Managed Care and People With Disabilities Research Inventory. Managed Care and People With Disabilities Research Inventory : Table 23


: Table 23

ORGANIZATION:   University of California, Berkeley
TELEPHONE:   (510) 642-4458
NAME OF STUDY:   Capitating Medicaid Mental Health Services for Individuals with Severe and Persistent Mental Illness
PROJECT DATES:   August 1994 - July 1998
RESEARCH QUESTIONS/GOALS:   What impact does providing mental health services in capitated managed care settings have on costs, cost-effectiveness and access to services? What impact does capitation have on the innovation of services delivered to the severely mentally ill?
BRIEF DESCRIPTION OF METHODS AND DATA:   Four data sources: Phone survey of people requesting services at community mental health centers (CMHCs). Four in-person interviews of 800 consumers; the first at baseline and three following implementation of the capitated programs. Interviews with clinicians and administrators in each CMHC throughout the state. Claims records The 800 consumers in the study with either randomly selected from a capitated for-profit partnership or a CMHC, or were identified as a matched control in the fee-for-service sector. Researchers are using qualitative methods to assess innovation and are developing econometric models to analyze and interpret the data.
AVAILABILITY OF RESULTS:   They currently have qualitative findings on the impact of capitation in the mental health delivery system and other organizational issues related to transitioning to managed care. By fall of 1996 they will have preliminary data findings of the first 9 months.