OBJECTIVES: This study tested 2 propositions concerning the effect of capitated financing on mental health services for Medicaid-eligible children and youth in Colorado. The first is that capitation reduces costs. The second is that shifting providers from fee-for-service to capitated financing will increase their efforts to prevent illness. METHODS: Interrupted time-series designs were applied to a naturally occurring quasi experiment occasioned by the state of Colorado's reorganization of mental health services financing. RESULTS: The cost of services was significantly lower in counties with capitated services compared with counties with fee-for-service financing. Findings also suggested that economic incentives may lead to greater efforts at secondary and tertiary prevention. CONCLUSIONS: Policymakers and the public can expect that capitation will reduce the costs of children's mental health services below those likely with fee-for-service financing. Capitation per se, however, may not increase prevention as surely or swiftly as it lowers costs.
OBJECTIVES: This study tested 2 propositions concerning the effect of capitated financing on mental health services for Medicaid-eligible children and youth in Colorado. The first is that capitation reduces costs. The second is that shifting providers from fee-for-service to capitated financing will increase their efforts to prevent illness. METHODS: Interrupted time-series designs were applied to a naturally occurring quasi experiment occasioned by the state of Colorado's reorganization of mental health services financing. RESULTS: The cost of services was significantly lower in counties with capitated services compared with counties with fee-for-service financing. Findings also suggested that economic incentives may lead to greater efforts at secondary and tertiary prevention. CONCLUSIONS: Policymakers and the public can expect that capitation will reduce the costs of children's mental health services below those likely with fee-for-service financing. Capitation per se, however, may not increase prevention as surely or swiftly as it lowers costs.
Authors: J B Christianson; W Manning; N Lurie; T J Stoner; D Z Gray; M Popkin; S Marriott Journal: Health Aff (Millwood) Date: 1995 Impact factor: 6.301
Authors: Judith A Cook; Craig Anne Heflinger; Christina W Hoven; Kelly J Kelleher; Virginia Mulkern; Robert I Paulson; Al Stein-Seroussi; Genevieve Fitzgibbon; Jane Burke-Miller; Melissa Williams; Jong-Bae Kim Journal: J Behav Health Serv Res Date: 2004 Oct-Dec Impact factor: 1.505
Authors: Judith A Cook; Genevieve Fitzgibbon; Jane Burke-Miller; Virginia Mulkern; Dennis D Grey; Craig Anne Heflinger; Robert Paulson; Christina W Hoven; Al Stein-Seroussi; Kelly Kelleher Journal: Health Care Financ Rev Date: 2004
Authors: Donald L Chi; Elizabeth T Momany; Michael P Jones; Raymond A Kuthy; Natoshia M Askelson; George L Wehby; Peter C Damiano Journal: BMC Pediatr Date: 2013-10-05 Impact factor: 2.125