Mental health costs and outcomes under alternative capitation systems in Colorado: early results

Bloom, Joan R.; Hu, Teh-wei; Wallace, Nancy; Cuffel, Brian J.; Hausman, Jackie; Scheffler, Richard M.

doi:10.1002/(sici)1099-176x(199803)1:1<3::aid-mhp4>3.0.co;2-q

Cited by 34 publications

(19 citation statements)

References 17 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, there was a 29% attrition rate over the 30-month evaluation period. The sampling and study design and outcomes of the evaluation have been more fully described elsewhere by Bloom and colleagues (Bloom et al, 1998;Cuffel et al, 2002).…”

Section: Consumers Of Mental Health Servicesmentioning

confidence: 99%

Organizational and Individual Factors Affecting Consumer Outcomes of Care in Mental Health Services

Morris

Bloom

Kang

2006

Adm Policy Ment Health

Self Cite

View full text Add to dashboard Cite

The impact of organizational and individual factors on outcomes of care were assessed for 424 adult consumers with chronic mental illness who were receiving services from one of 14 Community Mental Health Organizations (CMHOs) in Colorado over a 30-month period, as part of a larger statewide evaluation of the impact of Medicaid capitation on mental health services. Data on organizational culture and climate were aggregated from surveys of staff and administrators conducted within CMHOs over a two-year period corresponding to the collection of consumer outcome and service utilization data. Growth curve analyses were conducted on consumer perceptions of physical and mental health, and on quality of life (QOL). Analyses indicated a significant cross-level effect of organizational culture and climate on improvements in consumer perceptions of physical and mental health, but not on a "quasi-objective" index of QOL. Individual characteristics, such as age, diagnosis, gender, and ethnicity, were significant predictors of outcomes. Being older, female, an ethnic minority, and having a diagnosis of schizophrenia all predicted poorer outcomes among consumers. These findings are discussed in terms of their implications for policy and future research.

show abstract

Section: Consumers Of Mental Health Servicesmentioning

confidence: 99%

Organizational and Individual Factors Affecting Consumer Outcomes of Care in Mental Health Services

Morris

Bloom

Kang

2006

Adm Policy Ment Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Managed care strategies that place plans at financial risk for services have been effective mechanisms for containing covered costs when contrasted with fee-forservice reimbursement (1)(2)(3). Numerous studies (4)(5)(6)(7)(8)(9)(10)(11) of managed care plans that have carved out mental health services support this claim.…”

Section: (Am J Psychiatry 2008; 165:254-260)mentioning

confidence: 99%

Medicaid Managed Care and the Distribution of Societal Costs for Persons With Severe Mental Illness

Shern¹,

Jones²,

Chen³

et al. 2008

AJP

View full text Add to dashboard Cite

Understanding the distribution of societal costs is essential in evaluating health care financing strategies. For adults with mental illnesses, efforts to manage Medicaid expenditures may result in substituting individual and family resources for Medicaid services. Government must focus on the distribution of societal costs since risk-based financing strategies may redistribute costs across the fragmented human services sector and result in unintended system inefficiencies.

show abstract

“…The cost savings in publicly managed behavioral healthcare has been documented in a variety of public and for-profit settings (Bloom et al, 1998;Callahan et al, 1995;Christianson, Parente, & Taylor, 1995;Ma & McGuire, 1998;Mechanic & Bilder, 2004;Shepard, Daley, Ritter, Hodgkin, & Beinecke, 2001). …”

Section: Cost Savings Have Been Documentedmentioning

confidence: 99%

Overview Of Publicly Funded Managed Behavioral Health Care

Coleman¹,

Schnapp²,

Hurwitz³

et al. 2005

Adm Policy Ment Health

View full text Add to dashboard Cite

Using MEDLINE and other Internet sources, the authors perform a systematic review of published literature. A total of 109 articles and reports are identified and reviewed that address the development, implementation, outcomes, and trends related to Managed behavioral health care (MBHC). MBHC remains a work in progress. States have implemented their MBHC programs in a number of ways, making interstate comparisons challenging. While managed behavioral health care can lower costs and increase access, ongoing concerns about MBHC include potential incentives to under-treat those with more severe conditions due to the nature of risk-based contracting, the tendency to focus on acute care, difficulties assuring quality and outcomes consistently across regions, and a potential cost-shift to other public agencies or systems. Success factors for MBHC programs appear to include stakeholder involvement in program and policy development, effective contract development and management, and rate adequacy.

show abstract

Mental health costs and outcomes under alternative capitation systems in Colorado: early results

Cited by 34 publications

References 17 publications

Organizational and Individual Factors Affecting Consumer Outcomes of Care in Mental Health Services

Organizational and Individual Factors Affecting Consumer Outcomes of Care in Mental Health Services

Medicaid Managed Care and the Distribution of Societal Costs for Persons With Severe Mental Illness

Overview Of Publicly Funded Managed Behavioral Health Care

Contact Info

Product

Resources

About