services: Promises and Pitfalls of Capitation. San Francisco, Jossey-Bass, Inc., 1989
3. Bloom JR, Hu TW, Wallace N, et al: Mental health costs and access under alternative capitation systems in Colorado. Health Services Research 37:315-340, 2002
4. Cuffel BJ, Bloom JR, Wallace N, et al: Two-year outcomes of fee-for-service and capitated Medicaid programs for people with severe mental illness. Health Services Research 37:341-359, 2002
5. Chandler D, Hu TW, Meisel J, et al: Mental health costs, other public costs, and family burden among mental health clients in capitated integrated service agencies. Journal of Mental Health Administration 24:178-188, 1997
6. Christianson JB, Manning WG, Lurie N, et al: Utah's Prepaid Mental Health Plan: the first year. Health Affairs 14(3):160-172, 1995
7. Frank RG, McGuire TG: Savings from a Medicaid carve-out for mental health and substance abuse services in Massachusetts. Psychiatric Services 48:1147-1152, 1997
8. Frank RG, McGuire TG, Notman EH, et al: Developments in Medicaid managed behavioral health care, in Mental Health, United States 1996. Edited by Manderscheid RW, Sonnenschein M. Washington, DC., U.S. Government Printing Office, 1996
9. Leff HS, Mulkern V, Lieberman M, et al: The effects of capitation on service access, accuracy, and appropriateness. Administration and Policy in Mental Health 21:141-160, 1994
10. Manning WG, Liu C, Stoner T, et al: Outcomes for Medicaid beneficiaries with schizophrenia under a prepaid mental health carve-out. Journal of Behavioral Health Services Research 26:442-450, 1999
11. Reed SK, Hennessy KD, Mitchell OS, et al: A mental health capitation program: II. cost-benefit analysis. Hospital and Community Psychiatry 45:1097-1103, 1994
12. Sabin JE, Daniels N: Public-sector managed behavioral health care: II. contracting for Medicaid services - the Massachusetts experience. Psychiatric Services 50:39-41, 1999
13. Shern DL, Donahue SA, Felton C, et al: Partial capitation versus fee-for-service in mental health care. Health Affairs 14:208-219, 1995
14. Stoner T, Manning WG, Christianson JB, et al: Expenditures for mental health services in the Utah prepaid mental health plan. Health Care Financing Review 18:73-93, 1997
15. Stroup TS, Donvart RA: Impact of a managed mental health program on Medicaid recipients with severe mental illness. Psychiatric Services 46:885-889, 1995
16. Popkin MK, Lurie N, Manning W, et al: Changes in the process of care for Medicaid patients with schizophrenia in Utah's prepaid mental health plan. Psychiatric Services 49:518-523, 1998
17. Ray A, Daugherty JR, Meador KG: Effects of a mental health "carve-out" program on the continuity of antipsychotic therapy. New England Journal of Medicine 348:1885-1894, 2003
18. Dickey B, Normand SL, Hermann R, et al: Guideline recommendations for treatment of schizophrenia: the impact of managed care. Archives of General Psychiatry 60:340-348, 2003
19. Bloom JR, Cheng JS, Hu TW, et al: Use of antipsychotic medications in treating schizophrenia among different financing and delivery systems. Journal of Mental Health Policy and Economics 6:163-171, 2003
20. Claassen CA, Hughes CW, Gilfillan S, et al: Toward a redefinition of psychiatric emergency. Health Services Research 35:735-754, 2000
21. Rissmiller DJ, Steer R, Ranieri WF, et al: Factors complicating cost containment in the treatment of suicidal patients. Hospital and Community Psychiatry 45:782-788, 1994
22. Claassen CA, Hughes CW, Gilfillan S, et al: The nature of help-seeking during psychiatric emergency service visits by a patient and an accompanying adult. Psychiatric Services 51:924-927, 2000
23. Bartolucci G, Drayer CS: An overview of crisis intervention in the emergency rooms of general hospitals. American Journal of Psychiatry 130:953-960, 1973
24. Lieberman P, Baker F: The reliability of psychiatric diagnosis in the emergency room. Hospital and Community Psychiatry 36:291-293, 1985
25. Solomon P, Gordon B: The psychiatric emergency room and follow up services in the community. Psychiatric Quarterly 58:119-127, 1986
26. Way BB, Evans ME, Banks SM: Factors predicting referral to inpatient or outpatient treatment from psychiatric emergency services. Hospital and Community Psychiatry 43:703-708, 1992
27. Bassuk E: The impact of deinstitutionalization on the general hospital psychiatric emergency ward. Psychiatric Services 31:623-627, 1980
28. Surles R, McGurrin M: Increased use of psychiatric emergency services by young chronic mentally ill patients. Psychiatric Services 38:401-405, 1987
29. Elliott RL: Patient dumping, COBRA, and the public psychiatric hospital. Hospital & Community Psychiatry 44:155-158, 1993
30. Hughes D: Trends and treatment models in emergency psychiatry. Psychiatric Services 44:927-928, 1993
31. Mazade NA, Lutterman T, Glover R: State mental health agency performance measure initiatives in the public mental health system, in Behavioral Outcomes and Guidelines Sourcebook. Edited by Coughlin KM. New York: Faulkner and Gray, 2000
32. Catalano R, McConnell W, Forster P, et al: Psychiatric emergency services and the system of care. Psychiatric Services 54:351-355, 2003
33. Catalano R, Libby A, Snowden L, et al: The effect of capitated financing on mental health services for children and youth: the Colorado experience. American Journal of Public Health 90:1861-1865, 2000
34. Nicholson J, Young SD, Simon L, et al: Impact of Medicaid managed care on child and adolescent emergency mental health screening in Massachusetts. Psychiatric Services 47:1344-1350, 1996
35. Dickey B, Normand SL, Norton EC, et al: Managing the care of schizophrenia: lessons from a 4-year Massachusetts Medicaid study. Archives of General Psychiatry 53:945-952, 1996
36. Dickey B, Norton EC, Normand SL, et al: Massachusetts Medicaid managed care reform: treatment for the psychiatrically disabled. Advances in Health Economics and Health Services Research 15:99-116, 1995
37. Moscovice I, Lurie N, Christianson J, et al: Access and use of health services by chronically mentally ill Medicaid beneficiaries. Health Care Financing Review 14:75-87, 1993
38. Catalano R, Serxner S: Time series designs of potential interest to epidemiologists. American Journal of Epidemiology 126:724-731, 1987
39. Dickey DA, Fuller WA: Distribution of the estimators for autoregressive time series with a unit root. Journal of the American Statistical Society 74:427-431, 1979
40. Box G, Jenkins G, Reinsel G: Time Series Analysis: Forecasting and Control. London, Prentice-Hall, 1994
41. Deming W: Quality, Productivity and Competitive Position. Cambridge, Mass, MIT Center For Advanced Engineering Study, 1982
42. Alwan L, Roberts H: Time-series modeling for statistical process control. Journal of Business and Economic Statistics 6:87-95, 1988
43. Liu L, Hudak G, Box G, et al: Forecasting and Time Series Analysis Using the SCA Statistical System. Oak Brook, Ill, Scientific Computing Associates, 1992
44. Chang CF, Kiser LJ, Bailey JE, et al: Tennessee's failed managed care program for mental health and substance abuse services. Journal of the American Medical Association 279:864-869, 1998
45. Gold M, Mittler J: Medicaid's complex goals: challenges for managed care and behavioral health. Health Care Financing Review 22:85-101, 2000
46. Okunade AA, Chang CF: Relative success of state-managed behavioral health care: does the financing structure play any role? Journal of Health Care Finance 24:27-40, 1998