Methodology for Evaluating the Monroe-Livingston Capitation System

Babigian, Haroutun M.; Cole, Robert E.; Reed, Sylvia K.; Brown, Suzanne W.; Lehman, Anthony F.

doi:10.1176/ps.42.9.913

Cited by 13 publications

(9 citation statements)

References 23 publications

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“…The evaluation is an experimental design that will examine the effect of capitation on client outcomes and cost as measured by the following variables: (i) number of days in the hospital; (ii) psychiatric symptomatology; (iii) level of functioning; (iv) financial and emotional burden to client's family; (v) life satisfaction and (vi) costs. 9,11 Results after two years indicate that clinical outcomes did not differ significantly between experimental and control groups, while services provided to the experimental group were less costly than those provided to the control group, which resulted from reduced hospitalization. 11 An evaluation of the capitation project in Utah is also in progress: preliminary findings indicate cost reductions without poorer outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Reductions came from increased intervals between inpatient care. [9][10][11][12] First-year results from the study of a capitation project in Utah also indicate cost savings without concomitant reductions in outcomes in the capitated sites compared to the non-capitated sites. The significant reductions in inpatient expenditures in the capitated sites were concentrated in those receiving Aid to Families with Dependent Children (AFDC).…”

Section: Mental Health Costs and Outcomes Under Alternative Capitatiomentioning

confidence: 99%

See 1 more Smart Citation

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

Bloom

Wallace

et al. 1998

J. Mental Health Policy Econ.

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Section: Discussionmentioning

confidence: 99%

Section: Mental Health Costs and Outcomes Under Alternative Capitatiomentioning

confidence: 99%

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

Bloom

Wallace

et al. 1998

J. Mental Health Policy Econ.

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“…Uno degli esperimenti di pagamento prospettico realizzati negli USA e il Monroe-Livingstone Capitation System, descritto da Babigian et al (1991); questo progetto, awiato nel gennaio del 1987, e stato condotto in due contee dello Stato di New York con l'obiettivo di porre rimedio a problemi strutturali dovuti aH'inefficienza, alia sovrapposizione dei programmi terapeutici, all'inadeguata assistenza rivolta ai pazienti psichiatrici cronici ed alia carente informazione sulle risorse. II disegno dello studio consisteva nel confrontare gli effetti del nuovo sistema di finanziamento col sistema di pagamento a prestazione, assegnando i pazienti a due gruppi in maniera randomizzata.…”

Section: La Ricerca Sui Sistemi DI Finanziamentounclassified

Towards a new funding system for psychiatric services

Amaddeo¹,

Bonizzato²

1999

Epidemiol Psichiatr Soc

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EditorialiVerso un nuovo sistema di finanziamento dei servizi psichiatriciTowards a new funding system for psychiatric services FRANCESCO AMADDEO, PAOLA BONIZZATO INTRODUZIONELa valutazione economica in campo psichiatrico ha storia recente, e deve la sua nascita -almeno in parte -alia crescente consapevolezza che l'assistenza psichiatrica, considerata come una componente fondamentale del Servizio Sanitario Nazionale, e chiamata a misurarsi con la scarsita delle risorse e con la necessita di elaborare nuove strategic allocative e gestionali. In questo settore della ricerca convergono aree di interesse diverse: dall'analisi dei costi dei servizi e dei trattamenti alle ricerche strettamente legate allo studio del rapporto costo/efficacia dei servizi, dalla psicofarmacoeconomia fino agli studi piu evoluti di costi/utilita. Per una piu dettagliata descrizione delle tecniche di valutazione economica rimandiamo ad Amaddeo et al., 1997a.-Piu recentemente, l'attenzione di molti gruppi di lavoro si e rivolta anche a studi in grado di individuare possibili sistemi di finanziamento alternativi a quelli esistenti, e di valutarne l'effetto sul funzionamento dei servizi psichiatrici stessi. Questi argomenti sono stati sinora esclusivo appannaggio di legislatori Indirizzo per la corrispondenza: Dr. F. Amaddeo, Dipartimento

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“…(21,22) Initiated in 1987, this demonstration project included a coordinating corporation, capitated payments through a state office of mental hygiene, and COmnlunity mental health centers.…”

Section: Constructing a Plan For The Care Of The Chronically Mentatj~mentioning

confidence: 99%

Acute and chronic psychiatric care: Establishing boundaries

Sederer

Dickey

1995

Psych Quart

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Despite advances in psychiatry, a proportion of those with mental illness have episodes of severe illness, and a few of these patients may attain only partial recovery. In this respect, mental illness is similar to physical illness and systems of acute and chronic care are essential. As mental health care financing and delivery systems undergo further flux and reform, we will require clear, consensually developed definitions of levels of care, especially because of the complexities created by a legacy of a 2-tiered, public and private mental health system. This paper first will offer definitions and examples of acute and chronic illness and care. We will also address certain problems inherent to such a classification. We will then consider principles of and potential plans for a system of financing and care for the chronically mentally ill. Two existing plans will be reviewed as illustrations of innovations in chronic care. As health reform changes the financing and delivery of care for the mentally ill, an opportunity exists to integrate public and private monies and services and to improve upon the care of the acutely and chronically mentally ill.

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Methodology for Evaluating the Monroe-Livingston Capitation System

Cited by 13 publications

References 23 publications

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

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

Towards a new funding system for psychiatric services

Acute and chronic psychiatric care: Establishing boundaries

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