Design of a payment decision⇓support tool for coordinated specialty care for early psychosis

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

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)180-185
Number of pages6
JournalPsychiatric Services
Volume72
Issue number2
DOIs
StatePublished - 1 Feb 2021

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