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Mental health reform: a practical approach

M K Hasan1, M Shellhorse

  • 1Department of Psychiatry, Beckley Appalachian Regional Hospital, Va, USA.

The West Virginia Medical Journal
|January 1, 1996
PubMed
Summary

Containing mental health costs for Medicaid recipients requires a pragmatic approach. A single-payor system and early screening for at-risk families are key to improving care quality and controlling expenses.

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Area of Science:

  • Health Economics
  • Mental Health Services Research
  • Public Health Policy

Background:

  • Rising mental health expenditures pose a significant challenge, particularly within publicly funded healthcare systems like Medicaid.
  • The current managed care system's structure and the role of gatekeepers impact access and cost-efficiency of mental health services.

Purpose of the Study:

  • To propose practical strategies for reducing mental health care costs.
  • To evaluate the effectiveness of psychiatrists as gatekeepers in managed care.
  • To identify optimal healthcare system models for delivering quality mental health care.

Main Methods:

  • Review of current mental health cost containment strategies.
  • Analysis of the psychiatrist's role within managed care frameworks.
  • Comparative assessment of healthcare financing models for mental health services.

Main Results:

  • A single-payor system is identified as a potentially superior model for efficient and timely mental health care delivery.
  • Early detection through education and screening can mitigate long-term costs for families with genetic predispositions to mental illness and substance abuse.

Conclusions:

  • Implementing a single-payor system could enhance the quality and timeliness of mental health care.
  • Proactive identification and intervention for at-risk populations are crucial for sustainable cost containment in mental health services.

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