HMOs and the seriously mentally ill—A view from the trenches
- 17 Downloads
The role of HMOs in health care policy, specifically in treating individuals with long-term persistent mental illness, is a matter of debate. The following is a response to a summary of the research to date entitled “Health Maintenance Organizations and Persons with Severe Mental Illness” previously published in this journal. The author argues that capitated pre-paid payment mechanisms can and should be considered separately from the decision of funding an HMO or other managed care structure. The argument is made that, with proper planning, the existing community mental health system can make capitated payment system changes, while avoiding dual health and social services systems. Savings in the expenses of dual systems and maintenance of the charitable missions with local oversight of CMHCs can result.
KeywordsCommunity Mental Health Severe Mental Illness Chief Executive Officer Supplemental Security Income Behavioral Health Care
Unable to display preview. Download preview PDF.
- Kever, J. (1994). Medicaid recipients test reform.Sarasota Harold Tribune, April 10: D1 and O9.Google Scholar
- Oss, M. (1993). Pro and con: Considerations in structuring behavioral health service delivery in managed competition models.Open Minds 7(5): 4.Google Scholar
- Schulte, F., & Bergal, J. (1994). Profits from pain.Ft. Lauderdale Sun-Sentinel, Dec. 11–15: various.Google Scholar
- Shepherd, G. (1994). HMOs scour welfare lines to sign up new members.Tampa Bay Business Journal, Sept. 1: 1 and 11.Google Scholar