Design of a Payment Decision-Support Tool for Coordinated Specialty Care for Early Psychosis

A strengthened evidence base and earmarked federal funding have spurred the implementation of coordinated specialty care (CSC) for people experiencing early psychosis. However, existing funding mechanisms are insufficient and unsustainable to support population-wide deployment of CSC. This article describes the design framework of an innovative payment model for CSC that includes a bundled case rate payment and an optional outcome-based payment. To assist CSC payer and provider organizations in designing payment systems tailored to local preferences and circumstances, the research team is developing a decision-support tool that allows users to define design choices and provide input. The authors document the analytical algorithms underlying the tool and discuss how it could be further developed or expanded for CSC and other behavioral health interventions that feature an interdisciplinary team of clinicians and nonclinical professionals, public education and outreach, patient centeredness, and a recovery orientation.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:72

Enthalten in:

Psychiatric services (Washington, D.C.) - 72(2021), 2 vom: 01. Feb., Seite 180-185

Sprache:

Englisch

Beteiligte Personen:

Bao, Yuhua [VerfasserIn]
Li, Yan [VerfasserIn]
Jeng, Philip J [VerfasserIn]
Scodes, Jennifer [VerfasserIn]
Papp, Michelle A [VerfasserIn]
Humensky, Jennifer L [VerfasserIn]
Wall, Melanie [VerfasserIn]
Lee, Rufina [VerfasserIn]
Ancker, Jessica S [VerfasserIn]
Pincus, Harold Alan [VerfasserIn]
Smith, Thomas E [VerfasserIn]
Dixon, Lisa B [VerfasserIn]

Links:

Volltext

Themen:

Coordinated specialty care (CSC)
Early psychosis
Financing
Funding
Journal Article
Reimbursement
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 28.07.2021

Date Revised 25.04.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1176/appi.ps.202000129

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM318338327