This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Stearns, S. C. Articles by Payton, P. Search for Related Content PubMed PubMed Citation Articles by Stearns, S. C. Articles by Payton, P. Related Collections Access To Care Insurance Coverage Mental Health/Substance Abuse State/Local Issues

Health Affairs, Vol 14, Issue 3, 220-231
Copyright © 1995 by Project HOPE

DataWatch

A capitated payment system for involuntary mental health clients

This DataWatch examines an outpatient capitated payment system, in the state of Oregon, designed to enhance community services for persons with chronic mental illness who had repeatedly been hospitalized involuntarily. Special state funds and Medicaid dollars were used to pay providers prospectively on a risk-adjusted basis for the delivery of outpatient mental health services. During the three-year study period clients were able to be discharged from the state hospital. Although the data are not straightforward, capitated clients' use of the state mental hospital seems to have declined somewhat more than that of comparison subjects. Outpatient service use was modest and appeared to have little relationship to a client's level of illness severity. Indeed, it was not possible to predict prospectively these clients' outpatient mental health services expenditures.

                      What's this?

This article has been cited by other articles:

				D. A. Redelmeier A Canadian Perspective on the American Hospitalist Movement Arch Intern Med, August 9, 1999; 159(15): 1665 - 1668. [Full Text] [PDF]

				R. E. Herzlinger and J. S. Hacker Communications Journal of Health Politics Policy and Law, January 1, 1998; 23(6): 995 - 1003. [PDF]

				R. L. Kane Commentary Med Care Res Rev, September 1, 1997; 54(3): 321 - 325. [PDF]

				R. G. Evans Going for the Gold: The Redistributive Agenda behind Market-Based Health Care Reform Journal of Health Politics Policy and Law, January 1, 1997; 22(2): 427 - 465. [Abstract] [PDF]

				J. D. Howell Health Care for All, Health Care for Me: The Personal Nature of Health Workforce Policy Journal of Health Politics Policy and Law, December 1, 1996; 21(4): 847 - 851. [PDF]