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Incentive contracting in mental health: State and local relations

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Abstract

One of the problems of mental health care in the 1970s and 1980s is “dollars not following patients”. One factor contributing to this alleged mismatch in funds is that many states have provided public mental hospital services to localities as a free good. In an effort to reduce the use of state mental hospitals, a number of states have recently introduced payment incentives. This paper presents a framework for considering the likely effects of these incentives.

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Authors and Affiliations

  1. Department of Health Policy and Management and Department of Economics at The Johns Hopkins University, 21205, Baltimore, MD

    Martin Gaynor Ph.D. (Assistant professor)

Authors
  1. Martin Gaynor Ph.D.
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Additional information

This research was supported in part by Grant No. 1 R29 MH45841-01 from the National Institute of Mental Health.

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Gaynor, M. Incentive contracting in mental health: State and local relations. Adm Policy Ment Health 18, 33–42 (1990). https://doi.org/10.1007/BF00706490

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