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Effectiveness of Value-Based Payment and Assertive Community Treatment to Reduce Psychiatric Hospitalizations
Deborah A Duch1, Amy D Herschell2, Carly T Ferrone3
1Community Care Behavioral Health Organization, UPMC Insurance Services Division, 600 Grant Street, 8th Floor, Pittsburgh, PA, 15219, USA.
None:
To address high-cost inpatient utilization for those with severe and persistent mental illness, stakeholders from a County Department of Human Services, a Behavioral Health Managed Care Organization, and mental health providers created a value-based payment (VBP) model to shift funding from inpatient mental health treatment (IPMH) to intensive, evidence-based, community-based mental health treatment, Assertive Community Treatment (ACT). Using a retrospective observational study, individuals who received ACT from providers participating in the VBP (N = 2) were compared to individuals who received ACT from providers (N = 17) not supported through a VBP. Results show decreasing average ACT and IPMH expenditures as well as shorter lengths of stay over time for providers under a VBP compared to those not in a VBP. Access to care was not impacted. These results, including implications for behavioral health, are discussed in the context of quality of care.
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