PMID: 9550244Apr 29, 1998Paper

Changes in the process of care for Medicaid patients with schizophrenia in Utah's Prepaid Mental Health Plan

Psychiatric Services : a Journal of the American Psychiatric Association
M PopkinJ B Christianson

Abstract

Changes in the process of psychiatric care received by Medicaid beneficiaries with schizophrenia were examined after the introduction of capitated payments for enrollees of some community mental health centers (CMHCs) under the Utah Prepaid Mental Health Plan. Data from the medical records of 200 patients receiving care in CMHCs participating in the prepaid plan were compared with data from the records of 200 patients in nonparticipating CMHCs, which remained in a fee-for-service reimbursement arrangement. Using the Process of Care Review Form, trained abstracters gathered data characterizing general patient management, social support, medication management, and medical management before implementation of the plan in 1990 and for three follow-up years. Using regression techniques, differences in the adjusted changes between third-year follow-up and baseline were examined by treatment site. By year 3 at the CMHCs participating in the plan, psychotherapy visits decreased, the probability of a patient's terminating treatment or being lost to follow-up increased, the probability of having a case manager increased, the probability of a crisis visit decreased (but still exceeded that at the nonplan sites), and the probability of trea...Continue Reading

Citations

Mar 29, 2005·The American Journal of Orthopsychiatry·Matthew N I Oliver
Apr 12, 2000·New Directions for Mental Health Services·B H McFarland
May 31, 2002·Health Services Research·Joan R BloomRichard Scheffler
Jan 15, 2004·The Journal of Behavioral Health Services & Research·Aileen B RothbardJudith Dogin
Nov 24, 1999·The Journal of Behavioral Health Services & Research·W G ManningJ B Christianson
Aug 31, 2004·Health Services Research·Marisa Elena DominoNeil Thakur
Dec 17, 2004·The Journal of Behavioral Health Services & Research·Aileen B RothbardYin-Ling Irene Wong
Sep 25, 1999·Health Affairs·M F Hogan
Sep 25, 1999·Health Affairs·S S SharfsteinF B Dickerson
Apr 23, 2005·Administration and Policy in Mental Health·Rani A DesaiRobert A Rosenheck
Sep 19, 2002·Health Services Research·M Susan RidgelyM Audrey Burnam

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