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Health Serv Res. 2002 Apr;37(2):341-59.

Two-year outcomes of fee-for-service and capitated medicaid programs for people with severe mental illness.

Author information

  • 1United Behavioral Health, San Francisco, CA 94105, USA.

Abstract

OBJECTIVE:

To examine the effects of two models of capitation on the clinical outcomes of Medicaid beneficiaries in the state of Colorado.

DATA SOURCE:

A large sample of adult, Medicaid beneficiaries with severe mental illness drawn from regions where capitation contracts were (1) awarded to local community mental health agencies (direct capitation), (2) awarded to a joint venture between local community mental health agencies and a large, private managed behavioral health organization, and (3) not awarded and care continued to be reimbursed on a fee-for-service basis.

STUDY DESIGN:

The three samples were compared on treatment outcomes assessed over 2 years (total n = 591).

DATA COLLECTION METHODS:

Study participants were interviewed by trained, clinical interviewers using a standardized protocol consisting of the GAF, BPRS, QOLI, and CAGE.

PRINCIPAL FINDINGS:

Outcomes were comparable across most outcome measures. When outcome diffrences were evident, they tended to favor the capitation samples.

CONCLUSIONS:

Medicaid capitation in Colorado does not appear to have negatively affected the outcomes of people with severe mental illness during the first 2 years of the program. Furthermore, the type of capitation model was unrelated to outcomes in this study.

PMID:
12035997
[PubMed - indexed for MEDLINE]
PMCID:
PMC1430365
Free PMC Article
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