Open AccessPaying for Early Interventions in Psychoses: A Three-Part Model
Author(s) -
Richard G. Frank,
Sherry Glied,
Thomas G. McGuire
Publication year - 2015
Publication title -
psychiatric services
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.517
H-Index - 145
eISSN - 1557-9700
pISSN - 1075-2730
DOI - 10.1176/appi.ps.201400076
Subject(s) - payment , psychological intervention , outcome (game theory) , incentive , intervention (counseling) , component (thermodynamics) , payment by results , mechanism (biology) , prospective payment system , psychology , service (business) , schizophrenia (object oriented programming) , actuarial science , psychiatry , business , finance , political science , economics , marketing , public administration , microeconomics , philosophy , physics , epistemology , thermodynamics
Widespread dissemination of early interventions for psychosis, such as the intervention offered in the RAISE study (Recovery After an Initial Schizophrenia Episode), requires a funding mechanism that is both compatible with approaches already used by payers and generates incentives for providers that promote the desired behaviors. The authors propose a funding model with three components: a prospective per-case payment made conditional on patient engagement in treatment, a per-service component to cover the costs of clinical services, and an outcome-based component conditional on achieving measurable outcome milestones. The authors describe the components and how such a payment mechanism might be implemented.