What the Oregon Health Plan can teach us about managed mental health care:
"Managed care has come to Medicaid mental health programs. In many states, fee-for-service public sector payment systems are being replaced by capitation. This issue of New Directions for Mental Health Services provides a preview of the impact to be expected from such substantial changes. The O...
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
San Francisco
Jossey-Bass
2000
|
| Schriftenreihe: | New directions for mental health services
85 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | "Managed care has come to Medicaid mental health programs. In many states, fee-for-service public sector payment systems are being replaced by capitation. This issue of New Directions for Mental Health Services provides a preview of the impact to be expected from such substantial changes. The Oregon Health Plan began as a bold approach to health care reform centered on prioritization of services coupled with an expansion of Medicaid eligibility. Included in the plan is a county-by-county phase-in of capitated Medicaid mental health services. This volume reviews the development of the Oregon Health Plan, the incorporation of the public mental health system into this larger program, and the political environment surrounding this attempt to provide health care for the uninsured. Early lessons described here include qualitative, quantitative, and financial outcomes from this new approach to behavioral health care. Consumer involvement and multicultural issues are addressed, and national experts comment on outcomes from this comprehensive program of reform and its relevance for other states facing similar change."--BOOK JACKET. |
| Beschreibung: | 128 S. Kt. |
| ISBN: | 0787914347 |
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Datensatz im Suchindex
| _version_ | 1804128152830607360 |
|---|---|
| adam_text | Contents
Editors Notes 1
Rupert R. Goetz, Bentson H. McFarland, Kathryn V. Ross
Part One: The Oregon Health Plan
1. Lessons Learned 7
Rupert R. Goetz, Bentson H. McFarland, Kathryn V. Ross
As with the Oregon Health Plan overall, its mental health components
are far from ideal but, like democratic government generally, may be
preferable to the alternatives.
2. Overview of Medicaid Managed Behavioral Health Care 17
Bentson H. McFarland
Several states are in the process of converting fee for service Medicaid
mental health programs to capitation, with early results described here.
3. Background on the Oregon Health Plan 23
Norman R. Penner, Bentson H. McFarland
Oregon attempted comprehensive health care reform by prioritizing
services, expanding Medicaid eligibility, and implementing capitation.
4. John Kitzhaber and the Oregon Health Plan 33
William M. Lunch
Originally denounced by liberals as health care rationing, the Oregon
Health Plan became the target for conservatives as enrollment increased
and mental health was included.
Part Two: Mental Health in the Oregon Health Plan
5. State Goals for Mental Health Services 43
Barry S. Kast, Rupert R. Goetz
Oregon wished to integrate mental health into the larger health care reform
program while protecting traditional clients and community providers.
6. Integrating Mental Health into the Oregon Health Plan 49
Norman R. Penner, Frances L. Lynch
After some wailing and gnashing of teeth, Oregon adopted a county
by county phase in process for converting from fee for service to
capitated Medicaid mental health care.
7. The Mental Health Organizations 57
Kathryn V. Ross, Bentson H. McFarland
New players and reconditioned established local players were awarded
the initial Medicaid managed mental health care contracts.
8. Measuring Change: The First Two Years 65
Kathryn V. Ross
Site visits to the newly capitated counties provided significant information
about the conversion to Medicaid managed mental health care.
9. Quantitative Results 73
Frances L. Lynch
Numerical summaries of organizational data and treatment processes give
a picture of Medicaid managed mental health care.
10. Costs and Financial Results 83
Rosanne M. Mohr
Although the figures could be more precise, it appears that contractors
did reasonably well financially, thanks to generous capitation rates.
Part Three: Perspectives and Comments
11. Consumers Experiences of Mental Health Policymaking 95
Garrett Smith
Although their involvement was limited during early deliberations about
the Oregon Health Plan, consumers were active participants in the
contracting and monitoring aspects of the mental health phase in.
12. Multicultural Mental Health Services 105
Paul K. Leung
Expansion of enrollment in the Medicaid system has provided health
care for minorities, but culturally competent services remain limited.
13. Systemic Impact of Risk Sharing Arrangements 113
Anthony Broskowski
Although the expected growing pains should not be minimized,
capitated Medicaid mental health services appear to be a reasonable
approach to providing care with limited resources.
14. The Oregon Experience: A Point of View 119
Joseph]. Bevilacqua
The continuation of the Oregon Health Plan reform will require a
broader base of support.
Index 125
|
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| genre_facet | Aufsatzsammlung |
| geographic | Oregon (DE-588)4043760-7 gnd |
| geographic_facet | Oregon |
| id | DE-604.BV013375162 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T18:44:42Z |
| institution | BVB |
| isbn | 0787914347 |
| language | English |
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| publishDate | 2000 |
| publishDateSearch | 2000 |
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| publisher | Jossey-Bass |
| record_format | marc |
| series | New directions for mental health services |
| series2 | New directions for mental health services |
| spelling | What the Oregon Health Plan can teach us about managed mental health care Rupert R. Goetz ..., ed. San Francisco Jossey-Bass 2000 128 S. Kt. txt rdacontent n rdamedia nc rdacarrier New directions for mental health services 85 "Managed care has come to Medicaid mental health programs. In many states, fee-for-service public sector payment systems are being replaced by capitation. This issue of New Directions for Mental Health Services provides a preview of the impact to be expected from such substantial changes. The Oregon Health Plan began as a bold approach to health care reform centered on prioritization of services coupled with an expansion of Medicaid eligibility. Included in the plan is a county-by-county phase-in of capitated Medicaid mental health services. This volume reviews the development of the Oregon Health Plan, the incorporation of the public mental health system into this larger program, and the political environment surrounding this attempt to provide health care for the uninsured. Early lessons described here include qualitative, quantitative, and financial outcomes from this new approach to behavioral health care. Consumer involvement and multicultural issues are addressed, and national experts comment on outcomes from this comprehensive program of reform and its relevance for other states facing similar change."--BOOK JACKET. Managed care programs Oregon Mental health services Oregon Psychiatry Managed Care Oregon Managed Care (DE-588)4461436-6 gnd rswk-swf Medicaid (DE-588)4488856-9 gnd rswk-swf Psychiatrische Versorgung (DE-588)4047677-7 gnd rswk-swf Oregon (DE-588)4043760-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Oregon (DE-588)4043760-7 g Psychiatrische Versorgung (DE-588)4047677-7 s Managed Care (DE-588)4461436-6 s Medicaid (DE-588)4488856-9 s DE-604 Goetz, Rupert R. Sonstige oth New directions for mental health services 85 (DE-604)BV000007213 85 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009122393&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | What the Oregon Health Plan can teach us about managed mental health care New directions for mental health services Managed care programs Oregon Mental health services Oregon Psychiatry Managed Care Oregon Managed Care (DE-588)4461436-6 gnd Medicaid (DE-588)4488856-9 gnd Psychiatrische Versorgung (DE-588)4047677-7 gnd |
| subject_GND | (DE-588)4461436-6 (DE-588)4488856-9 (DE-588)4047677-7 (DE-588)4043760-7 (DE-588)4143413-4 |
| title | What the Oregon Health Plan can teach us about managed mental health care |
| title_auth | What the Oregon Health Plan can teach us about managed mental health care |
| title_exact_search | What the Oregon Health Plan can teach us about managed mental health care |
| title_full | What the Oregon Health Plan can teach us about managed mental health care Rupert R. Goetz ..., ed. |
| title_fullStr | What the Oregon Health Plan can teach us about managed mental health care Rupert R. Goetz ..., ed. |
| title_full_unstemmed | What the Oregon Health Plan can teach us about managed mental health care Rupert R. Goetz ..., ed. |
| title_short | What the Oregon Health Plan can teach us about managed mental health care |
| title_sort | what the oregon health plan can teach us about managed mental health care |
| topic | Managed care programs Oregon Mental health services Oregon Psychiatry Managed Care Oregon Managed Care (DE-588)4461436-6 gnd Medicaid (DE-588)4488856-9 gnd Psychiatrische Versorgung (DE-588)4047677-7 gnd |
| topic_facet | Managed care programs Oregon Mental health services Oregon Psychiatry Managed Care Oregon Managed Care Medicaid Psychiatrische Versorgung Oregon Aufsatzsammlung |
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