Open AccessDesign of a Payment Decision–Support Tool for Coordinated Specialty Care for Early Psychosis
Author(s) -
Yuhua Bao,
Yan Li,
Philip J. Jeng,
Jennifer Scodes,
Michelle Alexandra Papp,
Jennifer Humensky,
Melanie M. Wall,
Rufina Lee,
Jessica S. Ancker,
Harold Alan Pincus,
Thomas E. Smith,
Lisa B. Dixon
Publication year - 2021
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.202000129
Subject(s) - payment , outreach , specialty , psychological intervention , health care , software deployment , population , business , medicine , nursing , psychiatry , computer science , finance , economics , environmental health , economic growth , operating system
A strengthened evidence base and earmarked federal funding have spurred the implementation of coordinated specialty care (CSC) for people experiencing early psychosis. However, existing funding mechanisms are insufficient and unsustainable to support population-wide deployment of CSC. This article describes the design framework of an innovative payment model for CSC that includes a bundled case rate payment and an optional outcome-based payment. To assist CSC payer and provider organizations in designing payment systems tailored to local preferences and circumstances, the research team is developing a decision-support tool that allows users to define design choices and provide input. The authors document the analytical algorithms underlying the tool and discuss how it could be further developed or expanded for CSC and other behavioral health interventions that feature an interdisciplinary team of clinicians and nonclinical professionals, public education and outreach, patient centeredness, and a recovery orientation.